M.E.T. is an osteopathic joint mobilization technique developed by Fred Mitchell & Phillip Greenman from Michigan U.S.A. It is a gentle, safe technique that uses a series of muscle contractions/relaxations to restore motion & reduce pain/spasticity. Most techniques are designed for the spine.
As the years go by, I find myself using it less & less. Not because it's ineffective. It's just that the more I understand function, the more I see the lumbar & cervical spines being hit takers for some other joint(s). I mainly use it for sprains directly to the spine from a sports injury. It's particularly soothing to cervical sprains from wrestling & football. MET fits in well with the functional approach. With manipulation, the practitioner is driving through a dysfunction. MET is a triplanar approach. That is, when resistance is felt in one plane, the A.T. backs off & goes to another plane.
I'm not sure if M.E.T. has any advantage over manipulation. I don't do manipulation- it's rare that I have roentenograms/bone scans to rule out a fx. One thing the A.T. must always be cautious of is being hell bent on increasing passive ROM. Measurable improvements do not always coincide with measurable pain improvements. I am always more concerned with the pain free ROM I have assisted the athlete with.
My suggestion to A.T.'s is to be a good detective & look for the trouble makers. Jimmy Cyriax told us decades ago that the cause of a dysfunction can be 1" or 1 yard away from the pain. We have the advantage of sitting and watching the athlete compete- other health care practitioners don't get that, and that is a HUGE advantage. Joint dysfunction magnifies itself under fatigue, making the compensations more visible.
"Hit takers & trouble makers"- a good topic for GAIN '09?