A critical evaluation of the trigger point phenomenon
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John L. Quintner, Geoffrey M. Bove and Milton L. Cohen
Rheumatology (2014); First published online
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Acupuncture and Trigger Points -
I said:
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Funny. I saw this earlier today and thought of you having a smile.
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Anyone for a dry needling course? :dizzy:
Applied kinesiology courses going cheap also.
Charlatans. https://www.youtube.com/watch?v=0RJwW77Lsj8 "everyone has been burned before"
"It seemed so plausable" "well how ****in scientific, I didn't realise you'd gone to so much trouble"- Hicks. The trouble is, they hadn't gone to any trouble at all, merely jumped upon the bandwagon and hoped for the best (and the money). Tossers, kill yourself. "There is no rationalization for what you do..."; "sleep tight"- https://www.youtube.com/watch?v=gDW_Hj2K0wo -
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Note they did not say they don't exist.
Prof Cohen has been an anti TP person for 30+ years that i know of.
just because we cannot understand what is going on, it does not mean these phenomena do not exist.
let me know when you work this out:
why at moon rise it looks so big
yet if you take a photo it is small as when moon rise has finished rising.
did you see it did you not?
buckets of rain for the past week. they say a week more of rain and severe thunder storms and hail, flash flooding etc.
it is the silly season
took photos of a pair of common emerald doves. they are 2000 miles out of wack. Their GPS has failed!!
they should be up far north Queensland and/or Indonesia.
Regards to all
Paul Conneely -
He doesn't deny the existence of Trigger Points. He denies that Myofascial Pain Syndrome (Fibromyalgia) is caused by Trigger Points. I agree with his findings. -
Hands up, all those that have actually read the paper?
I have.:drinks
The "clinical phenomena" which they do not deny, are that some people have sore spots in their soft tissues. -
There is no way trigger points and fibromyalgia could be the same.
Myofascial points are just that, they are points that hurt and are non symmetrical.
fibromyalgia is symmetrical and thus come from above the cerebellum
one is local one is central.
still raining ++
Paul Conneely www.musmed.com.au
Prof Bogduk said that fibromyalgia is one of the serotoinin linked conditions that is over ridden by oestrogen.
I think he is right -
Needles, having a therapeutic effect? Frankie says; Sounds like witchcraft ;) -
https://www.youtube.com/watch?v=5klKXoGrReM -
Critical evaluation of above paper:
The trigger point strikes … out! -
A Critical Evaluation of Quintner et al: Missing the Point
Jan Dommerholt, PT, DPT, MPS, DAAPM, Robert D. Gerwin, MD
Journal of Bodywork and Movement Therapies; Article in Press
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BMJ editorial:
Soft tissue sore spots of an unknown origin
Adam Meakins
Br J Sports Med 2015;49:348 doi:10.1136/bjsports-2014-094502 -
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Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective
Jay P. Shah et al
PM & R; Article in Press
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Here is an earlier commentary on this issue:
Trigger Point Doubts
Is there really such a thing as a muscle “knot”? -
The latest:
A critical evaluation of Quintner et al: Missing the point
Jan Dommerholt, PT, DPT, MPS, DAAPM, Robert D. Gerwin, MD
Journal of Bodywork and Movement Therapies; April 2015Volume 19, Issue 2, Pages 193–204
John L. Quintner, Geoffrey M. Bove, Milton L. Cohen
Journal of Bodywork and Movement Therapies; In Press
{no abstract} -
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Quantification of Myofascial Taut Bands
Qingshan Chen, M.S, Hua-jun Wang, M.D, Ralph E. Gay, M.D, Jeffrey M. Thompson, M.D, Armando Manduca, Ph.D, Kai-Nan An, Ph.D, Richard E. Ehman, M.D, Jeffrey R. Basford, M.D., Ph.D
PM & R; Article in Press
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A Critical Overview of the Current Myofascial Pain Literature ? October 2015
Jan Dommerholt, PT, DPT, DAAPM, PT, Ph.D Rob Grieve, Todd Hooks, PT, ATC, OCS, SCS, FAAOMPT, Michelle Layton, PT, DPT, OCS, FAAOMPT
Journal of Bodywork and Movement Therapies; Article in Press
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Isn't this just a simple concept of muscle spasms in select minute muscle strands caused by stress and pain (which is a normal reaction to those stimuli) and then that affects the surrounding tissues and structures as well since all of our body parts are connected with each other? So even one malalignment on one part can affect the biomechanics of the surrounding structures? And MPS is just a term to describe that spread of affectation from a part that got spasms and affected the surrounding areas? Fibromyalgia though on the other hand might also involve neural connections.
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The Prevalence of Latent Myofascial Trigger Points in Lower Limb Muscles in Asymptomatic Subjects
J.C. Zuil-Escobar, PhD, C.B. Mart?nez-Cepa, PhD, J.A. Mart?n-Urrialde, PhD, A. G?mez-Conesa, PhD
PM & R; Article in Press
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What Is Evidence-Based About Myofascial Chains: A Systematic Review.
Wilke J et al
Arch Phys Med Rehabil. 2016 Mar;97(3):454-61.
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Evolution of the methodological quality of controlled clinical trials for myofascial trigger point treatments for the period 1978–2015: A systematic review
Rahel Stoop et al
Article in Press
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International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study
César Fernández-de-las-Peñas, PT, PhD, DMSc Jan Dommerholt, PT, DPT, MPS
Pain Medicine, pnx207, https://doi.org/10.1093/pm/pnx207 22 August 2017
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Here is an article that shows the intra-rater reliability of assessing the location and severity of latent TrPs in the quadriceps:
http://www.bodyworkmovementtherapie...p;elsca4=Physical Medicine and Rehabilitation
Abstract
Background
Trigger points (TrPs) in the lower-limb are under-investigated and may be a contributory factor in knee pathologies.
Objectives
The purpose of this study was to establish the intra-rater reliability of assessing the location and severity of latent TrPs in the quadriceps.
Methods
Twenty-nine asymptomatic subjects were palpated for TrPs in the middle and quadriceps. The location and severity was then measured using the anatomical landmark system (ALS) and pain pressure threshold (PPT). The subject was re-tested the next day.
Results
The intra-class coefficient [ICC(3,1)] for the ALSs and PPTs were found to be reliable. Gender appears to be a factor in the severity of TrPs in the quadriceps. Females reported some of the features of TrPs more often than males (jump sign, twitch response, referred pain).
Conclusion
Further investigation is needed to understand the relationship between TrPs around the knee and knee pathologies, particularly in females.-
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Trigger Point Manual Therapy for the Treatment of Chronic Noncancer Pain in Adults: A Systematic Review and Meta-analysis.
Denneny D, et al.
Arch Phys Med Rehabil. 2019.
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