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CATA 441 - Manual Therapy > MET > Flashcards

MET Flashcards

1
Q

What are the 3 criteria for MET?

A
  1. Controlled position
  2. Specific direction
  3. Distinct counterforce
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2
Q

Name the barriers from left to right

A
  1. Anatomical barrier
  2. Elastic barrier
  3. Physiological barrier
  4. Pathological barrier
  5. Neutral
  6. Pathological neutral
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3
Q

What is the difference between a resistive barrier and a restrictive barrier

A

Resistance barrier provides some resistance. Restrictive barrier blocks movement

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4
Q

What is the 4th type of muscle contraction

A

Isolytic

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5
Q

What are muscle spindles sensitive to?

A

Length and rate of length change

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6
Q

What is the static response

A

Involves both primary and secondary afferents. Stretch is proportional to the signals sent

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7
Q

What is the dynamic response?

A

Only primary afferents. (Reflexes) response to rapid change in length

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8
Q

With vertebral somatic dysfunctions where is the hypertonicity usually found?

A
  1. Multifidi
  2. Rotatores
  3. Intertransversii
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9
Q

What is the principal behind post isometric relaxation?

A

Autogenic inhibition

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10
Q

What is the latency period of a muscle

A

10-15s

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11
Q

Why is isotonic contractions used?

A

To tone weak muscles

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12
Q

When is reciprocal inhibition used?,

A

To relax an antagonist

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13
Q

When is isolytic contraction used

A

To break up scar tissue, stretch tight fibrotic tissue

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14
Q

When is the crossed extensor reflex used?

A

If the affected side is too painful/ contraindicated

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15
Q

Give an example of the crossed extensor reflex

A

L tricep, R bicep

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16
Q

What does inhalation assist with

A

Flexion

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17
Q

What does exhalation assist with?

A

Extension

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18
Q

What reflex us useful for C/S corrections?

A

Occulocephalogyric reflex

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19
Q

What are 3 mistakes made with MET?

A
  1. Inaccurate diagnosis
  2. Improperly localized force
  3. Forces that are too strong
20
Q

What are the patient mistakes in MET?

A
  1. Too much force
  2. Contract wrong direction
  3. Don’t hold the contraction long enough
  4. Don’t relax appropriately after contraction
21
Q

What are the therapist mistakes in MET

A
  1. Not controlling the joint position in relation to the barrier
  2. Counterforce in wrong direction
  3. Not giving proper instructions
  4. Moving to a new position too fast after contraction
22
Q

What are the two main differences between isometric and isotonic

A
  1. Light to mod force vs. Hard to maximal contraction
  2. Unyielding counterforce vs. Counterforce permitting controlled motion
23
Q

What are the 8 steps of MET

A
  1. Structural diagnosis
  2. Localization to restrictive barrier
  3. Unyielding counterforce
  4. Appropriate patient effort (amount, direction, duration)
  5. Complete relaxation
  6. Repositioning to a new restrictive barrier
  7. Repeat steps 3-6, 3-5 times
  8. Retest
24
Q

What is the patients appropriate force?

25
What is the patients appropriate duration of force?
3-7s
26
What are the most common public symphysis findings?
R INF, L super (thought to be because of the liver)
27
Which muscle may be inhibited with SI problems
Glute max
28
What is Fryettes 1st law?
In neutral, sidebending and rotation are coupled in opposite directions
29
What is fryettes 2nd Law?
In flexion or extension, sidebeningnand rotation are coupled to the same side
30
What is fryettes 3rd law.
Initiating kovwment of a vertebrae in any plane of motion will modify the movement of that segment in other planes of motion
31
What does T1-T4 affect?
Sympathetic to head and neck
32
What dies T1-T6 affect
Heart and lungs
33
What does T5-T9 affect?
All upper abdominal viscera (stomach, duodenum, liver, gallbladder, pancreas, spleen)
34
What does T10-T11 affect?
Remainder of small intestines, kidney, ureter, bladder, gonads, right colon
35
What does T12-L2 affect?
Left colon and pelvic organs
36
ERS dysfunctions in the mid scap region are associated with?
Weak rhomboids & serratus ant.
37
FRS dysfunctions in the lower T/S are associated with what?
Weak LFT
38
Inhalation dysfunction. Moves freely in __ Can't move in ___
Inhalation Exhalation
39
Exhalation dysfunction. Moves freely in __ Can't move in ___
Exhalation Inhalation
40
Is a breathing restriction named from the dysfunction (ease) or restriction.
Dysfunction
41
What do the suboccipital muscles have a lot of?
Muscle spindles
42
Which spinal level is associated with cervicophalic syndromes, internal viscera disease, and the vagus nerve.
C2
43
Muscles that influence SI dysfunction (4)
1. Psoas 2. Piriformis 3. Lats 4. Glut max
44
How much flexion and ext is at the OA joint
50%
45
Unilateral R scalene tightness maybe cause the lower c/s to act as a what?
ERSL

CATA 441 - Manual Therapy (8 decks)

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