Lumbar muscle energy treatment
Lumbar muscle energy treatment
Chronic Week 1
Chronic Week 1
Down syndrome (Trisomy 21)
Galactosemia
Tay-Sachs disease (NORD)
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Phenylketonuria (NORD)
Phenylketonuria (NORD): Year of the Zebra
Classical homocystinuria (NORD)
Homocystinuria
Glycogen storage disease type II (NORD)
Hypertrophic cardiomyopathy
Abnormal heart sounds
Normal heart sounds
Development of the cardiovascular system
Fetal circulation
Aortic valve disease
Mitral valve disease
Pulmonary valve disease
Tricuspid valve disease
Valvular heart disease: Pathology review
Cyanotic congenital heart defects: Pathology review
Acyanotic congenital heart defects: Pathology review
Atrial septal defect
Ventricular septal defect
Patent ductus arteriosus
Coarctation of the aorta
Cardiomyopathies: Pathology review
Approach to cyanosis (newborn): Clinical sciences
Aortic dissections and aneurysms: Pathology review
Peripheral artery disease
Peripheral artery disease: Pathology review
Vasculitis
Vasculitis: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Raynaud phenomenon
Fryette laws
Diagnosing cervical somatic dysfunction
Spurling test
Cervical spine counterstrain
Cervical spine facilitated positional release
Cervical spine HVLA
Cervical muscle energy treatment
Cervical spine myofascial release
Other cervical spine treatments
Diagnosing lower limb somatic dysfunction
Special tests for the lower limb
Lower limb counterstrain
Lower limb HVLA
Lower limb muscle energy treatment
Lower limb myofascial release
Other lower limb treatments
Diagnosing lumbar spine somatic dysfunction
Lumbar muscle energy treatment
Lumbar spine counterstrain
Lumbar spine facilitated positional release
Lumbar spine HVLA
Lumbar spine myofascial release
Other lumbar spine treatments
Cranial osteopathy: Cranial nerves
Primary respiratory mechanism
Diagnosing cranial somatic dysfunction
Cranial treatments
Diagnosing pelvis somatic dysfunction
Pelvis counterstrain
Pelvis muscle energy treatment
Other pelvis treatments
Diagnosing rib somatic dysfunction
Rib counterstrain
Rib HVLA
Muscle energy for rib somatic dysfunction
Other rib treatments
Diagnosing sacral somatic dysfunction
Sacrum counterstrain
Sacrum muscle energy treatment
Sacrum myofascial release
Diagnosing thoracic spine somatic dysfunction
Thoracic spine counterstrain
Thoracic spine facilitated positional release
Thoracic spine HVLA
Thoracic muscle energy treatment
Thoracic spine myofascial release
Other thoracic spine treatments
Diagnosing upper limb somatic dysfunction
Special tests for the upper limb
Upper limb counterstrain
Upper limb HVLA
Upper limb muscle energy treatment
Upper limb myofascial release
Other upper limb treatments
Angina pectoris
Stable angina
Coronary artery disease: Clinical sciences
Coronary artery disease: Pathology review
Heart failure
Heart failure: Pathology review
Congestive heart failure: Clinical sciences
Dilated cardiomyopathy
Restrictive cardiomyopathy
ACE inhibitors, ARBs and direct renin inhibitors
Adrenergic antagonists: Beta blockers
Calcium channel blockers
Thiazide and thiazide-like diuretics
Loop diuretics
Potassium sparing diuretics
cGMP mediated smooth muscle vasodilators
Lipid-lowering medications: Statins
Cardiac conduction velocity
Cardiac conduction system
ECG basics
ECG normal sinus rhythm
ECG intervals
ECG QRS transition
ECG axis
ECG rate and rhythm
ECG cardiac infarction and ischemia
ECG cardiac hypertrophy and enlargement
Notes
Lumbar spine
Thoracic and lumbar muscle energy treatment
Refer to the “Diagnosing lumbar spine somatic dysfunction” learn page to obtain a proper diagnosis prior to beginning lumbar muscle energy treatment.
After placing the patient into the restrictive barrier, the patient's contractions are appropriate to the physician’s counterforce and are held for 3–5 seconds. The patient is then placed towards the new “feather edge” of the barrier and asked to contract appropriately again against the counterforce. This process is repeated 3–5 times.
After placing the patient into the restrictive barrier, the patient's contractions are appropriate to the physician’s counterforce and are held for 3–5 seconds. The patient is then placed towards the new “feather edge” of the barrier and asked to contract appropriately again against the counterforce. This process is repeated 3–5 times.
| THORACIC MUSCLE ENERGY | |||||
| REGION | DIAGNOSIS | INITIAL POSITION (RESTRICTIVE BARRIER) | PATIENT FORCE (POST-ISOMETRIC RELAXATION) | ||
| T1–T4 | T1–3 N SLRR | Side bend and rotate head and neck to T2 N SRRL | Head and neck away from restrictive barrier | ||
| T5–T12 | T8 F SRRR | Side bend and rotate torso to T8 E SLRL | Torso away from restrictive barrier | ||
LUMBAR MUSCLE ENERGY
Seated lumbar muscle energy is performed similarly to thoracic muscle energy. The patient sits on the treatment table while you passively place the patient into the restrictive barrier, localizing the forces to the dysfunctional segment.
When performing lateral recumbent muscle energy, you will:
When performing lateral recumbent muscle energy, you will:
- Lay the patient on the side of rotation at the dysfunctional segment
- Lower the patient’s ankles and feet towards the floor for a type I somatic dysfunction / Elevate the patient’s ankles and feet towards the ceiling for a type II somatic dysfunction
| LUMBAR MUSCLE ENERGY (ME) | |||||
| TYPE OF ME | DIAGNOSIS | INITIAL POSITION (RESTRICTIVE BARRIER) | PATIENT FORCE (POST-ISOMETRIC RELAXATION) | ||
| Seated | L3–5 N SLRR | Side bend and rotate torso to L4 N SRRL | Torso away from restrictive barrier | ||
| Lateral recumbent | L1–L3 N SRRL | Left lateral recumbent with back on table (to induce right rotation at L2) and feet and ankles pushed towards floor (to induce left side bending at L2) | Feet and ankles up toward ceiling | ||
| Lateral recumbent | L3 F SRRR L3 E SRRR | Right lateral recumbent with back on table (to induce left rotation) and feet and ankles lifted towards ceiling (to induce left side bending) | Feet and ankles down toward floor | ||
Author: Arman Israelyan, OMS-III
Editor: Matt Lipinski, DO
Editor: Robyn Hughes, MScBMC
Key Takeaways
Lumbar muscle energy treatment is a manual therapy technique that uses pressure and movement to help restore proper alignment and movement in the lumbar spine. It is often used to treat back pain, neck pain, joint pain, and other orthopedic conditions.
The therapist will first assess the patient's condition and identify any areas of dysfunction. Next, the therapist will apply pressure to the muscles around the affected area and use gentle movement to help restore normal alignment and movement. This technique can be helpful for both acute and chronic conditions.