Publications by authors named "Timothy J Pendergrass"

Article Synopsis
  • Suboccipital myofascial trigger points are linked to tension-type headaches, and the study compares dry needle placement techniques targeting a specific muscle in cadavers.
  • Three physical therapists with varying levels of experience used two needle insertion techniques, recording their accuracy with ultrasound, revealing that experience significantly impacts accuracy but does not eliminate risk.
  • All clinicians demonstrated better accuracy with the caudal-medial technique; however, all struck the spinal cord at least once, highlighting the importance of experience while acknowledging ongoing risks in needle placement.
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Study Design: Descriptive in situ cadaveric study.

Introduction: Performing accurately directed examination and treatment to the wrist requires clinicians to orient to carpal bone structures.

Purpose Of The Study: To examine the anatomical relationships that exist within the wrist-hand complex and identify the accuracy of surface anatomy mapping strategies for localizing anatomical landmarks using a palmar approach.

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Objectives: To assess the relationship between anatomical landmarks used to locate the first rib during surface palpation. One currently cited technique suggests locating the width of the transverse processes (TPs) of the first cervical vertebrae (C1) to determine the estimated width of the first thoracic vertebrae (T1) TP, allowing for subsequent palpation of the first rib laterally to the transverse process of T1. Based on anatomical structural relationships, the authors propose an additional method of locating the first rib, lateral to T1 TP, by palpating through the trapezius muscle at the width of the mastoid process (MP).

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