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8/12/2019 Counter Strain
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
OM (Occitito-Mastoid)
Localization Sutura Occiito!mastoidea osteriorly
"ositions "at# suine, $her# head of table
%ction Push occiut with cuing hand caudally and frontal with elbow towards C&
M (Masseter)Localization Ramus mandibulae anterior
"ositions "at# suine, $her# head of table
%ction "alate $" and press chin with oosite hand towards $"
SB (SphenoBasilar)
Localization Occiital s'uama, (cm)(cm lateral)below Lambda
"ositions "at# suine, $her# obli'ue head of table
%ction *old Occ. and +rontal, RO$ twist- around %)" ais, use more comfy direction
SP (Sphenoid)
Localization %la ma/or
"ositions "at# suine, $her# obli'ue opposite head of table
%ction "ressure horiz. *and0ante- Sphenoid opposite towards TP, other hand stabilizes headand monitors $"
SO (SupraOrbital)
Localization Medial 1)2 of suraorbital margin
"ositions "at# suine, $her# side of table
%ction "inch nasal bone and ull caudally, counterforse frontal with forearm)hand
AC3 (AntCer!ical 3)Localization %nterior side of SCM Le3el C2-
"ositions "at# suine, *4S 56 oosite of $", $her# 1 *and head, 1 *and 7 ramus mandible
%ction $raction *4S fle-, SB towards TP with ramus!hand8-
AC "-# (AntCer!ical "-#)
Localization on)osterior SCM Le3el C6)9-
"ositions "at# suine, $her# head of table
%ction +LE: *4S (6, comlete RO$ oosite $", gentle S; oosite
AC$ (AntCer!ical $)Localization On cla3icle su)ost- 2cm lateral from SC!<elen0
"ositions "at# suine, $her# head of table
%ction +LE:, RO$ oosite, SB towards TP
PC%& PC' (PostCer!ical %')
Localization =nferior nuchal line Occ., "C1 aussen, "C( >medial?
"ositions "at# suine, head -Occ.- resting on $her. hand
%ction Etension 7 Occ!C( >comaction?-, RO$ oosite, S; oosite
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
AT%' (AntThoracic %')
Localization %$1# manubrium sterni su.-, %$(# abo3e suture manubrium)sternum
"ositions "at# sits side of table, hands crossed o3er head, leaning 7 $her. Relaed8$her. Reachning around "at. @nder aillae and holding fron!sternum, 1 thumb 7 $"
%ction +LE: 7 $h1)(# "ull $hora uwards, ress chest towards table
*%' or A*%' (depressed or anterior *ib)Localization %R1# 7 costa 1 medial end near sternum, %R(# 7 costa ( anterior on medial!cla3icular line
"ositions "at# suine, head in $her. hand
%ction +LE: lower *4S (A!2A, RO$ towards, S; towards $" %R(# more +LE:)RO$)S;-, 1(A sec
*+ or A*+ (depressed or anterior *ib +)
Localization 7 costa 5 ant., on the anterior!maillar line lateral-
"ositions "at# sits on table legs rested on table sideways-, oosite ailla rested on $her. Legillow-, head RO$ towards $"$her# hold head with hand)forearm)shoulder
%ction S; and slight *OT towards $", 1(A sec
,T +"# (,ntercostal)
Localization (!2 cm lateral from sternum 7 corresonding ribs
"ositions "osition li0e *+ ("at# sits on table legs rested on table sideways-, oosite ailla rested on$her. Leg illow--, but $her. grass "at. arm and uts it on illow ;4S rot8-
%ction S; and slight *OT opposite $", 1(A sec
AT$ (AntThoracic $)
Localization 7 costa lowest &-1!2 cm lateral midline
"ositions "osition li0e ,T+"#
%ction S; and slight *OT opposite $", 1(A sec
PT%' (PostThoracic)
Localization =ntersinous lig.)trans3.roc. $1)$(
"ositions "at# rone, $her# 7 head of table
%ction *old "at. chin with same side *and-, E:$, SB opposite& *OT opposite $"
AT%.%%%' (AntThoracic)
Localization %$1A# ;elow umbilicus (!2 cm lateral, %$11# slight below S=%S (!2cm lat., %$1(# iliac crestmedially
"ositions "at# suine, towel)cushion under el3is, $her# on sa/e side, holds both legs e3tl. foot on
table-
%ction +LE: %$1A#126, %$1(#11A-, RO$ >toward0 technically# oosite- and SB opposite $"
PT#-%' (PostThoracic)
Localization =ntersinous lig.)trans3.roc. $9!1(
"ositions "at# rone, head rotated towards $", $"!sided arm on table abo3e head, $her# obli'ueoosite at head of table
%ction $her. lifts same!sided %illa ect.ma/or- and ulls ;4S into E:$ and S; oosite $"
P*'-1 or 2*'-1 (Postele!ated rib)
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
Localization On rib angle costa (!B
"ositions "at# sits on table legs rested on table sideways-, oosite ailla rested on $her. leg illow-$her# stands behind "at.
