| Question |
Answer |
| What is muscle energy technique? |
A system of diagnosis and treatment in which the patient voluntarily moves the body as specifically directed by the osteopathic practitioner. This directed patient action is from a precisely controlled position against a defined resistance by the osteopat |
| What are the "ingredients" of muscle energy? |
Diagnosis
Muscle
Energy (contraction) |
| What two other things is muscle energy known as? |
Proprioceptive neuromuscular facilitation
Post-isometric relaxation |
| What does muscle energy accomplish? |
decreases muscle hypertonicity
lengthens muscle
decreases pain
improves range of motion
improves local circulation
strengthens weaker side
improves function
can mobilize a joint |
| What are the mechanisms of muscle energy? |
Tissue creep
Conditioning
Post-isometric relaxation
Activation of Golgi Tendon Organ
Reciprical inhibition |
| What is tissue creep? |
Constant load causes muscle give. |
| What is conditioning of muscle energy? |
Less tissue resistance with repeated stretch. |
| What is post-isometric relaxation? |
Neuromuscular apparatus in refractory state, temporarily removing myotatic reflex |
| Why is it important to activate the golgi tendon organ? |
Strong pull triggers muscle relaxation to prevent tearing |
| What is reciprical inhibition? |
Reflex relaxation of antagonist |
| When should you consider Muscle Energy? |
Any technique engaging the restrictive barrier and then carrying the dysfunctional component into the restrictive barrier
|
| What is treated with muscle energy? |
joints
shortened or tight muscles
sub-acute to chronic
recurring
suboptimal response to other techniques |
| What are the goals of muscle energy? |
When you want to
stretch it
move it
fix it |
| What are the principles of muscle energy? |
Diagnose joint or regional motion restriction.
Move the joint or region to the direct barrier for all planes (localization).
Have the patient gently push away from the restrictive barrier for 3-5 seconds against a non-moving equal resistance (isometric |
| Requirements for safe and effective muscle energy. |
Correct diagnosis
Correct Localization
Appropriate patient
Appropriate stage
Appropriate body region
Appropriate direction
Appropriate Force
Sufficient Duration
Sufficient number of repetitions
|
| What are the contraindications for muscle energy? |
Absence of dysfunction
Acute sprain or fracture
Cancer or infection
Deep venous thrombosis
Vascular instability |
| What should be treated with caution when dealing with muscle energy? |
Joint inflammation
Undiagnosed neuropathy
Hypermobility
Osteoarthritis
Osteoporosis
Elderly
Worse symptoms at direct barrier
Patient apprehension/guarding
|
| Examples of ME technique |
Hip External Rotation
Inhaled ribs
Rib subluxations
|
| Sequence of treatment. |
Treat thoracic somatic dysfunction first.
Rib subluxation
Rib respiratory restriction |
| What is treated first.... type I or type II dysfunction? |
Type II |
| If there is no barrier.... |
do not treat with muscle energy. |
| Will a pop occur? |
maybe |
Cardio Block2anatomy
