Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

OPP 11/28/12

Midterm positions and contraindications

QuestionAnswer
Piriformis Counterstrain Contraindidcations Severe hip arthritis, deep venous thrombosis in involved leg, hip replacement, or history of hip dislocation
Piriformis Counterstrain Location Mid-Buttock, halfway between top of greater trochanter and mid-line of sacrum
Piriformis Counterstrain Technique Label 10/10, Prone, Bend knee off table on tender point side, Flex hip 90° and aBDuct and externally rotate hip, hold for 90 seconds, Retest (Piriformis position of ease and Piriformis stretch for stretching)
Lateral Trochanter Counterstrain Contraindications Deep venous Thrombosis
Lateral Trochanter Counterstrain Location Hold the ankle with one hand and locate point on lateral thigh between greater trochanter and knee
Lateral Trochanter Counterstrain Technique Label 10/10, Supine, aBDuct and slightly externally rotate the leg, hold for 90 seconds, Retest
Hip myofascial release Contraindications Acute hip fracture or dislocation, deep venous thrombosis, severe hip or knee osteoarthritis
Hip myofascial release Location Flex the hip and knee to 90° and test internal rotation and external rotation to determine direction of laxity and restriction (TEST BOTH SIDES AND COMPARE)
Hip myofascial release technique (Indirect) Indirect: Move the hip to its positions of laxity, apply compression or traction along the femur to facilitate laxity and follow release, Retest
Hip myofascial release technique (Direct) Move the hip into its restriction and apply gentle force until tissue give is completed, retest
Hip Muscle energy contraindications Acute hip fracture or dislocation, acute hip sprain, hip join inflammation, or femoral head avascular necrosis
Hip Muscle energy location Test hip flexion-extension, abduction-adduction, and internal-external rotation to identify barriers (test both sides and compare)
Hip Muscle energy technique Move the hip to its restrictive barrier and ask the patient to gently push the leg away from the restriction against resistance for 3-5 seconds, allow full relaxation, move to new barrier and repeat 3-5 times, RETEST
Hip dysfunction treatments Piriformis counterstrain, Lateral Trochanter counterstrain, hip mysfascial release, hip muscle energy
Medial/Lateral meniscus counterstrain Contraindications Acute knee sprain with internal derangement or deep venous thrombosis
Hip Muscle energy technique Move the hip to its restrictive barrier and ask the patient to gently push the leg away from the restriction against resistance for 3-5 seconds, allow full relaxation, move to new barrier and repeat 3-5 times, RETEST
Medial/Lateral meniscus counterstrain Contraindications Acute kneww sprain with internal derangement or deep venous thrombosis
Medial/lateral meniscus counterstrain technique Label 10/10, Supine, Hold ankle, flex the knee about 60° by dropping the leg off the table, fine tune with slight tibia rotation and add/abduction, hold for 90 seconds, RETEST
Patella Tendon counterstrain contraindications Acute knee sprain with internal derangement, acute patella fracture, or deep venous thrombosis
Patella tendon counterstrain location Place your knee under the foot and locate the tender point in the patella tendon
Knee Myofascial release technique (direct) Slowly move the tibia into its restrictions and maintain constant force until tissue give is completed, RETEST
Patella tendon counterstrain technique Label 10/10, Supine, Push the distal femur posterior to extend the knee, fine tune with slight tibia internal or external rotation, hold for 90 seconds, RETEST
Fibular head muscle energy contraindications Acute ankle sprain, acute fibular fracture, deep venous thrombosis, or ankle join laxity
Knee myofascial release contraindications Acute fracture or deep venous thrombosis
Fibular head muscle energy location Supine, knee bent, place thumb and index finger on anterior and posterior sides of the proximal fibular head,
Knee myofascial release location Supine or seated, Grasp leg on tibial plataeu and hold the foot between your knees, Move the tibia into anterior-posterior glide,medial-lateral glide, and internal-external rotation to determine directions of laxity/restriction
Knee Myofascial release technique (indirect) Slowly move the tivia to its positions of laxity and follow any tissue relase until completed, RETEST
Knee Myofascial release technique (direct) Slowly move the tibia into its restrictions and maintain constant force until tissue give is completed, RETEST
Fibular head muscle energy contraindications Acute ankle sprain, acute fibular fracture, deep venous thrombosis, or ankle join laxity
Fibular head muscle energy location Supine, knee bent, place thumb and index finger on anterior and posterior sides of the proximal fibular head,
