Muscle Energy Techniques Administrator肌肉能量技术管理员.pptVIP

Muscle Energy Techniques By: Nathan L. Uhl, D.C. ?2008 Uhl Publications Overview Muscle energy techniques (MET) are a class of soft tissue osteopathic (originally) manipulation methods that incorporate precisely directed and controlled, patient initiated, isometric and/or isotonic contractions, designed to improve musculoskeletal function and reduce pain. Muscle energy can be used with precision to release and realign spinal joints from the atlas to the sacroiliac. Overview MET methods have transferred to almost all other manual therapeutic settings. Chiropractic Physical therapy Massage therapy Athletic training Other Overview MET PIONEERS T.J. Ruddy Fred Mitchell Snr Karel Lewit Philip Greenman Sandra Yale Edward Stiles J. Goodridge and W. Kuchera Others Post Isometric RelaxationPIR Postfacilitation StretchPFS Resources Muscle Energy Techniques 3rd Ed. / by Leon Chaitow. Churchill Livingstone (Elsevier) 2007 Soft-Tissue Manipulation: a practitioner’s guide to the diagnosis and treatment of soft-tissue dysfunction and reflex activity / by Leon Chaitow. Healing Arts Press 1988 Functional Soft Tissue Examination and Treatment by Manual Methods by Hammer. copyright 2006 * copyright 2006 * * copyright 2006 * Contraindications Suspected Pathology (until confirmed dx) Joint hypermobility/instability (modifications) Fracture Tumor Infection in immediate underlying tissue Others? * copyright 2006 * Side Effects Muscle energy techniques are quite safe With PIR, posttreatment soreness and stiffness can occur (esp. with inexperience) With PFS, the patient often feels posttreatment soreness, but should dissipate within minutes to hours * copyright 2006 * Common Errors The patient is not positioned properly, and as a result, pain or discomfort may occur, or at best, the technique is ineffective. The patient contracts too aggressively, and thus stabilization of the body part is not appropriate. The patient does not hold the contraction long enough to obtain the most e