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Counter Strain

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Counterstrain Myofascial Release © by Edward Muntinga, www.munt inga.ch  OM (Occitito-Mastoid) Locali zat ion Sut ura Occ i i to! mastoide a o sterio rly "o si ti ons "a t# su i ne, $he r# hea d of ta bl e  %ction Push occiut with cuing hand caudally and frontal with elbow towards C& M (Masseter) Locali zation Ramus mandibulae anterior  "o si ti ons "a t# su i ne, $he r# hea d of ta bl e  %ction "alate $" and press chin with oosite hand towards $" SB (SphenoB asilar) Locali zat ion Occ i i tal s' uama, (cm)(cm later al) below Lambda "o si ti ons "a t# su i ne, $h er# ob li 'ue he ad of tabl e  %ction *old Occ. and +rontal, RO$ twist- around %)" ais, use more comfy direction SP (Sphenoid) Locali za tion %l a ma/o r  "ositions "at# suine, $her# o bli'ue opposite head of table  %ction "ressure horiz. *and0ante- Sphenoid opposite towards TP, other hand stabilizes head and monitors $" SO (SupraOrbital) Locali zat ion Media l 1)2 of su raorbital mar gin "ositions "at# suine, $her# side of table  %ction "inch nasal bone and ull caudally, counterforse  frontal  with forearm)hand AC3 (AntCer!ical 3) Locali zation %nterior side of SCM Le3el C2- "ositions "at# su in e, * 4S 56 o o sit e of $ " , $her# 1 *and head , 1 * and 7 r amu s mandible  %ction $raction *4S fle-, SB towards TP  with ramus!hand8- AC "-# (AntCer!ical "-#) Locali zation on) osteri or SCM Le 3el C6) 9- "ositions "at# su i ne, $her# head of ta ble  %ction +LE: *4S (6, com lete RO$ o osite $" , gentle S; oosite AC$ (AntCer!ical $) Locali zat ion On cla3icle s u) ost- 2c m lat era l from SC!<elen0 "ositions "at# su i ne, $her# head of ta ble  %ction +LE:, RO$ o osite, SB towards TP PC%& PC' (PostCer!ical %') Loc ali zat ion =nf eri or nucha l line Occ., "C1 a uss en, "C( >medi al? "ositions "at# su i ne, hea d - Oc c. - r esti ng on $h er. hand  %ction Etension 7 Occ!C( >co maction?-, RO$ oosite, S; oosite
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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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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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"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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 %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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