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Strain & Counterstrain
Strain & Counterstrain
30
Health Care
Graduate
05/27/2013

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Term
Strain-Counterstrain: Definition 1
Definition
relieving pain by reduction of INAPPROPRIATE PROPRIOCEPTOR ACTIVITY
Term
Strain-Counterstrain: Definition 2
Definition
Mild overstretching in direction opposite to false message of strain
Term
Strain-Counterstrain: Rationale
Definition
neural basis of jt dysfxn, incriminating the MUSCLE SPINDLE
Term
Strain-Counterstrain: prominent theorist
Definition
Irvin Korr
Term
Strain-Counterstrain: Korr's theory
Definition
momentarily silent proprioceptor input >> change in gain of hypershortened spindle >> overreaction to stretch
Term
1 cm in diameter
Tender point or Trigger point?
Definition
Tender point
Term
Pain is SHARP
Tender point or Trigger point?
Definition
Tender point
Term
Jump sign
Tender point or Trigger point?
Definition
Tender point
Term
4x more tender than normal tissue response to palpation
Tender point or Trigger point?
Definition
Tender point
Term
usually located at musculotendinous junction
Tender point or Trigger point?
Definition
Tender point
Term
small zone of tense, tender, edematous mm/fascial tissue
Tender point or Trigger point?
Definition
Tender point
Term
characteristic referral of pain
Tender point or Trigger point?
Definition
Trigger point
Term
clump of tissue
Tender point or Trigger point?
Definition
Trigger point
Term
twitch response
Tender point or Trigger point?
Definition
Trigger point
Term
Location of tender point when trigger point is found in muscle...
Definition
look to the antagonist to find the tender point
Term
Point of maximum relaxation under palpating finger
Definition
mobile point
Term
Strain-Counterstrain: used for... (6)
Definition
acute injury (short-term relief)
whiplash
pregnancy (2º to hypermobility)
pediatric (torticollis)
chronic issue (frozen shoulder)
neurologic (spasticity, subluxation)
Term
Strain-Counterstrain: NOT helpful for...
Definition
OA
Term
Strain-Counterstrain: used in conjunction with... (4)
Definition
articular techniques
mm energy
myofascial release
exercise
Term
Strain-Counterstrain: technique (5)
Definition
locate tender point
find mobile point
hold 90 sec
slow return to neutral
recheck tenderpoint
Term
Strain-Counterstrain: Rx of anterior points
Definition
treat in FLEXION
Term
Strain-Counterstrain: Rx of posterior points
Definition
treat in EXTENSION
Term
Strain-Counterstrain: Rx of points close to midline (sagittal plane)
Definition
treat in MORE flex/ext
Term
Strain-Counterstrain: Rx of points lateral to midline (frontal/transverse plane)
Definition
treat in MORE sidebending/rotation
Term
Strain-Counterstrain: Rx of multiple points
Definition
treat most severe first
Term
Strain-Counterstrain: Rx of tender points in a row
Definition
treat middle first
Term
Strain-Counterstrain: finding tender points in extremities
Definition
tender points on opposite side of pain
Term
Strain-Counterstrain: number of tender points to treat in one session
Definition
≤6 points in one session
Term
Strain-Counterstrain: Reasons for return of Dysfxn (4)
Definition
poor treatment execution
improper sequencing
underlying dysfxn
diet, coffee, stress
Term
Strain-Counterstrain: proper sequencing of treatment (which points to treat first) (3)
Definition
proximal >> distal
painful >> less painful
large joints >> small joints
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