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Trigger Point > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Latent TP @ Chronic Stage

A

an Active TP that was never treated or was improperly treated may become this

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2
Q

Active Trigger Point

A

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

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3
Q

A central TP is closely associated with this and located near the center of the muscle fibers

A

Dysfunctional endplates

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4
Q

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

A

Satellite TP

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5
Q

——— 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

A

Attachment & Central

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6
Q

TP that is usually w/o causing any spontaneous pain

A

Latent TP

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7
Q

Painful range of motion at the end of range.

A

common characteristic of MTP - Pain at attachments or muscle belly may be present during end of range of motion.

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8
Q

authors of Trigger Point Manual & authorities on TP therapy

A

Travell & Simons

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9
Q

Role of Sarcoplasmic Reticulum

A

Store Ca2+ necessary for muscle contraction

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10
Q

considered functional unit of motor nervous system

A

motor neuron

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11
Q

4 components of motor unit

A

1) cell body of motoneuron 2) its axon 3) end plates 4) muscle fibers

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12
Q

4 hypotheses regarding pathogenesis & pathophysiology of MTP

A

muscle spindle hypothesis neuropathic process scar tissue dysfunctional end plates w/ energy crisis

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13
Q

Sliding filament theory describes muscle contraction as:

A

adjacent thick & thin filaments slide past each other propelled by cyclical interactions b/w myosin & actin of adjacent thin filaments

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14
Q

3 causes of micro trauma

A

over-stretching overloading over-shortening

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15
Q

chemical used as energy for muscle contraction

A

ACH

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16
Q

Symptoms associated w/ MTP b/c of nociceptive substances

A

referred pain occasional pain burning sensation tenderness of involved muscle

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17
Q

Definition of acupuncture point

A

Precise points along meridians as defined by Chinese medicine

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18
Q

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

A

connective fascial tissue

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19
Q

Local depolarization of muscle membrane of myofascially involved fibers

A

LTR - local twitch response

20
Q

Mechanical pain in joint during myofascial stretching

A

PSS - positive stretch sign

21
Q

RPP - Referred pain pattern

A

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

22
Q

TMJ

A

temporal mandibular joint

23
Q

Heads & trigger points of SCM

A

2 heads & 4 trigger points

24
Q

What do you need to do to treat the Longus Colli

A

displace the trachea laterally

25
Q

RPP for Upper Trapezius

A

up towards the neck and head

26
Q

3 things to do when treat the TMJ

A
  • Assess their movement - Wear gloves to work inside mouth - Always flush after treatment
27
Q

Myofascial stretch for Upper Trapezius

A

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

28
Q

RPP for Scalene

A

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

29
Q

Myofascial stretch for Subocciptal muscles

A

chin tuck followed by cervical traction

30
Q

Travel & Simmons definition of trigger points

A

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.

31
Q

Origin & Insertion for Pectoralis minor

A

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

32
Q

The consequences of body’s fight against gravity

A

Muscle microtrauma and trigger points

33
Q

Pain referral pattern for Flexor Carpi Radialis

A

Radial and anterior surface of wrist

34
Q

muscles associated with trigger thumb

A

Abductor Pollicis Brevis Adductor Pollicis Brevis Flexor Pollicis Brevis Opponens Pollicis

35
Q

5 classifications of myo-fascial TP

A

Active Latent Satellite Central Attachment

36
Q

definition of patient pain recognition

A

digital ischemic compression on tender nodule that may produce the patients pain symptom

37
Q

Micro-trauma & MTP syndrome caused by what situations

A

faulty posture postural & skeletal asymmetries poor body mechanics stressed body positions over prolonged period of time

38
Q

Origin & Insertion of rectus abdominus

A

O: Pubic crest & ligament in front of pubic symphysis I: Xiphoid process & over the costal margin of 7th - 5th cartilages

39
Q

RPP of diaphragm

A

chest pain, dyspnea, inability to get full breath & low back pain

40
Q

biomechanics of injury for diaphragm

A

prolonged shallow breathing, constant coughing

41
Q

Origin of Quadratus Lumborum

A

Iliolumbar ligament adjacent part of iliac crest & inferior 2-4 lumbar transverse processes

42
Q

muscle commonly confused w/ pain pattern of Quadratus Lumborum & can mimic sciatic pain - distinguishing characteristic is of anterior rotation of ilium

A

Iliopsoas

43
Q

patient w/ difficulty extending left hip and pain on adduction and external rotation w/ sacroiliac pain and tenderness to palpation along IT band - what muscle is dysfunctional

A

tensor fascial latae

44
Q

Rhomboid muscle are often major complaint because

A

phasic muscles and are stretched for long periods of time

45
Q

term best describes adduction of limb

A

towards midline of body

46
Q

2 muscles make up iliopsoas group

A

Psoas major & Iliacus

47
Q

Muscle affected through sports like tennis & golf

A

Extensor Carpi Radialis Longus and Brevis and Extensor Carpi Ulnaris

Trigger Point (4 decks)

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