This document provides information about myofascial pain syndrome (MPS) and myofascial trigger points. It discusses the characteristics of trigger points, including focal tenderness, reproduction of pain on palpation, muscle hardening, referred pain, and limited range of motion. The document also outlines various activating mechanisms for trigger points, characteristics of myofascial release therapy, conditions it can help treat, its proposed mechanisms of action including phase transition and resonance, and two anecdotal examples of its effectiveness in reducing pain and facilitating healing.
Tender points are areas of the body that experience different types of pain when pressure is applied to them.
A Trigger Point (TrP) is a hyperirritable spot, a palpable nodule in the taut bands of the skeletal muscles' fascia.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Introduction to muscle energy techniques (METs)Fared Alkordi
The use of Muscle Energy Techniques (METs) to reduce muscle pain and improve muscle length. Types, physiological mechanisms and practical techniques in clinical settings.
Tender points are areas of the body that experience different types of pain when pressure is applied to them.
A Trigger Point (TrP) is a hyperirritable spot, a palpable nodule in the taut bands of the skeletal muscles' fascia.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Introduction to muscle energy techniques (METs)Fared Alkordi
The use of Muscle Energy Techniques (METs) to reduce muscle pain and improve muscle length. Types, physiological mechanisms and practical techniques in clinical settings.
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
A detailed presentation from our Trigger Point Therapy workshop for sport's and massage therapist's. This event was held at our St John Street clinic on the 30th April 2016.
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
This presentation will give an basic insights about the spinal mobilisation and various manual therapy techniques used on Lumbar spine especially Maitland & Mulligan techniques.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Commonly used Manual therapy technique by Physiotherapists,Osteopaths .useful in treating many of the soft tissue ailments and also a very useful tool in Sports physiotherapy.This deals with the basic concept of mayofascial release technique and its types ,indications ,basic concept of fascia,its functions.
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
A detailed presentation from our Trigger Point Therapy workshop for sport's and massage therapist's. This event was held at our St John Street clinic on the 30th April 2016.
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
This presentation will give an basic insights about the spinal mobilisation and various manual therapy techniques used on Lumbar spine especially Maitland & Mulligan techniques.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Commonly used Manual therapy technique by Physiotherapists,Osteopaths .useful in treating many of the soft tissue ailments and also a very useful tool in Sports physiotherapy.This deals with the basic concept of mayofascial release technique and its types ,indications ,basic concept of fascia,its functions.
an overview of muscle pain disorder which regularly create some discomfort for patient to live a normal life as well as to the doctor regarding diagnosis of the problem.
Model Attribute Check Company Auto PropertyCeline George
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He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
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The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
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The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
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2. MPS
Fibroscitis[Sir.William Goyers]
Myofascitis[Albee]
Nonarticular rhuematism
Tension myalgia
MPS are among the most commonly overlooked causes of chronic
pain and disability in medicine (Simons 1988).
Travell described the term “Trigger point’ and adopted the
expression Myofascial pain syndrome.
“fibrositis”myofascial pain syndrome+fibromyalgia.
3. MYOFASCIAL PAIN SYNDROME-Myofascial pain
syndrome (MPS), also known as chronic myofascial
pain (CMP), is a syndrome characterized by chronic pain
caused by multiple trigger points and fascial constrictions.
Characteristic features of a myofascial trigger point include:
focal point tenderness, reproduction of pain upon trigger
point palpation, hardening of the muscle upon trigger point
palpation, pseudo-weakness of the involved muscle, referred
pain, and limited range of motion following approximately 5
seconds of sustained trigger point pressure.
4.
5.
6. CHARACTERISTICS OF TRIGGER POINTS:-
1.Focal point of tenderness to palpation of the involved muscle
2. Reproduction of pain complaint by trigger point palpation (about 3 kg
pressure)
3. Palpation reveals an induration of the adjacent muscle (the “taught
band”)
4. Restricted range of movement in the involved muscle
5. Often pseudo-weakness of the involved muscle (no atrophy)
6. Often referred pain on continued (~5 secs) pressure over trigger
point.
7.
8.
9.
10.
11. Activating mechanisms-
Muscle overuse or underuse
Faulty positioning
malalignment of forces
underlying joint dysfunction.
Exceeded critical loadmuscle
dysfunctionpremature muscle fatigue
Myofascial trigger point--point where the muscle
was no longer capable of handling the load,
perhaps as a result of local injury or disruption of
the myofibrillar structure.
15. Myofascial release ( MFR) is a soft tissue therapy for the
treatment of skeletal muscle immobility and pain.Principle of
MFR is gentle application of sustained pressure into fascial
restrictions.A low load applied slowly allows a viscoelastic
medium to elongate.
Self-myofascial release (or SMFR) This alternative
medicine therapy aims to relax contracted muscles, improve
blood and lymphatic circulation, and stimulate the stretch
reflex in muscles.
