Fibromyalgia, Myofascial Pain Syndrome

Question 1

Skeletal muscless have ____nuclei under ____

Each fibre innv. by ____

Answer 1

Multiple, under plasma memb.

Branch of NMJ

Question 2

Neurogenic Muscle Atrophy

Transection of ____ can ____ if _____ of was preserved

Wallerian degenartion

Rein-innervation

Answer 2

Larger nerves can be repaied if proximal part of axon.

Nerve distal to transection degenerates

Schan cells proliferation layout

Question 3

Mm Disease charatized by:

Answer 3

Weakness (contr adeq)
Fatigability (sustain contr)
Myotonus (cont. spasm)
Fibrilation (irregular/uncord contract)
Pain (myalgia)

Question 4

MPS - Taut bands are ___ of ____ TrP

TrP

Answer 4

precursor of developmnt of TrP

Sensitive palpable spot/nodule w/i taut band.

Question 5

MPS - etiology/risk factor

Tx

Answer 5

Sudden overload or overstretching
Direct impact trauma
Postural fault
Chronic sustained muscle activ
Sleep + Stress

Needling/laser, local anteshia, ice, ischemic manual pressure

Question 6

Fibromyalgia
Clinic manifest

Etiology

Defined as (P) widespread in at least ____

___ disorder with no ____

Answer 6

Widespread muscle pain, fatigue, sleep and mood issue.

Unknown, reln w/ hypothyroid, Rhumatoid arthritis. Serotonin/neurotrasmitters.

11 of 18 tender points. (post points elbow, sacrum, antioer scalene, clavicular portion of pec, medial knees)

Rheumatic, no struc. artcular basis.

Question 7

Fibromyalgia

Demo

Symptoms exacerbated by

Answer 7

90% women, btw 20-55

Not usually in highly trained athlete

Stress, overload physical activ, damp weather, heat + humidity, trauma