Description
M.E.T requires the patient's participation of actively contracting muscles at maximal effort. The patient performs an isometric contraction, specifically engaging the golgi tendon organ to allow for inhibition of agonist muscles. It also engages and regulates sensorimotor impulses and any musculature that moves a particular body joint. It uses three-dimensional positioning of joints followed by an isometric contraction, engaging the golgi tendon organ to allow for inhibition of agonist muscles. This neuromuscular method allows the muscle spindle activity to reset as well as resting length.
Indications for M.E.T include: muscular shortening, low back pain, pelvic imbalance, edema, limited ROM, somatic dysfunction, respiratory dysfunction, cervicogenic headaches. Contraindications include when a patient has injuries such as fractures, avulsion injuries, severe osteoporosis, and/or open wounds. Studies have shown that M.E.T helps decrease disability and improve functionality.
Immediate results include:
The recommended treatment sequence is pubis symphysis, hip bone, shear dysfunction, sacroiliac dysfunction and iliosacral dysfunction.
Pelvic girdle dysfunction- goal for this dysfunction is to restore the mechanics of gait pattern. However, before treating this, the lumbar spine should be treated first; can occur anteriorly or posteriorly
Indications for M.E.T include: muscular shortening, low back pain, pelvic imbalance, edema, limited ROM, somatic dysfunction, respiratory dysfunction, cervicogenic headaches. Contraindications include when a patient has injuries such as fractures, avulsion injuries, severe osteoporosis, and/or open wounds. Studies have shown that M.E.T helps decrease disability and improve functionality.
Immediate results include:
- return to healthy ROM,
- spontaneous strengthening of inhibited muscles,
- lessening of localized irritation and associated micro-edema,
- decreased sympathetic overload and
- increase of structural and functional integrity along the movement chain.
The recommended treatment sequence is pubis symphysis, hip bone, shear dysfunction, sacroiliac dysfunction and iliosacral dysfunction.
Pelvic girdle dysfunction- goal for this dysfunction is to restore the mechanics of gait pattern. However, before treating this, the lumbar spine should be treated first; can occur anteriorly or posteriorly
Pubic symphysis dysfunction- these are very common; they are caused by muscle imbalances between the abdominals above and the adductors are major contributors to this dysfunction
Sacroiliac dysfunctions- this occurs between the two iliac bones either unilaterally or bilaterally; unilaterally it is also known as sacral shear
Below are basic ways on how to check ASIS levels, shotgun technique and scissor technique:
Sacroiliac dysfunctions- this occurs between the two iliac bones either unilaterally or bilaterally; unilaterally it is also known as sacral shear
Below are basic ways on how to check ASIS levels, shotgun technique and scissor technique:
Checking for pubic bone levels
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Checking ASIS and Malleoli level bilaterally
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Shotgun Technique: allows for the pubis to be reset
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Scissor's technique allows ASIS levels to be reset
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(Desteffano, 2011,pgs 327--389)
(New Directions in Manual Therapy: http://www.manual-therapy.com/pages/met_eng.html)
(New Directions in Manual Therapy: http://www.manual-therapy.com/pages/met_eng.html)