Counterstrain

Counterstrain

Counterstrain is a technique used in osteopathic medicine and osteopathy to treat somatic dysfunction. It is 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 reflex; this is accomplished by specific directed positioning about the point of tenderness to achieve the desired therapeutic response. The Australian and French osteopathic practitioners use the terms: Jones technique, (correction spontaneous by position), spontaneous release by position. It was developed by Lawrence Jones, DO in 1955. Originally, it was called “Spontaneous Release by Positioning,” and later termed “strain-counterstrain.” [1]

Contents

Technique

In this technique, the clinician identifies a point of maximum pain, called a tender point. Monitoring the tender point, the physician positions the patient to maximally relieve the discomfort. The physician holds the patient in the maximally relaxed position and then slowly returns the passive patient to a neutral body position. Success of treatment is evaluated by reassessing both the tender point and any accompanying loss of range of motion.

Physiological basis

Tender points are foci of hypertonicity resulting from inappropriate reflexive muscular contracture. The physician breaks the reflex cycle by positioning the patient in such a way that the hypertonic tissue is maximally relaxed. This position eliminates or minimizes stimulation leading to reflex-mediated contraction. Relaxation results in restoration of range of motion and resolution of somatic dysfunction.

References

Sources

  • Ward, Robert C. et al.; Foundations for Osteopathic Medicine (2nd ed.). Philadelphia: Lippincot Williams and Wilkins. ISBN 0-7817-3497-5.

Wikimedia Foundation. 2010.

Игры ⚽ Нужно решить контрольную?

Look at other dictionaries:

  • Strain and counterstrain — Within manual therapy, strain and counterstrain refers to a set of techniques for releasing muscules. Pressure is applied to a trigger point and, by manipulation of relevant joints, the muscle fibres are forced to stretch underneath, thereby… …   Wikipedia

  • Osteopathic manipulative medicine — Intervention ICD 10 PCS 7 ICD 9 CM 93.6 …   Wikipedia

  • Myofascial Release — is a form of soft tissue therapy which includes, but is not limited to, structural assessments and manual massage techniques for stretching the fascia and releasing bonds between fascia, integument, muscles, and bones are applied with the goal of …   Wikipedia

  • Documentary photography — usually refers to a popular form of photography used to chronicle significant and historical events. It is typically covered in professional photojournalism, but it may also be an amateur, artistic, or academic pursuit. The photographer attempts… …   Wikipedia

  • Osteopath — Osteopathie (gr. ὀστέον ostéon „Knochen“ und πάθος páthos „Leiden“) ist ein überwiegend manuelles Diagnose und Behandlungskonzept, das auf den US amerikanischen Arzt Andrew Taylor Still (1828–1917) zurückgeht und zu den alternativmedizinischen… …   Deutsch Wikipedia

  • Osteopathie (Alternativmedizin) — Die Begriffe Osteopathie (von gr. ὀστέον, ostéon; dt. „Knochen“ und gr. πάθος, páthos; dt. „Leiden“), osteopathische Medizin und osteopathische Behandlung beschreiben im Bereich der Alternativmedizin verschiedene Krankheits und… …   Deutsch Wikipedia

  • Osteopathie (Behandlungsform) — Osteopathie (gr. ὀστέον ostéon „Knochen“ und πάθος páthos „Leiden“) ist ein überwiegend manuelles Diagnose und Behandlungskonzept, das auf den US amerikanischen Arzt Andrew Taylor Still (1828–1917) zurückgeht und zu den alternativmedizinischen… …   Deutsch Wikipedia

  • Osteopathie (Diagnose- und Behandlungskonzept) — Osteopathie (gr. ὀστέον ostéon „Knochen“ und πάθος páthos „Leiden“) ist ein überwiegend manuelles Diagnose und Behandlungskonzept, das auf den US amerikanischen Arzt Andrew Taylor Still (1828–1917) zurückgeht und zu den alternativmedizinischen… …   Deutsch Wikipedia

  • Pferdeosteopathie — Osteopathie (gr. ὀστέον ostéon „Knochen“ und πάθος páthos „Leiden“) ist ein überwiegend manuelles Diagnose und Behandlungskonzept, das auf den US amerikanischen Arzt Andrew Taylor Still (1828–1917) zurückgeht und zu den alternativmedizinischen… …   Deutsch Wikipedia

  • Myofascial release — The myofascial release approach is a form of soft tissue therapy used to treat somatic dysfunction and resulting pain and restriction of motion. It is a treatment described by Andrew Taylor Still, founder of osteopathy/osteopathic medicine, and… …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”