Origin mechanisms and neurophysiological peculiarities of proprioceptive trigger points
Prof. Ivanichev G.A
Kazan, Russia
Classification
A. Trigger points: extraceptive (skin, mucous)
proprioceptive (muscular, fascial ,periosteal)
intraceptive (vascular, muscular)
B. Mechanism. Reorientation of contractible substrate and
receptor apparatus in consequence of static work
of minimum intensity and long duration.
Disfunction of segmental level of motion organization.
Pathology.
a) Mechanism disturbance of correction type of
motion organization.
b) Impulse sectivity motoneuron disturbance.
c) Motoneuron nonimpulse activity disturbance
(neurotrophic control).
Supersegmental level regulation disfunction (pathology of
programme type of motion organization).
a) Phoriration of pathological motor stereotypes.
b) Formation of central algetic sensorimotor
complexes.
C. Neurophysiological peculiarities.
I. Motor unit territory distortion.
II. Rate retardation of excitement wave passing through trigger
point.
III. Coordination relation disturbance of muscles anthogonists.
IV. Excitement disturbance in realization of polysynaptive
reflector complexes and absence of silence period.