Dry Needling and Acupuncture (WEEK 13) Flashcards Preview

PTHER 555 - Therapeutic Modalities > Dry Needling and Acupuncture (WEEK 13) > Flashcards

Flashcards in Dry Needling and Acupuncture (WEEK 13) Deck (15):
1

Acupuncture philosophy

Life energy, Qi, present in every create and circulates throughout the body along pathways called meridians.
- disruption of low responsible for disease and dysfunction
- aimed to correct imbalance in flow by stimulation of points

2

Acupunture Parameters

Left in for 15-30 minutes
- stimulation from manual, electrical or other means (burning Moxa, acupressure, acupuncture like TENS)

3

Dry Needling

non-injection needling with solid, filament needle

4

Dry Needling - philosophy/function

stimulation of specific reactions in target tissue for therapeutic effect

5

Dry needling - parameters

needles are inserted and removed, inserted and removed etc repeatedly over the course of the treatment

6

IMS

- Specific form or type of dry needling

- Totally system for the diagnosis & treatment of myofascial pain syndromes (chronic pain conditions that occur in MSK system when there is no obvious injury or inflammation)

7

IMS vs. Dry Needling

IMS
- believes neuropathy is almost always related to problem (central)
- needled at spine and problem area
- nerve in spine is not feeding the muscle properly (take the stress/pressure off spine)

Dry Needling
- more targeted to muscle problem itself (peripheral)

8

IMS: neuropathy or radiculopathic pain

IMS approach: nerve sensitivity/dysfunction
- ongoing pain with no obvious MOI caused by malfunction in PNS, leading to super sensitivity in the nerves
- supersensitive nerves & their innervated structures react abnormally to stimuli

9

IMS: target

- shortened muscle with palpable, tender/painful bands & trigger points
- enthesopathic (thickened) tendons

10

IMS: Goal

1. release muscle shortening
- presses on & irritate the nerve causing muscle pain & mechanical affects

2. restore diminished efferent impulse flow, allowing super sensitivity & other abnormal features of neuropathy

3. promote healing

11

IMS: Evidence on Chronic Shoulder pain

contralateral manual acupuncture
- improved VAS pain
- SF-36 physical function, physical role, bodily pain, mental health, and social functioning

12

Dry needling: lateral epicondylitis

better pain and functional scores at 3- and 6- months follow-up compared with daily ibuprofen and bracing

13

What is a muscle knot?

- sensitive spot in soft tissues due to tight muscle fibres that are unable to relax or release
- increased MU activity resulting in area become more susceptible to tightened muscle
- chronic contracture.shortening of muscle due to neurosensitivity, compressor of intra-muscular nociceptors

14

Placebo/expectation effect

expectation for relief was a predictor of reported benefit

15

Adverse Events

1. Needling around Neck/Brain/Lungs
2. Organ or tissue injury (e.g. QL and kidney, U. trap and lung)
3. Infection
4. Dizziness, Syncope
5. bleeding, bruising