art mets strain-counterstrain
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8/18/2019 ART METS Strain-Counterstrain
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Active Release Technique(ART)
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Background
• Muscle stretching and nerve gliding
were developed but, no treatmentmethod were there to treat tractionneurodesis.
• This process causes neurologicsymptoms distal and sometimesproximal to any of the "tunnels"
through which the nerves pass.• ART has been developed, rened, and
patented by P. Michael Leahy
•
n !#$
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Defnition
• Active Release Techni%ue &ART' is a
soft tissue method that focuses onrelieving tissue tension via the removalof brosis(adhesion that develops in
tissue. This is because the tissue isoverloaded with repetitive use. t isboth diagnostic and treating
techni%ues for the disorders which maylead to wea*ness, numbness, tingling,burning, aching etc.
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Research Article• The eects o! active release technique on car"al tunnel
"atients# A "ilot study. ($%%&) +eorge -, Tepe R, usold /,0euss 1, 2rather 3, 1*aggs 4/.
• R'LT#
• There was signifcant i*"rove*ent (" + %.%,) in the *eansy*"to* severity and !unctional status scores o! the B-!olloing the intervention. There were no signicantdi5erences found in the 6M+ analyses.
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Muscle 'nergyTechniques (M'T/s)
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Background
• M6T evolved out of osteopathicprocedures developed by pioneerpractitioners such as T. . Ruddy
&!7!', who termed his approach8resistive duction8, and 9red Mitchell1nr &!7:'.
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Defnition
• Muscle energy techni%ues are a classof soft tissue osteopathic &originally'manipulation methods thatincorporate precisely directed andcontrolled, patient initiated, isometricand(or isotonic contractions,
designed to improve musculos*eletalfunction and reduce pain.
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Research Article'ectiveness o! Muscle energy technique0 1schae*icco*"ression and train counterstrain on ""er Tra"e2ius
Trigger Points# A co*"arative study 3. 4atheendra 5u*ar0 P.neha0 6. iva7yothi ($%8,)
• A9stract
The aim of this study is to compare the e5ectiveness of Muscle
energy techni%ue, schaemic compression, 1train counter strain
with conventional therapy on upper trape;ius trigger points in
patients with mechanical nec* pain.
All the participants underwent three outcome measures pre and
post intervention which included a :isual analogue scale (:A)
!or "ain, cervical lateral ;e<ion range o! *otion (=R>M) andneck disa9ility inde< (6D1). The obtained results demonstrated a
signicant di5erence exist among the groups after <th wee*
&p=>.>$'. This study concludes that Muscle energy technique is
su"erior in the treat*ent o! u""er tra"e2ius trigger "oints.
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train?=ounterstrain
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Background
• 4ounters train is a manipulativetechni%ue initially developed by Dr.Larence @. ones, a rural
osteopathic physician in eastern?regon. 3e developed thistechni%ue by chance through which
he discovered on a clinical basis themeans of correcting somaticdysfunction.
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Defnition
• -ithin manual therapy, train=ounterstrain is a type of "passivepositional release" created in the early
!7>s by @awrence ones, /.?. t is ahandson treatment that alleviatesmuscle and connective tissue tightnessby the use of very specic treatment
positions held for > seconds &can beheld for up to B minutes in neurologicalpatients'.
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Research• 1**ediate eects o! the strain?counterstrain technique in local
"ain evoked 9y tender "oints in the u""er tra"e2ius *uscle
• Albert Atien;a Meseguera, 4Csar 9ernDnde;delas2eEasa, b, , , , ose@uis Favarro2o;aa,
• 4leofDs RodrGgue;lancoa, c, uan osC oscD +andiaa &H>>7'
• -ithingroup changes showed a signicant improvement in the visualanalogue scale following either classical or modied application of the
strain(counterstrain techni%ue &P = >.>>!'. The control group did notshow any change &P I >.B'. 2repost e5ect si;es were large in bothstrain(counterstrain groups &D J !.!', but small in the control group&D J >.>!'. /i5erences were found between both strain(counterstraingroups as compared to the control group &P = >.>>!', but not betweenboth strain(counterstrain groups &P J >.#'.
• 4onclusions• ?ur results suggest that strain?counterstrain as eective in
reducing tenderness o! tender "oints in the u""er tra"e2ius*uscle. The application of a longitudinal stro*e during thestrain(counterstrain did not inKuence the e5ectiveness of the classicaldescription of the techni%ue.
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