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This document discusses electroacupuncture (EA), which involves using acupuncture needles as electrodes to deliver electrical stimulation for pain relief. It notes the advantages of EA over traditional TENS, such as bypassing skin impedance and directly targeting painful areas. Recommended frequencies and parameters for EA in nociceptive versus neuropathic pain are provided. Guidelines on electrode placement and available equipment are also summarized, along with precautions for EA.
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3 superficial dry needling
The document discusses superficial dry needling (SDN), a technique developed by Peter Baldry as a safer alternative to deep dry needling (DDN). SDN involves inserting needles just under the skin (5-10mm) over trigger points, rather than deeper into muscles. This stimulates A-delta nerve fibers in the skin to achieve a therapeutic effect without risks of DDN like puncturing internal structures. Patients are categorized as strong, average, or weak responders based on how long needles must be left in place. SDN is recommended when treating pain, sensitive areas, or as a precautionary measure.
2 brief hisory of needling
The document discusses the history and development of dry needling. It notes that dry needling originated in the late 19th century and was further developed in the 20th century. It describes some of the key figures and studies that contributed to the technique. The document also outlines different models for dry needling, including the radiculopathy model developed by Chan Gunn and the trigger point model. It provides brief descriptions of these models and mentions other approaches like superficial dry needling.
Trigger Point Dry Needling
Another presentation I working on Fiverr. Please send me your RAW material if you want to create a great presentation by me. Visit my fiverr account on www.fiverr.com/dennynugroho.
6 dangers of dry needling
This document discusses the potential risks and dangers of dry needling as a physiotherapy treatment. It outlines several risks such as pneumothorax (puncturing the lung), injury to blood vessels, nerves or internal organs if not performed properly. It provides details on the clinical features of a pneumothorax and safety precautions practitioners should take like needling obliquely near the thorax. Minor risks include needling pain, exacerbating symptoms, and faintness. Proper anatomical knowledge and techniques are important to minimize risks when performing dry needling.
8 dry needling vs acupuncture
This document discusses dry needling and its relationship to acupuncture. It defines dry needling as a technique used by physical therapists and musculoskeletal therapists to treat myofascial pain syndromes and muscle trigger points by deactivating the trigger points. In contrast, acupuncture treats pathological conditions and aims to achieve balance in the body's energy levels. While the techniques use similar needles, they are considered different treatments. The document also discusses similarities and differences between acupuncture points and myofascial trigger points.
DryNeedling _EDM_092314
This document provides information about dry needling including its definition, history, differences from acupuncture, applications, scope of practice considerations, billing, and common questions. It discusses how dry needling is performed by physical therapists to treat myofascial trigger points and musculoskeletal pain. The mechanisms of how dry needling works are explored including eliciting a local twitch response and reducing acetylcholine stores in the muscle. Evidence for dry needling's efficacy in reducing pain and improving function is summarized based on several clinical trials.
Introduction to dry needling
This document provides information about dry needling from Dr. Subhanjan Das, an instructor of dry needling techniques. It aims to dispel common misconceptions about dry needling, such as it being related to Chinese acupuncture or being unscientific. The document explains that dry needling involves using disposable acupuncture needles to target trigger points and relieve pain, without delivering any medication. It provides details on needle selection, techniques like deep needling and electrical stimulation, precautions, and references supporting the physiological effects of dry needling.
dry needling
Dry needling is a skilled intervention used by physical therapists to treat pain and movement impairments by inserting thin, solid needles into trigger points in muscles and connective tissue. Research shows it is effective for pain control, reducing muscle tension, and facilitating rehabilitation. Two case studies found dry needling effective - one for reducing post-surgery knee pain, and the other for relieving shoulder pain and improving range of motion in elite athletes. While supported by physical therapy organizations, regulations of dry needling by physical therapists vary by state.
