Advanced Soft Tissue Techniques

Muscle maps 1 07 Gastrocnemius fln�-- Gastrocnemius First movements (taking an ankle, say, into all its lateral head medial head directions of motion) may involve moderate force, progressing to full force subsequently. An alter­ Soleus --�l native is to have the practitioner/ therapist (or machine) resist the patient's effort to make all the Peroneus Calcaneal movements. brevis--H'-I ---l;tendon Duration of contraction Up to 4 seconds. Peroneu� --H:4-1 Flexor digitorum Repetitions Repeat two to four times. longus 1I1l-'1-- longus Muscle m a ps ..-:-. ------=- - Chapter 5 contains descriptions of the MET approaches to individual muscles. It is assumed that before using MET methods a sound ground­ ing will have been achieved in understanding both the anatomy and physiology of the musculo­ skeletal system. In almost all instances lengthening, stretching, strategies involves following fibre direction. To assist in application of MET, Figs 3.3-3 . 1 3 may enhance awareness of fibre direction. -l,\",-- Calcaneus Figure 3 . 1 3 M uscles of the left calf: su perficial group. (Redrawn from Gray's Anatomy. 38th edn.) Refe r e n ces Blood S 1980 Treatment of the sprained ankle. Journal of the Greenman P 1 989 Principles of manual medicine. Williams American Osteopathic Association 79( 1 1 ) : 689 and Wilkins. Baltimore Cummings J. Howell J 1990 The role of respiration in the Greenman P 1 996 Principles of manual medicine, 2nd edn. tension production of myofascial tissues. Journal of the Williams and Wilkins, Baltimore American Osteopathic Association 90(9): 842 Guissard N et al 1 988 Muscle stretching and motorneurone DiGiovanna E 1991 Treatment of the spine. In: DiGiovanna excitability. European Journal of Applied Physiology 58: E (ed) An osteopathic approach to diagnosis and 47-52 treatment. Lippincott, Philadelphia Gunnari H, Evjenth 0 1983 Sequence exercise. [Norwegian.] Gajdosik 1991 Effects of static stretching on short hamstring Dreyers Verlag, Oslo muscles. Journal of Sports Physical Therapy 14(6): 250-255 Hammer W 1 999 Functional soft tissue examination and treatment by manual methods. Aspen Publications, Goodridge J 1981 MET - definition, explanation, methods pp 535-540 of procedure. Journal of the American Osteopathic Association 8 1 (4): 249 Hoover H 1969 A method for teaching functional technique. Yearbook of Academy of Applied Osteopathy 1 969, Goodridge J. Kuchera W 1997 Muscle energy treatment Newark, Ohio techniques. In: Ward R (ed) Foundations of osteopathic medicine. Williams and Wilkins, Baltimore Janda V 1 983 Muscle function testing. Butterworths, London