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Define: TRIGGER POINT THERAPY
Deactivation of trigger points in muscles and related connective tissue.
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% of Trigger Points found in the body
80%
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How long do you hold a static stretch?
10-30 seconds
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Adjunct therapies
- - hydrotherapy (baths, sauna, steam room...)
- - physiotherapy
- - exercise (yoga, breathing, mediation)
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Edema
Abnormal accumulation of fluid in tissue spaces.
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Tendonitis
Inflammation of a tendon
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Subclinical tendonitis
Painful under the pressure of massage
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Tenosynovitis
Inflammation of the lining of the sheath that surrounds a tendon
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Chronic muscle tension
- develops slowly
- causes: poor posture, repetitive use, holding tension & emotional stress
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Acute muscle tension
- Sudden forceful contraction/stretch
- blunt trauma directly to muscle
- recent overuse
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Ways to reduce Delayed Onset Muscle soreness
- Increase blood flow and oxygen andrelax body and muscles by:
- static stretching
- light exercise
- massage
- cold water/ice
- alternating heat/cold
- movement in a pool
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SPRAIN
Injury of a ligament
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STRAIN
Damage to a part of muscle, fascia or tendon
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Type of pressure on Trigger Points
3 phase ischemic pressure
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Travell and Simons
Think: TRIGGER POINTS
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What is the difference between a ligament and a tendon?
- Ligament: bone to bone
- Tendon: bone to muscle
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Strokes used for formation of scar tissue
- Broadening
- Deep transverse friction
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RESTORATIVE MASSAGE
- Recovery massage
- Remedial massage
- Rehabilitation massage
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Recovery Massage
Application for uninjured athletes recovering from a strenuous workout/competition
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Remedial Massage
Application for athletes with minor to moderate injuries (5-15 mins.)
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Rehabilitation Massage
Massage as a part of comprehensive treatment plan for athletes with severe injuries/following surgery
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PRE-EVENT
duration
5-12 mins
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PRE-EVENT
Goals
- reduce pre-event anxiety
- increase circulation
- prepare muscles for optimum performance
- increase athlete's sense of readiness
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POST-EVENT
Goals
- reduction of DOM
- to enhance removal of metabolites
- to reduce mild swelling and inflammation
- re-establish muscular integration
- Athlete recovers sooner and peforms better next time
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Cramp Management
- direct compression
- mild static stretch
- reciprocal inhibition
- approximation
- ice
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Whole athlete model
- Physical
- mental
- emotional
- social
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CONCENTRIC
Shortening under load
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ECCENTRIC
Lengthening under load
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ISOMETRIC
Length doesn't change
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Passive Stretch
Practitioner applies stretch, athlete relaxes
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Passive- active stretch
practitioner applies stretch, athlete holds position
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Active- assisted stretch
Athlete begins movement, practitioner finishes
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ISOTONIC
Length changes (same tone, normal movement)
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Function of FASCIA
- 1. Provides support for nerves & vessels
- 2. Gives stability and contour to many bodily structures
- 3. Enables adjacent tissues to move upon each other
- 4. Provides fluid for lubrication
- 5. Participates in reflex mechanisms
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SUPERFICIAL FASCIA
Attached to undersurface of the skin- loosely knit fibro-elastic aerolar tissue
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DEEP FASCIA
Envelopes and separates the internal visceral organs and contributes to the contour and function of the body
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Subserous FASCIA
Loose aerolar tissue which covers all of the visceral organs
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ROM
- Active- passive movement of a joint for evaluation
- determines if an injury is structural (joint) or functional (muscles that move joint)
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