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1. Unlike extremity reflexes which use muscle spindles to trigger the response,
most superficial reflexes are motor reflexes, provoked by a scraping
stimuli to a localized area of Pain.
Case study 1
Jack is a 40-year-old labourer who has decided to change his career. He has
decided to enroll into University and has been undertaking his studies now for
around two years. Jack now presents to you with headaches which seem to be
worse with studying. Upon taking the case history, he mentions his mother suffers
the same problem
Jack has been diagnosed with tension headaches. Tension headaches normally
band like (bilateral)
1. List the statements (clues) in the case history that aligns with the
diagnosis of tension headaches. Use the script concordance. (Found in
Moodle)
Studying for two years. Get headaches which are worse when studying.
Potentially mother suffering from the same issue do they have the same
ergonomics more questions required. Tension HA can be due to posture.
+2
2. The above case history is incomplete. What further questions or what
information would you need to acquire? Going through LODCTRRAPPA
Location of the pain seeing if the pain runs in a pattern/location through
the head (is it band pattern, local HA, bilateral or ipsilateral) Duration how
long has he had the HA. Course: is the pain getting better worse or the
same. Type of pain. Does the pain Radiate. Are there any
Relieving/aggregating factors. Previous treatment or episodes.
3. List the muscles (trigger points that are likely to refer pain to the head
leading to tension headaches? Scalenes, suboccipital and Temporalis