Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Outcome measures in clinical education research.

Journal of clinical education in physical therapy·2025

Same author

Stress to be managed and managing stress in clinical education.

Journal of clinical education in physical therapy·2025

Same author

Relationship between diet quality and inflammatory bowel disease: a systematic review of observational studies.

BMC gastroenterology·2025

Same author

Implementation of an evidence-based multidisciplinary post-operative lower extremity amputation protocol (LEAP): barriers, facilitators, and strategies.

Implementation science communications·2025

Same author

The relationship between diet quality index (DQI) with inflammatory indices and body mass index (BMI) in inflammatory bowel disease (IBD) patients.

Scientific reports·2025

Same author

Multiple sclerosis and the association with inflammatory bowel disease: Results from a retrospective cohort study.

Multiple sclerosis and related disorders·2025

Search research articles

Related Experiment Video

Updated: May 1, 2026

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Published on: February 16, 2017

Strain counterstrain technique to decrease tender point palpation pain compared to control conditions: a systematic

Christopher Kevin Wong¹, Tim Abraham², Parisa Karimi²

¹Department of Rehabilitative and Regenerative Medicine, Physical Therapy, Columbia University Medical Center, New York, NY, USA.

Journal of Bodywork and Movement Therapies

|April 15, 2014

Summary

This summary is machine-generated.

Strain counterstrain (SCS), an osteopathic manipulative technique, may reduce tender point (TP) pain. However, current evidence quality is low, necessitating further high-quality research for definitive conclusions.

Keywords:

Meta-analysis Osteopathic manipulative treatment Patient positioning Strain counterstrain Trigger points

More Related Videos

Author Spotlight: Exploring the Initiation Mechanism of 'Three-Method and Three-Acupoint' Tuina Analgesia in Rats with Nerve Injury

Author Spotlight: Exploring the Initiation Mechanism of 'Three-Method and Three-Acupoint' Tuina Analgesia in Rats with Nerve Injury

Published on: January 26, 2024

Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

Published on: June 27, 2025

Related Experiment Videos

Last Updated: May 1, 2026

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Published on: February 16, 2017

Author Spotlight: Exploring the Initiation Mechanism of 'Three-Method and Three-Acupoint' Tuina Analgesia in Rats with Nerve Injury

Author Spotlight: Exploring the Initiation Mechanism of 'Three-Method and Three-Acupoint' Tuina Analgesia in Rats with Nerve Injury

Published on: January 26, 2024

Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

Published on: June 27, 2025

Area of Science:

Osteopathic Manipulative Medicine
Pain Management
Evidence-Based Practice

Background:

Strain counterstrain (SCS) is an indirect osteopathic manipulative technique.
It is utilized to alleviate tender point (TP) palpation pain and related dysfunction through passive positioning.

Purpose of the Study:

To systematically review and meta-analyze the effect of SCS on TP palpation pain compared to control conditions.
To evaluate the overall quality of the evidence supporting SCS for TP pain.

Main Methods:

A comprehensive database search (MEDLINE, AMED, PUBMED, CINAHL, SCOPUS) was conducted for studies from January 2002 to April 2012.
Included were randomized control trials (RCTs) assessing TP palpation pain via visual analog scale after isolated SCS treatment.
Two reviewers independently extracted data and assessed methodological quality and bias risk according to Cochrane Collaboration guidelines.

Main Results:

Five RCTs were included in the qualitative and quantitative analysis.
The pooled effect indicated a statistically significant reduction in TP palpation pain with SCS (p < 0.001).
The overall quality of the evidence was determined to be low, despite studies meeting most methodological criteria.

Conclusions:

Low-quality evidence suggests that SCS may be effective in reducing TP palpation pain.
Further research with larger sample sizes and improved study quality is recommended to assess long-term outcomes.