Muscle Energy Techniques

Question 1

If you have a superior pubic tubercle to palpation with a tight inguinal ligament, dx =
-MET?

Answer 1

dx - superior pubis

• “shotgun” technique, abduction/adduction - using reciprocal inhibition
• alternative : position leg into ext, abd & ER, isometrically contract hip adductors

Question 2

MET for superior iliac subluxation/superior innominate/upslip:

Answer 2

position: hip flexion/abd/IR

Question 3

IF pt has a posterior innominate , what is the patient’s LONG SITTING test result?
-MET:

Answer 3

involved (posterior) LE moves short –> long

-ext/abd/ER barrier –> gentle contraxn of hip flexors

Question 4

If pt has an ILIAC OUTFLARE, what is teh MET?

Answer 4

barrier of flex/IR/add

Question 5

MET for ILIAC INflare (IR’d innominate)

Answer 5

barrier of flex/ER/abd

Question 6

when there is a sacral torsion , say L on L, what MET do you use?

Answer 6

pt lies on L side, flex hip/rotation of TRUNK to the LEFT (so moving sacrum relatively toward the R!)