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Supine counterstrain technique for rhomboid tender point.

Olivia C Matz1, Hannah C Gustafson1, Lauren E Hartwell1

  • 1Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA.

Journal of Osteopathic Medicine
|September 12, 2023
PubMed
Summary

This study introduces a modified supine counterstrain technique for rhomboid tender points. It addresses both muscle actions, offering a comprehensive approach for patients experiencing back, shoulder, and neck pain.

Keywords:
Jonescounterstrainrhomboidtender point

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Area of Science:

  • Physical Therapy
  • Osteopathic Manipulative Medicine
  • Anatomy

Background:

  • Poor posture frequently leads to back, shoulder, and neck pain.
  • Rhomboid muscles are crucial for posture and often implicated in pain syndromes.
  • Existing treatments for rhomboid tender points inadequately address the muscle's dual actions.

Purpose of the Study:

  • To present a modified supine counterstrain technique for rhomboid tender points.
  • To offer a comprehensive treatment addressing both primary actions of the rhomboid muscles.
  • To provide a method suitable for patients with restricted shoulder movement.

Main Methods:

  • A modified supine counterstrain technique is described.
  • The technique incorporates scapular retraction and superior, medial rotation of the scapula's inferior border.
  • The method avoids shoulder abduction to accommodate patient limitations.

Main Results:

  • The presented technique offers a comprehensive approach to treating rhomboid tender points.
  • It effectively addresses both scapular retraction and rotation, unlike previous methods.
  • The technique is adaptable for patients with limited shoulder mobility.

Conclusions:

  • This modified supine counterstrain technique provides a more complete treatment for rhomboid tender points.
  • It offers a valuable therapeutic option for managing pain associated with poor posture and rhomboid dysfunction.
  • The technique enhances patient care by accommodating shoulder movement restrictions.