Review: Thoracic Counterstrain

Question 1

Location of counterstrain point AT1

Answer 1

Midline on suprasternal notch

Question 2

Location of counterstrain point AT2

Answer 2

Midling on manubrium at sternal angle (angle of Louis)

Question 3

Location of counterstrain point AT3-4

Answer 3

Midline at level of costal cartilage related to named vertebra

Question 4

Location of counterstrain point AT5

Answer 4

Midline at the level of the costal cartilage related to the named vertebra (about 1 inch superior to xyphoid)

Question 5

Location of counterstrain point AT6

Answer 5

Midline at level of costal cartilage related to named vertebra (at sternal-xiphoid junction)

Question 6

Location of counterstrain point AT7

Answer 6

Can be midline OR lateral to midline 1/4 distance from tip of xiphoid to umbilicus

Question 7

Location of counterstrain point AT8

Answer 7

Can be midline or lateral to midline, halfway between xiphoid and umbilicus (1.5” inferior to xiphoid)

Question 8

Treatment position for AT1-AT6

Answer 8

Pt supine

Dr at head of table, cervical and thoracic FLEXION to level of TP.

Modification: perform with patient seated and dr standing behind pt, flexing head to level of TP

Question 9

Treatment position for AT7-AT9 bilateral TPs

Answer 9

Pt seated

Dr standing behind, place foot on side opposite TP (if lateral TP), then use leg to SB torso towards TP, and rotate torso away [F STRA]

**if midline TP, flex to level of TP

Question 10

Location of counterstrain point AT9

Answer 10

Can be midling or lateral to midline, 3/4 distance from xiphoid tip to umbilicus (1-2 cm superior to umbilicus)

Question 11

Location of counterstrain point AT10

Answer 11

Lateral to midline, 1/4 distance from umbilicus to pubic symphysis (1-2cm inferior to umbilicus)

Question 12

Location of counterstrain point AT11

Answer 12

Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm below umbilicus)

Question 13

Location of counterstrain point AT12

Answer 13

Lateral to midline, midaxillary line on superoanterior surface of iliac crest

Question 14

AT10-AT12 treatment position

Answer 14

Pt supine

Dr stands on same side of TP, flex pts hips/knees, pull pts knees toward doc, causing pelvis and lower segment to rotate toward TP while torso and upper segment rotate away; pull pts ankles toward doc, which SB dysfunctional segment toward TP

Question 15

Treatment positioin for PT1-3 SP

Answer 15

Pt prone with arms draped over side of table; extension to segment

Question 16

Treatment position for PT1-3 TP

Answer 16

E SARA

Question 17

Treatment position for PT4-6 SP

Answer 17

Pt prone with arms draped over TOP of table; extend to segment

Question 18

Tx position for PT 4-9 TP

Answer 18

E SART

Question 19

Tx position for PT 7-9 SP

Answer 19

Pt prone with arms draped over TOP of table with pillow under chest, add extension as needed

Question 20

Tx position for PT10-12 SP

Answer 20

Pt prone with arms draped over TOP of table with pillow under chest, extend

Question 21

Tx position for PT 10-12 TP

Answer 21

Pt prone; ESART

Question 22

Treatment of what type of CS point requires lengthening of tissues around the TP rather than shortening/wrapping around them?

Answer 22

Maverick point