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WVSOM -- OPPI
Muscle Energy
| Question | Answer |
|---|---|
| What is muscle energy technique? | A system of diagnosis and treatment in which the patient voluntarily moves the body as specifically directed by the osteopathic practitioner. This directed patient action is from a precisely controlled position against a defined resistance by the osteopat |
| What are the "ingredients" of muscle energy? | Diagnosis Muscle Energy (contraction) |
| What two other things is muscle energy known as? | Proprioceptive neuromuscular facilitation Post-isometric relaxation |
| What does muscle energy accomplish? | decreases muscle hypertonicity lengthens muscle decreases pain improves range of motion improves local circulation strengthens weaker side improves function can mobilize a joint |
| What are the mechanisms of muscle energy? | Tissue creep Conditioning Post-isometric relaxation Activation of Golgi Tendon Organ Reciprical inhibition |
| What is tissue creep? | Constant load causes muscle give. |
| What is conditioning of muscle energy? | Less tissue resistance with repeated stretch. |
| What is post-isometric relaxation? | Neuromuscular apparatus in refractory state, temporarily removing myotatic reflex |
| Why is it important to activate the golgi tendon organ? | Strong pull triggers muscle relaxation to prevent tearing |
| What is reciprical inhibition? | Reflex relaxation of antagonist |
| When should you consider Muscle Energy? | Any technique engaging the restrictive barrier and then carrying the dysfunctional component into the restrictive barrier |
| What is treated with muscle energy? | joints shortened or tight muscles sub-acute to chronic recurring suboptimal response to other techniques |
| What are the goals of muscle energy? | When you want to stretch it move it fix it |
| What are the principles of muscle energy? | Diagnose joint or regional motion restriction. Move the joint or region to the direct barrier for all planes (localization). Have the patient gently push away from the restrictive barrier for 3-5 seconds against a non-moving equal resistance (isometric |
| Requirements for safe and effective muscle energy. | Correct diagnosis Correct Localization Appropriate patient Appropriate stage Appropriate body region Appropriate direction Appropriate Force Sufficient Duration Sufficient number of repetitions |
| What are the contraindications for muscle energy? | Absence of dysfunction Acute sprain or fracture Cancer or infection Deep venous thrombosis Vascular instability |
| What should be treated with caution when dealing with muscle energy? | Joint inflammation Undiagnosed neuropathy Hypermobility Osteoarthritis Osteoporosis Elderly Worse symptoms at direct barrier Patient apprehension/guarding |
| Examples of ME technique | Hip External Rotation Inhaled ribs Rib subluxations |
| Sequence of treatment. | Treat thoracic somatic dysfunction first. Rib subluxation Rib respiratory restriction |
| What is treated first.... type I or type II dysfunction? | Type II |
| If there is no barrier.... | do not treat with muscle energy. |
| Will a pop occur? | maybe |
Created by:
tjamrose
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