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Strain Counterstrain

WVSOM Class of 2012 Principles of Strain Counterstrain

QuestionAnswer
what are the advantages of counterstrain? convenient, gentle, symptom specific, rapid response in acute settings
what are the disadvantages of counterstrain? less articular specificity, slow, works only for some dysfunctions
how is counterstrain diagnosed? by tender-point (treat worst first)
how is counterstrain treated? by positioning
what is the emphasis of counterstrain? neuromuscular resetting
pain identified in osteopathic exam is what? a 10
pain or sensitivity indicates what? where are the tender point locations? pain or sensitivity reflects strain. tender point locations can be found at muscle origins and insertions, mid-belly of a muscle, or neural referred pain
counterstrain protocol requires positioning to reduce pain to what number? a 2
how long should the position of ease be held? at least 90 seconds
what is the recipe for recall? identify tender point, passive positioning to a "2", monitor location, hold for 90 seconds, passive return to neutral, retest and retreat
what is the limit for tenderpoint treatment per visit? 5-6 tenderpoints
what are the 4 most important lower extremity tenderpoints? Piriformis, Lateral trochanter, Medial meniscus, Patellar tendon
what is the exam protocol? start with history, identify tender point, sometimes by palpable nodular edema, survey of adjacent tender points for primary, label this “10"
Created by: mhassan