Strain and Counterstrain is a manual therapy technique, meaning the clinician uses only their hands, to treat muscle and joint pain and dysfunction.
Definition of Strain Counterstrain
A detached positional strategy that places the body in a position of most noteworthy solace, along these lines mitigating torment by decrease and capture of unseemly proprioceptor movement that keeps up physical brokenness.
This strategy was initially called unconstrained discharge by situating and has likewise been called positional discharge treatment (as often as possible by physical advisors).
Standards of Treatment Strain and Counterstrain
Find the critical delicate point. Place the patient in a position of ideal comfort.(mild overstretching connected in a course inverse to the false and proceeding with message of strain) The objective for torment decrease ought to be no less than 70%.Keep up the position of solace for 90 seconds (120 seconds for ribs). Gradually give back the patient to the beginning position. Recheck the delicate point.
Delicate POINTS
More than 200 particular delicate focuses .Appearances of physical brokenness .
What is a delicate point?
Little zone of strained, delicate edematous muscle and fascial tissue.1 cm in measurement .Tactile sign of a neuromuscular or musculoskeletal brokenness .
Strategy
Find delicate point
Discover position of solace, or portable point, no less than 70% reduction in delicacy .Screen delicate point as hold position of solace 90 seconds .
Method
Come back to unbiased gradually .Recheck delicate point-no less than 70% lessening in delicacy .
GENERAL RULES
Hold treatment position for 90 seconds .Come back to unbiased gradually .Front delicate focuses are generally treated in flexi0n .Back delicate focuses are generally treated in expansion .Delicate focuses on or close midline are treated with more flexion and expansion .
GENERAL RULES
Delicate focuses horizontal to midline are generally treated with more revolution and side twisting. With numerous focuses, treat the most extreme first. It delicate focuses are in succession, treat the one in the center first .Delicate focuses in the furthest points are more often than not on the inverse side of torment .
GENERAL RULES
Caution understanding they might be sore after the treatment .Just contraindication is (+) vertebral corridor test for some cervical medicines .
Different Applications and signs
A few case of when to consider Strain counterstrain for a customer include
- Post-damage pain
ยท Whiplash
ยท For a youngster or elderly individual in pain
ยท Neck and back pain
ยท Fibromyalgia
ย
- Build torment unfenced of movement.
- After musculoskeletal wounds.
- Migraines.
- To give unwinding.
- Sciatica.
- Tendinitis.
- ceaseless neck torment.
- post-surgical conditions.
Impacts of Strain and Counterstrain Techniques
- Enhanced dissemination
- Enhanced safe capacity and Lymphatic waste, General organ working.
- Treatment of lymphatic
- Brokenness
- ย Foremost rib 1 (AR1)
Delicate Point
- ย first costal ligament
Treatment
- Patient recumbent
- Mellow cervical flexion
- Checked revolution toward delicate point
- Gentle cervical sidebend toward
- Front Rib 2 (AR2)
Delicate Point
- ย second rib mid clavicular line
Treatment
- ย same as AR
- Front Acromio-clavicular (AAC)
Delicate Point
- Anterior angle distal clavicle
- Treatment: Patient prostrate
- Clinician remains on inverse
- Adduct sideways crosswise over body, 0-30ยฐ
- Slight footing of arm
- Bursa (BUR)
Delicate point
- ย Under acromion with arm in 90ยฐ kidnapping
Treatment
- Patient prostrate
- Flexion of arm 120ยฐ
- Slight ER of arm with elbow flexeon
- Long Head of Biceps (LH)
Delicate point
- ย Over long head in bicipitalgroove
Treatment
- ย Patient recumbent
- Flexion of arm
- ย dorsum of hand on temple
- Adjust with IR or ER of arm
- Subscapularis (SUB)
Delicate Point
- Lateral edge of scapula,anywhere in subscapularis
Treatment
- ย Patient recumbent
- edge of table Augment arm 30ยฐ
- Checked IR
- Slight adduction
- Latissimus Dorsi (LD)
Delicate Point
- ย Anterior humerus, beneath bicipital furrow
Treatment
- ย Patient recumbent, edge of table
- Augment arm 30ยฐ
- Checked IR
- Footing of arm
- Supraspinatus (SUP)
Delicate Point
- ย Belly of muscle
Treatment
- ย Patient recumbent
- Flexion of arm 45ยฐ
- Snatching of arm 45ยฐ
- Checked ER
- Third Thoracic Shoulder (TS3)
Delicate Point
- Belly of infraspinatus
Treatment
- ย Patient Supine
- Flexion of arm 135ยฐ
- Adjust with promotion/kidnapping and pivot
- Trapezius (TRP)
Delicate Point
- ย Upper trapezius
Treatment
- Patient recumbent
- Sidebend head towards
- Flexion of arm overhead
- Footing of scapula superiorly pulling on arm
- Levator Scapula (LS)
Delicate Point
- ย In muscle
Treatment
- ย Patient recumbent
- Arm by side
- ย elbow flexed
- Sidebend head towards
- Hoist scapula by pushing cephalad through humerus
- Teres Major (TM)
Delicate Point
- Dorsal surface mediocre edge of scapula
- Back axilla, sidelong to subscapularis point
Teres Major (TM)
Treatment:
- Patient sitting
- Expansion of arm 30ยฐ
- Slight adduction
- Stamped IR
- Teres Minor (TMi)
Delicate point
- Lateral outskirt of scapula in gut of muscle
Treatment
- Patient sitting or prostrate
- Expansion of arm 30ยฐ
- Slight adduction
- Stamped ER
- Rhomboids (RHM)
Delicate Point
- Medial outskirt of scapula
Treatment
- ย Patient inclined
- ย Arm by side
- Clinician remains inverse
- Adduction of scapula
- Rise of scapula
