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PATHGENESS OF M YOFASCIAL T RIGGER P OINT - 근막통 유발점의 발병기전 -

PATHGENESS OF M YOFASCIAL T RIGGER P OINT - 근막통 유발점의 발병기전 -. 00 대학교 근육학회. INTRODUCTION. Definition of Myofascial Trigger Point. Pathogenesis of Myofascial Trigger Point. Physical findings. Testing. Clinical symptoms. Definition of Myofascial Trigger point.

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PATHGENESS OF M YOFASCIAL T RIGGER P OINT - 근막통 유발점의 발병기전 -

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  1. PATHGENESS OF MYOFASCIAL TRIGGER POINT - 근막통 유발점의 발병기전 - 00대학교 근육학회

  2. INTRODUCTION Definition of Myofascial Trigger Point. Pathogenesis of Myofascial Trigger Point. Physical findings. Testing. Clinical symptoms.

  3. Definition ofMyofascial Trigger point • Clinical definition of a central trigger point • A hyperirritable spot in skeletal muscle that is associated with hypersensitive palpable nodule in a taut bend.

  4. Definition ofMyofascial Trigger point • Clinical definition of a central trigger point • The spot is painful on compression and can give rise to characteristic referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.

  5. Definition ofMyofascial Trigger point • Clinical definition of a central • trigger point • Type of Myofascial Trigger point include: • Associated TrP • (연관성 TrP) • Secondary TrP • (이차적 TrP) • Satellite TrP (위성 TrP) • Key TrP (핵심 TrP) • Central TrP (중심부 TrP) • Attachment TrP • (부착부 TrP) • Active TrP (활동성 TrP) • Latent TrP (잠재성 TrP) • Primary TrP (일차적 TrP)

  6. Definition ofMyofascial Trigger point. • Etiological definition of a trigger point • A cluster of electrically active loci each of which is associated with a contraction knot and a dysfunctional motor endplate in skeletal muscle.

  7. Pathogenesis of Myofascial Trigger Point • Nature of trigger point • Mechanism of injury of activation Myofascial Trigger point

  8. Nature of trigger point • Electrodiagnostic characteristics • of trigger point • Histopathological Characteristics • of trigger point

  9. Nature of trigger point • Electrodiagnostic characteristics • of trigger point • - Spontaneous Electrical Activity • ( 특발성 전기 활동 - 저진폭 소음양전위 ) • - Spikes ( 간헐적 고진폭 극파 전위 ) • - Distribution of active loci in a Muscle • ( 근육 내 활동점의 분포 )

  10. Histopathological • Characteristics of • trigger point

  11. Pathogenesis of Myofascial Trigger Point Mechanism of injury of activation Myofascial Trigger point

  12. Mechanism of injury of activation Myofascial Trigger point

  13. Physical findings • Taut band 단단한 띠 • Tender nodule 압통 결절 • Recognition 인식 • Referred sensory sign 관련된 감각증후

  14. Physical findings • local twitch response 국소 연축 반응 • Limited range of motion 운동범위의 제한 • painful contraction 통증성 수축 • Weakness 약화

  15. Clinical symptoms • Onset 발병 • pain complaint 통증호소 • Dysfunctions 기능부전 • Sleep disturbances 수면장애

  16. Testing • Needle ElectroMyoGraphy 침근전도 • Ultrasound Imaging 초음파영상 • Surface ElectroMyoGraphy 표면근전도 • Algometry 통각계 • Thermography 온도기록기

  17. REFERENCES Travell JG,Simons DG. Myofascial pain and Dysfunction:The Trigger Point Manual-Upper Half of Body. Edward S. Rachlin Myofascial pain and Fibromyalgia: Trigger Point Management Dimitrious Kostopoulos and Konstantine Rizopoulos The Manual of Trigger Point and Myofascial Therapy John J. Bonica The Management of Pain 이충휘 저 물리치료학 김창환&김용석 저 근막통증증후군의 치료 정담

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