3- Lumbar ME Flashcards
ME is ___ and ___-
active and direct
ME was first used by _____
Fred Michel Sr
- Eye movements
* Contraction of cervical muscles and relaxation of antagonists
– Oculocervical Reflex
• Directing force of respiration while using a fulcrum to direct the SD through the barrier
– Respiratory Assistance
• Physician needs to resist the contraction and then take up the slack in the fascias during the relaxed refractory period
– Posisometric Relaxation
In Postisometric relaxation, there is increased tension in the _____ ____, and is followed by a ______ of relaxation
Golgi tendon, refractory period
- Patient actively contracts muscles to cause movement, physician directs that muscle contraction to restore motion
- Similar to HVLA
– Joint Mobilization using Muscle Force
• Contraction of an agonist to relax the antagonist (bicep/tricep)
– Reciprocal Inhibition
Absolute contraindications
Bad injury in which OMT will actually cause more harm (broken bone), uncooperative patient
Relative contraindications
muscle strain, osteoporosis, severe illness (post-surgical, or MI)
for ME the pt is put into the ____ and contracts into _____
restriction, freedom of motion
3 characteristics of a vertebral body
large, thick (more anteriorly), and L4= iliac crest
Send bending of the lumbar causes a
contralateral translatory slide
rotation is coupled with
disk compression
origin/insertion, function, and dysfunction of latissimus dorsi
- T7-12, iliac crest, thoracolumbar fascia humerus
- Adducts, extends, internally rotates arm
- Extension & sidebending of lumbar spine
- Hypertonicity = shoulder pain (BODY IS A UNIT)
origin/insertion, function, and dysfunction of glutues maximus
- Thoracolumbar fascia, dorsal sacrum, sacrotuberous ligament, Ilium IT band, Greater tuberosity of femur
- Extends hip and stabilizes torso
- Low back pain and difficulty extending hip= must evaluate lumbar AND gluteal regions
origin/insertion, function, and dysfunction of erector spinae
•Sacrum to cervical
lateral to medial ILS• Bilateral contraction = extension
• Unilateral contraction = extension + ipsilateral sidebending
origin/insertion, function, and dysfunction of QL
- 12th rib, lumbar transverse processes iliolumbar ligament, iliac crest
- bilateral contraction= extension
- unilateral contraction= extension with ipsilateral sidebending
origin/insertion, function, and dysfunction of iliopsoas
• Transverse processes of T12-L5 lesser trochanter of femur
postural muscles that stabilize individual vertebrae
multofodus and rotatores
Runs from the base of the occiput to the anterior sacrum
ALL
- Narrows in the lumbar region
* Decreased support, increased risk of herniation
PLL
- First ligament to become tender with lumbar posture changes
- Tender area 1” superior & lateral to PSIS on the crest
Iliolumbar ligament
For a person with back pain the physician must____
take a good history
neutral, S and R in opposite directions, group
Type I
F/E, S and R in same direction, single
Type II
How to treat N RrSl
pt in lateral recumbent, convex side up, lift legs, pt pushes down
What muscles are utilized in Type I treatment when you flex the knees and hips until motion is felt
psoas and abdominals
In FDR what muscles are utilized in lumbar extension and rotation and lifting the legs
Extension: bilateral erector spinae and QL
Rotation: multifidi and rotatores
Sidebend: unilateral erector spinae and QL
In SUE what muscles are utilized in flexion, rotation, sidebending
Flexion: psoas and abdominal
Rotation: multifidi and rotatores
Sidebend: unilateral erector spinae
