Chapter 15 - Muscle Energy Flashcards Preview

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Flashcards in Chapter 15 - Muscle Energy Deck (26):
1

Explain how ME (post-isometric relaxation) works

Isometric contraction --> Golgi tendon organs sense increase tension --> cause reflex relaxation

2

Explain how ME (reciprocal inhibition - direct) works

Take the muscle into the restrictive barrier like normal, but then contract the antagonist muscle against resistance (causes reflex relaxation of the agonist muscle)

3

Explain how ME (reciprocal inhibition - indirect) works

Take the muscle into the position of EASE, then contract the antagonist muscle against resistance (causes reflex relaxation of the agonist muscle)

4

Joint mobilization using ME - exlain

Flexing a muscle pulls the bony attachment (ex. innominate rotation dysfunction)

5

Oculocephalogyric reflex ME - explain

Uses EOM contraction to reflexively effect the cervical and truncal musculature

6

Respiratory assistance ME - explain

Uses voluntary respiratory motion to restore rib motion (ex.)

7

Crossed extensor reflex ME - explain

Contraction of one muscle relaxes that muscle on the other side and contracts the antagonist muscle on the other side

8

Which is more important in ME: localization or intensity of force?

LOCALIZATION

9

Contraindications to ME

Especially what type of ME?

Post-surgery
ICU

Post-isometric relaxation

10

Upper T spine (T1-4) - ME patient position

Used head and neck to move the segment

11

Lower T spine (T5-T12) - ME patient position

Patient grabs same side neck with same side hand, then grabs elbow with contralateral hand.
Doc reaches across to manipulate torso.

12

Lower T spine ME - difference for doc for neutral vs. non-neutral dysfunction

Neutral = under-over
Non-neutral = over-over

13

Inhalation rib dysfunction:
- Target rib
- Patient/doc position/movement

Lowest rib in group

Monitor anterior rib while using knee to flex patient. Sidebend patient if BUCKET-HANDLE dysfunction. Encourage exhalation, resist inhalation. For BUCKET-HANDLE dysfunction, patient reaches for ipsilateral knee during exhalation.

14

Exhalation rib dysfunction:
- Target rib
- Patient/doc position/movement

Highest rib in group

Patient's ipsilateral hand on forehead. Grasp rib angle posteriorly and pull INFERIORLY during INHALATION. Hold breath at full inhalation while:
- 1. Raising head to ceiling
- 2. Turning head 30º AWAY and raising to ceiling
- 3-5. Pushing elbow toward opposite ASIS
- 6-9. Push arm anterior
- 10-12. Adduct arm

15

Rib 1 exhalation ME - muscle?

Anterior and Middle Scalenes

16

Rib 2 exhalation ME - muscle?

Posterior Scalene

17

Ribs 3-5 exhalation ME - muscle?

Pec minor

18

Ribs 6-9 exhalation ME - muscle?

Serratus anterior

19

Ribs 10-11 exhalation ME - muscle?

Latissimus dorsi

20

Rib 12 exhalation ME - muscle?

Quadratus lumborum

21

Lumbar ME - position

Same as lower T-spine (under-over, over-over)

22

Forward sacral torsion - position

Movement

Monitoring what?

Lateral recumbent, axis down, chest to table (Sims)
Flex hips, drop legs off table (SB, engage axis)

Patient lifts ankles to ceiling

Posterior movement of the moving sacral sulcus

23

Backward sacral torsion - position

Movement

Monitoring what?

Lateral recumbent, axis down, back to table
Pull lower arm up to rotate torso
Flex hips, drop legs off table (SB, engage axis)

Patient lifts ankles to ceiling

Anterior movement of the moving sacral sulcus

24

Superior pubic shear - ME

Drop leg off table (EXT hip), Abduct, patient flexes hip and pushes medially (Adducts)

25

Inferior pubic shear - ME

Flex and abduct hip and knee
Patient pushes knee toward opposite foot (extension, adduction)

26

Posterior fibular head ME

Prone, flex knee, cup lateral ankle with doc's hand
Plantarflex and invert foot, internally rotate tibia
Patient dorsiflexes against resistance