The difference between MFR and MET
• MFR -- Myofascial release of connective tissue used to elongate muscle fascia of different layers.
-- Ischemic release – manual technique used to trigger point taut muscle fibers.
• MET -- Muscle energy technique of direct pressure into direction of barrier.
-- Gentle release of muscle tone to promote joint biomechanics.
-- Isometric contraction for 6-10 seconds only as strong as needed.
-- Autonomic reciprocal inhibition which inhibits certain muscles from contracting through the muscle spindles which play an important role in flexibility.
Palpation of anatomical landmarks
• Spinous process -- start at bottom and move up
-- lower dysfunctions drive higher dysfunctions (i.e. L4 will affect L2)
-- palpation for Type 1 dysfunction; Fryette’s 1st law
-- L4 correlates with iliac crest
• Transverse process (TPs) – thumb-width away from spinous process
-- L1-L4 = finger width higher than correlating spinous process
-- L5 = directly lateral to correlating spinous process
-- palpation for Type 2 dysfunctions; Fryette’s 2nd law
Type of Dysfunctions
• Type 1 -- Multi-segmental concavity restriction found in neutral spine position; follows Fryette’s 1st law
-- Causes: leg length, scoliosis, large wallet, pronation
-- Primary culprit is side-bending musculature: erector spinae
• Type 2 – Single-segmental rotational restriction found in flexion or extension; follows Fryette’s 2nd law
-- Causes: trauma, repetitive injury, poor mechanics, gardener or painter
--Primary culprit is deep rotators: mutlifidus
-- Big driver of Type 1 dysfunctions