OMM II Midterm (Counterstrain & Chapman's points)
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223 Terms
AC1 location(s)
ascending ramus of mandible (AC1 mandible)
lateral tip of C1 transverse process (AC1 TP)
AC1 Tx
f SaRA
AC1 mandible = lots of rotation
AC 2-6 locations
anterolateral transverse processes of C2-6
AC 2-6 Tx
F SARA
AC 7 location
superior aspect of medial end of clavicle (lateral to SC joint)
AC 7 Tx
F STRA
AC 8 location
medial to SC joint
AC 8 Tx
F SARA
Mavericks of anterior cervicals
AC 7
Mavericks of posterior cervicals
PC1 inion, PC3 SP
PC 1 inion location
inion (inferolateral)
PC 1 inion Tx
Flex (as much as needed to reduce pain, Dr. Wilson suggests starting with ~45 degrees)
PC 1 lateral occiput location
lateral along nuchal line
PC 1 lateral occiput Tx
E SaRa
PC 2 lateral occiput location
inferior to nuchal line (slightly inferior and medial to PC 1 lateral occiput)
PC 2 lateral occiput Tx
E SaRa
PC 2 spinous process location
superior aspect of spinous processes of C2
PC 2 spinous process Tx
E SaRa
PC 3 spinous process location
inferior aspect of spinous processes of C2
PC 3 spinous process Tx
F SaRa
PC 4-8 spinous process location
inferior aspect of spinous processes of C3-7
PC 4-8 spinous processes Tx
E SaRa
PC 3-7 lateral location
articular column of C3-7
PC 3-7 lateral Tx
E SARA
AL 1 location
medial to ASIS
AL 1 Tx
F STRA
AL 2 location
medial to AIIS
AL 2 Tx
F SART
stand opposite to tenderpoint
AL3 location
lateral to AIIS
AL3 Tx
F SART
stand opposite to tenderpoint
AL4 location
inferior to AIIS
AL 4 Tx
F SART
stand opposite to tenderpoint
AL 5 location
anterior-superior aspect of pubic ramus, just lateral to pubic symphysis
AL5 Tx
F SARA
Psoas location
2/3 distance from ASIS to midline (closer to midline than iliacus)
Psoas Tx
F ST
Iliacus location
1/3 distance from ASIS to midline (closer to ASIS than psoas)
Iliacus Tx
F ER
Frog legs, cross good ankle over bad ankle
Low ilium location
superior surface of iliopectineal eminence
low ilium Tx
Flex hip and knee (only leg of tenderpoint)
Inguinal location
medial aspect of inguinal ligament, just lateral to pubic bone
Inguinal Tx
F ADD IR
cross good knee over bad knee
PL 1-5 Spinous process location
inferolateral aspect of spinous process
PL 1-5 spinous process Tx
E StRa
stand opposite to tenderpoint!
PL 1-3 transverse process location
lateral aspect of transverse process
PL 1-3 transverse process Tx
E STRA
stand opposite to tenderpoint!
Quadratus lumborum location
tip of 12th rib
tip of lumbar TP
superior aspect of iliac crest
Quadratus lumborum Tx
E Abd ER
stand on same side of tenderpoint
may flex knee to help externally rotate
UPL5 (upper pole L5) location
superior medial PSIS
UPL5 Tx
E add
stand opposite to tenderpoint!
HISI (Hi Ilium Sacroiliac) location
lateral PSIS
HISI Tx
E Abd ER
LP L5 (lower pole L5) location
inferior PSIS
LPL5 Tx
F add IR
Hi Fo (Hi Ilium Flare Out) location
lateral aspect of ILA
HiFo Tx
E Add
stand opposite to tenderpoint!
cross bad leg over good
PL 3-4 Glut (gluteus medius posterior) location
PL3 = 2/3 distance from PSIS to tensor fascia latae
PL4 = margin of tensor fascia latae
PL 3-4 gluteus Tx
E abd er
Piriformis location
mid piriformis
Piriformis Tx
F Abd IR/ER
"Dog peeing on tree"
PS 1 bilateral Location
S1 - lateral aspect of sacral sulcus
PS1 Tx
anterior pressure to contralateral ILA
PS 2-4 Location
S2-S4 midline
PS 2 Tx
extend sacrum
PS 3 Tx
flex or extend sacrum
PS 4 Tx
flex (use anterior pressure midline)
PS 5 bilateral Location
superior-medial to ILA
PS 5 bilateral Tx
anterior pressure to contralateral sacral base
AR 1 location
first chondrosternal joint below clavicle
AR 1 Tx
F StRT
use head
AR 2 location
superior aspect of 2nd rib at midclavicular line
AR 2 Tx
F StRT
use head
AR 3-6 location
on affected rib at anterior axillary line
AR 3-6 Tx
F STRT
knee opposite of tenderpoint up with patient's legs toward tenderpoint, Dr push knee forward for rotation
PR 1 location
posterosuperior portion of rub 1, lateral to costotransverse joint
PR 1 Tx
e SARt
mainly movement of head/neck.
knee opposite of tenderpoint up
PR 2-6 location
posterosuperior aspect of appropriate rib
PR 2-6 Tx
f SARA
knee up on same side of tenderpoint & push knee forward
AT 1 midline location
sternal notch
AT 1 midline Tx
F (arms up)
AT 2 midline location
Angle of Louis/sternal angle
AT 2 midline Tx
F (arms up)
AT 3-6 midline location
on sternum at appropriate level (midline or just lateral to)
AT 3-6 midline Tx
F (arms down and hanging off table)
AT 7 location
1/4 distance between xiphoid and umbilicus
(technically there's three, the one midline at end of xiphoid and two lateral and slightly inferior)
AT 7 Tx
F StRa
AT 8 Location
1/2 distance between xiphoid and umbilicus; just lateral to midline bilaterally
AT 8 Tx
F StRa
AT 9 location
3/4 distance between xiphoid and umbilicus; just lateral to midline bilaterally
AT 9 Tx
F StRa
AT 10 Location
1/4 distance between umbilicus and pubic symphysis; just lateral to midline bilaterally
AT 10 Tx
F StRa
patient lies supine, motion is done with legs
AT 11 Location
1/2 distance between umbilicus and pubic symphysis
AT 11 Tx
F StRa
patient lies supine, motion is done with legs
AT 12 location
Anterior superior margin of iliac crest at mid-axillary line
AT 12 Tx
F StRa
patient lies supine, motion is done with legs
PT 1-12 spinous process location
midline at tip of spinous process of appropriate vertebra
PT 1-12 spinous process Tx
extend
Can use head to control T1-T3
PT 1-12 transverse process location
posterolateral transverse process of appropriate vertebra
PT 1-12 transverse process Tx
E SART
can use head to control T1-T3