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ECOS 1 Pre-Midterm > Counterstrain OMT > Flashcards

Counterstrain OMT Flashcards

1
Q

What type of technique is counterstrain?

A

Indirect and passive

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2
Q

What does counterstrain focus on?

A

Tenderness

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3
Q

Who created counterstrain?

A

Dr. Lawrence H. Jones

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4
Q

Describe the story of how Dr. Jones discovered counterstrain

A

He positioned a man in pain for psoas syndrome into a position of comfort, left to treat another patient and when he came back the man’s pain was gone

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5
Q

What are the 4 characteristics of a tenderpoint?

A

Located in muscle, tendon, ligaments, fascia
No characteristic pain pattern
No taut band or twitch response
Only locally tender

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6
Q

What guides counterstrain treatment?

A

Reduction of tenderness

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7
Q

Counterstrain indications?

A
  • Pt must be able to be positioned and relax
  • Useable with very fragile, sensitive and recent trauma or surgery patients
  • MSK pain
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8
Q

Counterstrain contraindications?

A

Pt cannot voluntarily relax or be positioned without extreme pain or due to anatomic changes (scoliosis)
Severe trauma, illness, instability

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9
Q

What is used in the diagnostic nomenclature?

A

Laterality, anterior/posterior and vertebrae

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10
Q

What is used in the treatment nomenclature?

A

Position of ease :

  • Flex or extend (F/E)
  • Sidebend away/toward (Sa/St)
  • Rotate away/toward (Ra/Rt)
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11
Q

What does it mean if you have a treatment designated as E SaRT?

A

Extend, sidebend away some and rotate towards ALOT because it is uppercase

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12
Q

Tenderpoint with treatment position opposite of rest of region?

A

Maverick

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13
Q

Distinct palpable TTA withOUT tenderness?

A

Stoic

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14
Q

What are the 2 physiological perspectives for muscle contraction?

A

Nociceptive and Proprioceptive

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15
Q

This perspective is initiated by nociceptors in strained tissue that causes reflex contraction to protect tissues

A

Nociceptive

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16
Q

This perspective is caused from rapid stretch without recovery of muscle spindle fiber and will cause protective contraction what will be maintained by gamma system

A

Proprioceptive

17
Q

What does the contracture of muscles by both perspectives cause?

A

Shifted neutral (pathologic neutral)

18
Q

What are the phases of counterstrain?

A

Relaxation phase
Normalization of nociceptive input - spindle fiber resets
Washout phase - metabolic washout
Slow return to neutral phase - don’t reactivate spindle activity

19
Q

What are the counterstrain step? (DO NOT SKIP)

A
  1. Find most significant tenderpoint
  2. Establish tenderness scale
  3. Monitor tenderpoint throughout
  4. Place pt into position of ease
  5. Hold for 90 seconds
  6. Slow return to neutral
  7. Recheck tenderness
20
Q

If you say this is a 10/10 now, what must the patient feel in order for treatment to be over?

A

It is a 3/10 or less!

21
Q

Treatment for PT1-4SP

A

Extend head off the table

22
Q

Treatment for lower PTSP

A

Use table as a lever for extension

23
Q

Treatment for R/L PT1-3 TP

A

Use head to E Sa Ra

24
Q

Treatment for R/L PT4-9 TP

A

Use arm to E Sa Rt

25
Q

Treatment for R/L PT10-12 TP

A

Torso: E Sa Ra
Pelvis: E Sa Rt

26
Q

Treatment for PL1-5 SP

A

Use ipsilateral Lower Extremity to E Adduct and ER

27
Q

Treatment for PL1-5 TP

A

Pull ipsilateral ASIS posteriorly and inferiorly to E Sa Rt

28
Q

Where is upper pole L5 (UPL5)

A

Superior medial to PSIS

29
Q

Treatment for UPL5

A

E Adduct and IR/ER ipsilateral LE

30
Q

Where is lower pole L5 (LPL5)

A

Inferior to PSIS

31
Q

Treatment for LPL5

A

pt prone with ipsilateral leg off table

F IR Adduct

32
Q

Where is the high ilium sacroiliac (HISI)

A

Lateral to PSIS

33
Q

Treatment for HISI

A

E ABduct and ER ipsilateral LE

34
Q

Where are PL3 and PL4

A

Margins of tensor fascia latae lateral to PSIS

35
Q

Treatment for PL3 and PL4

A

E ABduct and ER ipsilateral LE

ECOS 1 Pre-Midterm (14 decks)

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