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Book Details
Abstract
This comprehensive text describes the basis and practice of Muscle Energy Techniques (MET), a widely recognized approach to treating musculoskeletal dysfunction. It describes those manipulative techniques in which a patient, on request, actively uses his or her muscles from a controlled position in a specific direction against a distinct counterforce applied by the practitioner. These techniques are combined from methods used in physical therapy, osteopathy, chiropractic and manual medicine.
- Details the background to soft tissue dysfunction and explains the chain reactions which occur as part of such dysfunctions.
- Provides precise assessment and diagnosis guidelines.
- Gives many variations on the safe use of MET in acute, chronic, and rehabilitation settings.
- Explains the use of MET for whole muscle problems, local dysfunction, and joint restrictions.
- Suggests patient self-application methods.
- Includes a companion DVD-ROM with video clips of the author demonstrating the techniques.
- Additional techniques are added to both text and DVD-ROM videos.
- Information is expanded on some of the techniques included in previous edition.
- Content is updated throughout, with reference to the latest published research.
- Four new chapters cover efficacy and research, MET in a massage therapy setting, MET in treatment of athletic injuries, and MET in physical medicine settings.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Muscle Energy Techniques | iii | ||
| Dedication | ii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Contributors | vii | ||
| Foreword | ix | ||
| Preface | xi | ||
| Acknowledgements | xiii | ||
| Chapter 1. An introduction to muscle energy techniques | 1 | ||
| Muscle energy techniques (MET) | 1 | ||
| The route to dysfunction | 1 | ||
| Revolution or evolution | 3 | ||
| MET by any other name | 3 | ||
| History | 3 | ||
| Key points about modern MET | 9 | ||
| Putting it together | 17 | ||
| References | 21 | ||
| Chapter 2. Patterns of function and dysfunction | 23 | ||
| Cellular adaptation – including gene expression | 25 | ||
| Constructing a credible story | 25 | ||
| Viewing symptoms in context | 31 | ||
| Postural (fascial) patterns | 42 | ||
| Functional evaluation of common compensatory (fascial) patterns | 43 | ||
| The evolution of musculoskeletal dysfunction (Lewit 1974, Janda 1985, Guyton 1987) | 46 | ||
| Different stress response of muscles | 50 | ||
| Patterns of dysfunction | 59 | ||
| Identification and normalisation of patterns of dysfunction | 64 | ||
| References | 73 | ||
| Chapter 3. How to use MET | 77 | ||
| Palpation skills | 78 | ||
| MET – some common errors and contraindications | 84 | ||
| MET variations | 87 | ||
| Muscle energy technique – summary of variations | 96 | ||
| Muscle maps | 107 | ||
| References | 107 | ||
| Chapter 4. MET: efficacy and research | 109 | ||
| Efficacy of MET | 110 | ||
| Research into the mechanisms of therapeutic effect | 120 | ||
| References | 129 | ||
| Chapter 5. Sequential assessment and MET treatment of main postural muscles | 133 | ||
| Clinical research evidence | 133 | ||
| Objectives of manual treatment | 135 | ||
| Evaluating muscle shortness | 136 | ||
| Important notes on assessments and use of MET | 137 | ||
| Sequential assessment and MET treatment of postural muscles | 140 | ||
| References | 197 | ||
| Chapter 6. MET and the treatment of joints | 199 | ||
| Joints and MET | 199 | ||
| Preparing joints for manipulation using MET | 203 | ||
| Joint mobilisation using MET | 204 | ||
| Basic criteria for treating joint restriction with MET (Fig. 6.1A–F) | 205 | ||
| More on MET and the low back | 209 | ||
| Questions and answers | 212 | ||
| Cervical application of MET | 212 | ||
| MET in joint treatment | 216 | ||
| References | 245 | ||
| Chapter 7. Integrated neuromuscular inhibition technique (INIT) | 247 | ||
| Local facilitation | 248 | ||
| Locating trigger points | 248 | ||
| Summary | 254 | ||
| References | 254 | ||
| Chapter 8. Manual resistance techniques in rehabilitation | 257 | ||
| Clinical progression of care | 257 | ||
| Postisometric relaxation (PIR) techniques | 258 | ||
| Proprioceptive neuromuscular facilitation | 259 | ||
| The neurodevelopmental basis for muscle imbalance | 260 | ||
| Conclusion | 268 | ||
| References | 272 | ||
| Chapter 9. MET in the physical therapy setting | 273 | ||
| Classification models | 274 | ||
| Misconceptions in the literature | 277 | ||
| Clinical utilisation of muscle energy technique | 280 | ||
| Summary | 291 | ||
| References | 295 | ||
| Chapter 10. MET in a massage therapy setting | 299 | ||
| Marrying assessment and treatment | 299 | ||
| Integrating muscle energy methods into the massage session | 301 | ||
| MET in a typical massage setting | 303 | ||
| Summary | 309 | ||
| References | 309 | ||
| Chapter 11. MET in treatment of athletic injuries | 311 | ||
| Adaptation of athletes | 312 | ||
| Screening for dysfunction | 315 | ||
| Corrective/preventative strategies | 323 | ||
| Muscle energy techniques (MET) and integrated neuromuscular inhibition techniques (INIT) in sports injuries | 331 | ||
| MET using isotonic, isometric and isokinetic contractions for strengthening weak postural muscles | 333 | ||
| Summary | 337 | ||
| References | 337 | ||
| Further reading | 338 | ||
| Index | 341 | ||
| ELSEVIER CD-ROM LICENCE AGREEMENT | 347 |