Recommended
3 superficial dry needling
The document discusses superficial dry needling (SDN), a technique developed by Peter Baldry as a safer alternative to deep dry needling (DDN). SDN involves inserting needles just under the skin (5-10mm) over trigger points, rather than deeper into muscles. This stimulates A-delta nerve fibers in the skin to achieve a therapeutic effect without risks of DDN like puncturing internal structures. Patients are categorized as strong, average, or weak responders based on how long needles must be left in place. SDN is recommended when treating pain, sensitive areas, or as a precautionary measure.
2 brief hisory of needling
The document discusses the history and development of dry needling. It notes that dry needling originated in the late 19th century and was further developed in the 20th century. It describes some of the key figures and studies that contributed to the technique. The document also outlines different models for dry needling, including the radiculopathy model developed by Chan Gunn and the trigger point model. It provides brief descriptions of these models and mentions other approaches like superficial dry needling.
Trigger Point Dry Needling
Another presentation I working on Fiverr. Please send me your RAW material if you want to create a great presentation by me. Visit my fiverr account on www.fiverr.com/dennynugroho.
6 dangers of dry needling
This document discusses the potential risks and dangers of dry needling as a physiotherapy treatment. It outlines several risks such as pneumothorax (puncturing the lung), injury to blood vessels, nerves or internal organs if not performed properly. It provides details on the clinical features of a pneumothorax and safety precautions practitioners should take like needling obliquely near the thorax. Minor risks include needling pain, exacerbating symptoms, and faintness. Proper anatomical knowledge and techniques are important to minimize risks when performing dry needling.
8 dry needling vs acupuncture
This document discusses dry needling and its relationship to acupuncture. It defines dry needling as a technique used by physical therapists and musculoskeletal therapists to treat myofascial pain syndromes and muscle trigger points by deactivating the trigger points. In contrast, acupuncture treats pathological conditions and aims to achieve balance in the body's energy levels. While the techniques use similar needles, they are considered different treatments. The document also discusses similarities and differences between acupuncture points and myofascial trigger points.
DryNeedling _EDM_092314
This document provides information about dry needling including its definition, history, differences from acupuncture, applications, scope of practice considerations, billing, and common questions. It discusses how dry needling is performed by physical therapists to treat myofascial trigger points and musculoskeletal pain. The mechanisms of how dry needling works are explored including eliciting a local twitch response and reducing acetylcholine stores in the muscle. Evidence for dry needling's efficacy in reducing pain and improving function is summarized based on several clinical trials.
Introduction to dry needling
This document provides information about dry needling from Dr. Subhanjan Das, an instructor of dry needling techniques. It aims to dispel common misconceptions about dry needling, such as it being related to Chinese acupuncture or being unscientific. The document explains that dry needling involves using disposable acupuncture needles to target trigger points and relieve pain, without delivering any medication. It provides details on needle selection, techniques like deep needling and electrical stimulation, precautions, and references supporting the physiological effects of dry needling.
dry needling
Dry needling is a skilled intervention used by physical therapists to treat pain and movement impairments by inserting thin, solid needles into trigger points in muscles and connective tissue. Research shows it is effective for pain control, reducing muscle tension, and facilitating rehabilitation. Two case studies found dry needling effective - one for reducing post-surgery knee pain, and the other for relieving shoulder pain and improving range of motion in elite athletes. While supported by physical therapy organizations, regulations of dry needling by physical therapists vary by state.
Dry Needling
Dry Needling involves insertion of very thin needles into âmyofascial trigger pointsâ to deactivate and help resolve trigger points, and thus, pain. This technique has been proven to bring relief, not only for pain, but also in patients of fibromyalgia.
10 legalities involved in dry needling
This document discusses dry needling and whether it falls within the scope of practice for physiotherapists. It provides background that dry needling is practiced by physiotherapists in many countries. In the US, 33 states allow it while 4 prohibit it. The document also notes that dry needling is legally performed by physiotherapists in India under current regulations, and unlikely those regulations will change in the future. It gives a brief history of dry needling and mentions some accrediting organizations for dry needling courses in India.
