Author: Björn Guntlisbergen
Supervisor: Jürg Sturzenegger
Aim: Within the context of an experiment (crossover design), repeated measurements were taken in order to test whether the volume of the left lower leg in persons suffering from venous disease, who had a positive muscle function test, can be influenced by means of a standardised muscle energy technique (MET) of the left M. iliopsoas, supported by breathing exercises. The first chapter described the functional anatomical and physiological correlations in order to explain the neuro-reflex, biochemical and biomechanical processes. Based on these findings, the phlebological clinical pictures and the MET method of treatment were explained in two separate chapters.
Method: A total of nine women and three men aged between 55 and 71 took part in this study. All test subjects were called up twice. Both before and after an MET treatment or suspension, respectively, two measurement results per session were
determined using the water displacement method. Each test subject delivered their own control data (intervention group = control group). Additional data relating to the sex, body mass index, age, room temperature, ankle circumference and water temperature were recorded in order to assess a correlation between the differences in volume and other factors.
Result: The study was able to prove that a standardised muscle energy technique treatment of the left M. iliopsoas reduces the volume of the lower leg. The differences between the pretest and posttest measurements of the intervention were significant (p<0.0127). Furthermore, the differences between the pretest and posttest measurements of the intervention are significantly greater than the corresponding differences of the control measurements (p<0.0166). The success of the treatment was not dependent on other variables. No statement could be made regarding the sustainability of the change in volume.