11: MET, ART

Question 1

Muscle energy definition

Answer 1

Pts muscles are actively used on request, from a precisely controlled position, in a specific direction, against a distinctly executed physician counterforce

Question 2

Muscle energy: type of technique (active/inactive + direct/indirect)

Answer 2

Active, direct

Question 3

Eccentric vs concentric contractions

Answer 3

Eccentric: lengthening
Concentric: shortening

Question 4

One type of eccentric contraction + define it

Answer 4

Isolytic contraction: a stronger counterforce overpowers a concentric contraction

Question 5

One type of concentric contraction + its definition

Answer 5

Isokinetic: joint motion moves at a constant speed/rate

Question 6

Two contraction types that can be eccentric or concentric

Answer 6

Isotonic: constant tone
Isometric: constant length

Question 7

Major contraindication for muscle energy

Answer 7

Pt unable to follow verbal commands, in a coma, uncooperative, too young, unresponsive, etc.

Question 8

Three things that could go wrong during muscle energy

Answer 8

1. Muscle activity could worsen a pts situation
2. Contract too hard
3. Move to a new joint position too soon

Question 9

Six steps in MET

Answer 9

1. Physician moves pt to restrictive barrier (direct)
2. Pt contracts away from barrier
3. Physician resists contraction towards restrictive barrier for 3-5 seconds
4. Pt and physician relax 1-2 seconds
5. Pt passively moved into new restrictive barrier
6. Repeat 3-4 times until no new barriers are reached

Question 10

Other terms for Articulatory approach

Answer 10

Springing techniques, low velocity/high amplitude

Question 11

What type of technique is the articulatory approach (direct/indirect, passive/active)

Answer 11

Direct, passive

Question 12

Articulatory technique definition

Answer 12

Gentle, repetitive motions through the restrictive barrier to restore physiological motion