By David G. Simons, Janet G. Travell, Lois S. Simons, Barbara D. Cummings
Travell & Simons' Myofascial ache and disorder: The set off element handbook.
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Extra info for Travell & Simons' myofascial pain and dysfunction : the trigger point manual
Throughout his series of nearly a dozen papers, all on fibrositis between 1941 and 1 9 6 3 , he was impressed by both the palpable hardness of the "nodule" associated with the tender point in the muscle and by the distant referral of pain from the afflicted muscle. Kelly published numerous case reports with referred pain patterns. He gradually evolved the concept Copyrighted Material 112 151 152 99 Chapter 2 / General Overview that fibrositis was a functional, neurological disturbance that originated at the myalgic lesion.
Active TrPs are identified when patients recognize the pain that is induced by applying pressure to a TrP as "their" pain. The taut band fibers usually respond with an LTR when the taut band is accessible and when the TrP is stimulated by properly applied snapping palpation. The taut band fibers respond consistently with a twitch response when the TrP is penetrated by a needle. 94 Taut Band. By gently rubbing across the direction of the muscle fibers of a superficial muscle, the examiner can feel a nodule at the TrP and a rope-like induration that extends from this nodule to the attachment of the taut muscle fibers at each end of the muscle.
Since one of the most common algometers has a foot plate area of 1 cm , the meter reading in Kg is numerically the same as Kg/cm , so no numerical conversion is needed. 2 2 2 A convenient hand-held spring algometer that is commercially available was described in 1986, and standard values were published in 1987. Since then, the spring algometer has been widely used in research. This device is useful for making a measurement of pain pressure threshold at a TrP site so the initial tenderness can be compared to measurements following a therapeutic or experimental intervention.