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28 Cards in this Set
- Front
- Back
Who was the originator of muscle energy technique?
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Fred Mitchell Sr. expanded the concept to MET from T.J Ruddy.
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What are the uses of muscle energy treatment?
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1. Lengthen a shortened or spastic muscle.
2. Strengthen a physiologically weakened muscle or group of muscles 3. Reduce localized edema 4. Relieve passive congestion 5. Mobilize joints w/ restricted movement 6. Stretch tight muscles and fascia 7. Improve local circulation |
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What are the components of isometric muscle energy technique
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1. Light to moderate contraction strength
2. Unyielding counterforce (muscle length should not change) 3. Results in lengthening of a tight muscle |
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Factors in MET efficiency
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1. Patient active muscle contraction
2. Controlled joint position 3. Muslce contraction in specific directions 4. Operator-applied distinct counterforce 5. Controlled contraction intensity |
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What are the contraindications of MET
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1. Fracture in area of somatic dysfunction
2. Painful or spastic muscle 3. uncooperative patient |
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The primary determinant of rib motion is
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The axis of motion b/n the costovertebral and costotransverse articulation
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The muscle groups that affect rib cage motion
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SCM
Scalenes Intercostal muscles Diaphragm Some serratus anterior Some quadratus lumborum |
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Rib motions
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Upper: pump motion
mid ribs: bucket handle motion ribs 11 & 12: caliper motion |
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Structural rib dysfunction
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1. Subluxation: anterior or posterior
2. Superior subluxation of the 1st rib 3. Anteroposterior compression 4. Lateral compression |
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Steps in MET treatment
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1. Make an accurate diagnosis
2. Position somatic dysfunction against barrier 3. Give instruction to patient 4. Have pt contract appropriate muscle group (hold 3-5 sec) 5. Take up slack on relaxation 6. Repeat steps 3-5 times |
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The first college of osteopathic medicine was started in?
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1892 in Kirksville, MO
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In which state did the DO/MD merger take place in the 1960s?
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California
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After the merger, which state had the most DOs?
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Ohio, MI, Pennsylvania (dont know for sure)
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The first university-based COM was at?
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MSU
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How did WWII affect the DO profession?
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DO's weren't recognized in the service so they stayed behind in the states and took care of patients.
Increased exposure and status |
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The purpose of the scan is to
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locate somatic dysfunction
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Common errors in palpation
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Too much or not enough pressure
Too much motion lack of concentration |
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The muscle group found over the rib angle?
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Iliocostalis muscle
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Rotation & sidebending coupled to the same side is described as?
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Type II
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During spinal flexion, the articular facets are?
In extension? |
Both open
Both closed |
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What structural rib dysfunction would most likely cause brachial plexus symptoms?
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Superior subluxation of 1st rib
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Atypical ribs are
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Rib 1,2, 11, 12
(typical is 3-10) |
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What MET requires maximal contraction strength
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Isotonic contraction
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What MET results in a lengthening of a tight muscle?
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Isometric contraction
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What MET requires a unyielding counterforce
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Isometric force
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Thoracic musculature layers
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Layer 1: Trapezium & latissimus dorsi
layer 2: rhomboids layer 3: erector spinae layer 4: multifidi |
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Muscle attachements to ribs
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Ribs 1 & 2: scalene
ribs 3-5: pectoralis minor ribs 6-8: serratus anterior |
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Where does the sympathetic chain lie?
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over the rib heads
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