OMM
Muscle Energy Technique (ME)
OMM

Muscle Energy Technique (ME)

Direct technique using patient's isometric contraction.

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◆Procedure

  • •Engage the restrictive barrier (just touch it, do not push through)
  • •Patient performs an isometric contraction (usually against the operator's resistance) for ~3–5 seconds
  • •Patient relaxes (operator holds position)
  • •Wait 2–3 seconds (post-isometric relaxation period)
  • •Operator engages the NEW restrictive barrier
  • •Repeat 3–5 times total
  • •Reassess

◆Physiology

  • •Reciprocal inhibition: contraction of agonist inhibits antagonist
  • •Post-isometric relaxation: muscle relaxes deeper after sustained contraction
  • •Goal: lengthen restricted muscles, restore joint motion

◆Forces

  • •Patient force: small to moderate (~20% of maximum), should not cause pain or operator strain
  • •Operator force: equal and opposite — pure isometric (no joint motion during contraction)
  • •If patient pushes too hard, ask for less force — never let the patient overpower

◆Indications

  • •Most spinal dysfunctions (Type I and Type II)
  • •Sacral torsions (with respiratory assist)
  • •Innominate rotations
  • •Rib dysfunctions
  • •Cervical dysfunctions (often preferred over HVLA)

◆Contraindications

  • •Acute fracture or dislocation
  • •Severe muscle injury or pain
  • •Patient unable to cooperate (cognitive issues, severe weakness)
  • •Post-surgical (recent) at site

High-yield pearls

  • ◆Engage barrier → patient contracts (3–5 sec) → patient relaxes → wait 2–3 sec → engage NEW barrier → repeat 3–5 times
  • ◆ME = DIRECT technique (toward the barrier)
  • ◆Patient should use ~20% of max strength; never let them overpower
  • ◆Excellent in elderly, post-op, hospitalized — gentle and effective
Quick check

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