"myofascial release" was coined in the 1960s by Robert Ward
Ward, along with physical therapist John Barnes, are considered
the two primary founders of MFR
Direct release Indirect release
Tissue is loaded with constant fascia unwind itself with least
forces until ‘release’ occurs resistance until free movement
is achieved
16. DIRECT THERAPY
Land on the surface of the
body with the appropriate
'tool' (knuckles, or forearm
etc.).
Sink into the soft tissue.
Contact the first
barrier/restricted layer.
Put in a 'line of tension'.
Engage the fascia by taking up
the slack in the tissue.
Finally, move or drag the fascia
across the surface while
staying in touch with the
underlying layers.
Exit gracefully.
--Micheal stanborough
INDIRECT THERAPY
Lightly contact the fascia with
relaxed hands.
Slowly stretch the fascia until
reaching a barrier/restriction.
Maintain a light pressure to
stretch the barrier for
approximately 3–5 minutes.
Prior to release, the therapist
will feel a therapeutic pulse
(e.g., heat).
As the barrier releases, the
hand will feel the motion and
softening of the tissue.
The key is sustained pressure
over time.
---Barnes
19. The importance of sustaining pressure at the restricted barrier to
create“phase transition” is paramount for lasting results and stimulates
the production of Interleukin 8 which is our body’s natural anti-
inflammatory.
Resonance is essential for the reduction of pain, increase in range of
motion, and for authentic healing to occur which cant be produced by
other types of therapies.
Piezoelectricity[pressure electricity]:- Our cells are crystalline in nature.
When you place pressure into a crystal it creates an electrical flow. The
sustained pressure coupled with the essential time element creates a
bioelectrical flow (the motion of our mind which leads into
mechanotransduction)
Mechanotransduction:-sustained mechanical pressure can also create
biochemical changes within our bodies.Importantly, MFR produces IL
8.Inflammation is a important part of the healing process.when
inflammation has been thwarted it tends to solidify the ground substance
of the fascial system which should be fluid. This blocks healing and over
time tends to continue to solidify into crushing restrictions that produce
the symptoms .
Phase Transition:-These two occurrences dove tail together and then
Phase Transition takes place. This is the phenomena of ice transforming
into water. In our bodies a similar occurrence happens. The solidification
of the groundsubstance becomes more fluid allowing the tissue to
rehydrate and to glide taking crushing pressure (appro.2,000 pounds per
square inch) off of pain sensitive structures
20. Chaos Theory:-true growth and
healing cannot occur in a
controlled,orderly
way.“Systems Theory” states
that nature goes through
continuous of order, chaos,
order,chaos, etc. It is in the
“ChaoticPhase” that
reorganization occurs.For
Phrase Transition to occur,
there is a period of Chaos for
the solidified ground
substance of the fascial system
to transform into a more
viscous/fluid state.
Resonance:-When one person touches another person their vibratory rates
are quite different on the molecular level, however with sustained pressure
at the fascial restriction, the vibratory rates will become identical creating
resonance[Release]. Resonance unfortunately does not occur in other
forms of therapy as other forms of therapy are too quick,hence providing
only temporary results. Myofascial Release coupled with other forms
of techniques will enhance effectiveness.
“art” of locating the fascial Restrictions..
21. “My son fractured his clavicle during a karate class. I took him to
the emergency room where he received an x-ray, was given a
sling,medication, and was told he will heal in a couple of weeks,
but his clavicle will stay deformed.So, after we went home, I
performed MFR for his neck, shoulder, and chest wit very gentle
touch. He felt much better. His pain went significantly down, he
slept well, and the next day we decided to see an orthopedist
and re-x-ray his shoulder. According to the orthopedist, he
couldn’t explain why his bone was reset in as little as 16 hours.
My son is doing just fine; he has no pain, and played basketball
today!
BEFORE AFTER MFR,1 DAY LATER
22. My wife told me thatshe has a cyst on her right ovary and “ it
does not look good”.During her routine ultrasound it was
discovered that she had a dermoid cyst.The doctor suggested
surgery to remove the whole right ovary. He warned us that solid
cysts do not go away and that my wife would need surgery.My
wife saw an advanced John F.Barnes’ Myofascial Release therapist
the following day and subsequently completed 10 Myofascial
Release sessions. When my wife had her second ultrasound
performed, the cyst was completely gone! “No surgery” the doctor
said. What a relief!
23. “Therapists and patients who
have experienced the
profound reduction of pain
and the restoration of
mobility using Myofascial
Release are the trailblazers
and innovators of
healthcare.”--Barnes
![MPS
Fibroscitis[Sir.William Goyers]
Myofascitis[Albee]
Nonarticular rhuematism
Tension myalgia
MPS are among the most commonly overlooked causes of chronic
pain and disability in medicine (Simons 1988).
Travell described the term “Trigger point’ and adopted the
expression Myofascial pain syndrome.
“fibrositis”myofascial pain syndrome+fibromyalgia.](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)