Indicate whether the statement is true or false. 1. Ischemia around central trigger points is addressed with repeated effleurage or gliding strokes to increase circulation to and flush out the area.

• True

• False

Indicate whether the statement is true or false. 2. Caution must be exercised not to overstretch the muscle and possibly retraumatize the sensitive muscle.

• True

• False

Indicate whether the statement is true or false. 3. As the sarcomeres in the middle of the fiber contract, forming a nodule, the remaining sarcomeres of the fiber are stretched forming a taut band, also a characteristic of trigger points.

• True

• False

Indicate whether the statement is true or false. The motor endplate is generally located at the end of the muscle fiber.

• True

• False

Indicate whether the statement is true or false. 5. Attachment trigger points form at the center of the muscle fiber and are usually associated with the motor nerve endplate.

• True

• False

Indicate whether the statement is true or false. By definition, when pressure is applied to them, trigger points exhibit referred pain or other sensations to a target zone that is often recognized by the client.

• True

• False

Indicate whether the statement is true or false. Trigger points with gradual onset are often the result of chronic overload to a muscle, so identifying the cause might be more easily done.

• True

• False

Indicate whether the statement is true or false. Emotional stress can cause the formation of a trigger point.

• True

• False

Indicate whether the statement is true or false. In the case of gradual onset, the client usually can describe the activity that initiated the pain: an accident, a fall, or injury such as a fracture, sprain, or trauma to the tissue.

• True

• False

Using position release to inactivate trigger points, the massage therapist should not touch the trigger point while the position is being held.

• True

• False