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OS II MIDTERM > Counterstrain > Flashcards

Counterstrain Flashcards

1
Q

What kind of technique is counterstrain?

A

passive indirect

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2
Q

What is a tenderpoint?

A

non radiating area of tenderness located within muscle, tendon, ligaments, fascia that reduces when placed into position of ease; only locally tender; no characteristic pain pattern; no taut band or twitch response

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3
Q

Who was the first doctor that did counterstrain?

A

Dr. Lawrence H Jones (1955)

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4
Q

How many specific tenderpoints have been recorded?

A

> 300

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5
Q

What is a trigger point?

A

located ONLY in muscle, have a characteristic pain pattern, locally tender and radiates pain, present with taut band of tissue that will twitch when palpated

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6
Q

What are contraindications of counterstrain?

A

severe trauma.illness/instability where management beside OMM is indicated, patient cannot voluntarily relax, unable to position patient without extreme pain or anatomic changes

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7
Q

How are tenderpoints named?

A

laterality, anterior/posterior and the vertebra; anatomic structure being treated

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8
Q

What is the significance of upper case vs lower case nomenclature?

A

a lot to a little

Ex. f-F, little to a lot of flexion depending

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9
Q

What is the nociceptive cause of tenderpoints?

A

Strained tissue stuck in reflex loop that was initially meant to protect tissue from further injury

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10
Q

What is the proprioceptive cause of tenderpoints?

A

muscle spindle fibers (innervated by gamma motor neurons) determine the length of muscle, when a tissue is injured or rapidly stretched alpha motor neurons are activated to relax or contract different muscle groups

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11
Q

What nerve types keep muscles stuck in contracture?

A

gamma motor neurons

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12
Q

What are the consequences of a sustained contracture?

A

overwhelm normal regulation of muscle perfusion, leads to reduced metabolic recover of muscles and a build up of lactic acid causing sensitization of nerve endings

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13
Q

What does the nociceptive physiologic response cause?

A

neuropeptides release and produce local edema that sensitizes nerve endings

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14
Q

What is the pathologic neutral?

A

contracture of muscles produces a new position that muscles are most relaxed in

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15
Q

What is the relaxation phase of counterstrain?

A

tissues are shortened to pathologic neutral

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16
Q

What is the normalization of nociceptive and neuro input phase?

A

resolve nociceptive input in position of ease and reset fiber length and gamma loop to normal input

17
Q

What is the washout phase?

A

metabolic washout begins at 10-15 seconds after optimal position achieved, peak washout at approx. one minute

18
Q

Why must tissues be returned to neutral slowly?

A

Rapid return could reactivate spindle cell activity

19
Q

What are the 7 steps of counter strain?

A
  1. Find significant tenderpoint
  2. Physician establish a tenderness scale
  3. Monitor tenderpoint throughout
  4. Place patient in position of ease of at least 70% improvement
  5. Hold 90 seconds
  6. Slowly return to neutral
  7. Recheck tenderness
20
Q

What is the treatment position for PC1 Inion?

A

F St Ra

21
Q

What is the treatment position for PC1 Occiput?

A

e-E SaRa

22
Q

What is the treatment position for PC2 Occiput?

A

e-E SaRa

23
Q

What is the treatment position for PC2?

A

e-E SaRa

24
Q

What is the treatment position for PC3?

A

f-F SaRa, Maverick point

25
Q

What is the treatment position for PC4-8?

A

e-E SaRa

26
Q

What is the treatment position for PT1-3 Spinous Process?

A

e-E, pt supine, head off table

27
Q

What is the treatment position for PT4-6 Spinous Process?

A

e-E, pt prone, arms draped over side of table, use table lever to extend

28
Q

What is the treatment position for PT 7-12 Spinous Process?

A

e-E, pt prone, arms draped over top of table, use table lever to extend

29
Q

What is the treatment position for PT1-3 TP?

A

E SaRa, pt supine, head off table

30
Q

What is the treatment position for PT4-9 TP?

A

E SaRT

31
Q

What is the treatment position for PT10-12 TP?

A

e-E SaRa (torso) or Rt (pelvis)

32
Q

What is the treatment position for PL1-5 Spinous Process?

A

e-E Adduct RT (pelvis) RA (torso)

33
Q

What is the treatment position for PL1-5 TP?

A

E SaRT(pelvis) RA (torso)

34
Q

What is the treatment position for UPL5?

A

E Adduct IR/ER

35
Q

What is the treatment position for LPL5?

A

F IR Adduct

36
Q

What is the treatment position for HISI?

A

e-E Abduct ER

37
Q

What is the treatment position for PL3 Gluteus?

A

E Abduct ER

38
Q

What is the treatment position for PL4 Gluteus?

A

E Abduct ER

OS II MIDTERM (7 decks)

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