ME is ___ and ___-
active and direct
ME was first used by _____
Fred Michel Sr
- Eye movements
* Contraction of cervical muscles and relaxation of antagonists
– Oculocervical Reflex
• Directing force of respiration while using a fulcrum to direct the SD through the barrier
– Respiratory Assistance
• Physician needs to resist the contraction and then take up the slack in the fascias during the relaxed refractory period
– Posisometric Relaxation
In Postisometric relaxation, there is increased tension in the _____ ____, and is followed by a ______ of relaxation
Golgi tendon, refractory period
- Patient actively contracts muscles to cause movement, physician directs that muscle contraction to restore motion
- Similar to HVLA
– Joint Mobilization using Muscle Force
• Contraction of an agonist to relax the antagonist (bicep/tricep)
– Reciprocal Inhibition
Absolute contraindications
Bad injury in which OMT will actually cause more harm (broken bone), uncooperative patient
Relative contraindications
muscle strain, osteoporosis, severe illness (post-surgical, or MI)
for ME the pt is put into the ____ and contracts into _____
restriction, freedom of motion
3 characteristics of a vertebral body
large, thick (more anteriorly), and L4= iliac crest
Send bending of the lumbar causes a
contralateral translatory slide
rotation is coupled with
disk compression
origin/insertion, function, and dysfunction of latissimus dorsi
- T7-12, iliac crest, thoracolumbar fascia humerus
- Adducts, extends, internally rotates arm
- Extension & sidebending of lumbar spine
- Hypertonicity = shoulder pain (BODY IS A UNIT)
origin/insertion, function, and dysfunction of glutues maximus
- Thoracolumbar fascia, dorsal sacrum, sacrotuberous ligament, Ilium IT band, Greater tuberosity of femur
- Extends hip and stabilizes torso
- Low back pain and difficulty extending hip= must evaluate lumbar AND gluteal regions
origin/insertion, function, and dysfunction of erector spinae
•Sacrum to cervical
lateral to medial ILS• Bilateral contraction = extension
• Unilateral contraction = extension + ipsilateral sidebending
origin/insertion, function, and dysfunction of QL
- 12th rib, lumbar transverse processes iliolumbar ligament, iliac crest
- bilateral contraction= extension
- unilateral contraction= extension with ipsilateral sidebending
origin/insertion, function, and dysfunction of iliopsoas
• Transverse processes of T12-L5 lesser trochanter of femur
postural muscles that stabilize individual vertebrae
multofodus and rotatores
Runs from the base of the occiput to the anterior sacrum
ALL
- Narrows in the lumbar region
* Decreased support, increased risk of herniation
PLL
- First ligament to become tender with lumbar posture changes
- Tender area 1” superior & lateral to PSIS on the crest
Iliolumbar ligament
For a person with back pain the physician must____
take a good history
