OMM - Intro to Indirect Techniques Flashcards
Strain/Counterstrain
Ideal for Acute, Painful or Frail patients where HVLA is not indicated or tolerated by patient
Tenderpoints are found with Acute and Chronic Somatic Dysfunctions, Somatic –Somatic and Viscero Somatic in origin.
Strain/Counterstrain Indications
Tender point
Small zone of tense, tender edematous muscle and fascial tissue about 1 cm in diameter. Sensory manifestation of a neuromuscular or musculoskeletal dysfunction. Does not respond to spray and stretch or injection.
General SCS Rules
Treat most tender first. Warn of post treatment flare. Hold position of ease 90 seconds or more. Return to neutral slowly. Anterior Points are usually treated in flexion. Posterior Points are usually treated in extension. Midline Tenderpoints are treated with more extension of flexion. Tenderpoints lateral to midline are treated more with rotation and sidebending.
somatic reflex, Strain-Counterstrain corrects the aberrant proprioceptor input thereby decreasing the gamma bias and interrupting the reflex.
In a state of dysfunction, the proprioceptor input to the muscle spindle is altered and the gamma bias is too high.
Relaxing the strain patterns in the Peripheral Sensory System, which reduces the proprioceptor and nociceptor signal,assisting the removal of the chemical mediators present, and muscle guarding reflexes. There is a resultant improvement in the local vascular and interstitial circulation that helps healing.
Indirect MFR works by…
Strain-Counterstrain Technique
- Locate tender point 2. Find position of comfort or mobile point 3. Monitor tender point as hold position of comfort for 90 seconds 4. Return to neutral slowly 5. Recheck tender point
Counterstrain
AcuteIdeal for Acute, Painful or Frail patients where HVLA is not indicated or tolerated by patient –Hospital, Sports, and Emergency Medicine.
The Barrier Concept
Position away from the restrictive barrier into the position of free motion. New neutral point or center of range of motion is created.
Strain Counterstrain OMT
A system of diagnosis and treatment that considers the dysfunction to be a continuing, inappropriate strain reflex, which is inhibited by applying a position of mild strain in the direction exactly opposite to that of the false strain reflex; this is accomplished by use of the specific point of tenderness related to this dysfunction followed by specific directed positioning to achieve the desired therapeutic response.
Dampens down the mechanoreceptors in the system by reflex inhibition and mechanical relaxation of strain patterns in the proprioceptive system. Very gentle, with no activation of the nociceptive pathways. Valuable for spasm, pain and inflammation.
Indirect Myofascial Release theory
Strain-Counterstrain Definition
A passive positional procedure that places the body in a position of greatest comfort, thereby relieving pain by reduction and arrest of inappropriate proprioceptor activity that maintains somatic dysfunction.
Superficial, Deep, Subserous, …..One specialized: Dura
Types of Fascia
Myofascia Release Technique - Point Of Entry into MS system. Traction and Twist Into and Away from Barrier. Hold and wait 20 seconds. Release slowly.
POE(T)2
Trigger point.
Characteristic Pain Pattern referral. Located in muscle tissue. Locally tender. Elicits ‘Jump Sign” on press. Radiates pain from site when pressed. Dermatographia over point