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Counterstrain technique for plantar fasciitis

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Old 3rd November 2006, 01:44 PM
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Default Counterstrain technique for plantar fasciitis

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Effect of counterstrain on stretch reflexes, hoffmann reflexes, and clinical outcomes in subjects with plantar fasciitis.
J Am Osteopath Assoc. 2006 Sep;106(9):547-56
Wynne MM, Burns JM, Eland DC, Conatser RR, Howell JN
CONTEXT: Previous research indicates that osteopathic manipulative treatment based on counterstrain produces a decrease in the stretch reflex of the calf muscles in subjects with Achilles tendinitis. OBJECTIVES: To study the effects of counterstrain on stretch reflex activity and clinical outcomes in subjects with plantar fasciitis.

METHODS: In a single-blind, randomized controlled trial of crossover design, the effects of counterstrain were compared with those of placebo in adult subjects (N=20) with plantar fasciitis. The subjects were led to believe that both the counterstrain and placebo were therapeutic modalities whose effects were being compared. Ten subjects (50%) were assigned to receive 3 weeks of counterstrain treatment during phase 1 of the trial, while the other 10 subjects were given placebo capsules. After a 2- to 4-week washout period, phase 2 of the trial began with the interventions reversed. Clinical outcomes were assessed with daily questionnaires. Stretch reflex and H-reflex (Hoffmann reflex) in the calf muscles were assessed twice during each laboratory visit, before and after treatment in the counterstrain phase.

RESULTS: No significant changes in the electrically recorded reflexes of the calf muscles were observed in response to treatment. However, changes in the mechanical characteristics of the twitches resulting from the electrical responses were observed. Peak force and time to reach peak force both increased (P</=.05) in the posttreatment measurements, with the increase being significantly more pronounced in the counterstrain phase (P<.05). A comparison of pretreatment and posttreatment symptom severity demonstrated significant relief of symptoms that was most pronounced immediately following treatment and lasted for 48 hours.

CONCLUSIONS: Clinical improvement occurs in subjects with plantar fasciitis in response to counterstrain treatment. The clinical response is accompanied by mechanical, but not electrical, changes in the reflex responses of the calf muscles. The causative relation between the mechanical changes and the clinical responses remains to be explored.

Last edited by Admin : 3rd November 2006 at 08:26 PM.
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Old 3rd November 2006, 02:18 PM
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Default Plantar fasciitis

Related threads:
Jones Counterstrain Technique for sesamoiditis

Plantar fasciitis discussions
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Old 3rd November 2006, 03:43 PM
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Unlike a lot of news posted by Newsbot, the link to the article above has the full text available and not just the abstract - interesting read.

Its good to see some of these types of techniques being put under this kind of scrutiny.
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