Muscle Energy (MET) and Articulatory (ART) OMT Flashcards Preview

ECOS 1 Pre-Midterm > Muscle Energy (MET) and Articulatory (ART) OMT > Flashcards

Flashcards in Muscle Energy (MET) and Articulatory (ART) OMT Deck (30)
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1
Q

This type of contraction lengthens the muscle, increasing the distance between the origin and insertion

A

Eccentric

2
Q

This type of contraction shortens the muscle

A

Concentric

3
Q

This type of contraction is against a steady counterforce to maintain constant tone

A

Isotonic

4
Q

This type of contraction includes the joint maintaining constant speed

A

Isokinetic

5
Q

This type of contraction involves the muscles concentric contraction being overpowered to lengthen the muscle

A

Isolytic

6
Q

This type of contraction is maintained at a constant length, such as wall squats

A

Isometric

7
Q

What type of technique is Muscle Energy?

A

Direct and Active! - pt is involved and active

8
Q

What is the most common physiological principle used by muscle energy?

A

Post-isometric relaxation

9
Q

Describe post-isometric relaxation

A

Immediately after an isometric contraction, the neuromuscular apparatus is in a refractory state and passive stretching may be performed without muscle opposition
Also, increased tension in a golgi organ proprioceptors in the tendons inhibit active muscle contraction

10
Q

Describe the set up for post-isometric relaxation

A

Physician moves pt to restrictive barrier (direct)
Pt contracts away from the restrictive barrier
Physician resists for 3-5 seconds
Both pt and physician relax
Physician moves pt to a new restrictive barrier and the process is repeated 3-5 times

11
Q

Describe reciprocal inhibition

A

Physician moves pt to restrictive barrier and then the pt contracts TOWARDS the restrictive barrier while the physician resists

12
Q

Describe the crossed extensor reflex

A

pt contracts the opposite muscle group in order to affect the actually injured muscle
- ex. if right hamstring is injured, contract left hamstring

13
Q

Describe the oculocephalogyric reflex

A

Use eye movements to contract the cervical spine muscles

14
Q

What are some muscle energy indications?

A

Balance muscle tone, improve symmetry, enhance circulation and lengthen a shortened, contractured muscle group

15
Q

What are some muscle energy contraindications?

A

Local fracture/dislocation, post-surgery, unable to follow verbal commands

16
Q

What factors influence successful muscle energy?

A

Contract too hard or in wrong direction, sustain contraction for too short a time, not giving accurate instructions or enough time between contractions

17
Q

What type of technique is the articulatory approach?

A

Direct and passive

18
Q

Describe how to perform ART?

A

Pt is passive, the physician uses gentle and repetitive motions through the restrictive barrier to restore physiological motion

19
Q

Who may benefit from ART?

A

Arthritic patients, elderly, very young patients and those who cannot follow verbal commands

20
Q

What are contraindications for ART?

A

Vertebral A. compromise - avoid extension and rotation of neck
Local infection/malignancy
Fracture/dislocation

21
Q

Where do you place monitoring hand fingers on vertebrae?

A

Thumb and first finger go to transverse processes of affected segment and then middle finger goes to the transverse process of the segment below to monitor motion of dysfunctional segment

22
Q

What do you move if the segment that has dysfunction is between T1-T6?

A

HEAD

23
Q

Describe the setup for a lower thoracic and upper lumbar treatment?

A

Step away from the PTP
Pt places hand on same side as PTP behind neck and opposite hand on bent elbow
Physician monitors with one hand will treat with the other

24
Q

Describe the physicians hands for a type 1 SD

A

Hand goes over 1 bicep

25
Q

Describe the physicians hands for type 2 SD

A

Hand goes over the top of both biceps

26
Q

Describe the lumbar ART sidebending dysfunction treatment

A

Pt lays lateral recumbant facing me
Flex pts knees/hips 90 degrees while monitoring SP of lumbar spine
Lifts ankles towards the ceiling to induce sidebend
Hold for a few seconds then rest, and repeat

27
Q

For MET describe the lumbar neutral setup

A

pt lateral recumbant with PTP down; face physician
Find neutral position, move pts top leg off table
Grasp table sidearm and pull anterioinferiorly
Move top shoulder posteriorly

28
Q

For MET describe the lumbar flexed setup

A

pt lateral recumbant with PTP down; face physician
Extend bottom him and flex top hip until motion felt, place flexed leg foot behind extended popliteal fossa
Grasp table sidearm and pull anterosuperiorly
Move top shoulder posteriorly

29
Q

For MET describe lumbar extended setup

A

pt lateral recumbant with PTP down; face physician
Flex bottom and top hip and move top hip off table
Grasp table sidearm and pull anterosuperiorly
Move top shoulder posteriorly

30
Q

What are the options for treatment when pt is setup in the lateral recumbant position with a lumbar dysfunction?

A

MET, ART, HVLA