%ction
A' (Antu/bar ')
Location S=%= medial
"osition "at# suine, $her# stands oosite $", holds both legs
%ction +LE: A, RO$ oosite 9A, S; oosite
A3+ (Antu/bar 3-+)
Location %L2# S=%= lateral, %L5# S=%= inferior
"osition "at# suine, $her# stands oosite $", holds both legs suorted by one leg-
%ction +LE: A, S; oosite, O *OT
4p" (4pper pole u/bar ") D etension dysfunction
Location Medial of S="S"osition "at# rone, $her# stands oosite, one leg under "at. leg etended in about 2A
%ction E:$ 2A, mild %, O *OT
p" (ower pole u/bar ") D fleion dysfunction
Location (!2cm below S="S, osterolateral where sacrum meets ilium
"osition "at# rone, leg hanging o3er table, $her# sits net to affected side
%ction $her. leg ushes hanging leg into % 6, hand holds thigh and ma0es =R)ER
,S, (ower ,liu/ Sacro ,liac) D =lium in ost. RO$
Location ( cm lateral of suerior face of Symh."ubis
"osition "at# suine, $her# stands net table same side of $"
%ction +LE: until release
5,S, (5i6h ,liu/ Sacro ,liac) 7 iliu/ in ant *OT
Location ;elow "S=S, in gluteus ma. +iber 7 attachment
"osition "at# rone, $her# stands side of table same side $", suorts leg of $" with own leg
%ction (A!2A E:$, 1A!16 %;
,liacus D iliacus and abdominal release
Location =n iliac fossa at lateral border of soas, on m.iliacus
"osition "at# suine, F+roschosition> ;eine, feet on $her. leg, $her# stands same side of $"
%ction G)! A +LE:, subcomlete %; legs
A88 (Adductor)
Location 7 insertion of m.gracilis at ubic bone
"osition "at# suine, $her# oosite $" on side of table
%ction +orced %, lace foot abo3e other foot
P,* (Pirifor/is)
Location Middle of iriformis
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
"osition "at# suine, affected leg hanging of the table, $her# sits net, both legs suort thigh of "at.
