Medical Exercises Training (MET)

Birth of the Concept

In the 1960s, Odvarr Holten, a Norwegian physical therapist felt that his patients could not achieve their optimal goal through his treatment. He observed that many patients with a variety of pathologies returned for treatment multiple times with similar symptoms. Manual therapy in combination with other physical therapy applications, primarily passive techniques and modalities, was shown to be inefficient to achieve the optimum result.
Holten systematically applied his knowledge and experience from exercising in sports as a complement to his treatment. His main goal was to break the cycle of relapses he observed for many patients. Over time, exercise became the “standard” treatment after two or three initial passive interventions.

In the last decade, research has shown that Holten’s exercise methodologies have proven their utility as a treatment. Through the years, the concept of MET has enabled physical therapists to transfer scientific knowledge about exercising into their daily practice.

MET is a formof exercise therapy in which the patient performs exercises by himself without manual participation by the physiotherapist, however under continuous supervision.

MET applies basic principles of physiology and biomechanics. MET is individualized to the patient and is based on the patient’s medical history, needs, expectations, symptoms and diagnosis.

This method is applicable in post injury related to work (CSST) or motor vehicle accident (SAAQ).

This system is ideal for patients with chronic pain, fibromyalgia, or other conditions where appropriate exercise has been found to be helpful. MET provides guidelines for how to use active exercises as a cognitive behavioral approach to change patients’ pain behavior.

Conditions and body regions treated by MET:






-post operative
-OA – poor alignment, tendinopathy
-post trauma, etc.
-OA – bursitis, weakness


-post-operative rotator cuff repair
-rotator cuff tendinitis and tendinosis

5) HIP

-post surgery


-post surgery

Within the geriatric population, MET can be useful in keeping the elderly healthier, functional and self-supporting.
Rather, MET provides a concept that help in modifying and dosing any exercise appropriate for the problem at each stage of the recovery process.