Principle Of Muscle Energy Flashcards
Muscle Energy Technique
OMT in which patient muscles are actively used on request, from a precisely controlled position, and against a distinctly executed counterforce. It gives patient sty to do
Goal of technique
Decrease muscle hypertonicity
Lengthen muscles fibers
Reduce restraint of movement
Produce joint mobilization
Improve respiratory and circulatory function
Strengthen the weaker side in the event of reflex muscle asymmetry
History
Pelvis and Sacrum treatment
1958 his system in American Academy of Ostheopathy
1973 first definitive muscle energy technique
1979 The muscle energy manual
Terminology
Always DIRECT technique
Contraction - shortening or development of tension in a muscle
Contracted muscle - sustained hypertonicity of a muscle
Contracture - fibrotic changes occur and the muscle can no longer be passively stretched
Isotonic Concentric, eccentric, Isometric, isokinetic, isolytic
Muscle contractile force remains constant while the proximal and distal attachment of the muscle approximate
Proximal and distal of the muscle are permitted to separate
Wall squat example most common muscle contracts but doesn’t contract
Bicep curl example same rate
Arm wrestling example of isolytic
Fun Fact
Nutmeg is a hallucinogen
Muscle Energy Technique
A direct treatment method that the patient muscle are employed upon request from a precisely controlled position in a specific direction and against a distinctly executed physician counterforce. ALWAYS DIRECT
Types of Muscle Energy
Post isometric relaxation - muscle relax —> 10 -20lbs gentle pressure —> sustained contraction—>neuromuscular apparatus in refractory state —> passive stretching induced
Reciprocal inhibition - lengthen muscle by acute cramp or spasm. very gentle. Gentle contraction—> reflex relax of the antagonistic group
Joint mobilization using muscle force - restore joint motion in an articular dysfunction. Max muscle contract that can be comfortably resisted by the physician. Increased muscle tone—> compress joint surfaces —> adherence to joint surface relax previous hypertonic muscle
Respiratory assistance - physiology using patient respiratory movement. Exaggerated respiratory motion. Just breathing
Oculocephalogyric reflex - eye movement reflex muscle contraction. Exceptionally gentle. Used in the neck and upper trunk can be utilized for PIR or RI
Crossed extensor reflex - severe injury and not practiced. Very gentle. Muscle contraction on one of your muscles vs the other
Muscle Energy Technique
Step 1 The feather edge- when you start to feel where they are starting to catch for the maximal efficacy of the technique
Step 2 Patient communication
Step 3 instruct the patient to contract the appropriate muscle groups say push against me
Step 4 the physician uses equal counter force in opposition to the direction the patient is trying to move so physician counterforce = patients muscle contraction
Step 5 both physician and patient maintain a period of 3 - 5 sec
Step 6 after step 5 patient is asked to relax
Step 7 patient is instructed to continue relaxing
Step 8 Make sure the patient doesn’t see you’re trying to make ‘em relax
step 9 1-8 repeated 3 to 5 times until best step
Step 10 reevaluate and re access
Indication for muscle energy technique
Patient gives you the green light
Presence of somatic dysfunction
Absolute Countraindications
“Maybe they really wanted you to stop”
Absence of somatic dysfunction
Patient refuses
Inability to communicate with patient to employ the technique correctly
Fracture dislocation and segmental instability can always suggest other treatment options
Relative Contraindications
Acute muscle injury or patient in exceptional pain
Let’s do this a different way because they are experiencing pain.
Don’t do on post surgical patient or patient in intensive care unit
Stand Alone / Combo technique
Muscle energy technique can be used as a stand alone technique for the treatment of somatic dysfunction
