Transcript Myofascial Meridian Stimulation Therapy

Myofascial Meridian Stimulation Therapy
KI1:용천
KI7:복유
KI10:음곡
KI16:
KI2:연곡
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
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
Myofascial Meridian Stimulation Therapy
SP10:혈해
SP9:음릉천
SP6:삼음교
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
ST7:하관
ST6:협차
ST41:해계
ST33:음시
ST36:족삼리
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Myofascial Meridian Stimulation Therapy
CV24:수구
CV12:중완
CV4:관원
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
GV20:백회
GV16:풍부
GV15:아문
GV14:대추
GV6:척중
GV3:요양관
Korean Integrative Medicine Institute
GV26:수구
Myofascial Meridian Stimulation Therapy
Knee-Ankle approach
Patellofemoral joint dysfunction
Postural Bowlegs
Postural Knock-Knees
Supinated Feet
Pronated Feet
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Myofascial Meridian Stimulation Therapy
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
Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Cervico-occiput approach
Acting bilaterally: Extension
& Lateral flexion
Acting bilaterally: Extension
Acting unilaterally: same side
rotation
Acting bilaterally:
Extension
Acting unilaterally: same
side rotation
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Myofascial Meridian Stimulation Therapy
Shoulder approach
Scapulohumeral rhythm
Scapular movement and stabilization
Humerus anterior gliding
Hammer-rock test
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Impingement due to Scapulohumeral rhythm
During shoulder elevation or flexion, humerus를
lateral rotation -> impingement로 기인한 어깨 통증
이 제거
During shoulder flexion (180도), upwardly scapular
rotation이 45도의 abnormal rotation ->
impingement 유발
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Downwardly rotated scapula
Levator scapular and Rhomboid (short)
Upper Trapezius, Serratus anterior (long)
Shoulder pain (m/c)
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Adducted scapula
Rhomboid and Trapezius (short)
Serratus anterior (long)
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Myofascial Meridian Stimulation Therapy
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)
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Myofascial Meridian Stimulation Therapy
Upwardly rotated scapula
Shortness of Trapezius
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Winged scapula
Weakness of Serratus anterior(m/c)
Other causes: flat thoracic spine, rounded back,
scoliosis
In scoliosis, prominent asymmetry
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Myofascial Meridian Stimulation Therapy
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 작용
할 때 견갑하근보다 더 강하게 작용 ->외회
전 하강근이 더 우세해지면 후방관절낭을
더욱 stiffness있게 만듬
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Myofascial Meridian Stimulation Therapy
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
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Myofascial Meridian Stimulation Therapy
Acromio-clavicular joint Pain
Serratus anterior가 적절한 기능을 못하면 scapula의 upward
rotation을 위해 trapezius가 작용 -> clavicle과 acromion에
compensatory stress
Rhomboids가 short -> trapezius가 upwardly rotated scapula
하기 위해서 acromio-clavicular joint에 overload of stress
Scapular downward rotation으로 기인.
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Myofascial Meridian Stimulation Therapy
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
Myofascial Meridian Stimulation Therapy
LI18:부돌
LI15:견우
LI14:비노
LI11:곡지
LI5:양계
LI4:합곡
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
SI19:청궁
SI15:견중수
SI17:천용
SI20:노유
SI11:천종
SI9:견정
SI3:후계
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
HT7:신문
HT3:소해
HT1:극천
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
PC1:천지
PC6:내관
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
TE22:화료
TE14:견료
TE16:천유
TE5:외관
TE13:중저
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Myofascial Meridian Stimulation Therapy
GB14:양백
GB26:대맥
GB28:유도
GB30:환도
GB29:거료
GB20:풍지
GB34:양릉천
GB43:협계
GB21:견정
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
LU2:운문
LU1:중부
LU5:척택
LU7:열결
LU10:어제
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Myofascial Meridian Stimulation Therapy
Hip approach
Hip antetorsion:내회전이 과도
Hip retrotorsion:외회전이 과도->남자에서 호발
Passive SLR시 femur head가 posterior
glide하고 움직임 제한: positive
Posterior gliding
Faber test시 femur head가 anterior glide
되고 움직임 제한: positive
Anterior gliding
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Myofascial Meridian Stimulation Therapy
“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
Myofascial Meridian Stimulation Therapy
Goals of Treatment in the MMST
improvement of
autonomic nervous dysfunction
maintenance of
myofascial meridian balance
restoration of
segmental dysfunction
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
1.Improvement of autonomic
nervous dysfunction
use sympathetic switch points and
parasympathetic switch points
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
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
Myofascial Meridian Stimulation Therapy
3.Restoration of segmental
dysfunction
use SomatoSomatic Points (SSP) and
SomatoVisceral Points (SVP)
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
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
Myofascial Meridian Stimulation Therapy
Acupuncture
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Dry needling
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Subcutaneous taped acupuncture
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Injection
Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
“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