Muscle Energy Flashcards
Who was the original developer of Muscle Energy?
Fred Mitchell Sr. DO
Who did Fred Mitchell Sr. credit for primary sources to making ME?
- TJ Ruddy, DO
2. Carl Kettler, DO
What year did Fred publish ME? In what?
1948; Osteopathy Yearbook as “The balanced Pelvis in Relation to Chapman’s Reflexes”
Is ME direct or indirect?
Direct
Define ME
Patient’s muscles actively used upon request, from a precisely controlled position, in a specific direction, and against a distinctly executed counterforce
What is a ME indication?
Presence of a somatic dysfunction where there is an absence of contraindications
What must you have for ME to work?
Patient cooperation and contribution
What are 4 contraindications to ME?
- Acute injury
- Uncooperative/can’t cooperate
- Low vitality
- Post surgical
Can complications occur in ME?
Not if patient and type of ME technique are chosen correctly
What 3 factors influence success of ME?
- Accurate diagnoses
- Appropriate levels of force
- Sufficient localization
Is localization of force more important than the intensity of force?
YES
What is the most common mistake in ME?
Using too much force
If there is asymmetry in ROM, consider and test what?
Possibility of asymmetrical strength
What is important for maximal efficacy of ME?
Only the “feather edge” of the restrictive barrier is engaged
What does the duration of the technique depend on?
Size of muscle being treated
How many times do we repeat the steps? What do we ALWAYS do?
3-5 times; RECHECK OUR WORK
What are the 5 different physiologic principles of ME?
- Joint mobilization using force (use muscle to move bone)
- Respiratory assist
- Occulocephalogyric reflex
- Reciprocal inhibition (RI)
- Post-Isometric Relaxation (PIR)
What is the goal in joint mobilization using muscle force? What is an example?
Restoration of joint motion in an articular dysfunction; ribs 1-12 exhalation dysfunction (30-50lbs)
What is the goal for Oculocephalofyric Reflex? What is an example?
Affect reflex muscle contractions using eye motion; restriction of regional cervical motion
How is the force for OR? What terms do we think in?
Exceptionally gentle; ounces, not pounds
What is the goal in Postisometric Relaxation? What is an example and its force?
Accomplish muscle relaxation; subacute or chronic right psoas restriction (10-20lbs sustained)
What is the goal of Reciprocal Inhibition? What is an example of it and its force?
To lengthen a muscle shortened by crap or acute spasm; acute R psoas muscle restriction (very gentle, think ounces not pounds)
Is ME often combined with other techniques? What is it often associated with?
Yes; creating the soft tissue relaxation necessary to accomplish the HVLA thrust, many are done in the same position
What can ME do in another way being used?
Lengthen muscle shortened by both hypotonicity and contracture
