MET Flashcards

1
Q

What are the 3 criteria for MET?

A
  1. Controlled position
  2. Specific direction
  3. Distinct counterforce
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2
Q

Name the barriers from left to right

A
  1. Anatomical barrier
  2. Elastic barrier
  3. Physiological barrier
  4. Pathological barrier
  5. Neutral
  6. Pathological neutral
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3
Q

What is the difference between a resistive barrier and a restrictive barrier

A

Resistance barrier provides some resistance. Restrictive barrier blocks movement

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4
Q

What is the 4th type of muscle contraction

A

Isolytic

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5
Q

What are muscle spindles sensitive to?

A

Length and rate of length change

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6
Q

What is the static response

A

Involves both primary and secondary afferents. Stretch is proportional to the signals sent

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7
Q

What is the dynamic response?

A

Only primary afferents. (Reflexes) response to rapid change in length

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8
Q

With vertebral somatic dysfunctions where is the hypertonicity usually found?

A
  1. Multifidi
  2. Rotatores
  3. Intertransversii
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9
Q

What is the principal behind post isometric relaxation?

A

Autogenic inhibition

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10
Q

What is the latency period of a muscle

A

10-15s

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11
Q

Why is isotonic contractions used?

A

To tone weak muscles

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12
Q

When is reciprocal inhibition used?,

A

To relax an antagonist

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13
Q

When is isolytic contraction used

A

To break up scar tissue, stretch tight fibrotic tissue

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14
Q

When is the crossed extensor reflex used?

A

If the affected side is too painful/ contraindicated

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15
Q

Give an example of the crossed extensor reflex

A

L tricep, R bicep

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16
Q

What does inhalation assist with

A

Flexion

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17
Q

What does exhalation assist with?

A

Extension

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18
Q

What reflex us useful for C/S corrections?

A

Occulocephalogyric reflex

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19
Q

What are 3 mistakes made with MET?

A
  1. Inaccurate diagnosis
  2. Improperly localized force
  3. Forces that are too strong
20
Q

What are the patient mistakes in MET?

A
  1. Too much force
  2. Contract wrong direction
  3. Don’t hold the contraction long enough
  4. Don’t relax appropriately after contraction
21
Q

What are the therapist mistakes in MET

A
  1. Not controlling the joint position in relation to the barrier
  2. Counterforce in wrong direction
  3. Not giving proper instructions
  4. Moving to a new position too fast after contraction
22
Q

What are the two main differences between isometric and isotonic

A
  1. Light to mod force vs. Hard to maximal contraction
  2. Unyielding counterforce vs. Counterforce permitting controlled motion
23
Q

What are the 8 steps of MET

A
  1. Structural diagnosis
  2. Localization to restrictive barrier
  3. Unyielding counterforce
  4. Appropriate patient effort (amount, direction, duration)
  5. Complete relaxation
  6. Repositioning to a new restrictive barrier
  7. Repeat steps 3-6, 3-5 times
  8. Retest
24
Q

What is the patients appropriate force?

A

20-40%

25
Q

What is the patients appropriate duration of force?

A

3-7s

26
Q

What are the most common public symphysis findings?

A

R INF, L super (thought to be because of the liver)

27
Q

Which muscle may be inhibited with SI problems

A

Glute max

28
Q

What is Fryettes 1st law?

A

In neutral, sidebending and rotation are coupled in opposite directions

29
Q

What is fryettes 2nd Law?

A

In flexion or extension, sidebeningnand rotation are coupled to the same side

30
Q

What is fryettes 3rd law.

A

Initiating kovwment of a vertebrae in any plane of motion will modify the movement of that segment in other planes of motion

31
Q

What does T1-T4 affect?

A

Sympathetic to head and neck

32
Q

What dies T1-T6 affect

A

Heart and lungs

33
Q

What does T5-T9 affect?

A

All upper abdominal viscera (stomach, duodenum, liver, gallbladder, pancreas, spleen)

34
Q

What does T10-T11 affect?

A

Remainder of small intestines, kidney, ureter, bladder, gonads, right colon

35
Q

What does T12-L2 affect?

A

Left colon and pelvic organs

36
Q

ERS dysfunctions in the mid scap region are associated with?

A

Weak rhomboids & serratus ant.

37
Q

FRS dysfunctions in the lower T/S are associated with what?

A

Weak LFT

38
Q

Inhalation dysfunction.

Moves freely in __
Can’t move in ___

A

Inhalation

Exhalation

39
Q

Exhalation dysfunction.

Moves freely in __
Can’t move in ___

A

Exhalation

Inhalation

40
Q

Is a breathing restriction named from the dysfunction (ease) or restriction.

A

Dysfunction

41
Q

What do the suboccipital muscles have a lot of?

A

Muscle spindles

42
Q

Which spinal level is associated with cervicophalic syndromes, internal viscera disease, and the vagus nerve.

A

C2

43
Q

Muscles that influence SI dysfunction (4)

A
  1. Psoas
  2. Piriformis
  3. Lats
  4. Glut max
44
Q

How much flexion and ext is at the OA joint

A

50%

45
Q

Unilateral R scalene tightness maybe cause the lower c/s to act as a what?

A

ERSL