Chapter 11 Chapman's Points and Trigger Points

Question 1

How would you describe anterior chapman’s points?

Answer 1

Smooth, firm, discretely palpable nodules approx 2-3mm in diameter

Question 2

Where are anterior chapman’s points located?

Answer 2

Within deep fascia or on periosteum of bone

Question 3

Where are posterior chapmna’s points located?

Answer 3

Bt spinous and transverse processes

Question 4

How would you describe posterior chapman’s points?

Answer 4

Rubbery, similar to tissues texture changes assoc with classic viscero-somatic reflexes

Question 5

What will gentle pressure on a chapman’s point elicit?

Answer 5

Sharp, nonradiating, exquisitely distressing pain

Question 6

What are chapman’s points?

Answer 6

Somatic manifestations of a visceral dysfunction

Question 7

Anterior appendix?

Answer 7

Tip of right 12th rib

Question 8

Posterior appendix?

Answer 8

Transverse process of T11

Question 9

The presence of which particular reflex helps to direct the DDx more toward acute appendicitis?

Answer 9

Posterior appendix chapman’s point

Question 10

Anterior adrenal?

Answer 10

2” superior and 1” lateral to umbilicus

Question 11

Posterior andrenals?

Answer 11

Bt spinous and transverse processes of T11 and T12

Question 12

Anterior kidneys?

Answer 12

1” superior and 1” lateral to umbilicus

Question 13

Posterior kidney?

Answer 13

Bt spinous and transverse processes of T12 and L1

Question 14

Bladder?

Answer 14

Periumbilical region

Question 15

Colon?

Answer 15

Lateral thigh within the IT band from greater trochanter to just above knee

Question 16

Cecum?

Answer 16

Right proximal femur

Question 17

Hepatic flexure?

Answer 17

Right distal femur

Question 18

Sigmoid colon?

Answer 18

Left proximal femur

Question 19

Splenic flexure?

Answer 19

Left distal femur

Question 20

What is a trigger point?

Answer 20

May refer pain when pressed

Question 21

What is a tender point?

Answer 21

DOES NOT refer pain when pressed

Question 22

Where will trigger points of the SCM refer pain?

Answer 22

Ipsilateral occipital and temporal regions

Question 23

What trigger point is assoc with supraventricular tachycardias?

Answer 23

Right pectoralis muscle bt 5th and 6th ribs near the sternum

Question 24

What do trigger points represent?

Answer 24

Somatic manifestations of a viscero-somatic, somato-visceral or somato-somatic reflex

Question 25

Methods are used to eliminate trigger points?

Answer 25

Neurological or vascular methods

Question 26

How do you treat myofascial trigger points?

Answer 26

Spray and stretch using vapocoolant spray, injection with local anesthetic

Question 27

What are tenderpoints used for?

Answer 27

Diagnostic criteria and as a treatment monitor for counterstrain