Muscles of the Lower Back

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NMT American Version School Program
This Powerpoint file offers examples of material
used in our program, including 1) Foundational
lecture (history, theory, application
platforms) 2) Trigger points (TrP formation,
treatment choices) 3) Anatomy lectures
(includes drawings, cadaver slides, and TrP
referral illustrations) Lecture notes or
suggestions are visible to the instructors in the
Notes Page View by using the Powerpoint
programs Presenter Tools. Although these notes
serve as a guide as to important points for each
slide, customizing by each instructor is
encouraged.
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Foundational lecture samples
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NeuroMuscular TherapyAmerican Version

• Making sense of the picture
• Global and local factors
• Know the anatomy
• Consider trigger points
• Understand trigger point formation
• Consider all treatment options
• Think outside the box

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Why is this happening?
structural asymmetry ?
overuse ?
reflexive ?
muscular imbalances ?
trigger points ?
neurological factors ?
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Whats a body to do?

• Adapt
• Compensate
• Decompensate

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Influences on Health
Biochemical
Psychosocial
Biomechanical
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Biomechanical
Biochemical
Psychosocial

• Trauma
• Postural
• Muscular
• Congenital
• Wear and tear
• Joint dysfunction
• Overuse, misuse,
• disuse, abuse

Inflammation Dehydration Nutritional
Hormonal Ischemia Toxicity
Stress Guilt Fear Anxiety Emotions Litigation D
epression Somatization
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Read Professional Publications
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Trigger Point lecture samples
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Trigger Point Formation Theories

• Calcium charged gates release ACh at the synapse.
• Continuous flow of ACh produces ischemia.
• Ischemia contributes to a local energy crisis.

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Sustaining the Contracture( Perpetuation )

• Removing calcium requires ATP.
• Sustaining a contracture does not.
• The contracture is sustained by ACh..
• Not by action potentials.
• This differentiates a contracture from a spasm.

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Sustaining the Contracture( Perpetuation )

• Central sarcomeres slide to fully shortened
  position.
• A contracture forms. (involuntary, without motor
  potential)
• These sarcomeres form a palpable nodule at the
  fibers center.
• The remaining sarcomeres form a taut band.

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Consider These Target Zones
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TrP Essential Diagnostic Criteria

• taut, palpable band
• exquisitely tender nodule in the fibers center
  (also called a nidus or active loci)
• persons recognition of current pain complaint
  (active TrP) or of an unfamiliar one (latent
  TrP) when the TrP is provoked
• painful limit of stretch range of
  motion (some texts note as essential, others
  as not essential)

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Anatomy lecture samples
This is a sample of material used in the anatomy
lecture portion of the NMT school program. There
are usually 4 lecture files for each
region/module and these vary in length (from
15-50 screens, depending upon the number of
bones, muscles, etc., being covered).
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NMT for Cervical and Cranium
Adam Interactive Anatomy CD
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Lamina Groove
Adam Interactive Anatomy CD
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Posterior cervical muscles
Color Atlas of Anatomy, 2nd edn, Rohen Yokochi,
Igaku-Shoin, Tokyo
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Posterior cervical muscles

• Trapezius
• Splenii
• Longissimus capitis
• Semispinalis capitis
• Semispinalis cervicis
• Spinalis cervicis
• Multifidus
• Rotatores

• Occipitalis
• Sub occipital group
• Rectus capitis posterior minor
• Rectus capitis posterior major
• Obliquues capitis superior
• Obliquues capitis inferior

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Posterior cervical muscles
Adam Interactive Anatomy CD
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Posterior cervical muscles
Adam Interactive Anatomy CD
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Posterior cervical muscles
Adam Interactive Anatomy CD
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Posterior cervical muscles
Color Atlas of Anatomy, 2nd edn, Rohen
Yokochi, Igaku-Shoin, Tokyo
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Trapezius
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Trapezius Trigger Points
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(No Transcript)