Techniques of this method are a very effective way to combat contractures and muscle pain.
Techniques of this method are a very effective way to combat contractures and muscle pain. Often after surgery the pain reduces so much, that a person who has undergone therapy is not able to identify the place in which it occurred. During the soft tissue therapy the following methods are used: PIR (postisometric muscle relaxation), MET (Muscle Energy Technique), (Myofascial Release) (Trigger Points Therapy) and Techniques of Active relaxation (Active Tissue Release).
This form of diagnosis and treatment with the therapist's hands, during which the patient is actively using their muscles in a precisely controlled position and in a given direction, against the resistance of the therapist. Almost all MET techniques fascia is involved. MET can be used when we observe excessive muscle tension, muscle contractures, spasticity, physiological muscle weakness, local swelling, venous stasis, reduced joint mobility resulting from soft tissue dysfunction. MET can be used both in the acute pain as well as in patients with chronic problems.It focuses on the work with the myofascial system. These techniques improve the mobility of the internal soft tissues, especially the fascia. Activation of forces in MR techniques takes place directly and indirectly. They are both of the internal and external origin. The internal forces are related to physiological movements of living tissue (breathing, muscle spasms, and the like.). External forces are related to the mechanical energy exerted by the therapist through pressure, traction, twisting, stretching, that adequately affect the soft tissue, changing its biomechanical properties and influencing impulsive reactions. The aim is to achieve a symmetrical painless range of motion of the musculoskeletal system.They eliminate abnormalitie swithin the soft tissue, such as adhesions, excessive muscle tone, muscle and connective tissue contractures. They belong to the most effective methods in the elimination of these disorders. They are often combined with MR techniques, or MET.
The technique involves maintenance of constant pressure or blocking tissues, while stretching of the tissue is performed simultaneously.
There are three types of techniques for active relaxation
- Passive: the therapist keeps the pressure on the tissue and moves the part of the body, which is to be relaxed. This form is very relaxing and causes great relaxation.
- Active: the therapist exerts pressure and the patient performs the movement of the body in the direction of stretching. It is sometimes more intense but better tolerated by the patient, particularly in case of pain (self-control of the movement/pain). It can be combined with movement resistance or MET.
- In joint: loading position: it is very effective in restoring full functions of the tissued, e.g. in sportsmen. It is frequently performed in eccentric work. It should be done at the end of the treatment process.
Muscle balance disorder coexists with shortening and hypertonic muscle tension and weakening of others. There is also a lack of control of CNS in integrating functional muscle. Changes in muscle length, strength, and control may be due to various reasons. Muscle imbalance is caused by the correct posture disorder which is associated with the mechanical alteration of functioning of the joints leading to neuro-reflex changes in muscle balance control.