||Pathological diagnosis of patients subjected to restricted range of motion (ROM) is often hampered by its subjectivity and pervasion in the pain locations. The purpose of this thesis is to systematically classify the location and progress of consciousness pain locations, including trigger points and tender points, for more effective rehabilitation treatment.
The research is based on records of 62 patients suffered from limited ROM in shoulders. The examinations were conducted with a pressure threshold meter to press on 64 points within an area defined by the normalized body-inch. The consciousness pain was assessed with visual analogue scale (VAS).
According to the records, the tender points are widespread on shoulder, especially in anterior deltoid, posterior deltoid, deltoid tuberosity and SITS, while trapezius is also common. Specifically, major pains are located in H2,H3,H5,G7,G8, and E1, while minor pains are located in D9,E9,C4,C5 and C6. Also, the patients normally suffer significant pains under the acromion at the early stage, while the spread of tender points becomes unapparent, usually in teres major and infraspinatus, at the later stage.
Keyword: Shoulder; Tender point; Myofascial pain syndrome.