How is muscle energy manipulation performed When is it useful

Muscle energy manipulation requires that the patient perform a voluntary contraction of muscle in a specific direction, at increasing levels of intensity, against a counterforce applied by the practitioner. For a specific segmental dysfunction, the patient is passively moved to the pathologic barrier to motion and then asked to move away from the barrier with gentle muscle contractions of a 3- to 5-second duration. This action is thought to relax the muscle involved in moving the joint toward the barrier. After 1 to 2 seconds of relaxation, the practitioner moves the affected joint directly through the previous pathologic barrier toward the normal physiologic barrier. This technique is commonly applied to segmental dysfunction affecting the lumbar spine segments, as well as dysfunction of the pelvis and sacrum.

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