Description of Recommended Physical Counterpressure Maneuvers |
|||
|---|---|---|---|
| Lower-body PCMs |
|||
| Leg crossing with muscle tensing | Leg crossing with tensing of the leg, abdominal, and buttock muscles while lying down or, if necessary, while standing |  |
 |
|
Squatting
|
Lowering the body into a squatting position. Adjunctive lower-body and abdomen muscle tensing can be done during the squat and then on standing once symptoms have resolved.
|
 |
|
| Upper-body PCMs | |||
|
Arm tensing
|
Gripping opposing hands with fingers and pulling with arms in opposing directions with maximum force.
|
 |
 |
|
Isometric handgrip
|
Clenching fist at maximum contraction with or without an item in the hand
|
 |
 |
|
Neck flexion
|
Touching the chin to the chest and tightening the neck musculature.
|
 |
 |