Cervical Counterstrain

Question 1

Anterior scalene

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Answer 1

Anterior scalene

• ORIGIN
  
  • Anterior tubercles of transverse processes of C3-C6
• INSERTION
  
  • Scalene tubercle and upper surface of first rib
• NERVES
  
  • Anterior rami of C4-C7
• FUNCTIONS
  
  • Elevation of rib 1

Question 2

Middle scalene

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Answer 2

Middle scalene

• ORIGIN
  
  • Transverse processes of vertebrae C2-C7
• INSERTION
  
  • Upper surface of rib 1 posterior to the groove for the subclavian artery
• NERVES
  
  • Anterior rami of C3-C7
• FUNCTIONS
  
  • Elevation of rib 1

Question 3

Longus colli: superior oblique part

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Longus colli: Inferior oblique part

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Longus colli: vertical part

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Answer 3

Question 4

AC1

• Location
• Position

Answer 4

AC1

• Location
  
  • Posterior aspect of the ascending ramus of the mandible at the level of the earlobe
• Position
  
  • RA with slight flexion

Question 5

AC1 Lateral

• Location
• Position

Answer 5

AC1 Lateral

• Location
  
  • Transverse process: Lateral aspect of the C1 transverse process midway between the ramus of the mandible and the mastoid process
• Position
  
  • RA

Question 6

AC2 to AC6

• Location
• Position

Answer 6

AC2 to AC6

• Location
  
  • On the anterolateral aspect of the corresponding anterior tubercle of the transverse process
• Position
  
  • FSARA

Question 7

AC7

• Location
• Position

Answer 7

AC7

• Location
  
  • On the clavicular attachment of the SCM
• Position
  
  • FSTRA

Question 8

AC8

• Location
• Position

Answer 8

AC8

• Location
  
  • At the sternal attachment of the SCM on the medial end of the clavicle
• Position
  
  • FSARA

Question 9

PC1

• Location
• Position

Answer 9

PC1

• Location
  
  • Inferior nuchal line, lateral to the inion
• Position
  
  • FLEXION

Question 10

PC1 Occiput

• Location
• Position

Answer 10

PC1 Occiput

• Location
  
  • Immediately inferior to the nuchal line, midway between the inion and mastoid
• Position
  
  • Extension

Question 11

PC2 Occiput

• Location
• Position

Answer 11

PC2 Occiput

• Location
  
  • Inferior nuchal line associated with attachment of the semispinalis capitis
• Position
  
  • Extension

Question 12

PC2

• Location
• Position

Answer 12

PC2

• Location
  
  • On the superior aspect of the C2 spinous process
• Position
  
  • Extension, with fine tuning; minimal SARA
    
    • Em SARA

Question 13

PC3

• Location
• Position

Answer 13

PC3

• Location
  
  • On the inferior or inferolateral aspect of the C2 spinous process
• Position
  
  • FSARA

Question 14

PC4 to PC8

• Location
• Position

Answer 14

PC4 to PC8

• Location
  
  • On the inferior or inferolateral aspect of the tip of the spinous process of the vertebra one segment above
  • PC4 is inferior to the C3 spinous process; the rest of the posterior cervical tender points follow the same pattern
• Position
  
  • ESARA

Question 15

Semispinalis Cervicis

• ORIGIN
• INSERTIONS
• FUNCTIONS

Answer 15

Semispinalis Cervicis

• ORIGIN
  
  • Transverse processes of T1-T6
• INSERTION
  
  • Spinous processes of C2-C5
• FUNCTIONS
  
  • Bilaterally: extension of cervical spine
  • Unilaterally: Lateralflexion of neck and rotation to opposite side

Question 16

SPINALIS CERVICIS

• ORIGIN
• INSERTION
• NERVES
• FUNCTIONS

Answer 16