1 / 45

KI1: 용천

KI1: 용천. KI7: 복유. KI10: 음곡. KI16:. KI2: 연곡. BL10: 천주. BL11: 대저. BL: 담수 , 비수 , 위수 ,. BL25: 대장수. BL: 상료 , 차료 , 중료 , 하료. BL37: 은문. BL40: 위중. BL57: 승산. BL60: 곤륜. SP10: 혈해. SP9: 음릉천. SP6: 삼음교. ST7: 하관. ST6: 협차. ST41: 해계. ST33: 음시. ST36: 족삼리. CV24: 수구. CV12: 중완. CV4: 관원.

aretha
Download Presentation

KI1: 용천

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. KI1:용천 KI7:복유 KI10:음곡 KI16: KI2:연곡 Korean Integrative Medicine Institute

  2. BL10:천주 BL11:대저 BL:담수,비수,위수, BL25:대장수 BL:상료,차료,중료,하료 BL37:은문 BL40:위중 BL57:승산 BL60:곤륜 Korean Integrative Medicine Institute

  3. SP10:혈해 SP9:음릉천 SP6:삼음교 Korean Integrative Medicine Institute

  4. ST7:하관 ST6:협차 ST41:해계 ST33:음시 ST36:족삼리 Korean Integrative Medicine Institute

  5. CV24:수구 CV12:중완 CV4:관원 Korean Integrative Medicine Institute

  6. GV20:백회 GV16:풍부 GV15:아문 GV26:수구 GV14:대추 GV6:척중 GV3:요양관 Korean Integrative Medicine Institute

  7. Knee-Ankle approach • Patellofemoral joint dysfunction • Postural Bowlegs • Postural Knock-Knees • Supinated Feet • Pronated Feet Korean Integrative Medicine Institute

  8. Patellofemoral joint dysfunction • TFL-iliotibial band 또는 gluteus maximus-iliotibial band의 short • Vastus medialis oblique의 불충분한 수행 • Posterior gluteus medius의 불충분한 수행으로 TFL의 근활동 dominant에 기여 • Iliopsoas의 불충분한 수행으로 TFL의 근활동 dominant에 기여 • Patella가 하방에 위치, tilted inferior, rotated laterally and superiorly Korean Integrative Medicine Institute

  9. Postural Bowlegs & Postural Knock-Knees • A combination of medial rotation of the femurs, pronation of the feet and hyperextension of the knees • A combination of lateral rotation of the femurs, supination of the feet and hyperextension of the knees Korean Integrative Medicine Institute

  10. Supinated Feet • The weight is borne on the outer borders of the feet, and long arches are higher than normal. • Invert the feet -> anterior tibial muscle is prominent Korean Integrative Medicine Institute

  11. Cervico-occiput approach Acting bilaterally: Extension Acting unilaterally: same side rotation Acting bilaterally: Extension & Lateral flexion Acting bilaterally: Extension Acting unilaterally: same side rotation Korean Integrative Medicine Institute

  12. Shoulder approach • Scapulohumeral rhythm • Scapular movement and stabilization • Humerus anterior gliding • Hammer-rock test Korean Integrative Medicine Institute

  13. Scapulohumeral rhythm • Shoulder abduction: occur between glenohumeral joint and scapuothoracic articulation -> scapulohumeral rhythm • Glenohumeral joint : scapular = 2 : 1 • Shoulder abduction with external rotation: greater tubercle can go through posterior portion of acromion • Shoulder abduction with internal rotation: limitation of 60 degree Korean Integrative Medicine Institute

  14. Impingement due to Scapulohumeral rhythm • During shoulder elevation or flexion, humerus를 lateral rotation -> impingement로 기인한 어깨 통증이 제거 • During shoulder flexion (180도), upwardly scapular rotation이 45도의 abnormal rotation -> impingement 유발 Korean Integrative Medicine Institute

  15. Scapular stabilization Pectoralis minor: scapula lateral and superior Rhomboids : scapula medial and superior Serratus anterior: scapula lateral and inferior Lower trapezius: scapula medial and inferior Korean Integrative Medicine Institute

  16. Downwardly rotated scapula • Levator scapular and Rhomboid (short) • Upper Trapezius, Serratus anterior (long) • Shoulder pain (m/c) Korean Integrative Medicine Institute

  17. Depressed scapula • Upper Trapezius (long) • Contributing muscle: Petoralis major, latissimus dorsi • Shoulder pain (m/c) • During shoulder flexion and abduction: stress glenohumeral joint and acromiclavicular joint in malalignment Korean Integrative Medicine Institute

  18. Adducted scapula • Rhomboid and Trapezius (short) • Serratus anterior (long) Korean Integrative Medicine Institute

  19. Abducted scapula • In forntal plane, forward rotate above 30 degree • Glenoid (forward), humerus(seem to be internal rotation): not correct internal rotation ->normal alignment • In abducted-rotated scapular alignment, cubital fossa(forward) and normal humerus ->external rotation of humerus(shortness of External rotator) • In abducted-rotated scapular alignment, shortness of Serratus anterior and Pectoralis major(m/c) Korean Integrative Medicine Institute

