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Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points ...
Provides motor innervation to the muscles of facial expression, posterior belly of the digastric muscle, stylohyoid muscle, and stapedius muscle. Also receives the special sense of taste from the anterior 2/3 of the tongue and provides secretomotorinnervation to the salivary glands (except parotid) and the lacrimal gland .
The compound muscle action potential (CMAP) size is found using supramaximal stimulation of the motor nerve to the muscle or muscle group (similar to a nerve conduction study). It is recorded using surface electrodes. This is representative of the sum of the surface detected motor unit action potentials from muscles innervated by that nerve.
The motor neuron sends an electrical impulse to a muscle. When the neuron in the cortex becomes active, it causes a muscle contraction. The greater the activity in the motor cortex, the stronger the muscle force. Each point in the motor cortex controls a muscle or a small group of related muscles. This description is only partly correct.
Larger motor units contract along with small motor units until all muscle fibers in a single muscle are activated, thus producing the maximum muscle force. Temporal motor unit recruitment, or rate coding, deals with the frequency of activation of muscle fiber contractions. Consecutive stimulation on the motor unit fibers from the alpha motor ...
It was shown that the use of electrical stimulation of muscles for motor control would stimulate large, fatigable motor unit first. [14] For many years it has been believed that the use of electromyostimulation (EMS) to stimulate muscle contraction creates a reversal of the general size principle recruitment order, due to the larger motor unit ...
Electromyography (EMG) has been used to identify abnormal motor neuron activity in the affected region. [5] A physical exam usually reveals palpable trigger points in affected muscles and taut bands corresponding to the contracted muscles. The trigger points are exquisitely tender spots on the taut bands. [6]
Within a motor unit, all the muscle fibers are of the same type (e.g. type I (slow twitch) or Type II fibers (fast twitch)), and motor units of multiple types make up a given muscle. Motor units of a given muscle are collectively referred to as a motor pool. The force produced in a given muscle thus depends on: 1) How many motor neurons are ...