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17 Cards in this Set

  • Front
  • Back
TrP that causes a clinical pain complaint
1) Active:
TrP in one ms. that occurs concurrently with a TrP in another ms. One may have induced the other or both may stem from the same mechanical or neurological origin
2) Associated:
TrP at musculotendinous junction and/or at osseous attachment of the muscle that identifies the enthesopathy caused by unrelieved tension characteristic of the taut band that is produced by a central TrP
3) Attachment:
TrP closely associated with dysfunctional endplates & located near center of ms. belly
4) Central:
TrP responsible for activating one or more satellite TrPs. Clinically, a key TrP is identified when inactivation of that TrP also inactivates the satellite TrP
5) Key:
TrP that is clinically quiescent with respect to spontaneous pain. It is painful only when palpated. May have all the other clinical characteristics of an active TrP and always has a taut band that increases ms tension and restricts ROM
6) Latent:
Central TrP that was apparently activated directly by acute or chronic overload or repetitive overuse of the ms in which it occurs and was not activated as a result of TrP activity in another muscle
7) Primary:
A central TrP that was induced neurogenically or mechanically by the activity of a key TrP. May develop in the zone of reference of the key TrP, in an overloaded synergist that is substituting for “key” ms, in an antagonist countering increased tension of the “key” ms, or in a ms linked apparently only neurogenically to the key TrP.
8) Satellite:
The region of referred pain that is present in nearly every patient when the TrP is active
1) Essential Pain Zone:
General pain response of the patient, who winces, may cry out, and may withdraw in response to pressure applied on a TrP
2) Jump Sign:
Transient contraction of a group of tense muscle fibers (taut band) that traverse a TrP.
Contraction is in response to stimulation (usually by snapping palpation or needling) of the same TrP, or sometimes of a nearby TrP
3) Local Twitch Response
Soleplate ending where a terminal branch of the axon of a motor neuron makes synaptic contact with a striated muscle fiber
4) Motor Endplate:
Simultaneous expansion of the chest and contraction of abdominal muscles that pulls the abdomen inward during inhalation
5) Paradoxical Respiration:
Vasoconstriction (blanching), coldness, sweating, pilomotor response, ptosis, and/or hypersecretion that occur in a region separate from the TrP causing these phenomena. The phenomena usually appear in the same general area to which that TrP refers pain
6) Referred Autonomic Phenomena:
Region where some, but not all, patients experience referred pain beyond the essential pain zone, due to greater hyperirritability of a TrP
7) Spillover Pain Zone:
Tight Muscles
Hamstrings, Hip Flexors, Lumbar Erector Spinae

Weak Muscles
Gluteus Minimus, Medius, Maximus & AbdominalLayer
Lower Crossed (Pelvic) Syndrome
Sternocleidomastoid, Levator Scapulae, Upper Trapezius, Pectoralis Major

Weak Muscles
Middle & Lower Trapezius, Rhomboids, Deep Neck Flexors
Major Upper Crossed
(Proximal or Shoulder) Syndrome