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WVSOM Class of 2012 Principles of Strain Counterstrain

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Question
Answer
what are the advantages of counterstrain?   convenient, gentle, symptom specific, rapid response in acute settings  
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what are the disadvantages of counterstrain?   less articular specificity, slow, works only for some dysfunctions  
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how is counterstrain diagnosed?   by tender-point (treat worst first)  
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how is counterstrain treated?   by positioning  
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what is the emphasis of counterstrain?   neuromuscular resetting  
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pain identified in osteopathic exam is what?   a 10  
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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  
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counterstrain protocol requires positioning to reduce pain to what number?   a 2  
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how long should the position of ease be held?   at least 90 seconds  
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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  
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what is the limit for tenderpoint treatment per visit?   5-6 tenderpoints  
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what are the 4 most important lower extremity tenderpoints?   Piriformis, Lateral trochanter, Medial meniscus, Patellar tendon  
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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"  
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