- Introducing the presenter
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Why is knowledge about TPs important for your daily work?
Let's start with looking at two practical
Say that you have a client with thumb pain due to keyboard use.
What factors would you look at ?
Position of thumb during work?
Overuse of thumb out side work?
The way the thumb is used on the spacebar, breaks, micropasues, posture, task variation, etc,?
Now say that you had knowledge of this triggerpoint:
Now all of a sudden neck position, frequent or sustained neck rotation, breathing technique and stress
could be the main factors!
This is just one of many examples!
Few therapists realise that de-activating triggerpoints does not only restore length, it also restores strength.
I did the following outcome measurements on a group of our clients with elbow/ 4-arm/ wrist complaints.
These clients were not given any strengthening exercises!
GRIP STRENGTH IN KG (JAMAR)
Why is knowledge of TP deactivation
important for our profession?
When the soft tissue injury shoulder guidelines were introduced by ACC, they were presented in
Christchurch by orthopaedic surgeon Mr. Khalid Mohammed.
The guidelines list the extrinsic causes of shoulder pain. Mr Mohammed stated that in his opinion myofascial pain is
the most prevalent extrinsic cause.
In January 2006, the Musculoskeletal Medicine Doctors organised a course on core stability. This was presented by
Dr Pavel Kolar. Dr Kolar regards de-activation of triggerpoints as an essential part of his treatments.
The Kinetic control people (again core stability) also use triggerpoint de-activation as a way to achieve muscle
In the spring of 2005, the Canterbury Physiotherapy Branch organised a seminar. Several speakers mentioned
Triggerpoint De-activation as one of their chosen strategies to reach treatment goals.
It appears that triggerpoint de-activation is becoming more and more mainstream. South Africa is one nation
where thorough knowledge of triggerpoints is a requirement to obtain a diploma in physiotherapy. in NZ
TP de-activation seems a basic part of the knowledge of Musculo Skeletal Medicine doctors and massage therapists.
As a profession, are we staying behind?