음양균형의학으로서의 자세이완기법(PRT) 개요

Introduction to the Positional Release Techniques (PRT), as a Yin-yang Balance Based Approach

  • 인창식 (경희대학교 침구경락융합연구센터)
  • Yin, Chang Shik (Acupuncture & Meridian Science Research Center, Kyung Hee University)
  • 투고 : 2018.05.31
  • 심사 : 2018.12.22
  • 발행 : 2018.12.30

초록

Positional Release Techniques (PRTs) are an umbrella term for manual therapies harnessing spontaneous musculoskeletal balancing mechanism of the body facilitated by finding and maintaining therapeutic position. PRT has its origin in the Strain Counterstrain (SCS) technique by Dr. Jones but encompasses diverse related techniques that stemmed off from the SCS. PRT emphasizes postural balance within the body and innate healing potential of the body including the postural balance of the temporomandibular joint (TMJ). This study briefly reviews concepts, history, and contemporary study reports on PRT with a focus on the yin-yang balance based approach of PRT.

키워드

참고문헌

  1. Chaitow L. Positional release techniques, 3rd ed. Edinburgh: Churchill Livingstone, 2007.
  2. Jones LH, Kusunose RS, Goering EK. Jones straincounterstrain. Boise:Jones Strain-CounterStrain Incorporated. 1995
  3. Jones LH. Strain and counterstrain. Indianapolis:American Academy of Osteopathy. 1981.
  4. Walther D. Applied Kinesiology: synopsis. 2nd ed. Pueblo: Systems DC, 2000.
  5. Yin CS, Park J, Lee JY, Chae Y, Jang WC, Kim ST, Lee H, Park HJ. Acupuncture perception (DEQI) varies over different points and by gender with two distinct distribution patterns of dullness and pain. J Sens Stud. 2009;24(5):635-647. https://doi.org/10.1111/j.1745-459X.2009.00229.x
  6. Devine WH, Glover JC, Kusunose RS. Clinical application of counterstrain. Osteopathic Press, 2006:xiv.
  7. Howell JN, Cabell KS, Chila AG, Eland DC. Stretch reflex and Hoffmann reflex responses to osteopathic manipulative treatment in subjects with Achilles tendinitis. J Am Osteopath Assoc. 2006;106(9):537-545.
  8. Wong CK. Strain counterstrain: current concepts and clinical evidence. Man Ther. 2012;17(1):2-8. doi: 10.1016/j.math.2011.10.001.
  9. Lewis C, Souvlis T, Sterling M. Sensory characteristics of tender points in the lower back. Man Ther. 2010;15(5):451-456. doi: 10.1016/j.math.2010.03.006.
  10. McPartland JM. Travell trigger points--molecular and osteopathic perspectives. J Am Osteopath Assoc. 2004;104(6):244-249.
  11. Woolbright JL. An alternative method of teaching strain/counterstrain manipulation. J Am Osteopath Assoc. 1991;91(4):370, 373-376.
  12. Snider KT, Glover JC, Rennie PR, Ferrill HP, Morris WF, Johnson JC. Frequency of counterstrain tender points in osteopathic medical students. J Am Osteopath Assoc. 2013;113(9):690-702. doi: 10.7556/jaoa.2013.035.
  13. Snider KT, Johnson JC. Survey of billing and coding for counterstrain tender points. J Am Osteopath Assoc. 2012;112(6):356-365.
  14. Wong CK, Abraham T, Karimi P, Ow-Wing C. Strain counterstrain technique to decrease tender point palpation pain compared to control conditions: a systematic review with meta-analysis. J Bodyw Mov Ther. 2014;18(2):165-173. doi: 10.1016/j.jbmt.2013.09.010.
  15. Jacobson EC, Lockwood MD, Hoefner VC Jr, Dickey JL, Kuchera WL. Shoulder pain and repetition strain injury to the supraspinatus muscle: etiology and manipulative treatment. J Am Osteopath Assoc. 1989;89(8):1037-1040, 1043-5.
  16. Bolin DJ. The application of osteopathic treatments to pediatric sports injuries. Pediatr Clin North Am. 2010;57(3):775-794. doi: 10.1016/j.pcl.2010.02.002.
  17. Campbell SM, Winkelmann RR, Walkowski S. Osteopathic manipulative treatment: novel application to dermatological disease. J Clin Aesthet Dermatol. 2012;5(10):24-32.
  18. Langenau EE, Dowling DJ, Dyer C, Roberts WL. Frequency of specific osteopathic manipulative treatment modalities used by candidates while taking COMLEX-USA Level 2-PE. J Am Osteopath Assoc. 2012;112(8):509-513.
  19. Johnson SM, Kurtz ME. Osteopathic manipulative treatment techniques preferred by contemporary osteopathic physicians. J Am Osteopath Assoc. 2003;103(5):219-224.
  20. Leiber JD. Allopathic family medicine residents can learn osteopathic manipulation techniques in a 1-month elective. Fam Med. 2005;37(10):693-695.
