MET and ART

Question 1

What did Dr. T.J. Ruddy invent? Think lots of R’s

Answer 1

Ruddy’s Rapid Rhythmic Restrictive Duction

Question 2

Who else contributed to muscle energy history?

Answer 2

Dr. Fred L. Mitchell Sr. wrote early as 1948 and taught courses in 1950-1970’s

Question 3

What did Dr. Fred Mitchell Jr. do?

Answer 3

Developed and amplified MET

Question 4

What is muscle energy?

Answer 4

Voluntary contraction by patient in a precise controlled direction at varying levels of intensity against a distinctly executed force

Question 5

What patient’s motion is towards or away the barrier in Muscle Energy?

Answer 5

Away

Question 6

What is iosmetric contraction?

Answer 6

contraction with no change in the distance between the muscle origin and insertion

Question 7

What is concentric isotonic contraction?

Answer 7

Contraction of a muscle with approximation of origin and insertion

Question 8

What is eccentric iostonic contraction?

Answer 8

Contraction of a muscle with seperation of origin and insertion

Question 9

What is “ioslytic” contraction?

Answer 9

NON PHYSIOLOGICAL

attempted concentric contraction with an external force causing separation of origin and insertion

Question 10

What is the physiological principal of Post isometric relaxation?

Answer 10

Muscle contraction –> increased tension in Golgi tendon organ –> inhibition of muscle contraction

Question 11

What is the physiological principal of Joint mobilization using muscle force?

Answer 11

Restore the motion to the articulation by reseating or gapping the distorted joint relations with reflex relation of the previously hypertonic musculature.

Question 12

How much force of contraction can you use with Joint mobilization using muscle force?

Answer 12

up to 30 to 50 lb of pressure depending on joint treated

Question 13

What is physiological basis for respiratory assistance?

Answer 13

Muscular forces involved are generated by breathing.

Question 14

What is the force of contraction for respiratory assistance?

Answer 14

Exaggerated respiratory motion

Question 15

What is physiological basis for oculocephalogyric reflex?

Answer 15

Eye movements reflexively affect the cervical and truncal musculature as body tries to follow the eye motion.

Question 16

What is the force of contraction for oculocephalogyric reflex?

Answer 16

Exceptionally gentle

Question 17

What is physiological basis for reciprocal inhibition?

Answer 17

When a gentle contraction is initiated in the agonist muscle and their is a reflex relation of that muscles antagonistic group.

Question 18

When do you use a cross extensor reflex?

Answer 18

Used in extremities where area that requires treatment is so severely inquired that you cannot directly access it or it is unmanipulable

Question 19

How does the cross extensor reflex work?

Answer 19

Uses muscle energy from the learned cross pattern locomotion reflexes engrammed into the CNS.

Question 20

What are the differences between the reciprocal inhibition and crossed extensor reflex?

Answer 20

With reciprocal you will use the ipsilateral side and the cross extensor uses the contrlateral side

Question 21

What does isokinetic strengthening serve to do?

Answer 21

Tries to reestablish normal tone and strength in a muscle weakened by hypertonicity of the opposing muscle group.

Question 22

When do we use ioslytic lengthening?

Answer 22

Used when we want to lengthen a muscle shortened by contracture and fibrosis.

Question 23

What is the force of contraction isokinetic strengthening?

Answer 23

Sustained gentle pressure 10 to 20 lbs

Question 24

What is the force of contraction ioslytic lengthening?

Answer 24

Maximal contraction that can be comfortably resisted by physician to lbs of pressure

Question 25

What is the basis for "using muscle force to move one region of the body to achieve movement of anther bone"?

Answer 25

Move a structure adjacent to the body structure with disorder because in doing so the muscle force will be transmitted to the place of dysfunction.

Question 26

What is the force of contraction for "using muscle force to move one region of the body to achieve movement of anther bone"?

Answer 26

Sustained gentle pressure to 20 lbs

Question 27

What are some differences between isometric and isotonic procedures?

Answer 27

Isometric uses light to moderate contraction and unyeilding counterforce, whereas Isotonic uses hard to maximal contraction and counterforce permits controlled motion.

Question 28

What are some similarities with iosmetric and isotonic procedures?

Answer 28

Both have careful positioning, relaxation after contraction, and repositioning.

Question 29

When should we use muscle energy?

Answer 29

When we want to: -balance muscle tone - strengthen reflexively weakened musculature - improve symmetry of articular motion - enhance circulation of fuilds

Question 30

For muscle energy how many seconds is the force applied for?

Answer 30

3-5 seconds

Question 31

Up to how many times can we repeat the procedure for muscle energy before reevaluation?

Answer 31

3 to 5 | Same as the amount of time to hold it!

Question 32

What are the four factors that can influence successful muscle energy technique from the patient?

Answer 32

- contraction too hard - contraction in wrong direction - sustain contraction too little time - do not relax appropriately following contraction

Question 33

What are the four factors that can influence successful muscle energy technique from the operator?

Answer 33

- not controlling the joint position in relation to movement - not providing the counterforce in correct direction - not giving accurate instructions - moving to a new joint position too soon after contraction stops

Question 34

What is another name for Articulatory Approach?

Answer 34

"Springing" technique

Question 35

What does Articulatory Approach use i.e. velocity, amplitude, and technique approach?

Answer 35

- Low velocity; high amplitude | - Direct technique

Question 36

What would Articulatory Approach look like?

Answer 36

Apply gentle repetitive motions through the restrictive barrier

Question 37

What types of situations are articulatory techniques good for?

Answer 37

- Arthritic pain - elderly - infants - patients who cannot follow instructions

Question 38

How long should you apply the force for articulatory techniques?

Answer 38

1 to 2 seconds