Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

Which of the following treatments is applied indirectly for adults?

1. HVLA

2. Counterstrain

3. MFR

4. Muscle energy

The correct answer is: MFR

In this context, the correct treatment identified as applied indirectly for adults is myofascial release (MFR). Myofascial release is a form of manual therapy that focuses on the fascia, the connective tissue surrounding muscles and organs. The technique aims to alleviate restrictions and improve mobility without applying direct force to the muscle. In MFR, the practitioner uses gentle pressure to feel the tissues and then waits for a release of tension in the fascia. This gradual approach allows the body to relax and self-correct, differentiating it from techniques that require more direct, forceful manipulation of muscle tone or position. In contrast, the other treatments mentioned tend to involve more direct engagement with the tissues or muscles. For instance, high-velocity low-amplitude (HVLA) involves a quick thrust directly to a joint or vertebra to facilitate movement. Counterstrain is a technique that places the patient in a position of comfort, which while somewhat indirect, involves active engagement with the muscle to treat tender points. Muscle energy involves actively contracting the muscles against a resistance provided by the therapist, which is also a more direct method of treatment. Thus, among these options, myofascial release stands out as the technique applied indirectly for adults.