  21. Rubeor A, Nothnagle M, Taylor JS. Introducing osteopathic medical education in an allopathic residency. J Am Osteopath Assoc. 2008;108(8):404-408.
  22. Brose SW, Jennings DC, Kwok J, Stuart CL, O'Connell SM, Pauli HA, Liu B. Sham manual medicine protocol for cervical strain-counterstrain research. PM R. 2013;5(5):400-407. doi: 10.1016/j.pmrj.2013.01.005.
  23. Luckenbill-Edds L, Bechill GB. Nerve compression syndromes as models for research on osteopathic manipulative treatment. J Am Osteopath Assoc. 1995;95(5):319-326. https://doi.org/10.7556/jaoa.1995.95.5.319
  24. Licciardone JC, Kearns CM, King HH, Seffinger MA, Crow WT, Zajac P, Devine WH, Abu-Sbaih RY, Miller SJ, Berkowitz MR, Dyer R, Heath DM, Treffer KD, Nevins NA, Aryal S. Somatic dysfunction and use of osteopathic manual treatment techniques during ambulatory medical care visits: a CONCORD-PBRN study. J Am Osteopath Assoc. 2014;114(5):344-354. doi: 10.7556/jaoa.2014.072
  25. Barnes PL, Laboy F 3rd, Noto-Bell L, Ferencz V, Nelson J, Kuchera ML. A comparative study of cervical hysteresis characteristics after various osteopathic manipulative treatment (OMT) modalities. J Bodyw Mov Ther. 2013;17(1):89-94. doi: 10.1016/j.jbmt.2012.10.004.
  26. Nagrale AV, Glynn P, Joshi A, Ramteke G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. J Man Manip Ther. 2010;18(1):37-43. doi: 10.1179/106698110X12595770849605.
  27. Ibanez-Garcia J, Alburquerque-Sendin F, Rodriguez-Blanco C, Girao D, Atienza-Meseguer A, Planella-Abella S, Fernandezde- Las Penas C. Changes in masseter muscle trigger points following strain-counterstrain or neuro-muscular technique. J Bodyw Mov Ther. 2009;13(1):2-10. doi: 10.1016/j.jbmt.2008.03.001.
  28. Lewis C, Khan A, Souvlis T, Sterling M. A randomised controlled study examining the short-term effects of Strain-Counterstrain treatment on quantitative sensory measures at digitally tender points in the low back. Man Ther. 2010;15(6):536-541. doi: 10.1016/j.math.2010.05.011.
  29. Wong CK, Moskovitz N, Fabillar R. The effect of strain counterstrain (SCS) on forearm strength compared to sham positioning. Int J Osteopath Med. 2011;14(3):86-95. https://doi.org/10.1016/j.ijosm.2010.11.004
  30. Wynne MM, Burns JM, Eland DC, Conatser RR, Howell JN. Effect of counterstrain on stretch reflexes, hoffmann reflexes, and clinical outcomes in subjects with plantar fasciitis. J Am Osteopath Assoc. 2006;106(9):547-556.
  31. Radjieski JM, Lumley MA, Cantieri MS. Effect of osteopathic manipulative treatment of length of stay for pancreatitis: a randomized pilot study. J Am Osteopath Assoc. 1998;98(5):264-272.
  32. Collins CK. Physical therapy management of complex regional pain syndrome I in a 14-year-old patient using strain counterstrain: a case report. J Man Manip Ther. 2007;15(1):25-41. https://doi.org/10.1179/106698107791090150
  33. Dardzinski JA, Ostrov BE, Hamann LS. Myofascial pain unresponsive to standard treatment: successful use of a strain and counterstrain technique with physical therapy. J Clin Rheumatol. 2000;6(4):169-174. https://doi.org/10.1097/00124743-200008000-00001
  34. Pedowitz RN. Use of osteopathic manipulative treatment for iliotibial band friction syndrome. J Am Osteopath Assoc. 2005;105(12):563-567.
  35. Blanco CR, de las Penas CF, Xumet JEH, Algaba CP, Rabadan MF, de la Quintana MCL. Changes in active mouth opening following a single treatment of latent myofascial trigger points in the masseter muscle involving post-isometric relaxation or strain/counterstrain. J Bodyw Mov Ther. 2006;10(3):197-205. https://doi.org/10.1016/j.jbmt.2005.07.002
  36. Klein R, Bareis A, Schneider A, Linde K. Strain-counterstrain to treat restrictions of the mobility of the cervical spine in patients with neck pain: a sham-controlled randomized trial. Complement Ther Med. 2013;21(1):1-7. doi: 10.1016/j.ctim.2012.11.003.
  37. Lewis C, Souvlis T, Sterling M. Strain-Counterstrain therapy combined with exercise is not more effective than exercise alone on pain and disability in people with acute low back pain: a randomised trial. J Physiother. 2011;57(2):91-98. doi: 10.1016/S1836-9553(11)70019-4.