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OSI CPA Sara > MET and ART > Flashcards

MET and ART Flashcards

1
Q

What did Dr. T.J. Ruddy invent? Think lots of R’s

A

Ruddy’s Rapid Rhythmic Restrictive Duction

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2
Q

Who else contributed to muscle energy history?

A

Dr. Fred L. Mitchell Sr. wrote early as 1948 and taught courses in 1950-1970’s

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3
Q

What did Dr. Fred Mitchell Jr. do?

A

Developed and amplified MET

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4
Q

What is muscle energy?

A

Voluntary contraction by patient in a precise controlled direction at varying levels of intensity against a distinctly executed force

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5
Q

What patient’s motion is towards or away the barrier in Muscle Energy?

A

Away

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6
Q

What is iosmetric contraction?

A

contraction with no change in the distance between the muscle origin and insertion

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7
Q

What is concentric isotonic contraction?

A

Contraction of a muscle with approximation of origin and insertion

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8
Q

What is eccentric iostonic contraction?

A

Contraction of a muscle with seperation of origin and insertion

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9
Q

What is “ioslytic” contraction?

A

NON PHYSIOLOGICAL

attempted concentric contraction with an external force causing separation of origin and insertion

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10
Q

What is the physiological principal of Post isometric relaxation?

A

Muscle contraction –> increased tension in Golgi tendon organ –> inhibition of muscle contraction

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11
Q

What is the physiological principal of Joint mobilization using muscle force?

A

Restore the motion to the articulation by reseating or gapping the distorted joint relations with reflex relation of the previously hypertonic musculature.

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12
Q

How much force of contraction can you use with Joint mobilization using muscle force?

A

up to 30 to 50 lb of pressure depending on joint treated

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13
Q

What is physiological basis for respiratory assistance?

A

Muscular forces involved are generated by breathing.

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14
Q

What is the force of contraction for respiratory assistance?

A

Exaggerated respiratory motion

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15
Q

What is physiological basis for oculocephalogyric reflex?

A

Eye movements reflexively affect the cervical and truncal musculature as body tries to follow the eye motion.

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16
Q

What is the force of contraction for oculocephalogyric reflex?

A

Exceptionally gentle

17
Q

What is physiological basis for reciprocal inhibition?

A

When a gentle contraction is initiated in the agonist muscle and their is a reflex relation of that muscles antagonistic group.

18
Q

When do you use a cross extensor reflex?

A

Used in extremities where area that requires treatment is so severely inquired that you cannot directly access it or it is unmanipulable

19
Q

How does the cross extensor reflex work?

A

Uses muscle energy from the learned cross pattern locomotion reflexes engrammed into the CNS.

20
Q

What are the differences between the reciprocal inhibition and crossed extensor reflex?

A

With reciprocal you will use the ipsilateral side and the cross extensor uses the contrlateral side

21
Q

What does isokinetic strengthening serve to do?

A

Tries to reestablish normal tone and strength in a muscle weakened by hypertonicity of the opposing muscle group.

22
Q

When do we use ioslytic lengthening?

A

Used when we want to lengthen a muscle shortened by contracture and fibrosis.

23
Q

What is the force of contraction isokinetic strengthening?

A

Sustained gentle pressure 10 to 20 lbs

24
Q

What is the force of contraction ioslytic lengthening?

A

Maximal contraction that can be comfortably resisted by physician to lbs of pressure

25
Q

What is the basis for “using muscle force to move one region of the body to achieve movement of anther bone”?

A

Move a structure adjacent to the body structure with disorder because in doing so the muscle force will be transmitted to the place of dysfunction.

26
Q

What is the force of contraction for “using muscle force to move one region of the body to achieve movement of anther bone”?

A

Sustained gentle pressure to 20 lbs

27
Q

What are some differences between isometric and isotonic procedures?

A

Isometric uses light to moderate contraction and unyeilding counterforce, whereas Isotonic uses hard to maximal contraction and counterforce permits controlled motion.

28
Q

What are some similarities with iosmetric and isotonic procedures?

A

Both have careful positioning, relaxation after contraction, and repositioning.

29
Q

When should we use muscle energy?

A

When we want to:
-balance muscle tone

  • strengthen reflexively weakened musculature
  • improve symmetry of articular motion
  • enhance circulation of fuilds
30
Q

For muscle energy how many seconds is the force applied for?

A

3-5 seconds

31
Q

Up to how many times can we repeat the procedure for muscle energy before reevaluation?

A

3 to 5

Same as the amount of time to hold it!

32
Q

What are the four factors that can influence successful muscle energy technique from the patient?

A
  • contraction too hard
  • contraction in wrong direction
  • sustain contraction too little time
  • do not relax appropriately following contraction
33
Q

What are the four factors that can influence successful muscle energy technique from the operator?

A
  • not controlling the joint position in relation to movement
  • not providing the counterforce in correct direction
  • not giving accurate instructions
  • moving to a new joint position too soon after contraction stops
34
Q

What is another name for Articulatory Approach?

A

“Springing” technique

35
Q

What does Articulatory Approach use i.e. velocity, amplitude, and technique approach?

A
  • Low velocity; high amplitude

- Direct technique

36
Q

What would Articulatory Approach look like?

A

Apply gentle repetitive motions through the restrictive barrier

37
Q

What types of situations are articulatory techniques good for?

A
  • Arthritic pain
  • elderly
  • infants
  • patients who cannot follow instructions
38
Q

How long should you apply the force for articulatory techniques?

A

1 to 2 seconds

OSI CPA Sara (5 decks)

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