Trigger point techniques Flashcards
RPP
referred pain pattern
MFS
myofascial Stretch
PSS
positive stretch sign
SCM RPP
occiput (occipital headaches) ear over the eye and to the cheek frontal area (frontal headaches) throat sternum
sometimes tinnitus, blurred vision, postural dizziness
SCM TrP
along both divisions of the muscle (sternal and clavicular)
use pincer palpation and void contact w/ carotid artery and jugular vein
SCM MFS
clavicular: extension, SBing & rotation opp
sternal: extension, SB opp, rot same
SCM PSS
pain at the occipital base and upper c-spine of the opp side
SCM HEP
pt holds chair w/ same hand. same MFS
SCM injury
whiplash/high velocity backward neck movement in which the SCM will attempt to control and decelerate.
forward neck posture
occupations that require constant or repetitive forward neck bending
improper pillow positioning
**usually occurs w/ scalene injury and treated together
treat postural imbalance
scalenes
origin: TP of c-spine
insertion: first and second rib
scalene RPP
neck pectoral region medial border of scapula front and back of arm radial surface of forearm index finger and thumb
scalene TrP
against TP of cervical vertebrae w/ flat palpation
* behind SCM
scalene MFS
SB w/ mild extension
scalene PSS
pain on the same side as c-spine
scalene HEP
grasp hand to stabilize scap
scalene injury
whiplash, high velocity neck movement injury both SCM and SCL.
asthma and other conditions causing difficulty in breathing may cause over shortening of the SCL
myofascial imbalance will include SCM tightness and SCL laxity resulting in FNP
suboccipital
origin: occiput, atlas
insertion: atlas, axis
suboccipital RPP
occipital headaches
deep headaches
pain behind the eye
suboccipital TrP
along muscles
suboccipital MFS
suboccipital decompression technique
chin tuck following by upper cervical traction
suboccipital PSS
non
suboccipital HEP
chin tuck then use both hands to provide traction to upper c spine
suboccipital injury
FHP when accommodated by a post rotation of the occiput may activate subocc. ms.
prone position for prolonged time (TV, book) and supporting head with hands underneath chin. overshortening suboccipital muscles.
poor glasses/eye sight –> FHP
upper trap
origin: occipital bone
insertion: outer 1/3 of clavicle
upper trap RPP
post/lat aspect of neck
behind the ear
temporal area (headache)
upper trap TrP
at angle of the neck and shoulder using pincer palpation
upper trap MFS
neck flexion, **SB opp, rot same
upper trap PSS
pain at opp side of the neck during stretch
upper trap HEP
seated, stabilize on chair.
other hand to stretch
upper trap injury
active overshortening of ms. when stabilizing a phone, carrying heavy bags
wheelchairs- high arm rests
**assess posture
levator scapulae
origin: TP C1-4
insertion: vertebral border of scap above spine root
levator RPP
angle of neck, along vertebral border of scap, post shoulder
levator TrP
use flat palpation neat superior angle of the scap
levator MFS
neck *flexion, opp rot, SB opp
levator PSS
pain in neck at opp side
levator HEP
seated, stabilize shoulder
other hand does stretch
levator injury
similar to activities of upper trap
ambulating w/ cane/crutch that are too long may cause overshortening
