Test 3 & 4

Question 1

Local depolarization of muscle membrane of myofascially involved fibers

Answer 1

LTR - local twitch response

Question 2

Mechanical pain in joint during myofascial stretching

Answer 2

PSS - positive stretch sign

Question 3

RPP - Referred pain pattern

Answer 3

activation of trigger point that projects pain to a distant reference zone

Question 4

TMJ

Answer 4

temporal mandibular joint

Question 5

Heads & trigger points of SCM

Answer 5

2 heads & 4 trigger points

Question 6

What do you need to do to treat the Longus Colli

Answer 6

displace the trachea laterally

Question 7

RPP for Upper Trapezius

Answer 7

up towards the neck and head

Question 8

3 things to do when treat the TMJ

Answer 8

• Assess their movement - Wear gloves to work inside mouth - Always flush after treatment

Question 9

Myofascial stretch for Upper Trapezius

Answer 9

flex the neck, side bending to the opposite side, rotation to the ipsilateral (same) side *All of the above

Question 10

Action of Upper trapezius

Answer 10

elevates scapula

Question 11

biomechanics of injury for splenius capitis and cervicis

Answer 11

postural stress short repetitive movements of neck

Question 12

action for masseter muscle

Answer 12

lower jaw closure & clenching of teeth

Question 13

RPP for Scalene

Answer 13

None of above (actually is neck, pectoral region, border of scapula, front & back of arm, radial surface of forearm, index finger & thumb)

Question 14

Myofascial stretch for Subocciptal muscles

Answer 14

chin tuck followed by cervical traction

Question 15

constant or repetitive forward neck bending biomechanical injury for what muscle

Answer 15

SCM

Question 16

muscles involved in whiplash injuries & high-velocity neck movements

Answer 16

SCM & Scalenes

Question 17

Muscles affected by asthma & other breathing problems

Answer 17

scalenes

Question 18

RPP for Splenius Capitis & Cervicis

Answer 18

Top of head, middle of coronal suture, posterior to the suborbital margin, trunk & shoulder

Question 19

Action of Temporalis

Answer 19

Clenches teeth

Question 20

Travel & Simmons definition of trigger points

Answer 20

hyper-irritable spot in skeletal muscle associated w/ hypersensitive palpable nodule in taut band. Spot painful on compression & can give referred pain, referred tenderness, motor dysfunction & autonomic phenomena.

Question 21

Biomechanics of injury for Latissimus Dorsi

Answer 21

Activities requiring repetitive extension, adduction & internal rotation of shoulder (some types of swimming)

Question 22

PSS for Teres major

Answer 22

pain in the superior Acomion area

Question 23

Origin & Insertion for Pectoralis minor

Answer 23

Origin - Anterior surface of 3-5 ribs Insertion - Coracoid process of scapula

Question 24

to myofascially stretch Latissimus Dorsi you must

Answer 24

do shoulder abduction to 180 degrees & external rotation

Question 25

The positive stretch sign (PSS) of pain in superior acromion area indicates dysfunction in what muscles

Answer 25

- Latissimus dorsi - Teres major - Subscapularis - Deltoid

Question 26

Biomechanics of injury for Subclavius

Answer 26

Direct trauma & clavicular fracture

Question 27

Action of Pectoralis minor

Answer 27

raises ribs & forced inspiration

Question 28

Origin & insertion of Subscapularis

Answer 28

Origin - Subscapular fossa on costal surface of scapula Insertion - Lesser tubercle of humerus & tendon attaches to fibrous capsule of shoulder joint

Question 29

pain when trying to button a skirt or bra indicates dysfunction in what muscle

Answer 29

Infraspinatus

Question 30

surrounds each muscle fiber, tendon, bone, nerve & vessel in body

Answer 30

connective fascial tissue

Question 31

role of sarcoplasmic reticulum

Answer 31

storage of calcium necessary for muscle contraction

Question 32

functional unit of motor nervous system

Answer 32

motor neuron

Question 33

3 causes of micro trauma

Answer 33

over shortening over stretching over loading

Question 34

chemical used as energy source for muscle contraction

Answer 34

ACH

Question 35

Symptoms associated with myofascial trigger points b/c of nociceptive substances

Answer 35

- Referred pain - Burning sensation - Occasional pain - Tenderness on involved muscle

Question 36

best explanation of pain

Answer 36

Pain is fear expressed by all living creatures with pain receptors...

Question 37

components of successful, appropriate, accurate treatment of client

Answer 37

- Treatment done consistently - Method of treatment - hand placement - degree of stretching - position of myofascial stretching

Question 38

Myofascial trigger point can be found

Answer 38

anywhere w/in muscle belly & pathological mechanism resides in dysfunctional endplates

Question 39

MTP that produces pain w/o digital compression, tender upon palpation, produces RPP, impedes flexibility, produces muscle weakness, & may elicit LTR is?

Answer 39

Active TP

Question 40

The consequences of body's fight against gravity

Answer 40

Muscle microtrauma and trigger points