Intro to Counterstrain Flashcards
What are the direct OMT techniques?
Soft tissue/Articulation Muscle Energy HVLA MFR Cranial
What are the indirect OMT techniques?
Strain/Counterstrain MFR Cranial BLT
What is the definition of the counterstrain dysfunction?
Continuing, inappropriate strain reflex
How is a counterstrain dysfunction treated?
Applying position of mild strain in the direction exactly opposite to that of the false strain reflex by the use of specific point tenderness followed by specific directed positioning
What are the similarities between a trigger point and a tender point?
Locally tender Elicits jump sign when pressed Located in muscle
What are the differences between a trigger point and a tender point?
What is the nociceptive model of counterstrain?
When a tissue is strained, it recruits nociceptors within that tissue => reflexive tissue contraction => contraction of affected tissue becomes neutral
Agonist tissue strained => agonist tissue shortening
What is the proprioceptive model of counterstrain?
Abnormal muscle lengthening causes antagonist muscles to shorten => CNS causes contraction of the antagonist muscle to become the new neutral state
Agonist tissue strained => antagonist tissue shortening
What are the 4 phases of counterstrain?
- Relaxation
- Reset of spindle fibers and nociceptors
- Washout
- Slow return to neutral
In the relaxation phase of counterstrain, what are the 3 planes that the affected tissue is shortened?
Flexion/Extension
Sidebending
Rotation
Which phase of counterstrain causes a rapid decrease in nociceptive input?
Relaxation phase
What are the primary endings of muscle spindle stretch receptors responsible for in muscle contraction?
Sense rate of change in length of muscle (length)
What occurs during phase 3 of counterstrain?
Washout - metabolic waste products built up because increased muscular tone inhibits blood flow, will be washed out after 1 minute, may feel a therapeutic pulse
Why is phase 4 of counterstrain a slow return to neutral?
Rapid return can reactivate spindle cell activity
What are the 7 steps of counterstrain treatment?
- Find a significant tenderpoint
- Establish tenderness scale
- Monitor the tender point throughout treatment
- Place patient in position of optimal comfort
- Maintain position for 90 seconds
- Slow return to neutral
- Recheck tenderpoint