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OPP Lect 16
| Question | Answer |
|---|---|
| Myofibroblasts | -differentiated fibroblasts in response to strain and increased interstitial fluid -similar to smooth muscle -lend structural support -paracrine/endocrine functions **Exist in short term to facilitate wound healing |
| Myofascial Point system | Clinical diagnosing system/treatment based on locating specific points on the body's surface |
| 4 point-based myofascial systems | 1. Counterstrain tender points 2. Chapman's reflex point 3. Trigger point 4. Acupuncture point |
| Theory behind counterstrain tenderpoints (Jones) | locally tender myofascial points that DO NOT refer pain beyond that location. **Found mostly in muscle bellies and musculotendinous areas due to high concentration nocioceptive fibers |
| Diagnosing and treating Counterstrain Tenderpoints | Diagnosing: Palpating specific, defind points both anteriorly and posteriorly Treatment: Move patient into position of comfort for 90/120 seconds, then passively return them to neutral |
| Theory behind trigger points (Travell) | myofascial point that REFERS pain in a specific muscle |
| Diagnosing and treating trigger points | Diagnosis: taut bands that feel like contracted muscle fiber. Produce a twitch reaction Treatment: Dry needling or injection |
| Difference between Trigger and tender points | Tender points don't have: 1. characteristic pain pattern 2. radiating pain pattern when pressed 3. Taut bands present 4. Twitch response 5. Dermographia of skin over point **Both elicit jump sign when pressed and are located primarily in muscle t |
| Theory and diagnosis Chapman's reflex points | Gangliform contractions (small, stringy, tender) representing a viscero-somatic reflex (caused by visceral dysfunction) **often found on the deep fascia or periostium. |
| Theory behind acupuncture points | Found in areas of Lower Electrical Skin Resistance -depressed b/w muscle groupd allowing direct access to lamellar flow. -areas of Loose CT (overlying neurovascular bundle) Causes CNS activation of Endogenous opiod receptors and non-opiod pain inhibit |
| Diagnosing acupuncture points | Tender to deep palpation without radiation elsewhere. Produces a tissue response when needled (histamine) -Shu points (posterior wall. organ specific) -Mu points (anterior wall. segmentally specific) |
| Similarities between all 4 point systems | 1. tender with palpation 2. causes palpable tissue texture change 3. Somewhat predictable in location 4. Paired diagnostically as Ant&Post 5. Associated with pain (local or referred) |
| Treating acupuncture points | Using a needle with 3 microvolts of electrical potential at body temperature. **takes 10-15 min to reach equilibrium (when erythema/histamine response disappears) |
| Dispersion acupuncture | used to treat excess or acute conditions -electric potential 3 microvolts -10-15 minutes equilibrium |
| Tonification acupuncture | used to treat deficiency or chronic illness -electric potential 10-15 microvolts -equilibrium within 60-90 min |
Created by:
WeeG
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