Short answer
SCS (strain–counterstrain) is an indirect technique developed by Lawrence Jones. The osteopath finds a tender point, passively brings the patient’s body into a position of ease until the tenderness of the point is significantly reduced, and usually holds this position for about 90 seconds. According to a systematic review, SCS may lead to a reduction in pain, but the quality of the evidence is low.
Origins
SCS is a technique developed by the American osteopath Lawrence Jones. It is based on a clinical observation made in 1955; the technique was initially called “spontaneous release by positioning”.
Principle
SCS is an indirect technique. The osteopath finds a tender, painful point in a muscle or ligament, then passively brings the patient’s body into a position of ease until the tenderness of the point is significantly reduced. This position is usually held for about 90 seconds, after which the body is slowly returned to its previous position.
Advantages
The technique is gentle and does not require active effort from the patient. It can therefore also be used in patients with acute pain or in those who are sensitive to forceful techniques.
Scientific evidence
According to a systematic review, SCS may lead to a reduction in pain at tender points, but the quality of the evidence is low.
Sources
- Bailey M., Dick L. (1992). A description of the SCS technique. J Am Osteopath Assoc. PMID 1592658. PubMed: 1592658 (opens in a new window)
- Wong C. K. (2014). The SCS technique: a systematic review. J Bodyw Mov Ther. DOI: 10.1016/j.jbmt.2013.09.010 (opens in a new window)
- World Health Organization (2010). Benchmarks for training in osteopathy. ISBN 978-92-4-159966-5. who.int (opens in a new window)
This article is for educational purposes and does not replace a physician's advice.