Cervical spine counterstrain
Notas
Cervical spine
Cervical spine counterstrain
ANTERIOR CERVICAL (AC) | ||||
TENDER POINT | ANATOMICAL POSITION | TREATMENT POSITION | ||
| AC1 | Posterior aspect of ascending ramus of mandible | Rotate away (RA) | ||
| AC1 lateral (1L) | Lateral aspect of C1 transverse process | Rotate away (RA) | ||
| AC2–6 | Anterolateral aspect of corresponding tubercle of transverse process | Flex, side bend away, rotate away (F SARA) | ||
| AC7 | Clavicular attachment of sternocleidomastoid (SCM) | Flex, side bend toward, rotate away (F STRA) | ||
| AC8 | Sternal attachment of SCM | Flex, side bend away, rotate away (F SARA) | ||
Figure 1. Locations of the anterior cervical (AC) counterstrain tender points.
POSTERIOR CERVICAL (PC) | ||||
| TENDER POINT | ANATOMICAL POSITION | TREATMENT POSITION | ||
| PC 1 midline (inion) | Inferior nuchal line, lateral to inion | Marked flexion | ||
| PC1 lateral (occiput) | Midway between inion and mastoid process, inferior to nuchal line | Extend | ||
| PC2 lateral (occiput) | Midway between PC1 inion and PC1 occiput, located on inferior nuchal line | Extend | ||
| PC2 midline | Superior aspect of C2 spinous process | Extend, minimally side bend away, rotate away (E SARA) | ||
| PC3 midline | Inferior aspect of C2 spinous process | Flex, side bend away, rotate away (F SARA) | ||
| PC4–8 midline | Inferior aspect of spinous process of vertebra one segment above (e.g., PC4 is located at inferior aspect of C3 spinous process) | Flex, side bend away, rotate away (F SARA) | ||
| PC3–7 lateral | Posterolateral aspect of corresponding vertebra’s articular process | Extend, side bend away, rotate away (E SARA) | ||
Figure 2. Locations of the posterior cervical (PC) counterstrain tender points.
Author: Arman Israelyan, OMS-III
Editor: Matt Lipinski, DO
Editor: Maddison Caterine, MD
Illustrator: Aileen Lin, MScBMC
Editor: Robyn Hughes, MScBMC
Aspectos destacados
en inglés
Cervical spine counterstain is a manual therapy technique used to treat chronic pain and dysfunction of the cervical neck region. It is based on the theory that chronic pain and dysfunction can be caused by dysfunctional muscle tone in the neck and upper back muscles. It is used to treat various conditions, including chronic neck pain, upper back pain, and headaches.