Fibular head muscle energy technique Supine, Flex the knee 90°, pull the fibular head anterolaterally while dorisflexiing the foot to its restrictive barrier, Ask the patient to plantarflex (3-5 seconds), relax, repeat 3-5 times, Retest
Knee Dysfunction treatments Medial/lateral meniscus counterstrain, Patella tendon counterstrain, knee myofascial release, Fibular head muscle energy
Glenohumeral myofascial release contraindications Acute shoulder sprain or fracture, glenohumeral joint inflammation, gelnohumeral dislocation
Glenohumeral myofasical release location With patient seated, grasp one or both arms at the elbow and induce passive aBDuction, observe restriction
Glenohumeral myofascial release technique Sit at the head of the table and hold AC join with one hand and proximal forearm with other hand, slowly abduct arm while maintaining internal rotation, slowly externally rotate the arm and move into additional aBDuction, return and retest
Supraspinatus counterstrain contraindications Acute shoulder fracture or dislocation
Supraspinatus counterstrain location Locate tenderpoint in the supraspinatus muscle or its insertion onto the greater tubersity of the humerous
Supraspinatus counterstrain technique Label 10/10, Slowly aBDuct the arm 45°, fine tune with slight arm external rotation, hold for 90 seconds, RETEST
Acromioclavicular counterstrain contraindications Acute shoulder sprain, dislocation, or fracture
Acromioclavicular counterstrain location Locate the tender point at the anterior acromioclavicular joint
Acromioclavicular counterstrain technique Label 10/10, Hold the wrist, flex and adduct the shoulder, apply slight traction down the arm, hold for 90 seconds, retest
Scapular myofascial release contraindications Acute scapula fracture
Scapular myofascial release location Stand facing the patiend and drape the involved arm over your hand, holding the inferior angle of the scapula, Hold acromion and superior scapula with other hand, Move to determine restrictions
Scapular myofascial release technique (indirect) Slowly move the scapula into its positions of laxity and follow any tissue release until completed
Scapular myofascial release technique (direct) Slowly move the scapula into its restrictions and apply steady force until tissue give is completed
Shoulder dysfuntion treatments Glenohumeral myofascial relase, supraspinatus counterstrain, acromioclavicular counterstrain, scapular myofascial release
Extension ankle counterstrain contraindicaitons Acute ankle sprain with join instability, acute fracture, deep venous thrombosis
Extension ankle counterstrain location Locate tender point in the proximal gastrocnemius muscle near its medial or lateral origin
Extension ankle counterstrain technique Label 10/10, Prone, Flex patient's knee, place your foot on the table and rest the patient's foot on your thigh, fine tune by pushing the patient's foot into your thigh, hold for 90 sec, RETEST
Lateral ankle counterstrain contraindications Acute ankle sprain with join instability, acute fracture, or deep venous thrombosis
Lateral ankle counterstrain location With the patient lying on the side of the problem, use one hand to hold the distal tibia and find tender point anterior and inferior to lateral malleolus
Lateral ankle counterstrain technique Label 10/10, lateral, Hold the heel with your other hand,m evert the foot by pushing the heel toward the floor, fine tune with more or less eversion, hold for 90 seconds, RETEST
Medial ankle counterstrain contraindications Acute ankle sprain with joint instability, acute fracture, deep venous thrombosis
Medial ankle counterstrain location With patient lying on opposite side of the problem, use one hand to hold the distal tibia and find tender point inferior to the medial malleolus
Medial ankle counterstrain technique Label 10/10, Lateral, Invert the foot with your other hand and fine tune with interal rotation and inversion, hold for 90 seconds, RETEST
Ankle myofascial release contraindications Acute fracture or dislocation, calf deep venous thrombosis or acute sprain
Ankle myofascial release location Hold the calcaneus and platar surface of the foot with one hand and the distal leg with the other, Test ankle dorsiflexion and plantear flexion and compare both sides
Ankle myofascial release technique (indirect) Gently and slowly move the ankle to its position of laxity, apply compression or traction between your hands, follow any tissue release, RETEST
Ankle myofascial release technique (direct) Slowly move the ankle into its restriction and apply steady force until tissue give is completed, RETEST
Ankle muscle energy contraindications Acute fracture or dislocation, acute sprain, ankle join inflammation, or calf deep venous thrombosis
