MET and ART

Question 1

Muscle Energy

Answer 1

Voluntary contraction of patient muscle in a precisely controlled direction

Varying levels of intensity

Against a distinctly executed counterforce

Question 2

Active Technique

Answer 2

Patient contributes the corrective force

Question 3

Direct Technique

Answer 3

Positioned to the restrictive barrier

Question 4

Isometric Contraction

Answer 4

Contraction of a muscle with no change in distance between the origin and insertion

Question 5

Concentric Isotonic Contraction

Answer 5

Contraction of a muscle with approximation of origin and insertion

“curl part of a bicep curl”

Question 6

Eccentric Isotonic Contraction

Answer 6

Contraction of a muscle with separation of origin and insertion

“the relaxation part of the bicep curl”

Question 7

Isolytic Contraction

Answer 7

Non-physiologic

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

Question 8

Post-isometric Relaxation

Answer 8

Most common form or MET

muscle contraction->Increased tension in Golgi tendon organ->inhibition of muscle contraction

Golgi tendon organ (GTO)

Question 9

Joint Mobilization Using Muscle Force

Answer 9

Hypertonicity of musculature across a joint can cause distortion of articular relationships and motion loss

This increase in muscle tone tends to compress the joint surfaces and results in thinning of the intervening layer

Question 10

Respiratory Assistance

Answer 10

The muscular forces involved in these techniques are generated by the simple act of breathing

Question 11

Oculocephalogyric Reflex

Answer 11

These eye movements reflexively affect the cervical and truncal musculature as the body attempts to follow the lead provided by eye motion

Question 12

Reciprocal Inhibition

Answer 12

When a gentle contraction is initiated in the agonist muscle, there is a reflex relaxation of the muscle’s antagonistic group

Question 13

Crossed Extensor Reflex

Answer 13

Used in the extremities where the muscle that requires treatment is in a area so severely injured that it is directly unmanipulable or inaccessible

Flexion in one extremity causes relaxation in contralateral flexor and contraction of extensor of that same extremity.

Question 14

Isolytic Lenghtening

Answer 14

To lengthen a muscle shortened by contracture and fibrosis

It is postulated that the vibration used here has some effect on the myotatic units in addition to mechanical and circulatory effects.

Question 15

Muscle force to move one region

Answer 15

For some dysfunctions it is more effective to move one body structure by moving another body structure adjacent to it. Muscular force is used to move the first structure and the body part’s response to the muscle force is transmitted

Question 16

MET Indications

Answer 16

Used to: balance muscle tone, strengthen reflexively weakened musculature, Improve symmetry of articular motion, enhance the circulation of boy fluids, lengthen a shortened contracted or spastic muscle group

Question 17

MET sequence

Answer 17

The physician positions the body apart to be treated, at the position of initial resistance.

The patient is instructed in the intensity, duration, and direction of the muscle contraction

the physician directs the patient to the contract the appropriate muscles of muscle group.

The physician used counterforce in opposition to and equal to the patients muscle contraction

The physician maintains forces until an appropriate patient contraction is perceived at the critical articulation

Fuck it

Question 18

MET Contraindications

Answer 18

Local fracture
Local dislocation
Moderate-to-severe segmental instability in the cervical spine
Evocation of neurologic symptoms or signs on rotation or the neck
Low vitality
Situations that could be worsened by muscle activity
Unable/unwilling to follow verbal commands

Question 19

Articulatory Approach

Answer 19

Gentle and repetitive motions through the restrictive barrier to restore physiologic motion

Applicable with the restrictive barrier is in the joint or periarticular tissues

Can be applied to vertebral as well as extremity somatic dysfunction.

May be used on single joint, or an entire region

Question 20

ART Indication

Answer 20

Well tolerated by: arthritic patients, elderly or frail, critically ill or post-operative patients, infants or very young patients, patient unable to cooperate with instruction w

Question 21

Isotonic vs. Isometric

Answer 21

Isotonic requires -Hard to maximal contraction with a counterforce that permits controlled motion.

Isometric-light to moderate contraction with an unyielding contraction.

Question 22

Differences between MET and ART

Answer 22

ART is a passive technique where the patient is relaxed. MET is an active technique where the patient resists opposite the barrier

Both are direct