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8. This impairment of circulation creates a lack of nutrients andoxygen and an increase of waste products like lactic acid, whichthen causes muscle tightness and pain.Muscle refers pain, known as: RPP or Referred Pain Pattern

Diagnosis of a Trigger Point

A Trigger Point is correctly identified by the manifestationof three criteria.

1. Palpable Taut Band of Muscle2. Hypersensitive Nodule or Mass in the Band of Muscle3. RPP; ( Referred Pain Pattern)

Treatment for Trigger Point/Myofascial Release

The initial therapeutic goal is to increase circulation

to the affected area by modalities such as:

Hot/Cold pack applications and Massage

Locate the point and apply Progressive IschemicCompression until the nodule dissipates

It is recommended to stretch the muscle for a minimum of30-45 seconds to assure tissue relaxation

Muscle strengthening or muscle resistance exercises arerecommended, as well as; Proprioceptive NeuromuscularRetraining utilizing Full ROM and Rocking Methods

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Trigger Point/Myofascial Release Study Guide

1. A decrease in flexibility may result in an injury known as:

2. Three causes of this are:

1.

2. 3.

3. ions are released when muscletissue Destruction occurs

4. The sarcoplasmic reticulum is unable to reabsorb the excess calciumdue to

5. This excessive localized release of calcium in the areacauses:

6 Which causes circulation in the area to become:

7. Impaired circulation will result in a decrease in:

8. An increase in also occurs.

9. As the sustained muscle contraction impedes circulation,thus impairing the flow of nutrients and oxygen and thebuild up of waste products; the tightened muscle will referpain. Thisprocess will result in____________________ ______ __________________________________________________________________________

10. A Trigger Point is correctly identified by the palpation andidentification of which three manifestations?

A.B.C.

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11. Hot/Cold pack application and massage are the first steps intreatment. The goal of these therapies is to:

12. Apply

13. It is necessary to the muscle for atleast howlong_____________________________________________________?

14. Additional steps may be used including muscle strengtheningexercises, resistance stretching,, and proprioceptive retraining. Amassage movement that is effective in proprioceptive retraining is :

15.) A method used to relieve a trigger point by applyingcompression is known as:

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