  20. Upwardly rotated scapula • Shortness of Trapezius Korean Integrative Medicine Institute

  21. Tilted scapula • Shortness of Pectoralis minor(m/c) • Shortness of Biceps(short head):In scapula correction, elbow(passive flexion) and shoulder(extension) • In scapula correction, shoulder joint maintaining flexion -> Anterior Deltoid and Coracobrachialis: cause of tilted scapula Korean Integrative Medicine Institute

  22. Winged scapula • Weakness of Serratus anterior(m/c) • Other causes: flat thoracic spine, rounded back, scoliosis • In scoliosis, prominent asymmetry Korean Integrative Medicine Institute

  23. Humerus anterior gliding Pectoralis major가 subscapularis보다 더 우세.->PM short시 전방 활주 Scapular abduction유도 Anterior gliding Humerus 근위부가 원위부 보다 더 앞에 있다. 극하근과 소원근이 상완골 하강근으로 작용할 때 견갑하근보다 더 강하게 작용 ->외회전 하강근이 더 우세해지면 후방관절낭을 더욱 stiffness있게 만듬 Korean Integrative Medicine Institute

  24. Hammer-rock test • Humeral abduction-Humeral medial rotation-Scapular abduction and upward rotation • Restriction of These movements: elongated tightness of pectoralis minor & wrist flexion or extension muscle groups Korean Integrative Medicine Institute

  25. Acromio-clavicular joint Pain • Serratus anterior가 적절한 기능을 못하면 scapula의 upward rotation을 위해 trapezius가 작용 -> clavicle과 acromion에 compensatory stress • Rhomboids가 short -> trapezius가 upwardly rotated scapula하기 위해서 acromio-clavicular joint에 overload of stress • Scapular downward rotation으로 기인. Korean Integrative Medicine Institute

  26. Elbow approach • Tennis elbow: elongated tightness of 5th Phalange flexion elongated tightness of Wrist flexion deviation of proximal radio-ulnar junction • Golfer’s elbow: elongated tightness of 1st Phalange flexion elongated tightness of Wrist extension elongated tightness of Shoulder flexion Korean Integrative Medicine Institute

  27. LI18:부돌 LI15:견우 LI14:비노 LI5:양계 LI11:곡지 LI4:합곡 Korean Integrative Medicine Institute

  28. SI19:청궁 SI15:견중수 SI17:천용 SI20:노유 SI9:견정 SI11:천종 SI3:후계 Korean Integrative Medicine Institute

  29. HT7:신문 HT3:소해 HT1:극천 Korean Integrative Medicine Institute

  30. PC1:천지 PC6:내관 Korean Integrative Medicine Institute

  31. TE22:화료 TE16:천유 TE14:견료 TE5:외관 TE13:중저 Korean Integrative Medicine Institute

  32. GB14:양백 GB26:대맥 GB28:유도 GB30:환도 GB29:거료 GB20:풍지 GB34:양릉천 GB43:협계 GB21:견정 Korean Integrative Medicine Institute

  33. LU2:운문 LU1:중부 LU5:척택 LU7:열결 LU10:어제 Korean Integrative Medicine Institute

  34. Hip approach Hip antetorsion:내회전이 과도 Hip retrotorsion:외회전이 과도->남자에서 호발 Passive SLR시 femur head가 posterior glide하고 움직임 제한: positive Faber test시 femur head가 anterior glide 되고 움직임 제한: positive Anterior gliding Posterior gliding Korean Integrative Medicine Institute

  35. “If there is free flow, there is no pain. If there is no free flow, there is pain.” - In Traditional Chinese Medicine Korean Integrative Medicine Institute

  36. Goals of Treatment in the MMST • improvement of autonomic nervous dysfunction • maintenance of myofascial meridian balance • restoration of segmental dysfunction Korean Integrative Medicine Institute

  37. 1.Improvement of autonomic nervous dysfunction • use sympathetic switch points and parasympathetic switch points Korean Integrative Medicine Institute

  38. 2.maintenance of myofascial meridian balance • use meridian points selected by the Myofascial Meridian Test (MMT) applying similarity between myofascial lines and meridian muscle lines Korean Integrative Medicine Institute

  39. 3.Restoration of segmental dysfunction • use SomatoSomatic Points (SSP) and SomatoVisceral Points (SVP) Korean Integrative Medicine Institute

  40. Treatment methods of the MMST In applying the MMST, there can be various stimulation modalities according to your scope of practice or your preference. • Acupuncture • Dry needling • Subcutaneous taped acupuncture • Injection • Magnetic therapy • Myofascial release Korean Integrative Medicine Institute

  41. Acupuncture Korean Integrative Medicine Institute

  42. Dry needling Korean Integrative Medicine Institute

  43. Subcutaneous taped acupuncture Korean Integrative Medicine Institute

  44. Injection Korean Integrative Medicine Institute

  45. “The MMST doesn’t cure or heal anything. All it does set your body back to normal so that the healing process begin.” – Dr. Cho Korean Integrative Medicine Institute

More Related