%ction 11!1(A +LE:, %; 6, ER mild
AAC (Ant Acro/ioCla!icular)
Location %nt. %C
"osition "at# suine, $her# stands oosite $", facing atient
%ction "ull 1A0g- forearm of $"!arm towards Foosite hi>
5 (on6 5ead) 9 S5(Short 5ead) 9 B4* (Bursa)
Location L*# lateral coracoid, S*# inferior coracoid, ;@R# subdeltoid bursa
"osition "at# suine, $her# stands same side $"
%ction L* +LE: H A %; 6 =R 56
S* +LE: H A % =R 56
;@R +LE: I A %;)% =R 56
8 (at8orsi) 9 S4B (Subscapularis)
Location L# attachment L 7 antero!medial humerus, S@;# on ant. surface scaula in fibers
"osition ;O$*# "at# suine, arm beyond edge of tabe
%ction L# $raction 1A0g-, =R, (A!(6 E:$ S@;# E:$ 2A!26, mild forced =R
SP, (Supraspinatus)
Location =n surasinous fossa su. Scaula- in fibers middle
"osition "at# suine, $her# same side $"
%ction 56 +LE:, 56 %;, 56 ER
TS'-+ (Thoracic Shoulder '-+)
Location $S(# ro. fibers of sura, $S2# ro. fibers infrasinatus suerior, $S5# ro. fibers infrasinatusinferior
"osition "at# suine, $her# same side $"
%ction +LE: 1AA$S(-)1(A$S2-)126$S5-, light %;)%
,S (,nfraspinatus)
Location 1cm below sina scaulae in the middle
"osition "at# suine, $her# same side $"
%ction +LE: 1AA, %; 2A, ER slight
*A8 :% and :' (*adius % and ') D $ennis Elbow
Location R%J1# anterolateral radius head, R%J(# lat. Eicondylus 7 insertion m.suinator
"osition "at# suine, $her# same side $"
%ction R%J1# easy E:$ elbow with ER and forced %;
R%J(# Elbow 1(A +LE:, =R slightly forced
MM (Medial Meniscus) 9 M (ateral Meniscus)Location MM# Kniesalte medial, LM# Knieslate lateral
"osition "at# suine, leg hanging o3er edge of table, or leg suorted by $her. leg on table
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
%ction MM# 56 +LE:, ,* 160g-, mild A88 LM# 56 +LE:, ;* 60g-, mild AB8
PC* (Post Cruciate i6)
Location Middle of oliteal fossa dorsal 0nee Kniebeuge!Linie-
"osition "at# suine, towel under tibia, $her# same side $"
%ction Cranial hand# ushes femur towards table (60g-, caudal hand# =R tibia and =n3ersion foot
MA (Medial An<le) 9 A (ateral An<le) D %bntzung Sohle hinten lat. M%- and fre'uent in3ersiontrauma L%-
Location M%# (cm below medial malleolus middle, L%# 1cm below, (cm in front of lat. malleolus
"osition M%# sidelyin6 sa/e side $", foot off table,an0le suorted by towel
L%# sidelyin6 opposite side $", foor offtable,an0le suorted by towel
%ction M%# force into Medial Shear, L%# force into Lat.Shear
MCA (Medial Calcaneus) and CA (at Calcaneus)
Location MC%# osteromedial calcaneus, LC%# osterolateral calcaneus
"osition MC%# sidelyin6 sa/e side $", foot off table, an0le suorted by towel li0e M%-LC%# sidelyin6 opposite side $", foor off table,an0le suorted by towel li0e L%-
%ction MCA# hold calc. and forefoot, force into Medial Shear and ,n!ersionCA# hold calc. and forefoot, force into ateral Shear and ;!ersion
C4B (low Cuboid)
Location "lantar side of cuboid
"osition "at# rone, 0nee fleed 2A!A, $her# stands opposite side
%ction *old metatarsals and ush (A0g towards 0nee this Flowers> cuboid indirectly-
=M% (=le>ion Metatarsal %) D fle dysfunction meta1
Location Middle 1)2 of 1st metatarsal lateral side
"osition "at#rone, 0nee fleed A, $her# same side $"
%ction <rab head of 1st meta and +LE: ) =R 20g-
A? (na!icular) D high and ER na3icular
Location "lantar side of na3icular, near cubo!na3. /oint
"osition "at# rone, 0nee fleed A, $her# end of table
%ction <rab na3icular medially and ER 1A0g-
=CA (=le>ion Calcaneus) 7 @heel spur
Location *eel sur location
"osition "at# rone, leg bent 56, foot resting on $her. leg is same side-
%ction "ull calcaneus uwards from achilles with websace hand- and slightly lift 0nee, other handcontrols $", $her.leg 0ees foot horizontal
S; (ateral Sesa/oid) 7 @hallu>
Location Meta!halangea /oint lateral side o. 1!6, es. 1 hallu-
"osition "rone, suine
%ction One hand obser3es $", other ta0es halan and# "L%$+LE:, =R, %;
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Counterstrain Myofascial Release © by Edward Muntinga, www.muntinga.ch
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