Ankle muscle energy location Test ankle dorsi and plantar flexion, compare both sides
Ankle muscle energy technique Move ankle to restrictive barrier, ask patient to push (or pull) against restrictive barrier for 3-5 seconds, allow full relaxtion, move ankle to new barrier, repeat 3-5 times, RETEST
Ankle dysfuncation treatments Extension ankle counterstrain, Lateral ankle counterstrain, medial ankle counterstrain, ankle myofascial release, ankle muscle energy
Posterior thoracic counterstrain tenderpoint locations (T1-T9) T1-T9: Spinous process or 1/2" lateral
Posterior thoracic midline counterstrain contraindications Acute fracture
Posterior thoracic midline counterstrain technique Label 10/10, prone, have patient cross wrists and intertwine fingers, rest head on arms, extend the upper thoracic spine, hold for 90 seconds, RETEST
Posterior thoracic lateral counterstrain contraindications Acute fracture, shoulder dislocation
Posterior thoracic lateral counterstrain technique Label 10/10, prone, life the shoulder of the side of the tneder point posteriorly toward point, hold for 90 seconds, RETEST
Anterior Cervical Counterstrain (C1) contraindications Acute fracture or dislocation, atlantoaxial instability, vertebrobasilar insufficiency
Anterior Cervical Counterstrain (C1) location Locate the tender point at the C1 transverse processes located between the angle of the madibular and mastoid process
Anterior cervical counterstrain (C1) technique Label 10/10, supine, Rotate the head away from the tender point, fine tune wiht more rotation and slight flexion, hold for 90 seconds, RETEST
Anterior cervical counterstrain (C2-C8)Contraindications Acute cervical fracture or dislocation
Anterior cervical Counterstrain (C2-C8) location Locate the tender points on the anterior aspect of the articular pillar (C7 is located on sternoclavicular joint)
Anterior cervical counterstrain (C2-C8) technique Label 10/10, Supine, AC2-C6: flexion, sidebending and rotation away from tenderpoint AC7: Flexion, sidebending toward and roation away from tender point, Hold for 90 seconds, RETEST
Posterior Cervical counterstrain (C1) contraindications Acute cervical fracture or dislocation, vertebrobasilar insufficiency
Posterior cervical counterstrain (C1) Location Locate tenderpoint just inferior to the lateral nuchal line or on the posterior arch of the atlas
Posterior cervical counterstrain (C1) technique Label 10/10, Supine, gently push the back of the head inferiorly to extend the occiput, fine tun eiwht extension, sidebending, or rotation, Hold for 90 seconds, RETEST
Posterior cervical counterstrain (C2-C7) contraindications Acute fracture or dislocation, vertebrobasilar insufficiency
Posterior cervical counterstrain (C2-C7) location Locate tender point on the spinous process or articular pillar
Posterior cervical counterstrain (C2-C7) technique Label 10/10, Supine, Extend the head, fine tune with slight sidebeding and rotation away from the tenderpoint, hold for 90 seconds, RETEST
Posterior Lumbar counterstrain (T10-L5) location Spinous processes or 1/2"-1" lateral
Posterior Lumbar counterstrain (T10-L5) contraindications Acute fracture, hip dislocation, severe hip osteoarthritis
Posterior Lumbar counterstrain (T10-L5) technique Label 10/10, Prone, Stand on the opposite side and lift the thigh on the side of the tender point to extend hip, fine tune with extention, abduction or adduction, Hold for 90 seconds, RETEST
Lower pole L5 counterstrain location Inferior surface of the PSIS
Lower pole L5 counterstrain contraindication Acute fracture, hip dislocation, severe hip osteoarthritis
Lower pole L5 counterstrain technique Label 10/10, Prone, Flex the hip and knee 90°, fine tune with slight aDDuction, Hold for 90 seconds, RETEST
Anterior Lumbar Counterstrain: T9-L5 anterior counterstrain locations AT9: 1/2"-1" superior to bellybutton; AT10: 1" below bellybutton; AT11: 2" below bellybutton; AT12: inner aspect of iliac crest in mid-ax line; AL1: 1/2" medial to ASIS, AL2: Medial surface of AIIS; AL3: Lateral AIIS; AL4: Inferior AIIS; AL5: Pubic ramus
T9-L5 counterstrain contraindications Acute lumbar fracture, acute lumbar strain and sprain
T9-L5 counterstrain technique Label 10/10, Supine, Flex the knees and hips 90°, fine tune with increased hip flexion or slight rotation/sidebending of the knees, hold for 90 seconds, RETEST
Iliopsoas counterstrain contraindications Acute lumbar or hip fracture, hip dislocation
Iliopsoas counterstrain location Stand beside the patient and locate the tender point 1" medial and slightly inferior to the ASIS
Iliopsoas counterstrain technique Label 10/10, Supine, Cross the ankles and passively flex the knees and hips 90°, allowing the hips to externally rotate, hold for 90 seconds, RETEST
Created by: mcasto