![]() ![]() ![]() The physical findings for diagnosis of a myofascial trigger point are (1) palpation of a tender nodule in a taut band, (2) a referred pain pattern specific for the muscle, (3) a local twitch response (LTR) with snapping palpation or triggering with needle, and (4) restricted ROM (Travell J, Simons DG, Myofascial pain and dysfunction: the trigger point manual, vol 1. Travell, Travell Simons Myofascial Pain and Dysfunction: The Trigger Point Manual, 2-Volume Set Lippincott Williams Wilkins 1999 ISBN: 1664 pages File type: PDF 82,4 mb Updates the 1983 edition to mark the transition of the trigger point concept from a syndrome of unknown etiology to an experimentally established neuromuscular disease entity. Active TrP produce a referred pain pattern specific to that muscle spontaneously and when the TrP is palpated. Latent TrP are associated with stiffness and restricted ROM but no pain unless palpated. Trigger points (TrP) can be latent or active (Simons DG, Travell JG, Postgrad Med 73:66–108, 1983). The diagnosis of MPS is based on the presence of 1 or more trigger points. Myofascial pain syndrome (MPS) as defined by Travell and Simons is characterized by trigger points (TrP), limited ROM of the affected muscle(s), and neurologic symptoms (autonomic, proprioceptive) (Simons DG, Travell JG, Postgrad Med 73:66–108, 1983). ![]()
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