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27 Cards in this Set

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1. Is conterstrain a direct or indirect tech?

What are the 5 steps?
indirect!

1Find a significant tenderpoint
2) Position the patient for maximum comfort (position of injury)
3)Maintain the position for 90 seconds
4)Slowly return the patient to a neutral position
5)Recheck the tenderpoint
2. What is the Larry's hypothesis for maintaining the dys?
Jones hypothesized that an aberrant reflex in the gamma motor system was at work in creating and maintaining the muscular dysfunction.
3. explanation of the tech
a is the original injury, but B is tender. Reposition to the injury of a, and unload B and stretch A
4. Why 90 seconds?
Palpation of changes at the tenderpoint and in the surrounding tissues suggests that in addition to the neural component, the position of comfort also produces changes in the microcirculation to the region being treated
5. What is the difference between
Tenderpoint
Active Trigger Point
Latent Trigger Point
Soft tissue location that is tender to palpation.

Site within a muscle that spontaneously produces pain referred to a site distant from the trigger point.

Site within a muscle that only produces referred pain when stimulated.
6. In your search for the location of the somatic dys, how many qualities do you need?
flexion injuries produce __ TP?
extension?
SB?
2. Pain is not enough!

Flexion injuries produce anterior tenderpoints
Extension injuries produce posterior tenderpoints
Sidebending left injuries produce left sided tenderpoints……..
Treat the worst TP 1st!
7. What are the contraindication for CS?
patient with metastatic carcinoma, impaired breathing with certain positions, certain infections and vertebral basilar artery insufficiency
8. what is a common error in CS?
A common error is to maintain constant pressure on the tenderpoint. This is not counterstrain, but another trigger point technique called “Inhibition”.
In counterstrain, the monitoring finger is just palpating the tissues for abnormal tension, and changes in the soft tissues during the technique.
9. what are the three reason for maintaining contact with the TP?
1. Changes in tissue texture can be palpated
2)The tenderpoint can be fine-tuned mid-technique as the patient’s tissues change
3)Both physician and patient are certain that the testing finger is in the same location as the original contact.
10. What does soft tissue release feel like?
three reasons for failure?
Soft butter!

The patient may not have been in the best possible position.
The patient may not have been held long enough.
The most significant tenderpoint was not treated.
11. What are post therapy instructions?
The patient should be instructed to remain well hydrated for the next 24-48 hours.
This aids elimination of waste products released from the musculature by the technique.
600 ibpro 3XDay for 3 days!
12. Why do you get the flu like syptoms for normal 1 day and may 5 days?
The reaction may again be related to the release of waste products from the hypertonic musculature.
Also for this reason it is recommended that not more than 6 points be treated per treatment session.
1. Is conterstrain a direct or indirect tech?

What are the 5 steps?
indirect!

1Find a significant tenderpoint
2) Position the patient for maximum comfort (position of injury)
3)Maintain the position for 90 seconds
4)Slowly return the patient to a neutral position
5)Recheck the tenderpoint
2. What is the Larry's hypothesis for maintaining the dys?
Jones hypothesized that an aberrant reflex in the gamma motor system was at work in creating and maintaining the muscular dysfunction.
3. explanation of the tech
a is the original injury, but B is tender. Reposition to the injury of a, and unload B and stretch A
4. Why 90 seconds?
Palpation of changes at the tenderpoint and in the surrounding tissues suggests that in addition to the neural component, the position of comfort also produces changes in the microcirculation to the region being treated
5. What is the difference between
Tenderpoint
Active Trigger Point
Latent Trigger Point
Soft tissue location that is tender to palpation.

Site within a muscle that spontaneously produces pain referred to a site distant from the trigger point.

Site within a muscle that only produces referred pain when stimulated.
6. In your search for the location of the somatic dys, how many qualities do you need?
flexion injuries produce __ TP?
extension?
SB?
2. Pain is not enough!

Flexion injuries produce anterior tenderpoints
Extension injuries produce posterior tenderpoints
Sidebending left injuries produce left sided tenderpoints……..
Treat the worst TP 1st!
7. What are the contraindication for CS?
patient with metastatic carcinoma, impaired breathing with certain positions, certain infections and vertebral basilar artery insufficiency
8. what is a common error in CS?
A common error is to maintain constant pressure on the tenderpoint. This is not counterstrain, but another trigger point technique called “Inhibition”.
In counterstrain, the monitoring finger is just palpating the tissues for abnormal tension, and changes in the soft tissues during the technique.
9. what are the three reason for maintaining contact with the TP?
1. Changes in tissue texture can be palpated
2)The tenderpoint can be fine-tuned mid-technique as the patient’s tissues change
3)Both physician and patient are certain that the testing finger is in the same location as the original contact.
10. What does soft tissue release feel like?
three reasons for failure?
Soft butter!

The patient may not have been in the best possible position.
The patient may not have been held long enough.
The most significant tenderpoint was not treated.
11. What are post therapy instructions?
The patient should be instructed to remain well hydrated for the next 24-48 hours.
This aids elimination of waste products released from the musculature by the technique.
600 ibpro 3XDay for 3 days!
12. Why do you get the flu like syptoms for normal 1 day and may 5 days?
The reaction may again be related to the release of waste products from the hypertonic musculature.
Also for this reason it is recommended that not more than 6 points be treated per treatment session.
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