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PathophyasniEdov liodgeyn ce-DIinafgonraomnseMdida s n agement
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JAND OMMERHOLITP ETEHRU IJBREGTS
CONTEMPORARYI SSUEISN P HYSICATLH ERAPYA ND
REHABILITATMIEODNIC INSEE RIES
MyofascTianlg gePro intPsa.l hophysKJlogy and EVIdence-InfDolrsmgefdl OaSnldMs a nagement
ISa pioneerirnegs ourfcoethr e Integraotfmi yoonla scllpa aicno ncepItnsl cOh nicraacltice pand
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thee pidemiooflmo ygoyf aspcaiiacnll, i nmiacnaalg emoefnp ta tienslpse,c itfrieca tmeinsts uaensdt, h e
roloeft rigpgoeirni tnvs a riopuaissn y ndromTehsit.se xitsa na ccessiinbtlreo dutcomt yioofne stcriiaglger
poinftossrt udeanntdps r acticcilnign icsiuacnahss p, h ysicpihaynssi.tc haelr apoicsctusp,a ttihoenpraisalt s,
chiropraacctuoprusn,c tuarnidms atsss,at ghee rsatsp.i
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histeomrpyh asitzhiienn gt egroaftt riiognpg oeirtn hte raipnyta oc onsarvmaatniavgee maepnptr oach.
OtheTri tlienJs o nes Baanrdt led's
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CONTENTS
Introducbtyti hoeSn e riEedsi t.o.r. ...........................x.i.i.i. ..........
Introduc.t.i.o. .n. . . . . . . . . . . . . . . . . . . . ................ . . . . . . . . . . . . .x.v.i. .i. .
Contribu.t.o.r.s. ...................................x.x.i.i.i. ..............
Chapte1r M yofsaciTarli ggPeori ntTsr:a nslaMtoilnegc uTlhaero riyn to
ManuaTlh era.p.y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. . . . . . . . . .
JohnM .M cPartlaDnOd,,M S
DaviGd. S imonsB,S cM, D,D Sc( Hon)D,S c( Hon)
Introdu.c.t.i.o.n .. .. . .. .. .. ......... ................ 3
TheM otorE ndplaEtpei:c enotfte hrMe y ofasTcriiagglPe ori n.t.. .. . ... . . 3.
ExpandtihnEegn dplHaytpeo the.. s i.s . . . . . . .. .. . .. ... 5.. . . . .
MotoCro mpone..n.t. . . . . . . . . . . . . . . .......... . . . . . . . . . .6. . .
SensorCyo mpone.. n t . . . . . . . . . . . . . . ..7 . . . . . . . . . . . . . . . . . . . . . .
AutonoCmiocm ponen. t. . . . ... . . . . . . . . . . ...... . . . . .... . . . .8.
TranslaTthienogtr oyT hera.p .y . . . . . . . . . . ..9 . . . . . . . . . . . . . . . . . . .
PatiEednutc atio.n . . . . . . . . . . . . . . . . . .10. . . . . . . . . . . . . . . . . . .
Gettitnotg h Peo int . . . . . . . . . .. .. . . .. ..1 1.. .. . . . . . . . . . . .
Conclus.i o.n . . . . . . . . . . . . . . ..1 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .
Refere.n c.e s . . . . . . . . . . . . . . 1.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
vii
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viii CONTENTS
Chapte2r M yofascTirailg gPeori ntAsn: E vidence-InRfeovrimee.w.d . ....... . . .1.7
JanO ommerholPtT,,O PT, MPOSA,A PM
CareBlr onP,T ,M T
JoF ranssePnT,
Ineroduc. t. i. o. n. . . . ... .. .. . . . . . . ... ... . . . . . . . .. .. .. .. .1.7
BriHeifs torRiecvaile. w. . . . . . . . . . . . ..1 .8. . . . . . . . . . . . . . . . . .
CliniAcsaple cotfMs y ofasTcriiagglPe ori n.t.s. . . . . . . .. .. . .. . . . . . .2.0
EtioloofMg yy ofascialP oTirni.tgg.se. r. ..................2.5. ....
TheI ntegrTartieggdPe ori nHyep ocil.e.s.i.s. . . . ...... . . . . . . . . .3.1. .
PerpeFtaucatt.o irnsg. .. ....... . . . ..........3 6.
.
The RooflM ea nualT hera.p.y. ... . . . . .. ... . . . . . ... ... . . .....3 7
Conclu.s i.o n. . . . . . . . . . . . . . . ..... ..3.8
Refere.n .c e. .s. . . .... . .38. . .
Chapte3 rN utritiaonndMa elt aboPleircp etuaFtaicntgoi rnMs y ofascPiaailn. . . . .5.1
JanO ommerhoPlTt,, OPMTP,S ,O AAPM
RoberOt.G erwin, FMAOA,N
Introduc. .t io.n . ... . .. .... ... ... .. .. . . . . . .......51.. . . . . .
Hypothyro.i d.. i s... m .. . . . . . . . .. .. .. .... . . . . . . .. . . .. . . .5.2
IrIonns uffic. ..i.e.n..c. .y.. . . . ......... ..... . . . ..... . . ..5 4
Statin-DCrluags.ss. . .... . ... . . . .... . .. .. . .. . . . .. ..... . . .5.5
VitamDi Inn suffici.e.n.c.y.. .... . . . .. . .. . . . . . . . . .. ...... .5. 6
VitamBi1 n2I nsuffici..en. c)' . . . . . . . . . .. 5.7 . . . . . . . . .
