Clinical Strain- Counterstrain OMT - American Academy of Osteopathy PDF
Preview Clinical Strain- Counterstrain OMT - American Academy of Osteopathy
Clinical Strain- Counterstrain OMT William H. Devine, D.O. Clinical Professor OMM Department Midwestern University Arizona College of Osteopathic Medicine Objectives • Describe Strain Counterstrain OMT and describe its relationship to somatic dysfunction and mechanoreceptors, fascia and neuromuscular reflexes. • Discuss the barriers for indirect treatment approaches. • Compare and contrast counterstrain, myofascial release, functional techniques and indirect balancing techniques. • Describe the principles of Strain-Counterstrain and to teach basic Clinical Applications and OMT Indirect OMM is Passive, Relaxing and “Laid Back” Indirect OMT rebalances tissue by calming down mechanoreceptors in the fascia and muscle tendon receptors. Indirect OMM Requires Visualization of Anatomy It Requires Continuous Balance and Attention for Results Indirect Technique • The Barrier Concept • Position away from the restrictive barrier into the position of free motion. • New neutral point or center of range of motion is created. • It rebalances mechanoreceptors and adaptations. • Is accomplished by diagnosing a maladapted pattern, and interactively moving fascia reducing strain patterns, and reducing mechanoreceptor protective reflexes by positioning to a position of balance or ease. • Is very effective in acute and painful somatic dysfunction as well as inflammatory pathological conditions. Fascia • Definition • Dense regular connective tissue arranged in layers; ubiquitous and should be viewed in 3-D. • All the connective tissue of the body that has a supportive function, including ligaments, tendons, dural membranes and the linings of body cavities. Structure of Fascia • Elastic • Ground Substance • Specialized Mechanoreceptors- Proprioceptors & nociceptors Relationship of Fascia to Somatic Dysfunction (T).A.R.T. chronic irritant abnormal movement macrophages activated (biomechanics) shrinkage of connective tissue increased vascularity increased myofibroblastic activity increased fibrolastic activity increased production of connective tissue (fibrosis) Goal of Indirect OMT is to rebalance somatic dysfunction:
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