Jan Dommerholt's Myofascial Trigger Points: Pathophysiology and PDF

By Jan Dommerholt

ISBN-10: 0763779741

ISBN-13: 9780763779740

Myofascial set off issues: Pathophysiology and Evidence-Informed analysis and administration examines a different subject, JMMT. Emphasis is at the etiology of set off issues with a serious assessment of present suggestions. The contributing authors are the main revered myofascial ache study and perform specialists. The authors tackle the etiology of set off issues, the epidemiology of myofascial discomfort, scientific administration of sufferers, particular therapy concerns, and the function of set off issues in quite a few ache syndromes. This ebook is an available advent to myofascial set off issues for physicians, therapists, chiropractors, osteopaths, acupuncturists, and therapeutic massage therapists.

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Extra resources for Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management (Contemporary Issues in Physical Therapy and Rehabilitation Medicine)

Sample text

Researchers worldwide are investigating various aspects of MTrPs, including their specific etiology, pathophysiology, histology, referred pain patterns, and clinical applications. Guidelines developed by the International Federation of O rthopaedic Manipulative Therapists (IFOMT) confirm the importance of muscle dysfunction for orthopedic manual therapy clinical practice. "! 3 Until very recently, the current scientific knowledge and clinical implica­ tions of MTrPs were rarely included. 4-7 It appears that orthopedic manual therapists have not paid much attention to the pathophysiology and clinical manifestations of MTrPs.

EMG) activity as the result of increased neuromuscular tone of the entire muscle, and they are the result of nerve-initiated contractions. 69 From a physi­ ological perspective, the term "contracture" is more appropriate than "contraction" when describing chronic involuntary shortening of a muscle without EMG activity. 67, 70,7! Diagnostically, surface EMG can assist in assessing muscle behavior during rest and during functional tasks. Clinicians use the MTrP referred pain patterns in determining which muscles to examine with surface EMG.

Muscles that harbor MTrPs responsible for the patient'S pain complaint are examined first. 67 The patient's recognition of the elicited pain further guides the clinician. The presence of a so-called local twitch response (LTR), referred pain, or reproduction of the person's symptomatic pain increases the certainty and specificity of the diagnosis of MPS. Local twitch responses are spinal reflexes that appear to be unique to MTrPs. They are charac­ terized by a sudden contraction of muscle fibers within a taut band when the taut band is strummed manually or needled.

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Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management (Contemporary Issues in Physical Therapy and Rehabilitation Medicine) by Jan Dommerholt


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