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ASMT- Trigger Point.
trigger point info
| Question | Answer |
|---|---|
| What is the definition of a myofacial trigger point? | A firm, palpable, highly irritable spot in a taut band of muscle fibers or fascia characterized by exquisite tenderness, referred pain and loss of range of motion. |
| What is an activating factor? | something new to the body |
| What is a perpetuating factor? | chronic/continual patterns |
| What are the two classifications of trigger points? | active and latent |
| What are the two types of trigger points? | key/primary and satellite |
| Where are key/primary trigger points found? | at the site of stress/trauma |
| Where are satellite trigger points found? | synergist mm, antagonist mm, and the PRZ |
| What are some signs of a trigger point while palpating? | jump sign, intensified pain in PRZ, pain is blocked in PRZ, and local twitch response |
| What are the three ways to palpate trigger points? | flat, pincer, snapping |
| How do you treat a central trigger point? | stimulate, strip, stretch, recovery |
| How do you treat an attachment trigger point? | stimulate, fiber friction, cross fiber friction, strip, recovery |
| What are some reasons for failure when treating a trigger point? | perpetuating factors, inadequate coverage, patient tension, poor pressure release technique, inadequate stretch technique, poor post-treatment, and chronicity |
| What are the 8 steps of the neurologic theory? | initial stress/trauma, sensory neuron, spinal cord, brain, motor neurons, muscle, spasm splinting, active trigger point |
| What is bruxism? | grinding or clenching fo the teeth |
| What is malocclusion? | bad bite |
| What is another name for tender points? | fibromyalgia |
| Which muscle is the main cause of low back pain? | psoas |
| What is sciatica? | bone impingement (disc issues; herniated, slipped, bulging, etc.) |
| What is the difference between disc injuries and facet injuries? | disc injuries are slow onset injuries, and facet injuries are immediate |
| What is piriformis syndrome? | muscle impingement w/piriformis and superior gemellus or glute max |
| What is pseudo sciatica? | muscle w/trigger points and an active PRZ |
| Which muscle should definitely be checked when experiencing plantar fasciitis? | gastroc |
| Which muscle should definitely be checked when experiencing pseudo sciatica? | soleus |
| Which two doctors put together information about trigger points, their cause, and treatments? | Dr. Simmons and Dr. Travell |
| Which muscles should definitely be checked when experiencing thoracic outlet syndrome? | scalenes |
| Which muscles cause headaches? | traps, masseter, SCM, temporalis |
| What are 3 common symptoms of a latent trigger point? | loss of range of motion, chronic aching w/in PRZ, pain and numbness in PRZ |
| What are the five steps of the chemical theory? | insult to muscle, edema, spasm, reactive ischemia, trigger point |
| What is the key component of the chemical theory? | chemical build up |
| What is torticollis? | head tilt |
| What is viscerosomatic? | inside affecting outside |
| What is somatovisceral? | outside affecting inside |
| What muscles cause cardiac symptomatology? | subscapularis, infraspinatus |
| What muscles cause carpal tunnel syndrome? | flexors/extensors, scalenes, infraspinatus, subscapularis |
| What is a PRZ? | area of pain/numbness cased by an active trigger point |
| Why does trigger point therapy hurt? | it puts direct pressure on an inflammed area which enhances your pain receptors telling your brain it hurts |
| What is the essential PRZ? | most intense |
| Why would someone experience a spillover PRZ? | they are hypersensitive |