Introduction To Strain Counterstrain Techniques.
- 1. Qurat-ul-ain Naveed PT DPT, MS-OMPT* qurat9847@gmail.com +92307-4275664
- 2. Cornerstone of strain counterstrain Strain/counterstrain is a method developedby an osteopath,Dr. LawrenceJones, froma chance discovery40 years ago. It has since been developedand taught to many medical practitioners. This methodworks wonders with whiplash when othermethods, such as spinal manipulation, physical therapy, or acupuncture, have failed. It is also excellent for athletic injuries. It is a way of relieving strained muscles or joints. The practitioner will locateand apply pressure to the of the strained muscle. Then he will situate the muscle in the position of least discomfort, and hold it there for 90 seconds. {can be held forup to 3 minutes in neurological patients} This helps themuscle tissue "remember"whereit oughtto be. Finally, the practitionerwill very, very slowlyreturnthe muscle to its original position, at which point the joint/muscle is no longer strained. 2
- 3. Hello! I am Qurat-ul-ainNaveed. I am here because I love to give presentationon strain counterstrain techniques. You canfindme at qurat9847@gmail.com 3
- 5. Fascia is everywhere throughout the entire body as it covers all the nerves, veins and internal organs of the body. In order to contract if injured or traumatized, fascia is filled with millions of nerve endings as well as smooth muscle cells. The smooth muscle in the fascia contracts or tightens and the nerve endings start producing inflammatory chemicals when there is sufficient trauma or strain to an area prolonged bad posture, surgery, or a direct blow. Practitioners of fascialcounterstrain look for very specific tender points on the body that tells which particular fascial structure is involved.
- 6. The particular fascial structure is shortened manually until they feel a pulsing at the tender point associated with the fascial structure is what the physical therapist does. The shortened tissue, nerve ending and smooth muscle in the fascia are reset therefore stopping the inflammation and spasmin the area of fascia as this positioned is held for 90 seconds until it is released by the therapist. The most fundamental aspect of nearly every painful condition is treated through fascialcounterstrain. It involves usually a few simple exercises which can help to prevent the fascial dysfunction, inflammation, spasm, and pain from returning as it allows the body to start to heal. Counterstrainis an effective but extremelygentletechniquedue to its actionfor treatment moves the patientsbodyaway fromthe painful, restricteddirections of motionas this therapy is a lot more effective
- 7. Be Alone, that is the secret of INVENTION; Be Alone, that is WHEN IDEAS ARE BORN -NIKOLA TESLA 7
- 8. Cont.... Other name for strain counterstrain is Passive Positional Release Technique. It is used for Release tension in tight areas of the body Re-establish joint movement Give strength in weakened regions Improve restricted ROM Reduce neuralgic pain 8
- 9. Big concept Palpation of diagnostic tender-points (TP) is central to Strain CounterStrain _SCS. TPs have been described as tender upon palpation, small (<1 cm), round, edematous, and found in muscle, tendon, ligament, or fascial tissues (Jones 1995).9
- 10. The practitioner need not maintain palpation pressure while supporting the patient passively in the position-of-comfort, but may maintain gentle touch on the TP to assure accurate palpation afterward. The initial reduction in discomfort may be explained by an instant change in the neural component, whereas the myofascial and circulatory changes would occur slowly over the remainder of the 90-second treatment. 10
- 11. To understand the probable mechanism of tender point generation, one can use an agonist/antagonist model of muscle action. Both muscles maintain a baseline firing rate when at rest in a neutral position. Activity can then induce lengthening in muscle A and contraction in muscle B. This increases the proprioceptive activity in muscle A, while a decrease occurs in muscle Bs activity. When these muscles are called on to return from this position of moderate strain, if the motion occurs too forcefully or rapidly, muscle B is stretched against this increased firing rate. This can induce a reactive hypertonicity in muscle B with sustained increased firing, and a tender point develops. This theory of proprioceptor activity in somatic dysfunction was first delineated by Irvin Korr in his article Proprioceptors and Somatic Dysfunction 11
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- 13. TPs located at the superior (SSI) and inferior (ISI) sacroiliac joint contribute to clinical scenarios like mechanical back pain, pelvic floor dysfunction, hip bursitis, and patellofemoral pain syndrome. : With patient prone, the practitioner palpates SSI-superior sacroiliac with medial directed force on the lateral aspect of the posterior superior iliac spine. The position-of-comfort is obtained with hip abduction and extension, producing anterior ilial rotation, and slight hip internalexternal rotation for fine-tuning. Resting the leg on the practitioners thigh assures the patient remains relaxed. The ISI-inferior sacroiliac TP is palpatedwith medial directed force perpendicular to the lateral sacral edge approximately 4 cm below the posterior superior iliac spine. The position-of-comfort is obtained by liftingthe leg into extension with slight hip adduction and external rotationfor finetuning.
- 14. One advantage to this technique is that is should be relatively pain-free for the patient. This technique works well when done before exercise secondary to the specific body structure being worked on having less protective guarding and pain. 14
- 15. 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 . Other terms commonly used to describe the technique include Jones technique, strain- counterstrain, and spontaneous release by positioning. 15
- 16. The tender points in counterstrain are not the lesion. They are a sensory manifestation of the somatic dysfunction; a referred pain zone; an indicator. Counterstrain does not actually treat these points, but uses them as indicators. Keep your hand lightly on the tender point once you find the position of ease, just to monitor. This is somewhat counterintuitive. All of the beginners have made the error of continuing to press on the tender point. Tender points, "Jones points" or counterstrain points, are qualitatively different from trigger points. Travell trigger points will tend to refer to another location, to which counterstrain points do not refer. Travell points feel like a band or a fibrotic "glump." Jones points are small and discreet; can feel thick and dense. 16
- 17. Counterstrain, with its focus on the opposite side of the original strain, its indirect methodology, and its tender points, is a completely different type of technique. Counterstrain is designed to correct traumatically induced aberrant reflex changes that can cause subluxations or keep them recurring. 17
- 18. Vertebral Artey Disease. Malignancy Aneurysm Patient cant not voluntarily Relax Rheumatoid Arthritis or Down's syndrome Patient do not want counterstrain treatments 18
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- 20. Thanks! Any questions? You can find me at: qurat9847@gmail.com 20
- 21. Credits Special thanks to me and my course instructor Dr. Muhammad Hashim who gave me the core concept of the SCS techniques. 21