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

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

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

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

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

7.  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. A cluster of electrically active loci each of which is associated with a contraction knot and a dysfunctional motor endplate in skeletal muscle. Definition of Myofascial Trigger point.

8. Nature of trigger point  Nature of trigger point Pathogenesis of Myofascial Trigger Point  Mechanism of injury of activation Myofascial Trigger point Myofascial Trigger point

9. Electrodiagnostic characteristics Electrodiagnostic characteristics of trigger point of trigger point Histopathological Characteristics Histopathological Characteristics of trigger point of trigger point  Nature of trigger point

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

13. Histopathological Histopathological Characteristics of Characteristics of trigger point trigger point

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

15. Mechanism of injury of activation Myofascial Trigger point

19. Taut band 단단한 띠  Taut band 단단한 띠  Tender nodule 압통 결절  Recognition 인식  Referred sensory sign 관련된 감각증 후 Physical findings

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

22. Onset 발병  Onset 발병  pain complaint 통증호소  Dysfunctions 기능부전  Sleep disturbances 수면장애 Clinical symptoms

26.  Needle ElectroMyoGraphy 침근전도  Ultrasound Imaging 초음파영상  Surface ElectroMyoGraphy 표면근전 도  Algometry 통각계  Thermography 온도기록기 TestingTesting

27. 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 REFERENCESREFERENCES