The Video of Trigger Point and Myofascial Therapy. (Videotape).

Kostopoulos D, Rizopoulos K. Thorofare, NJ 08086, Slack Inc, 2001, VHS, 2 hours, ISBN: 1-55642-557-0, $79.

The purpose of this videotape is to present a hands-on program designed to evaluate and manage myofascial problems related to trigger points. The tape is comprehensive enough to help introduce students to the subject for the first time, and it is able stand on its own as an in-service--style presentation for practicing clinicians. It would make an excellent tool for therapists who have not used this type of treatment for a period of time and are looking for an efficient and effective refresher course.

The authors begin with a brief overview of the history of the trigger point concept in the literature, followed by a more detailed explanation of the pathophysiology of trigger point formation and the rationale behind this method of treatment. The bulk of the 2-hour video focuses on a detailed presentation of trigger point diagnosis and treatment for specific muscles. This segment is presented using demonstration on a model, and it is organized so that users can practice the techniques on a partner while viewing the tape.

The scope of the laboratory portion of the presentation is reasonably comprehensive, covering most trigger point problems commonly seen in orthopedic practice. The presentation covers a total of 22 muscles in the upper and lower quarters, including the muscles used for chewing. For each muscle covered, the authors present the typical referred pain pattern for trigger points in that muscle, the most common trigger point locations, the proper palpatory examination for locating trigger points, the proper treatment technique, recommended therapist-assisted stretching programs, and appropriate home stretching programs. Each segment devoted to a muscle is preceded by a blue screen with the muscle's name, which makes it easy to locate a particular segment during fast-forward or rewind. The presentation is logical in sequence, accurate, and easy to follow. Clear demarcations between muscle groups make it easy to stop and return to the presentation at a later time, allowing viewers to spread out the material over several sittings. Overall, this tape provides an effective and efficient means to review or help teach this material.

Todd A Forman, PT Holliston, Mass

Mr Forman is the Clinical Supervisor in charge of the Needham office of Waltham Physical Therapy Associates. He specializes in manual therapy and outpatient orthopedic rehabilitation.