• Curr Pain Headache Rep · Dec 2004

    Review

    An expansion of Simons' integrated hypothesis of trigger point formation.

    • Robert D Gerwin, Jan Dommerholt, and Jay P Shah.
    • Johns Hopkins University Pain and Rehabilitation Medicine, Bethesda, MD 20814-2432, USA. gerwin@painpoints.com
    • Curr Pain Headache Rep. 2004 Dec 1; 8 (6): 468-75.

    AbstractSimons' integrated hypothesis proposed a model of trigger point (TrP) activation to explain known TrP phenomena, particularly endplate noise. We propose an expansion of this hypothesis to account for new experimental data and established muscle pathophysiology.

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