Muscle Energy Technique
Related Authors: Mitchell Fred L. Sr., DO, F.A.A.O.
Principles: A series of articular tests evidences articular hypo- and hyper-mobility due to muscular spasms and hypertonicity.
Recourse to isotonic contractions against resistance modifies the muscle’s state of contraction and frees the articulation."
Method: Muscle Energy is an Active (requires patient utilization of force) Direct (engages the barrier) technique that promotes muscle relaxation by activating the
golgi tendon reflex. It has also been proposed that temporary muscle fatigue blocks reflex-contraction thus allowing for an increase of range of motion to beyond the barrier (Ward, DiGiovanna)
"According to the ascertained articular problem, there is a specific position of correction where the patient is asked to effect three isotonic contractions against resistance supplied by the osteopath.
Indications: all types of acute and chronic articular hypomobility and hypermobility. This method is also indicated for children and is an excellent alternative to the generally more invasive classic manipulations."
Source
Reviews/Trails/Studies
J Orthop Sports Phys Ther. 2003 Sep;33(9):502-12.
Muscle energy technique in patients with acute low back pain: a pilot clinical trial.
