Bailey M, Dick L
College of Osteopathic Medicine of the Pacific, Pomona, Calif.
J Am Osteopath Assoc. 1992 Mar;92(3):334, 337-41.
The proprioceptive mechanistic model of somatic dysfunction proposed by Korr is accepted as the neurophysiologic basis of counterstrain by the developer of that manipulative technique. We suggest that the physician should also take into account the physical damage, if any, that the original trauma produced. We propose that with tissue injury, nociceptive reflexes could produce patterns of motion restriction opposite that predicted by a solely proprioceptive model. A nociceptive component is suggested as an explanation for the origin and maintenance of somatic dysfunction and its response to the counterstrain technique. In actuality, both proprioceptive and nociceptive responses may occur in dysfunctional states. Other physiologic responses also may be involved. These views are consistent with clinical experience.
科尔提出的躯体功能障碍本体感觉机制模型被这种手法技术的开发者视为对抗应变的神经生理学基础。我们认为医生还应考虑到原始创伤所造成的任何身体损伤。我们提出，组织损伤时，伤害性反射可能产生与单纯本体感觉模型所预测相反的运动受限模式。伤害性成分被认为是躯体功能障碍的起源、维持及其对抗应变技术反应的一种解释。实际上，功能障碍状态下可能同时出现本体感觉和伤害性反应。其他生理反应也可能参与其中。这些观点与临床经验相符。
