Omm Final 3-3- Counterstrain Points

Front 1

o Cervical
 Posterior:

Back 1

 C1 inion flex, C1-C7 extend and SARA, except C3 = flex and STRAW

Front 2

 Anterior

Back 2

C1 rotate away, C2-C8 flex and SARA, except C7 = flex and STRAW

Front 3

Bronchial mucosa reflex

Back 3

T2-3- Right

Front 4

Inguinal anterior TP

Back 4

 Anterior inguinal tender point = Located on the lateral border of the pubic bone near the attachment of the inguinal ligament

Front 5

• Rule of 3’s for thoracic Transverse processes

Back 5

o T1-3  SP in the same plane as the TVP
o T4-6  SP ½ between the TVP above and below
o T7-9  SP at the plane of the TVP below
o T10  follows 7-9
o T11  follows 4-6
o T12  follows 1-2

Front 6

Thoracics greatest motion?

Back 6

o Rotation> SB> Flexion> Extension

Front 7

• Rib/Thoracic rule
o Elevated 1st rib on right

Back 7

T1 SLRL

Front 8

to use in rib ME

Back 8

 1st Rib: Anterior & Middle Scalenes
 2nd Rib: Posterior Scalene
 Ribs 3-5(6): Pectoralis Minor
 Ribs 6-9: Serratus anterior
 Ribs 10-11: Latissimus dorsi
 Rib 12: Quadratus lumborum

Front 9

 Pump Handle – ribs 1-5

Back 9

 Motion predominantly in sagittal plane
 Best palpated at midclavicular line
 Axis of motion is costovertebral-costotransverse line (see below)

Front 10

 Bucket Handle – ribs 6-10

Back 10

 Motion predominantly in coronal plane
 Best palpated at midaxillary line
 Axis of motion is costovertebral-costosternal line (see below)

Front 11

o Fibular Head dysfunctions

Back 11

 DEA: dorsiflexed everted anterior
 PIP: plantarflexed inverted posterior
 Treat with opposite for direct

Front 12

• Halstead maneuver: exaggerated military posture

Back 12

o Narrows costoclavicular space

Front 13

• Wright’s maneuver: shoulder external rotation, abduction beyond 90 degrees

Back 13

o Compresses below pectoralis minor insertion

Front 14

• Adson’s test: neck extended, turned toward affected side (TOS test)

Back 14

o Narrows interscalene space
o Checks patency of ipsilateral artery passing between scalene triangle
o Positive with ↓/absent radial pulse on affected side

Front 15

• L5/sacral rule

Back 15

o L5 sidebends to the same side as the oblique axis
o L5 rotates to the opposite side as the oblique axis
o Neutral mechanics: LOL or ROR forward torsions
o Non-neutral mechanics: ROL or LOR backward torsions

a. Rotates opposite of the sacrum and sidebends towards the oblique axis.