MUSCLE ENERGY TECHNIQUES

submitted to: submitted by:

DR. MANOJ MALIK NEHA
MPT(neurology)

190171740001
• MET is a manual medicine treatment
procedure that involves the voluntary
contraction of patient muscle in a precisely
controlled direction at varying levels of
intensity against a distinctly executed
counterforce applied by the operator.
• It is classified as active technique in which
patient contributes the corrective force.
 USES OF MET
• Can be used to:
1. Lengthen a shortened, contracted or spastic
muscle.
2. Strengthen physiologically weakened group of
muscle.
3. To reduce localised edema and relieve passive
congestion.
4. Mobilize an articulation with restricted mobility.
TYPES OF MUSCULAR CONTRACTION IN MET

• Four types of muscular contraction can be

used in MET:
1. Isometric
2. Concentric isotonic
3. Eccentric isotonic
4. Isolytic( non-physiological event in which
contraction of patient is concentric but
external force overcomes it)
 VARIATION USED IN MET
1. Isometric contraction-using reciprocal inhibition(acute setting
without stretching):
Indication: -relaxing acute muscular spasm or contraction
-mobilising restricted joints
-preparing joint for manipulation
Procedure: -commence at easy restriction barrier
-antagonist isometric contraction is performed to relax
shortened muscle via reiprocal inhibition, patient attempts to
push towards the barrier of restriction.
-initial effort involves approximately 20% strength and increase
upto 50% contraction force on subsequent contraction.
-initially 7-10sec holding time increasing upto 20sec.
-3-5 times repititions.
2.) Isometric contraction using reciprocal inhibition(chronic
setting with stretching):
Indications: - stretching chronic or subacute tissue.
-contraction of agoinist is contraindicated because of pain.
Procedure: - contraction is started a little short of resistance
barrier.
-antagonist isometric contraction is performed and
stretched after relaxation.
3.) isometric contraction using postisometric
relaxation(acute setting, without stretching):
Indications: - relaxing acute muscular spasm
-mobilizing restricted joints
-preparing joint for manipulation
Procedure: - agonist muscle contracts
isometrically therefore, shortened muscle relax
via postisometric relaxation.
4.) Isometric contraction using postisometric relaxation( chronic
setting with stretching):
Indications: -stretching chronic or subacute restricted soft
tissue.
Procedure: - contraction is strarted short of restriction barrier.
-agonist muscle contracts isometrically and stretched after
relaxation.
-5sec rest period is given before stretching as to ensure
compkete relaxation.
-on exhalation the muscle is taken to its new restriction barrier
and held for 10-60sec.
5.) Isotonic concentric contraction( for toning or rehabilitation):
Indications: -toning weakened musculature.
Procedure: contration is commenced from a mid-range easy
position.
-patient efforts overcome that of therapist. Pateint uses
maximum effort avaliable, but force is built slowly not via
sudden effort. Therapist maintains a constant degree of
resisitance.
-3-4sec holding time
-5-7 repititions
6.) Isotonic eccentric contraction(isolytic):
Indications: -stretching tight fibrotic musculature.
Procedure: -contraction commences at restriction
barrier.
-muscle to be stretched is contracted and contraction
is rapidly overcomed and reversed so the the
contracting muscle is stretched.
-holding time is 2-4sec.
3- times repitition.
7.) Isotonic eccentric contraction(isolytic):
Indication: -for strengthening weak postural
muscle.
Procedure: contraction commence at restriction
barrier.
-the contraction of muscle is slowly overcome
and reversed.
8.) Isokinetic(combined isotonic and isometric):
Indication: - toning weakened musculature
-building strength in all muscles involved in particular
joint function.
-training and balancing effect on muscle fibre.
Procedure: - contraction commences at easy mid-
range position
-patient resist with moderate and varaible affort at
first, progressing to maximal effort subsequently.
 REFFERENCES
• Greeman’s principle of manual medicine 4th
edition.
• Leon Chaitow muscle energy techniques 4th
edition.
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