•Accurate diagnosis
•Position to the point of initial barrier resistance (feather edge)
•Physician establishes appropriate counterforce
- •Patient
- introduces appropriate muscle energy effort
–Direction–Duration–Amount of force
•Patient must completely and voluntarily relax
•Pause for neuromuscular adaptation (post-relaxation phase)
•Reposition to the new restrictive barrier
- •Repeat
- until no futher change is obtained
•Reassess for appropriate change