Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

How is Muscle Energy Technique primarily applied for adults?

1. Directly

2. Indirectly

3. Both direct and indirect

4. Neither

The correct answer is: Indirectly

Muscle Energy Technique (MET) is primarily applied indirectly in adults as it involves the engagement of the patient’s muscles to promote relaxation and lengthening of the target muscles and tissues while the clinician provides a gentle counterforce. In this technique, the patient is asked to contract specific muscles against a force applied by the practitioner. Typically, these contractions are directed away from the barrier of restriction, fostering a reflexive response that leads to tissue relaxation and increased range of motion. In adults, the indirect application of MET is particularly effective as it utilizes the patient's muscular efforts to achieve a desired therapeutic outcome, minimizing discomfort and enabling a greater range of motion without forceful manipulation. This indirect approach helps in addressing muscle shortening and contraction patterns, which are common issues in musculoskeletal conditions. Other options like direct application often imply a more forceful engagement that may not be appropriate or as beneficial for all patients, particularly if they have significant tension or restriction. The choice of using an indirect approach allows for a more gentle and patient-centered method of treatment, making it better suited for the adult population in many therapeutic contexts.