Conclu.s .i .o. n. . . . .. .. . . .. . . ... .. . . . . . . . .. .. .. . . .. ..5 7. .
Referen. c. e. s. . . . . . . . . . . . ........... . . . . . . . . . . . . . . 5. 8. . . .
is
Chapte4r R eliaboiflM iytoyaf sciTarli ggPeori nPta lpation:
A SysmtaetiRce vie..w. .. ... . ....... .. . . . . .. .. . .. ..... . . . ...6 .5
JohnsMonc EvoyP,T ,B ScM,S c,O PT,M ISCPM, CSP
PeteAr. H uijbrePgTt,sM ,S c,M HSc,O PT,O CS,F AAOMPT,F CAMT
Introdu.c .t ion . . . . . . . . ..6 5. .
Mehtodasnd Materi.a.l.s. .. .. .. ... . . . ................67.
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CONTENTS ix
Resul.t.s. ..,',....., , .,. .,., , .... .,, .., 6 ,7,
Discussion ,, . .....,.. ., ..,. ..8.0
Conclu.s.i, .o .n. .....,.. . ........,. ,. ..,. .,. .,. .. .. ... 86
,87
'"'U"l"''''5' Interrater of Poinitns
Three ,. .....,. ....., . .., .89
CareBlr onP,T ,M T
JoF ranssPeTn ,
MicheJl.P .
RobA .B .'� ''''L�'''�'-'' MT,P hD
Introduction ....8.9
Methoadnsd , ..,. 9 0
Resul"ts,' .,. . . ... . , , .. .,. .9. 8.
Discussion
Conclusion ,. 106
,,106
"
. , , , ...... .,. .,. ., . ,., . ,., . .,, 1 06
Chapt6e rC ontributoifo ns PointtosC hronic
Headache ....... 109
Cesar PT,D O,P hD
LarAsr endt-Nielsen,P hD
DaviGd. S imons, MD,D Sc( Hon)D,S c( Hon)
Int roduction . 109
Definition " " " """""" ,112
ReferPraeitdno t heH ead Poinitsn
Heada,n dS houlMduesrc l.e.s, " ,,112
Clinical PoinitnCs h ronic ." ,,117
Are .." .." .120
How Tens ionH-eTaydpaec, h e1'22
Conclus'i o,. n ,, , ,. ., , ., . ,. .123
Acknowledgments 123
References ,123
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x CONTENTS
Management
Chapte7r E ffectiveonfNe osnsi nvasTirveea tmefnotArsc tivMey ofascial
TriggPeori nPta inA: S ystemaRteivci e.w. . . . . . . . . . . . . . . . . .1.2.9. . .
LukeD .R ickards, BMAOpsptSeeo,
Introdu.c.t.i.o.n. . . .. .. . . . . . . . . . . .. .. .. . . . . . . . . . . .1. 2.9. .
MateriaanldMs e thocLs. . .. . . ... . . . . . . . . . .. .... .. . ... . . . . 1. .31
Resul.r..s. . . . . . . . . .... . .. .......... .. ....... .. ..1.33. . .
Discuss. i. o..n. . . . . . .. . ...... .. . ...... ...... . . . ..1 .46 . . .
Conclus. i. o. n. . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 5. 2. . . . . .
Acknowledgm. .e..n.r..s. . . . . ...... . . . . . ... .. . . . . . . . . .1.5. 3.
Referen. c. e. .s. . . . . . . . . .. . ... ... ... .. .. 1.5 3
Chapte8r T riggPeori nDtr yN eedli.n..g. .. . . . . . . . . . . . ........ . . . . . . . . 1. .5.9.
JanD ommerhoPlTt,,D PT,M PS,D AAPM
OrlandMoa yoradle lM oralP,T
ChristGiraonb li, PT
Introdu.c.t.i.o.n. . . . . . . . . . . . . . . . .. .. .. .. .. .. . . . . . . .1.5.9.
DryN eedlTiencgh niq. .u.e.s. . . . . . . . . . . . .......... . . . . . .1. 6.2.
EffectivoefTn reisggsPe ori Dnrty N eedli.n.g. .. ... . . . . . . . . . . .1.7.0.
MechaniosfTm rsi ggPeori Dnrty N eedling. . . . . . . . . . . . . . . . 1. .7.4. .
TriggPeori Dnrty N eedlvienrgs Iunsj ecTthieorna p. y. . . .... . . . .. . . 1. 7. 6
TriggPeori Dnrty N eedlvienrgs Aucsu punct.u.r.e. . .. .. . . . . . .... .1.7 8
Conclus.. i o.n . . . . . . . . . . . . . . .. .1. 8 0. . . . . . . . . . . . . . . . . . . . . . .
Referen. c. e. s. . . . . . . . . . . . . . . . . ..... .. ....... . . . . . . .1.8.0.
Chapte9r P hysiTchaelr aDpiya gnoasnidsM anagemeonfat P atient
witChh ronDiaci lHye adachAe C:a seR epor.t. . . . . . . . . . . . . .1.91. . .
TamerS .l ssPaT,, B Se,D PT,O CS
PeteAr. H uijbrse,Pg Tt,M Se,M HSe,D PT,O CS,F AAOMPT,F ACMT
Introdu.c.t.i..o.n. . . .... . . . . . . . . ... .. .. . .... . . . . . . . .1.91.
CasDee scrip.. t i.o n. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 200
Discuss. i. o. n. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. ..2 .4.6. . .
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