Immediate Effects of the Strain/Counterstrain Technique
in Local Pain Evoked by Tender Points in the Upper Trapezius Muscle
Albert Atienza Meseguera, César Fernández-de-las-Peñasa, b,, Jose Luis Navarro-Pozaa, Cleofás Rodríguez-Blancoa, c and Juan José Boscá Gandiaa
Journal of Bodywork and Movement Therapies, Clinical Chiropractic, September 2006, Vol 9, Issue 3, Pages 112-118
The aim of this study was to compare the immediate effect, on pain threshold, following a single
treatment of tender points in the upper trapezius muscle involving a classical and a modified
application of the strain/counterstrain technique.
Fifty-four subjects presenting with mechanical neck pain, 16 men and 38 women, aged 18–64 years
old, participated in this study. Subjects underwent a screening process to establish the presence of
tender points in the upper trapezius muscle. Subjects were divided randomly into three groups: group
A was treated with the classical strain/counterstrain technique, group B was treated with the modified
application of the technique which included a longitudinal stroke during the application of
strain/counterstrain, and group C was a control group. The outcome measure was the visual
analogue scale assessing local pain elicited by the application of 4.5 kg/cm2 of pressure on the tender
point. It was assessed pre-treatment and 2 min post-treatment by an assessor blinded to the
treatment allocation of the subject.
Within-group changes showed a significant improvement in the visual analogue scale following either
classical or modified application of the strain/counterstrain technique (P < 0.001). The control group
did not show any change (P > 0.3). Pre-post effect sizes were large in both strain/counterstrain
groups (D = 1.1), but small in the control group (D = 0.01). Differences were found between both
strain/counterstrain groups as compared to the control group (P < 0.001), but not between both
strain/counterstrain groups (P = 0.8).
Our results suggest that strain/counterstrain was effective in reducing tenderness of tender points in
the upper trapezius muscle. The application of a longitudinal stroke during the strain/counterstrain did
not influence the effectiveness of the classical description of the technique.

Retour en haut

Recevez gratuitement votre vidéo Formation

A la suite de votre inscription, vous serez redirigé sur la page de la formation en vidéo.
Nous utilisons des cookies pour vous garantir une meilleure navigation sur notre site. Si vous continuez à utiliser ce dernier, nous considérerons que vous acceptez l'utilisation des cookies.