Final Exam Flashcards
(47 cards)
Latent TP @ Chronic Stage
an Active TP that was never treated or was improperly treated may become this
Active Trigger Point
MTP that produces pain w/o digital compression, is tender, produces referred pain w/ or w/o ischemic compression Impedes flexibility, produces weakness, may elicit local twitch response w/ compression
A central TP is closely associated with this and located near the center of the muscle fibers
Dysfunctional endplates
TP that may develop in same muscle as main TP, in other muscles w/in the referred pain pattern & usually resolves once the main TP releases
Satellite TP
——— TP @ the musculo-tendinous junction or @ osseous attachment of the muscle that identifies the enthesopathy caused by unrelieved tension characteristic of the taut band that is produced by a ——- TP
Attachment & Central
TP that is usually w/o causing any spontaneous pain
Latent TP
Painful range of motion at the end of range.
common characteristic of MTP - Pain at attachments or muscle belly may be present during end of range of motion.
authors of Trigger Point Manual & authorities on TP therapy
Travell & Simons
Role of Sarcoplasmic Reticulum
Store Ca2+ necessary for muscle contraction
considered functional unit of motor nervous system
motor neuron
4 components of motor unit
1) cell body of motoneuron 2) its axon 3) end plates 4) muscle fibers
4 hypotheses regarding pathogenesis & pathophysiology of MTP
muscle spindle hypothesis neuropathic process scar tissue dysfunctional end plates w/ energy crisis
Sliding filament theory describes muscle contraction as:
adjacent thick & thin filaments slide past each other propelled by cyclical interactions b/w myosin & actin of adjacent thin filaments
3 causes of micro trauma
over-stretching overloading over-shortening
chemical used as energy for muscle contraction
ACH
Symptoms associated w/ MTP b/c of nociceptive substances
referred pain occasional pain burning sensation tenderness of involved muscle
Definition of acupuncture point
Precise points along meridians as defined by Chinese medicine
surrounds each muscle fiber, tendon, bone, nerve & vessel in body
connective fascial tissue
Local depolarization of muscle membrane of myofascially involved fibers
LTR - local twitch response
Mechanical pain in joint during myofascial stretching
PSS - positive stretch sign
RPP - Referred pain pattern
activation of trigger point that projects pain to a distant reference zone
TMJ
temporal mandibular joint
Heads & trigger points of SCM
2 heads & 4 trigger points
What do you need to do to treat the Longus Colli
displace the trachea laterally
