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Clinical Strain - Counterstrain OMT - American Academy of Osteopathy
Clinical Strain - Counterstrain OMT - American Academy of Osteopathy
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”
• Ground Substance
• Specialized Mechanoreceptors-
Proprioceptors & nociceptors
Relationship of Fascia to Somatic
Dysfunction
(T).A.R.T.
chronic
irritant
abnormal movement
(biomechanics) macrophages activated
increased myofibroblastic
activity increased fibrolastic
activity
increased production of connective
tissue (fibrosis)
Goal of Indirect OMT is to rebalance somatic
dysfunction:
Indirect Myofascial Release: