ART METS Strain-Counterstrain

8/18/2019 ART METS Strain-Counterstrain

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Active Release Technique(ART)



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 !#$



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.



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.



Muscle 'nergyTechniques (M'T/s)



Background

• M6T evolved out of osteopathicprocedures developed by pioneerpractitioners such as T. . Ruddy

&!7!', who termed his approach8resistive duction8, and 9red Mitchell1nr &!7:'.



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.



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.



train?=ounterstrain



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.



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'.



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.

http://www.sciencedirect.com/science/article/pii/S1479235406000733


http://www.sciencedirect.com/science/article/pii/S1479235406000733#aff1













































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ART METS Strain-Counterstrain