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Case Study (The MMST( 經筋動穴針法 ) on shoulder pain)

Case Study (The MMST( 經筋動穴針法 ) on shoulder pain). The following case study is a fairly typical type of response seen with the MMST. Dr.Seonghyung Cho,M.D. The MMST on shoulder pain.

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Case Study (The MMST( 經筋動穴針法 ) on shoulder pain)

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  1. Case Study(The MMST(經筋動穴針法) on shoulder pain) The following case study is a fairly typical type of response seen with the MMST Dr.Seonghyung Cho,M.D.

  2. The MMST on shoulder pain • A 57 years old housewife female presented with left shoulder pain referred to left elbow and chronic knee pain • Pain on left shoulder appeared spontaneously • Pain on left shoulder was aggravated by shoulder elevation and lying on that side at night • The problem started 5 months ago • She has had various treatments including medication, physiotherapy, traditional acupuncture and steroid injection which was not effective. Korean Integrative Medicine Institute

  3. Physical Examination • Limitation of Passive lateral rotation > abduction > medial rotation : Capsular pattern • Initial range of active left shoulder abduction: 35 degree Korean Integrative Medicine Institute

  4. Abnomal on scapulohumeral rhythm Initial range of abduction on left shoulder before the MMST: 35degree Korean Integrative Medicine Institute

  5. 1. Improvement of autonomic nervous dysfunction • Sympathetic switch points: -bilateral LI4, LI11, LV3, ST36 -GV14, GV26 -duration of treatment: 20-30 min -acupuncture or subcutaneous taped acupuncture Korean Integrative Medicine Institute

  6. 2. Maintenance of myofascial meridian balance Korean Integrative Medicine Institute

  7. Cervical : 1.superficial back line:( + / - ) -neck flexion: UB, SI , GV2.superficial front line:( +/ - ) -neck extension: LI, ST, CV3.lateral line: Rt( + / - ), Lt( + / - ) -neck side-bending: GB, TE Thoracolumbar : 1.superficial back line:( + / - ) -trunk flexion: UB, GV2.superficial front line:( +/ - ) -trunk extension: CV 3.lateral line: Rt( + / - ), Lt( + / - ) -trunk side-bending: GB4.spiral line:Rt( + / - ), Lt( + / - ) -trunk rotation: both GB, UB Upper extremity1.deep front arm line: Rt( + / - ), Lt( + / - )-shoulder extension: LI, LU2.superficial front arm line: Rt( + / - ), Lt( + / - )-wrist extension: PC3.deep back arm line: Rt( + / - ), Lt( + / - )-shoulder elevation: HT, SI4.superficial back arm line: Rt( + / - ), Lt( + / - )-wrist flexion: TE Lower extremity1.superficial back line: Rt( + / - ), Lt( + / - )-leg elevation: UB 2.superficial front line: Rt( + / - ), Lt( + / - )-leg extension: ST3.lateral line: Rt( + / - ), Lt( + / - )-fabere test: GB, LR,KI, SP The MMT Evaluation Examine limitation(tightness) or pain on passive movement Extremities Axis Korean Integrative Medicine Institute

  8. Cervical 1.superficial back line:( + ) -neck flexion: UB, SI , GV3.lateral line: Rt( + ), Lt( + ) -neck side-bending: GB, TE Thoracolumbar 1.superficial back line:( + ) -trunk flexion: UB, GV2.superficial front line:( +) -trunk extension: CV 3.lateral line: Lt( + ) -trunk side-bending: GB4.spiral line:Rt( + ), Lt( + ) -trunk rotation: both GB,UB Upper extremity1.deep front arm line: Rt( + ), Lt( + )-shoulder extension: LI, LU3.deep back arm line: Lt( + )-shoulder elevation: HT, SI4.superficial back arm line: Rt( + ),Lt( + )-wrist flexion: TE Lower exremity1.superficial back line: Rt( + ) -leg elevation: UB, 2.superficial front line: Rt( + ), Lt( + )-leg extension: ST3.lateral line: Rt( + ), Lt( + )-fabere test: GB, LR, KI, SP The result of the MMT Extremities Axis Korean Integrative Medicine Institute

