Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OS midterm Spring 2020 > Counterstrain lecture > Flashcards

Counterstrain lecture Flashcards

1
Q

_____ _____ is a gentle passive indirect OMM technique for MSK pain

A

Counterstrain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the overflow “flow” of a counterstrain diagnosis and technique?

A

TART
Tender points
“fold and hold”
“spontaneous release”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A ______ ____ is a non radiating area of tenderness that is located within muscle, tendon, ligaments, or fascia, that reduces when placed into a position of ease

A

tender point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dr. ______ _______ founded counterstrain in 1955 after treating a patient with a 2.5 month history of psoas syndrome

A

Dr. Lawrence H Jones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

After doing treatments, what did Dr. Jones determine was the best amount of time to hold the patients in the counterstrain position?

A

90 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A _____ ______ is

  1. located only in muscle
  2. has a characteristic pain pattern
  3. locally tender and radiates pain
  4. presents with taut band of tissue that will twitch when palpated
A

Trigger point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A ______ ______ is

  1. located in muscle, tendon, ligament, and fascia
  2. no characteristic pain
  3. only locally tender
  4. no taut band or twitch response
A

Tenderpoint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What kind of positioning do you need to do for a counterstrain treatment?

A

Regional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What kind of treatment is counterstrain?

A

passive and indirect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are indications of using counterstrain?

A

Patient must be ABLE and WILLING To be positioned and relax

***Can use with very fragile patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are contraindications of counterstrain?

A

Severe trauma, illness, or instability

Patient is unable to voluntarily relax

Unable to position without extreme pain or anatomic changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do you name tender points?

A
  1. Laterally, anterior, posterior and the vertebrae
    ex: L PCA 4 (left posterior cervical 4)
  2. By the anatomic structure that is being treated
    ex: L psoas muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the positional treatment?

A

Go to the position of ease; where does the patient feel a decrease in pain in the tenderpoint area?

***Be sure to say that in the neutral position that AT that trigger point that should be the WORST pain that they should feel and use that as the baseline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

________ is a tenderpoint with treatment position opposite of rest of region

A

Maverick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

______ is a distinct palpable TTA without tenderness

A

Stoic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the nociceptive perspective

A

Initiated by nociceptors in a strained tissue

ex: with an ankle sprain, there is nocicpetive properties in the muscles, tendons, ligaments, and fascia

produces a reflexive contraction to protect the tissue

stuck in a reflex loop

17
Q

Describe the proprioceptive perspective

A

A muscle spindle fiber determines the length and stretch of a muscle

you work with the spinal gamma motor neurons (LMN)

Determine the length of the agonist and antagonist muscles through alpha motor neurons to prevent sudden changes

Rapid stretch causes protective contraction (gamma motor neuron system)

18
Q

This is what causes the protective contraction of a muscle when it is stretched too much too fast

A

Gamma motor neurons

19
Q

______ _______ can overwhelm the sympathetic and parasympathetic regulation of muscle perfusion

A

Sustained contracture

20
Q

In regards to the muscle, what is a consequence of a sustained contracture?

A

Reduced metabolic recovery of muscle

21
Q

______ ______ leads to the sensitization of nerve endings

A

Lactic acid

22
Q

__________ produces cascade of neuropeptides in the muscle

A

Nociceptive

23
Q

What are the effects of nociceptive cascade of neuropeptides?

A

Localized edema

sensitizes nerve endings

24
Q

The contracture of the muscles that is produced by both the nociceptive and proprioceptive perspectives is called the ______ ______

A

Pathologic neutral

25
Q

______ _______ is where we position our indirect techniques

A

Pathologic neutral

26
Q

What does “neutral” mean

A

the position where the muscles are relaxed

27
Q

List the phases of counterstrain

A
  1. Relaxation phase
  2. Normalization of nociceptive and neuro input phase
  3. washout phase
  4. slow return to neutral phase
28
Q

In this phase of couterstrain, the tissues are shortened into the position of ease

A

Relaxation phase

29
Q

In this phase, the nociceptive input resolves in the position of ease
and
the spindle fiber length resets and gamma loop is restored to normal input

A

Normalization of nociceptive and neurons input phase

30
Q

_______ _______ begins 10-15 seconds after optimal position is achieved

A

Metabolic washout

31
Q

This phase involves metabolic washout and a peak washout

A

washout phase

32
Q

Peak washout occurs after about ____ ________ (time)

A

1 minute

33
Q

In this phase, the tissues return to neutral and the muscle spindles will typically remain facilitated for 24 hours

A

Slow return to neutral

34
Q

What is a concern about the slow return to neutral phase (last phase)

A

That a rapid return to neutral could reactivate the muscle spindle activity and cause contraction

35
Q

List the steps of the counterstrain

A
  1. Find most 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.
36
Q

Where should you start when attempting to find a tender point?

A

Near the area of TART; because there will probably be a point close to that

37
Q

Why is it important to monitor the tenderpoint throughout?

A

So that you can feel for any changes and stay on the exact point because you may not find it again

38
Q

Which step does the phrase “fold and hold” apply to?

A

The fourth step; placing the patient in the position of ease

39
Q

What year was counterstrain first used? And who discovered it?

A

1955

Dr. Lawrence H Jones

***This was in the lecture legit like 3 times

OS midterm Spring 2020 (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions