Trigger Point Therapy
Small tender spots in muscles that may radiate pain when pressed
What is a trigger point?
Treatment area kept in relaxed position, following treatment, passive motion is performed, cold modality after
What is transverse friction to a muscle?
Lies beneath the subcutaneous fascia and surrounds muscles, bones, nerves, and blood vessels.
What is deep fascia?
The ability to move a single joint or series of joints smoothly and easily through an unrestricted, pain-free ROM.
What is flexibility?
Motion of the bone surfaces within joint.
What is arthrokinematics?
Only painful when pressed.
What is a latent trigger point?
Treatment area kept on stretch, gliding done over area.
What is transverse friction to a tendon?
To release restrictions in fascial tissues; break fascial adhesions; leave fascial tissues more pliable
What are goals of MFR?
Tissue returns to pre-stretch position after a short-duration stretch is removed.
What is elasticity?
Wen the articular surfaces are lax and there is the most joint play.
What is the loose packed/open pack position?
Always tender, refer pain on direct compression
What is an active trigger point?
Transverse friction helps to stimulate these types of receptors.
What are mechanoreceptors?
Ground substance, collagen & elastin.
What are the three primary elements of fascia?
The fibers are responsible for strength and stiffness of tissue and resist tensile deformation.
What are collagen fibers?
According to Kaltenborn, this grade “takes up slack” – eliminates play in joint capsule.
What is grade II?
These are activated directly by trauma, overload, etc.
What is a primary trigger point?
Best applied during subacute stages of healing, after swelling has subsided and area can be palpated, initial treatments promote mobility and proper alignment of fibers.
What is transverse friction of a ligament?
Ability of a substance to transition from a solid-like or gel-like consistency to a more liquid state when subjected to mechanical stress.
What is thixotropy?
This is the point on the stress-strain curve where the maximum stress that a material can withstand without permanently deforming lies.
What is the elastic limit?
According to Maitland, these grades help with pain inhibition.
What are grades I & II?
Ischemic compression with thumb or hand tool, deep friction at TrP site, vibration
What are deactivation techniques?
One of the most significant effects of transverse friction.
What is the ability to prevent/reduce tissue adhesions?
After MFR, fascia is more flexible may be temporarily more vulnerable. Without rest, excessive movement or activity can lead to.
What is strain or re-injury?
The primary sensory organ responsible for detecting changes in muscle length and the velocity of those changes.
What is muscle spindle?
10 degrees of plantarflexion.
What is the open pack position of the talocrural joint?