  9. deep front arm line: Rt( + )-shoulder extension: LI, LU superficial back arm line: Rt( + )-wrist flexion: TE TE 5 LI 11 LU10 LI 4 Korean Integrative Medicine Institute

  10. deep front arm line: Lt( + )-shoulder extension: LI, LUdeep back arm line: Lt( + )-shoulder elevation: HT, SI superficial back arm line: Lt( + )-wrist flexion: TE LU 5 LI 4 LI 11 TE 5 SI 3 Korean Integrative Medicine Institute

  11. deep front arm line: Lt( + ) -shoulder extension: LI, LU superficial back arm line: Lt( + ) -wrist flexion: TE lateral line: Lt( + ) -trunk side-bending: GB TE 14 GB 21 LU 2 LI 15 Korean Integrative Medicine Institute

  12. superficial front line:( +) -trunk extension: CV CV 4 CV 12 Korean Integrative Medicine Institute

  13. GB34 SP 9 UB 60 ST 36 SP 6 KI 3 superficial back line: Rt( + ) -leg elevation: UB superficial front line: Rt( + )-leg extension: ST lateral line: Rt( + )-fabere test: GB, LR, KI, SP LR 3 Korean Integrative Medicine Institute

  14. ST 32 superficial front line: Lt( + ) -leg extension: ST ST 36 Korean Integrative Medicine Institute

  15. superficial back line:( + )-trunk flexion: UB, GVlateral line: Lt( + ) -trunk side-bending: GBspiral line:Rt( + ), Lt( + )-trunk rotation: both GB,UB GV 6 GV 14 GB 26 GB26 GV 3 Korean Integrative Medicine Institute

  16. 3. Restoration of segmental dysfunction • Somatovisceral Points(SVP): Stimulate T5/6 interconnected to lateral column of lateral horn comprised in cell bodies of preganglionic fibers toward extremities(C5/6) by magnetic therapy • Somatosomatic Points(SSP): combined area points of C5/6 dermatome, myotome and sclerotome: LU2, LI15, TE14 (deep dry needling) Korean Integrative Medicine Institute

  17. Somato-Visceral Point vasodilation (decrease sympathetic tone ) C5/6 Secondary segmental relation T5 T6 Magnetic therapy on UB line (paraspinal dermatome area) onT5-6 In the selection of points for treating abnormal somatovisceral reflex on common C5 segment area, we used magnetic therapy on UB meridian line of trunk related to anatomy of autonomic nervous system and secondary segmental relation (C5/6-T5/6) instead of using acupuncture needle. SomatoVisceral Points (SVP) consisted of UB meridian points on surrounding T5-6 dermatome area. In using acupuncture needle on T5-6 segment of UB meridian line, the blood vessel tone was increased on C5-6segment area. But in using magnetic therapy, we found the blood vessel tone was not increased in our clinical observation. Korean Integrative Medicine Institute

  18. Somato-Somatic Point Deep dry needling In the selection of points for treating abnormal somatosomaic reflex on left shoulder pain, we applied SSP to common C5 segment area (dermatome,myotome and sclerotome). These points consisted of LU2, LI15 and TE14. Also, we stimulated these points by deep dry needling Stimulate meridian points (combined area of dermatome,myotome and sclerotome on C5/6) by deep dry needling TE14 Combined area of dermatome,myotome and sclerotome on C5/6 LU2 LI15 Stimulate skin, muscle and periosteum in order Korean Integrative Medicine Institute

  19. She received the MMST three times a week for 2 weeks After 2 weeks, post treatment range of abduction on left shoulder is 85 degree and there was nearly no pain on left shoulder. And right knee pain is also decreased significantly. Korean Integrative Medicine Institute

  20. left shoulder elevation increased to almost normal range without pain. Korean Integrative Medicine Institute

  21. “We have to know about effects of neuro-physiology on acupuncture as well as effects of biomechanics on acupuncture.” Dr.Cho Korean Integrative Medicine Institute

  22. Thank you ! E-mail: medicmart@freechal.com medicx@hanmail.net Korean Integrative Medicine Institute

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