Текст книги "Клеймо ведьмы (СИ)"

Автор книги: Илия Телес

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Источник усиленного напряжения, выявляемого при пальпации в уплотненном пучке, определяют механизмы, показанные на рис. 2.25. Другие гипотезы не в состоянии объяснить, каким образом напряжение может быть снято в течение секунд или минут после инактивации миофасциальных триггерных точек.

С научной точки зрения, уплотненный пучок остается одним из наименее изученных феноменов, ассоциируемых с мышечной болью. Ее очень трудно измерить точно и аккуратно. Исследования свидетельствуют о том, что уплотненные пучки могут присутствовать в нормальных мышцах и не проявляться болью или болезненностью при надавливании или дотрагивании [206, 293]. Эти наблюдения предполагают, что симптомы клинически значимой миофасциальной триггерной точки обусловливаются распространением патологии, вызванной миофасциальной триггерной точкой, за пределы нескольких простых сокращенных узлов и широким вовлечением в патологический процесс мышечных волокон. Булавообразные припухлости, сдвоенные узлы с запустевшей сарколеммой между ними и области дегенерированных волокон могут определять некоторые из таких дополнительных осложнений. Интегрированные гипотезы о миофасциальных триггерных точках создают основу гистопатологических исследований, позволяющих внести ясность в теорию происхождения уплотненных пучков. Такие исследования могли бы помочь изучить развитие уплотненных пучков после экспериментальной индукции сократившихся узлов.

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