Ace the LECOM OMS-1 OPP 5 Test 2026 – Master Osteopathic Moves and Boost Your Skills!

In counterstrain, you first position the patient in the most comfortable (fetal-like) posture for the tender point and then hold that position for about 90 seconds to allow the muscle spindle reflexes to reset. After that 90-second hold, you reassess the tender point to determine whether tenderness has decreased, confirming the effectiveness of the treatment. Only after this reassessment do you slowly return the patient to neutral and complete the maneuver.

That makes sense because all the work of the hold is meant to produce a change in the tissue state, and reassessment must come after the hold to verify that change before finalizing the treatment. The initial placement into ease and the diagnosis occur earlier, not after the hold, so those steps don’t fit as the step following the 90-second hold.