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Chapter 21-2 Neuromuscular Therapy (Types ((Central (Center of muscle…
Chapter 21-2
Neuromuscular Therapy
Definition
Hyperirritable spot in skeletalmuscle that is associated with a hypersensitive palpable nodue in a taut band
Characteristics
Feel like nodules
Hypersensitive
Hyperirritable in local tissue
Found in taut bands of tissue
Referred sensation
Types
Central
Center of muscle belly
Key
Activates satellite TPs
Attachment
Attachment sites
Associated
Associated with another TP in another muscle
Latent
Px upon palpation
Active
Px at rest
Primary
Central activated by trauma or overuse
Satellite
Activated by Key TP
Symptoms
Pain
Paresthesia
Muscle tension
< ROM
Motor fxn disturbances
Autonomic disturbances
(abnormal sweating, eye redness and irritation
watering of eyes, blurry vision,
runny nose, goose bumps)
Sleep disturbances
Goal
Locate and treat TPs that are causing pain, muscle shortness, and muscle weakness
Deactivation
Can be intense;
no more than 5 muscles / session
Clusters
Identify most irritated spot
Work medial and superior
Work superficial first
Muscle bellies
Lengthened position
Warm tissue first
Techniques
Ischemic compression
Pincer compression