Term
Counterstrain
T1 or T2 SP midline (extend) |
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Definition
- pt on back. You seated.
- Contact point with one hand, and with the other support head and slowly extend till pain dimished.
- Rest arm/head on lap for support. |
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Term
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Definition
(ESaRa)
- pt. on back. You seated
- Contact point with one hand, and with the other support head and slowly extend with rotation and sidebending AWAY from point till pain dimished.
- Rest arm/head on lap for support. |
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Term
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Definition
(ESaRt)
-pt on back. You seated.
- Contact point with one hand, and with the other support head and slowly extend with rotation TOWARD and sidebending AWAY from point till pain dimished. |
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Term
| Counterstain T3-T10 SP midline |
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Definition
(Extend)
-pt. on front. You standing
- maintain contact on point. Extend to point. |
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Term
| counterstrain T3-T10 SP groove |
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Definition
(ESaRa)
-pt. on front. You standing.
- maintain contant on point. Pull opposite sides shoulder inferior and posterior to cause ESaRa. |
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Term
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Definition
(ESaRt)
- pt. on front. You standing.
- Rotate head towards point. If point is right, look right.
- Same side arm is abducted upward. |
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Term
| Counterstrain T11 and T12 TP |
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Definition
- pt. on front. You standing.
- Rotate pelvis toward point by lifting same side pelvis. (ex. If point is on right, lift right side of pelvis, to rotate toward.) |
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Term
| counterstrain L1-L5 SP midline |
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Definition
- pt. on front. You standing
- maintain contact on point. Lift Pt. legs straight up. Rest on your knee, which is up on the table. |
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Term
| counterstrain L1-L5 SP groove |
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Definition
(ESaRt)
- pt. on front. You standing.
- Rotate pelvis toward point by lifting same side pelvis. (ex. If point is on right, lift right side of pelvis, to rotate toward.) |
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Term
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Definition
- pt. on front. You standing on same side of dysfunction.
- lift same side leg, and rest on your bent knee on table. Slight extension and rotation. |
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Term
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Definition
(ESaRt)
- pt. on front. You standing on oppostie side of dysfunction.
- Lift leg opposite from you, but same side as dysfunction at knee. Extend and rotate. |
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Term
ME
T4-T12 Direct Type 1 (N SL RR)
++Seated++ |
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Definition
-Pt. sits. You behind.
-Pt puts hand behind head, same side as rotation
-Pt. puts opposite arm across on upper arm
- You put thumb on rotated TP and reach around pt with other arm
-engage barriers, but rotating and sidebending AWAY.
- pt. then tries to rotate to side of point while you resist for 3-5 secs.
-relax 2 seconds and reengage barrier.
-repeat 3 times always reengaging new barrier. |
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Term
ME
T4-T12 Direct Type 1 (N SL RR)
++Supine++ |
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Definition
-pt. supine, you on same side as rotation.
-reach under and grab SP. Pull to side of rotation, causing rotation AWAY
-reach under neck to shoulder, and side bend away.
-pt tries to sb toward, you resist 3-5 sec
-relax 2 seconds and reengage barrier.
-repeat 3 times always reengaging new barrier. |
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Term
ME
L1-L5 Direct Type 1 (N SL RR)
++seated++ |
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Definition
-Pt. sits. You behind.
-Pt puts hand behind head, same side as rotation
-Pt. puts opposite arm across on upper arm
- You put thumb on rotated TP and reach around pt with other arm
-engage barriers, but rotating and sidebending AWAY.
- pt. then tries to rotate to side of point while you resist for 3-5 secs.
-relax 2 seconds and reengage barrier.
-repeat 3 times always reengaging new barrier. |
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Term
ME
L1-L5 Direct Type 1
supine |
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Definition
- pt. supine, you on side of rotation
-pt flex knees and hips
-grab SP and pull toward side of rotation. Causing rotation away.
-pull pt feet toward you…to side bend away from preference.
-pt try to pull feet against you and resist 3-5 second.
-relax 2 seconds and reengage barrier.
-repeat 3 times always reengaging new barrier |
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Term
ME
T4-T12 Direct Type 2 (E SL RL)
++seated++ |
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Definition
-pt seated you stand on opposite side of R and S.
- place arm across pt chest to shoulder of head and monitor rotated TP with other hand.
-move pt to barrier. Rotate and Side and Flex/extend opposite of diagnosis.
- -pt contract against you and resist 3-5 second.
-relax 2 seconds and reengage barrier.
-repeat 3 times always reengaging new barrier |
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Term
ME
L1-L5 Direct Supine Extended |
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Definition
-bring pt knees up into your chest, while you monitor TP on both sides.
-Flexion is controlled by chest pressure. Take to barrier and contract.
-5 seconds 3 times. Always reengaging the barrier. |
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Term
ME
L1-L5 Seated Direct Type 2 |
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Definition
-pt. seated. You beind and side opposite diagnosis.
