THEORY Flashcards
DEFINITION
METs are a form of osteopathic manipulative diagnosis and treatment in which the patient’s muscles are actively used on request, from a precisely controlled position, in a specific direction and against a distinctly applied counterforce
WHAT IS MUSCLE ENERGY TECHNIQUE?
Muscle energy technique is a manual medicine treatment procedure
that involves voluntary contraction of patient muscle in:
- a precisely controlled direction
- at varying levels of intensity
- against a distinctly executed counterforce
- applied by the operator aka Isometric or Isotonic contraction
MET USES
- Reduce pain
- Stretch tight fascia
- Reduce localized edema
- Mobilize an articulation with restricted mobility
- Strengthen a physiologically weakened muscle(s)
- Lengthen a shortened, fibrotic, or spastic muscle
MET - HOW
20-50% pressure
Resist for 10s
Stretch for 15-25s- during refractory period
Aiming to regain normal ROM not inc flexibility
MET - NORMAL BIND
Progressive tension build up, fluid= dec ROM, spongy
MET - PHYSIOLOGICAL BIND
End point= tight + tugging
MET - FIBROTIC BIND
Quick + harsh- still remains elastic
MET - HYPERMOBILE BIND
Loose and inc ROM
MET - CONTRAINDICATIONS
Open wounds
Fractures
MET - PHYSIOLOGY
Contraction triggers Golgi tendon
Afferent impulse to dorsal root of spinal cord
Meets inhibitory motor neurone to prevent further contraction
Muscle tone decreases, resulting in agonist relaxing + lengthening