UWorld Chapman’s and Tender Points Practice

A comprehensive set of practice flashcards covering Chapman's reflex points for various organs and Counterstrain tender points for the thoracic, rib, lumbar, and pelvic regions based on the lecture notes.

What are the anterior and posterior Chapman's points for the Sinuses?

Anterior: Midclavicle; Posterior: $C2$

What are the anterior and posterior Chapman's points for the Tonsils?

Anterior: Between ribs $1$ and $2$ near the sternum; Posterior: $C1$ posterior arch

What are the anterior and posterior Chapman's points for the Middle ear?

Anterior: Superior clavicle at the crossing of the first rib; Posterior: $C1$

What is the location of the anterior Chapman's point for the Kidneys?

$1\,inch$ lateral and $1\,inch$ superior to the umbilicus

What is the posterior Chapman's point for the Kidneys?

$$T12-L1$$

What is the location of the anterior Chapman's point for the Adrenal glands?

$2\,inches$ superior and $1\,inch$ lateral to the umbilicus

What is the posterior Chapman's point for the Adrenal glands?

$$T11-T12$$

Where is the anterior Chapman's point for the Bladder located?

Periumbilical region

Where is the anterior Chapman's point for the Urethra located?

Pubic symphysis

What are the anterior and posterior Chapman's points for the Prostate?

Anterior: Lateral femur along the posterior iliotibial band; Posterior: Between $L5$ TP and posterior superior iliac spine (PSIS)

What are the posterior Chapman's points for the Ovaries/testes?

$$T9-T11$$

What are the anterior and posterior Chapman's points for the Uterus?

Anterior: Medial edge of obturator foramen; Posterior: $L5$

What is the treatment position for Anterior thoracic (AT) tender points AT1 through AT6?

Flexion (Flex)

What is the location and treatment position for AT7 through AT11?

Location: Midline and lateral to the rectus abdominis; Position: Flex, sidebend toward, rotate away (F STRA)

Where is the AT12 tender point located and what is its treatment position?

Location: Superior to the ASIS, near the iliac crest; Position: Flex, sidebend toward, rotate away (F STRA)

What are the treatment positions for Posterior thoracic (PT) tender points located at the spinous processes and transverse processes?

Spinous processes: E SARA; Transverse processes: E SART

Anterior rib dysfunctions are associated with which type of respiratory dysfunction?

Exhalation dysfunctions

What is the general treatment position for anterior rib tender points AR1 through AR10?

Flexion, sidebending toward, and rotating toward the tender point (F STRT)

Where is the AR2 tender point located?

Over rib $2$ along the midclavicular line

Where are the AR3 through AR10 tender points located?

Over the corresponding rib ($3-10$) along the anterior axillary line

Posterior rib dysfunctions are associated with which type of respiratory dysfunction?

Inhalation dysfunctions

What is the location and treatment position for the PR1 tender point?

Location: $1"$ lateral to the articulation of rib $1$ and the $T1$ TP; Position: Extend, sidebend away, rotate toward (E, SA, RT)

What is the location and general treatment position for PR2 through PR10?

Location: Angle of the corresponding rib ($2-10$); Position: Sidebend away, rotate away (F SARA)

What is the location and treatment position for the AL1 tender point?

Location: Near the ASIS; Position: Flex, sidebend toward, rotate away (F, ST, RA)

What is the treatment position for the AL2 through AL4 tender points?

Flex, sidebend away, rotate toward (F, SA, RT)

What is the location and treatment position for the AL5 tender point?

Location: On the pubic symphysis; Position: Flex, sidebend away, rotate away (F, SA, RA)

What is the treatment position for Posterior lumbar (PL) tender points PL1 through PL5?

Extend, sidebend away, rotate away (E, SA, RA)

Where is the Psoas major tender point located and what is its treatment position?

Location: Two-thirds of the distance between the ASIS and midline; Position: Hip flexion

Where is the Iliacus tender point located and what is its treatment position?

Location: One-third of the distance between the ASIS and midline; Position: Flex the hip and knees, cross legs in a frog-leg position

What is the treatment position for the Pectineus (inguinal) tender point?

Flex the hip and knee, cross opposite leg over the affected leg, and internally rotate

What is the location and treatment position for the Piriformis tender point?

Location: $7\,cm$ medial to and slightly above the greater trochanter; Position: Patient prone, hip and knee flexed and abducted, then fine-tune with rotation

Compare the treatment positions for Upper pole L5 (UPL5) and Lower pole L5 (LPL5).

UPL5: Prone, extend hip, adduct, and rotate; LPL5: Prone, flex and adduct the hip, then internally rotate