ME His and Princ Flashcards
founded by
fred mitchell sr
founded when
48
revised
58
first taught
70 fort dodge Iowa
mitchell sr died
74
mitchell jr taught
70s KCCOM
most common ME
Post isometric relaxation
Post isometric relaxation procedure
- You move the patient’s body part toward the restrictive barrier.
- Have the patient contract the tight muscle(s) by moving away from the restrictive barrier, against your resistance (you hold the body part in place).
- Thepatientrelaxes.
- You stretch the tight muscles to a more normal resting length.
Joint mobilization using muscle force
• Pull a bone back into appropriate position for best joint surface apposition.
ex
• Put the sartorius muscle on tension by stretching it.
• Have the patient contract the sartorius to pull the ASIS forward
Respiratory Assistance
• Use the diaphragm to change the motion.
ex
• If you want a rib to increase its motion toward end-expiration, direct the patient to inspire as you resist its motion.
• Guide the rib’s return to end-expiration as the patient exhales.
Oculocephalic or oculocervical reflex (oculocephalogyric)
• Cause relaxation in cervical muscles by having the patient contract extraocular muscles.
ex
• Have the patient roll eyes to the left.
• Then rotate the patient’s head toward the right.
Reciprocal inhibition
• Have the patient contract the antagonist of the affected muscle.
• Then stretch the affected muscle.
ex
• Patient moves toward the barrier. You move them toward the barrier.
Crossed-extensor reflexes
ex
• Have the patient contract the right quadriceps muscles.
• Then you stretch out the patient’s left quadriceps muscles.
ME Steps
- Position the body part to be treated at the point of initial restriction of motion (the feather edge of the restrictive barrier).
- Describe to the patient what you want him to do, in what direction, with what intensity and duration.
- Direct the patient to contract the appropriate muscle(s).
- Apply counterforce equal to and opposite to the patient’s force.
- Maintain the force until the contraction is palpated at the appropriate location (generally, 3-5 seconds).
- Direct the patient to relax by gently ceasing his contraction, as you simultaneously match the decrease in patient force.
- Allow the patient to relax; sense the tissue relaxation.
- Take up the slack to the new initial barrier. [This will slowly, passively lengthen the muscle(s).]
- Do this three to five times, or until the best possible increase in motion is obtained.
- Retest.
Common Errors in ME
- Wrong diagnosis
- Initial position for treatment is not localized
- Not monitoring motion at the involved joint
- Too forceful a muscle contraction by the patient
- Too short a duration of muscle contraction by the patient
- Not allowing patient to totally relax before repositioning to new restrictive barrier (forcing the new motion barrier)
- Forgetting to retest
