Trigger point techniques

Question 1

RPP

Answer 1

referred pain pattern

Question 2

MFS

Answer 2

myofascial Stretch

Question 3

PSS

Answer 3

positive stretch sign

Question 4

SCM RPP

Answer 4

occiput (occipital headaches)
ear 
over the eye and to the cheek
frontal area (frontal headaches)
throat
sternum

sometimes tinnitus, blurred vision, postural dizziness

Question 5

SCM TrP

Answer 5

along both divisions of the muscle (sternal and clavicular)

use pincer palpation and void contact w/ carotid artery and jugular vein

Question 6

SCM MFS

Answer 6

clavicular: extension, SBing & rotation opp
sternal: extension, SB opp, rot same

Question 7

SCM PSS

Answer 7

pain at the occipital base and upper c-spine of the opp side

Question 8

SCM HEP

Answer 8

pt holds chair w/ same hand. same MFS

Question 9

SCM injury

Answer 9

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

Question 10

scalenes

Answer 10

origin: TP of c-spine
insertion: first and second rib

Question 11

scalene RPP

Answer 11

neck
pectoral region
medial border of scapula
front and back of arm
radial surface of forearm
index finger and thumb

Question 12

scalene TrP

Answer 12

against TP of cervical vertebrae w/ flat palpation

* behind SCM

Question 13

scalene MFS

Answer 13

SB w/ mild extension

Question 14

scalene PSS

Answer 14

pain on the same side as c-spine

Question 15

scalene HEP

Answer 15

grasp hand to stabilize scap

Question 16

scalene injury

Answer 16

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

Question 17

suboccipital

Answer 17

origin: occiput, atlas
insertion: atlas, axis

Question 18

suboccipital RPP

Answer 18

occipital headaches
deep headaches
pain behind the eye

Question 19

suboccipital TrP

Answer 19

along muscles

Question 20

suboccipital MFS

Answer 20

suboccipital decompression technique

chin tuck following by upper cervical traction

Question 21

suboccipital PSS

Answer 21

non

Question 22

suboccipital HEP

Answer 22

chin tuck then use both hands to provide traction to upper c spine

Question 23

suboccipital injury

Answer 23

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

Question 24

upper trap

Answer 24

origin: occipital bone
insertion: outer 1/3 of clavicle

Question 25

upper trap RPP

Answer 25

post/lat aspect of neck behind the ear temporal area (headache)

Question 26

upper trap TrP

Answer 26

at angle of the neck and shoulder using pincer palpation

Question 27

upper trap MFS

Answer 27

neck flexion, **SB opp, rot same

Question 28

upper trap PSS

Answer 28

pain at opp side of the neck during stretch

Question 29

upper trap HEP

Answer 29

seated, stabilize on chair. | other hand to stretch

Question 30

upper trap injury

Answer 30

active overshortening of ms. when stabilizing a phone, carrying heavy bags wheelchairs- high arm rests **assess posture

Question 31

levator scapulae

Answer 31

origin: TP C1-4 insertion: vertebral border of scap above spine root

Question 32

levator RPP

Answer 32

angle of neck, along vertebral border of scap, post shoulder

Question 33

levator TrP

Answer 33

use flat palpation neat superior angle of the scap

Question 34

levator MFS

Answer 34

neck *flexion, opp rot, SB opp

Question 35

levator PSS

Answer 35

pain in neck at opp side

Question 36

levator HEP

Answer 36

seated, stabilize shoulder | other hand does stretch

Question 37

levator injury

Answer 37

similar to activities of upper trap ambulating w/ cane/crutch that are too long may cause overshortening