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The presence of TGP is assessed only after history taking, observation and assessment of primary functions like strength and ROM reveals a body of signs and symptoms which may be connected to a TGP Dommerholt et al. Striking features associated to both latent and active TGP are described in table 3. Muscle weakness, stiffness, restricted ROM Sensory Local tenderness, pain referral, hyperalgesia or allodynia due to central and peripheral sensitization Autonomic Table 3 - Motor, sensory and autonomic features associated to TGP. The pattern of pain referral is a key information to identify a TGP. Thanks to the charts established by Simons and Travell in , pain patterns can be recognized and help target the muscle harboring the TGP Tiidus For example, a patient who complains of shoulder pain radiating ventrally and laterally in the upper arm, and displays a restricted ROM for internal rotation, presents signs and symptoms which could be provoked by a TGP located in the infraspinatus muscle.
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