-monitor with 1 hand, the other take pt to barrier using should oppose rotation.
- contraction 5 seconds. 3 times. Reengage barrier |
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Term
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Definition
-pt on back. You at head of table
- stabilize segment, and flex head in other hand
- Support head flexion with knee on table.
-Have pt push down on leg with head.
- contraction 5 seconds. 3 times. Reengage barrier |
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Term
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Definition
-pt on back. You at head of table
-pull SP toward rotated side, caused rotation away from diagnosis.
- rotate head to cause side bending and extension/flexion to barrier.
-have pt. push toward diagnosis.
- contraction 5 seconds. 3 times. Reengage barrier |
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Term
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Definition
- pt sitting up and you behind.
- place leg on table, same side as diagnosed injury
-drape pt arm over leg and slump over with axilla on thigh.
-use opposite side arm and contact TP.
-same side arm as leg. Put elbow on pt shoulder and grab head.
-cause side bending and rotation opposite diagnosis.
have pt. push toward diagnosis.
- contraction 5 seconds. 3 times. Reengage barrier |
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Term
HVLA
T4-T12 Direct Type 1 (N SL RR) |
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Definition
-pt. supine. You on side opposite rotation.
- Pt crosses arm. Opposite on top
-contact rotated TP with thenar eminence and put elbows in epigastium
-SB and rotate AWAY to barrier.
-localize and then thrust.
-recheck |
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Term
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Definition
- pt. lay on side bent side down.
-contact SP, and flex knees up to point
-pull ankles toward ceiling to cause sidebending
-pt straighten lower leg and hook top foot behind knee.
-pull bottom arm superior and anterion
- pt. makes genie arms
- put elbow in axilla, and on buttock and twist toward barrier.
-roll patient forward and then thrust.
-recheck. |
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Term
HVLA
T4-T12 Direct Supine Flexed |
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Definition
-pt lay on back, with opposite arm crossed on top
-reach around and place loose fist or cupped hand on both sides Tp. SP in groove
-elbows in epigastrium, pick up (flex) pt. till barrier then take up slack and thurst.
-recheck |
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Term
HVLA
T4-T12 Direct Supine Extended |
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Definition
- pt lay on back, with opposite arm crossed on top
-reach around and place loose fist or cupped hand on both sides Tp. SP in groove. Do it one vertebrae level down.
-cross elbows, opposite on top and place in epigastrium.
-flex patient to localize and thrust 45 degrees toward head of table.
-recheck |
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Term
HVLA
T4-T12 Direct Supine Type 2 |
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Definition
-typical Kville Crunch
- pt arm opposite on top. Treatment is opposite diagnosis. |
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Term
HVLA
L1-L5 seated direct Type 2 |
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Definition
- pt seated. You behind and to the side opposite diagnosis
- contact TP with thenar eminence and put your elbow at hip.
-wrap other arm around chest to axilla and induce SB and R to barrier. Away from diagnosis
-thrust ant and sup with hand on Tp. |
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Term
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Definition
-pt on back with head off table. You on opposite site of rotation
- Pt crosses arm. Opposite on top
-contact rotated TP with thenar eminence and put elbows in epigastium
-SB and rotate AWAY to barrier.
-localize and then thrust.
-recheck |
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Term
BLT
T1-T3 flexed or extended |
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Definition
-pt supine. You at head of table.
-contact point with both hands with their head in forearms.
- flex/extend with injury.
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
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Definition
- pt. supine you at head of table.
- place finger on rotated TP and other hand hold Pts. Head.
- all three planes of motion with head to loosen point. Toward diagnosis.
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
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Definition
- pt. supine and you on side of rotation.
- contact TP and other hand reach over to rib cage. Push up on Tp and pull rib cage.
-cause rotation and sidebending toward injury.
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
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Definition
-pt. supine. You on opposite side of rotation.
- grab SP and other hand reaches across to chest
-pull sp and chest to cause R and SB toward injury.
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
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Definition
-pt. supine and you on side.
- hand on Tp and push ant to cause extension
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
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Definition
-pt. supine, you on side of rotation.
- reach under and touch TP of opposite side.
-arch back or flatten back
-push ant. On TP and reach across and grab hip and pull toward you.
-cause SB and R toward injury.
-monitor breathing. When points loosen, hold breathe as long as possible. |
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Term
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Definition
pt. supine with knees flexed and feet flat, you on opposite side of rotation.
- reach under and touch SP
-arch back or flatten back
-pull On SP and reach across and grab hip and pull toward you.
-cause SB and R toward injury.
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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Term
BLT seated
T4-L5 Type I and Type II |
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Definition
- Thumb on rotated side, contact lower
-Thumb opposite rotated side contact upper
-pt lean into fingers. Slouch/sit straight based on localization
-lean and rotate into injury to loosen point
-monitor breathing. When points loosen, hold breathe as long as possible.
-recheck. |
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