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Related Experiment Videos

Nociceptive considerations in treating with counterstrain.

M Bailey1, L Dick

  • 1College of Osteopathic Medicine of the Pacific, Pomona, Calif.

The Journal of the American Osteopathic Association
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

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Korr's proprioceptive model for somatic dysfunction may not fully explain counterstrain. Incorporating nociceptive reflexes from tissue injury offers a more complete understanding of motion restriction and treatment response.

Area of Science:

  • Osteopathic manipulative medicine
  • Neurophysiology
  • Pain science

Background:

  • Korr's proprioceptive model is the accepted neurophysiologic basis for counterstrain.
  • This model explains somatic dysfunction based on proprioception.

Purpose of the Study:

  • To propose that nociceptive reflexes, in addition to proprioceptive input, contribute to somatic dysfunction.
  • To suggest that physical trauma and resulting nociception can cause motion restriction patterns opposite to those predicted by proprioception alone.
  • To offer a more comprehensive neurophysiologic explanation for somatic dysfunction and counterstrain effectiveness.

Main Methods:

  • Conceptual analysis integrating existing models of somatic dysfunction.
  • Review of neurophysiologic principles related to proprioception and nociception.

Related Experiment Videos

  • Clinical experience observations.

    • Main Results:

    • Tissue injury and nociceptive reflexes can induce motion restriction patterns.
    • These nociceptive patterns may oppose those predicted by a purely proprioceptive model.
    • Both proprioceptive and nociceptive mechanisms likely contribute to somatic dysfunction.

    Conclusions:

    • A nociceptive component should be considered in the etiology and maintenance of somatic dysfunction.
    • Understanding both proprioceptive and nociceptive influences provides a more complete basis for counterstrain technique.
    • Integrating these concepts aligns with clinical observations in osteopathic practice.