18 Questions
What is the primary function of Autogenic Inhibition?
To protect muscles from exerting more force than bones and tendons can tolerate
Which receptors are responsible for Autogenic Inhibition?
Golgi Tendon Organs (GTO)
What happens to the antagonist muscle during Reciprocal Inhibition?
It relaxes as the agonist muscle contracts
What is the purpose of the Stretch Reflex?
To regulate muscle length and prevent overstretching
What is the result of Autogenic Inhibition on muscle contraction?
Sudden relaxation of the contracting muscle
Where are Muscle Spindles located?
Within the muscle belly itself
What is the primary mechanism by which Reciprocal Inhibition reduces pain perception?
Activation of muscle and joint mechanoreceptors
What is the main purpose of Post Isometric Relaxation (PIR) technique?
To decrease muscle tone in a single or group of muscles
What is the concept behind Autogenic Inhibition MET?
Autogenic inhibition of muscle tone
What is the role of rhythmic muscle contractions in Reciprocal Inhibition?
To increase fluid drainage and reduce peripheral sensitization
What is the result of increased flexibility in individual's tolerance to stretch?
Increased tolerance to stretch
What is the purpose of asking the patient to inhale during the isometric contraction in PIR technique?
To facilitate the contraction
What is a contraindication for applying the Muscle Energy Technique (MET)?
Fracture
What is an error that a therapist can make when applying the MET?
Moving to a new joint position too soon after contraction
What is the consequence of not waiting for the refractory period following an isometric contraction?
The muscle cannot be stretched to a new resting length
What is an error that a patient can make when applying the MET?
Contracting too hard
What is the definition of Integrated Neuromuscular Inhibition Technique (INIT)?
A manual technique that combines MET, ischemic compression, and SCS
Why does Chaitow believe that the combination of MET, ischemic compression, and SCS produces the most effective approach to trigger point release?
Because it produces the most effective, targeted approach to trigger point release
Study Notes
Autogenic Inhibition
- A sub-maximal contraction of a muscle is followed by stretching of the same muscle, resulting in sudden relaxation.
- Golgi tendon organs (GTO) are responsible for autogenic inhibition, sensing increased tension when the muscle contracts or stretches.
- GTO sends sensory fibers to the spinal cord, synapsing on inhibitory interneurons, which inhibit the contraction and help muscle elongation.
- Autogenic inhibition is a protective mechanism, preventing muscles from exerting more force than bones and tendons can tolerate.
Reciprocal Inhibition
- A sub-maximal contraction of a muscle is followed by stretching of the opposite muscle, known as reciprocal inhibition.
- Muscle spindles are responsible for reciprocal inhibition, located within the muscle and stretching alongside with it.
- When the muscle contracts, the central nervous system sends a message to the agonist muscle to contract, causing reflexive contraction in the agonist's muscle and relaxation in the antagonist muscle.
Physiological Effect
- Increases flexibility of the muscles, attributed to an increase in individual’s tolerance to stretch.
- Reduces pain perception (hypoalgesia) through the activation of muscles’ and joints’ mechanoreceptors.
- Induces hypoalgesia via peripheral mechanisms associated with increasing fluid drainage, leading to decreased sensitization to peripheral nociceptors.
- Improves proprioception and motor control due to active and precise recruitment of muscle activity.
Types of Muscle Energy Technique
- Autogenic Inhibition MET
- Post Isometric Relaxation (PIR)
- Post Facilitation Stretching (PFS)
- Reciprocal Inhibition MET
- Post Isometric Relaxation (PIR)
Post Isometric Relaxation (PIR)
- A technique to decrease muscle tone in a single or group of muscles, after a brief period of submaximal isometric contraction of the same muscle.
- Works on the concept of autogenic inhibition.
- Performed by taking the hypertonic muscle to a length where resistance to movement is first noted, followed by a submaximal contraction and application of resistance in the opposite direction.
- After contraction, the patient is asked to relax and exhale.
Contraindications and Precautions
- Contraindications: fracture, acute sprains, acute strains
- Precautions: osteoporosis, hypermobility, acute pain, vertebrobasilar insufficiency
Errors in Applying MET
- Therapist errors: inaccurate control of joint position, incorrect direction of counterforce, inadequate patient instructions, moving to a new joint position too soon, not waiting for refractory period, and not maintaining stretch position for an appropriate period of time.
- Patient errors: contraction is too hard, contraction is in the wrong direction, contraction is not sustained for long enough, individual doesn’t relax completely after contraction, and starting or finishing contraction too fast.
Integrated Neuromuscular Inhibition Technique (INIT)
- A manual technique combining ischemic compression, strain counter strain, and muscle energy techniques.
- Described by Chaitow (2010) as the most effective, targeted approach to trigger point release.
Test your understanding of autogenic inhibition, a process where a muscle relaxes after contracting due to the activation of Golgi tendon organs. Learn how this mechanism works and its role in muscle physiology.
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