Kontakt 2007, 9(2):387-390 | DOI: 10.32725/kont.2007.059
Recent knowledge in the theory of trigger pointsBiomedicine
- Univerzita Karlova v Praze, Fakulta tělesné výchovy a sportu, katedra anatomie a biomechaniky
The theory of trigger points is commonly used in rehabilitation medicine. We can meet it in books by prof. Lewit (1) or Janda, but its aetiology has not yet been described and it was not explained, what is the structure of a trigger point in terms of histology and anatomy. Sites of trigger points are furthermore described, but there is no information why they were formed and mainly in what way. Thus, lack of data in this field suggested me to perform a deeper study and literature search work to find answers to the following questions, which are simultaneously the main target of the present article:
1. Do trigger points exist or do they represent a fictitious concept only?
2. Is it necessary to deal with the problem anymore?
3. What is the aetiology of the trigger point formation?
4. What is the effect of the trigger point on the human organism?
In terms of methodology, the work is mainly a deeper literature search study, which is aimed at Czech as well as foreign authors and its result should be finding answers to the questions presented above.
It is of interest that there are not many special articles, which could explain and describe the origination of the trigger points. A great body of literature is only aimed at the location of the trigger points and not at their origination.
The result of the literature search study is presented in the subsequent text, which contains the questions considered with attempts to bring integral information on the last knowledge in the study of the trigger points.
The contents of the work may be divided into two parts: theoretical part, which is focused on the aetiopathogenesis of the trigger points formation and practical part comprising a summarizing description of the use of theoretical knowledge in practice.
Keywords: Trigger point; motor unit; acetylcholine
Received: September 21, 2007; Accepted: November 9, 2007; Published: December 21, 2007 Show citation
References
- LEWIT, K.: Postisometrische relaxation in kombination mit Andersen mes muskularer fazilitation und inhibition. Manuelle Medúzin. 1986, 24: 30-34.
- MCPARTLAND, J. M.: Travell Trigger Points - Molecular and Osteopathic Perspectives. JAOA, 2004, 104 (6), s. 244-249.
- KANDEL, E. R., SCHWARZ, J. H., NESSEK, T. M.: Principals of Neural Science. 4th ed. New York: McGraw - Hill, 2000.
- GINIATULLIN, R. A., SOKOLOVA, E. M.: ATP and adenosine inhibit transmitter release at the frog neuromuscular junction through distinct presynaptic receptors. Br. J. Pharmacol. 1998, 124: 839-844.
Go to original source... 
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- SIMONS, D. G., TRAVELL, J. G., SIMONS, L. S.: Travell and Simons Myofascial Pain and Dysfunction: The Trigger point Manual. Vol 1. Upper Half of Body. 2nd ed. Baltimore, Md: Williams & Wilkins, 1999.