Notes in Counterstrain

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Published	01/20/2024	{{c1::indirect techniques}} can be useful in patients in acute pain, and can be very specific based on specific somatic dysfunctions or less specific …
Published	01/20/2024	Examples of indirect techniques:{{c1::• Myofascial Release• Counterstrain• Balanced Ligamentous Tension• Functional Techniques• Facilitated Positional…
Published	01/20/2024	{{c1::Counterstrain}}: An osteopathic method of diagnosis and indirect treatment in which the patient’s somatic dysfunction, diagnosed by an associate…
Published	01/20/2024	Tender points are also known as {{c1::”jones’ points”}}
Published	01/20/2024	{{c1::Myofascial tender points}} are usually found within tendinous attachments, the belly of a muscle, and often ligaments.
Published	01/20/2024	{{c1::Myofascial tender points}} are small hypersensitive points in the myofascial tissues of the body that do not have a {{c2::pattern of pain…
Published	01/20/2024	Three mechanisms of action for counterstrain:1. {{c1::proprioceptive theory}}2. {{c2::Sustained abnormal metabolism theory}}3. {{c3::im…
Published	01/20/2024	Who developed the theory of counterstrain? {{c1::Larry Jones, 1955. “Spontaneous release by positioning”}}
Published	01/20/2024	{{c1::Proprioceptive theory}}: muscle fibers maintain hypertonic state due toan inappropriate proprioceptive reflex following an injury.
Published	01/20/2024	{{c1::Sustained abnormal metabolism theory}}: tissue injury alters local bodyposition, local microcirculation, and tissue metabolism
Published	01/20/2024	{{c1::Impaired ligamento-muscular reflex theory}}: protective reflex whenligaments are placed under strain which can lead to muscularcontractions to t…
Published	01/20/2024	If a tender point is on the anterior aspect of the body, the associated somatic dysfunction is most likely {{c1::flexed}}.
Published	01/20/2024	If a tender point is on the posterior aspect of the body, the associated somatic dysfunction is most likely {{c1::extended}}.
Published	01/20/2024	If a tender point is located closer to midline, the associated somatic dysfunction is more likely to have a greater {{c1::flexion or extension}} compo…
Published	01/20/2024	If a tender point is more lateral, the associated somatic dysfunction is more likely to have a greater {{c1::sidebending and/or rotation}} component a…
Published	01/20/2024	It is essential to identify the {{c1::most painful tender point}} associated with the somatic dysfunction rather than just finding a point that is ten…
Published	01/20/2024	What are the steps of the counterstrain technique?{{c1::}}
Published	01/20/2024	Use enough pressure to {{c1::blanch a fingernail}} when identifying and rechecking a tenderpoint
Published	01/20/2024	DO NOT ask the patient how much the tender point hurts or what it is on their pain scale {{c1::prior to initiating treatment as it does not matter unt…
Published	01/20/2024	After 90 seconds of tx and before returning to neutral, they patient should be reminded to {{c1::remain relaxed}} as this is still part of the techniq…
Published	01/20/2024	Common reasons a tender point may not improve or decrease in pain after tx:{{c1::}}
Published	01/20/2024	Anterior shoulder tender points include:{{c1::pec minor, long and short head of the bicep, subscapularis}}
Published	01/20/2024	Tender points of the posterior shoulder include:{{c1::Supraspinatus, infraspinatus, levator scapulae, rhomboids}}
Published	01/20/2024	Tender points in the anterior forearm include:{{c1::radial head, medial epicondyle, palmar wrist}}
Published	01/20/2024	Tender points of the anterior hand include: {{c1::first carpometacarpal, flexor pollicis brevis}}
Published	01/20/2024	The tender point on the posterior forearm is the {{c1::dorsal wrist}}
Published	01/20/2024	The position of ease in counterstrain tx is wherever {{c1::the muscle is shortened}} and the patients pain is reduced
Published	01/20/2024	How do you treat the pec minor with counterstrain?{{c1::}}
Published	01/20/2024	How do you treat the biceps with counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the tender point for subscapularis?{{c1::}}
Published	01/20/2024	How would you treat the supraspinatus tender point with counterstrain?{{c1:: you can treat on either side of the spine of the scapula/acromion pr…
Published	01/20/2024	How do you treat the levator scapulae with counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the rhomboids using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the radial head/supinator using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the medial epicondyle/pronator using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the Palmar wrist using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the dorsal wrist using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the first carpometacarpal using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the first flexor pollicis brevis using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the lateral trochanter using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the medial meniscus using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the lateral meniscus using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the medial hamstring using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the lateral hamstring using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the extension ankle location using counterstrain?Hint: Gastroc/soleus{{c1::}}
Published	01/20/2024	How would you treat the flexion calcaneus using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the lateral ankle using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the medial ankle using counterstrain?{{c1::}}
Published	01/20/2024	How would you treat the navicular using counterstrain?{{c1::}}
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