Indirect Treatment Tecniques

Question 1

What is the counter strain technique?

Answer 1

An osteopathic system of diagnosis and indirect
treatment in which the patient’s somatic
dysfunction, diagnosed by an associated myofascial
tender point, is treated by using a position of
spontaneous tissue release while simultaneously
monitoring the tender point

Question 2

What is used diagnostically to discover somatic dysfunction in the spine?

Answer 2

Posterior and Anterior tender points

Question 3

What are tenderpoints?

Answer 3

small, tense,
edematous areas in the soft tissue, which are
about the size of a fingertip.

Question 4

What is the pathophysiology go counterstrain dysfunction?

Answer 4

Strain resulting from overstretching
myofascial tissues causes an increase in the gamma gain of the muscle spindles within the muscle. These muscle spindles send input of a strain to the CNS, resulting in the perception of pain

Question 5

What are common relative contraindications for counterstrain techniques?

Answer 5

• Fracture/torn ligament
• Vertebral artery disease
• Severe osteoporosis

Question 6

How much pressure is needed to elicit a tender point?

Answer 6

The same as the amount needed to blanch a nail bed

Question 7

What is FPR, and what is the theory and goals behind it?

Answer 7

• Facilitated positional Release
• Goal to decrease tissue hypertonicity
• A somatic dysfunction is initiated and maintained by increased gain in gamma motor neuron activity.
• Shortening the muscle more than intended causes decrease in spindle output

Question 8

What are contraindications for FPR?

Answer 8

Absolute: Fracture

Relative: Herniations, VAD, Severe osteoporosis

Question 9

What are the two methods of FPR?

Answer 9

1. Tissue Texture Change

2. intervertebral motion restriction