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Muscle Energy

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
Created by: tjamrose
Popular Osteopathic Principl sets




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