00:01 Counterstrain is also called spontaneous release by positioning. 00:05 It’s one of the newer forms of manipulation that uses body positioning and body placement as a way to release motion and enhance comfort. 00:14 What you do is, you find a tender point— an area in the muscle that’s a little bit mushier, a little bit more tender, maybe indented, and feels differently than other tissue. 00:23 If they’re uncomfortable there, you then try and find how you can position them to make them comfortable to get rid of that tenderness. 00:32 And once you find that point, and you get them from that point to a position of comfort, you hold them that way for about 90 to 120 seconds. 00:41 You monitor it with your fingers and you see how the tissue changes. 00:45 You generally start to feel a little bit of a pulsation or a little bit of motion in the muscle while you’re holding it. 00:52 And then after the 90 seconds, you bring them back to the normal position and you’ll generally feel a greater motion, and an enhancement of how the muscle feels. 01:02 So treating the tender point is a big part of counterstrain. 01:06 And it does enhance motion and functioning. 01:11 That is counterstrain.
The lecture OMM Treatment: Counterstrain by Tyler Cymet, DO, FACOFP is from the course Introduction to Osteopathic Treatment.
When using the counterstrain OMM (osteopathic manipulative medicine) technique, generally how long should the position of comfort be held?
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