Dry Needling Research
Dry needling is a therapeutic treatment where a thin needle is inserted into myofascial trigger points by a trained physical therapist to deactivate sensitized nerves and reduce pain. When the needle penetrates a trigger point, it can cause a local twitch response in the muscle that helps break the pain cycle through anti-inflammatory effects. Dry needling provides benefits like immediate pain relief and improved range of motion by stimulating the body's natural healing response at the trigger points. While the exact mechanisms are unknown, it is believed dry needling induces biochemical and biomechanical changes in the nervous system to reduce pain transmission.
Trigger Point Therapy Slides
A detailed presentation from our Trigger Point Therapy workshop for sport's and massage therapist's. This event was held at our St John Street clinic on the 30th April 2016.
DIFFERENT CONTEMPORARY MASSAGE TECHNIQUES AND ITS IMPORTANCE IN AYURVEDA
This document provides an overview of different contemporary massage techniques and their importance in Ayurveda. It begins with definitions of massage and classifications based on techniques, including stroking, pressure manipulations like kneading and petrissage, vibratory techniques, tapotement, and others. A variety of massage types are described such as hot stone massage, shiatsu, Thai massage, and more. The benefits of Abhyanga massage are discussed. The document concludes by noting factors to consider for massage and the role of touch sensation.
kinesioTaping
This document provides an overview of kinesio taping, including its origins, mechanisms of action, applications, and techniques. The key points are:
- Kinesio tape was developed in the 1980s by Dr. Kenzo Kase to mimic skin and avoid sensory stimuli. It can facilitate or inhibit muscles depending on application tension.
- It works by lifting the skin to enhance muscle, joint, and circulatory function. It can be used to support injured structures in all injury phases from acute to rehab.
- Common applications include pain relief, swelling reduction, improved biomechanics and range of motion. Different cut techniques like I, Y, X are used for specific conditions.
-
Introduction to Sports Physical Therapy
This document discusses sports injuries and the role of a sports therapist. It defines key terms like sports injury, incidence, prevalence, acute vs overuse injuries, and severity of injuries. It outlines the common causes of sports injuries which can be intrinsic factors like anatomy or extrinsic factors like training. It discusses preventing injuries through warmups, equipment, technique etc. Finally, it covers treating both acute and chronic injuries through methods like RICER, medication, exercises and various physical therapies.
LBP
Here are some key references that could be used to support the evaluation, examination, interventions, and outcomes discussed in this case:
- Goniometry measurement techniques
- Manual muscle testing procedures
- Fundamentals of orthopedic management for musculoskeletal conditions
- Principles of therapeutic exercise and rehabilitation
- Modalities like interferential current, aquatic therapy, etc.
- Studies on the effectiveness of different treatment approaches
- Resources on specific techniques like myofascial release, dry needling, lumbar stabilization exercises
- Articles on back safety, ergonomics, body mechanics
Let me know if you need any of the full references included. I selected sources that would be relevant to further examining and treating this particular low back
Trigger point presentation workshop 01.04.17
Our 2nd Trigger Point Therapy workshop - an updated presentation ran by our experienced massage therapists
Kinesiotaping
Taping a therapeutic and a protective approach by physiotherapist having various types; Kineso, McConnell, Rigid, Neutral tape, Mulligan taping techniques.
this slideshow states brief about taping techniques with elaboration of Kinesiotaping technique
McConnell taping technique: 05/04/2020
Other taping techniques: 08/04/2020
Cupping therapy
Cupping is a form of alternative medicine where cups are placed on the skin to create suction. It is believed to promote healing by mobilizing blood flow, promoting detoxification, and invigorating qi. Cupping can be used to treat various conditions like pain, respiratory diseases, weight loss, and more. There are different cupping techniques that vary the level of suction and heat used. Cupping marks on the skin are a normal result of bringing more blood to the surface.
Physical Therapies in Management of Sports Injuries
The document discusses various physical modalities used in sports medicine and rehabilitation, including cryotherapy, superficial heat therapy, ultrasound, TENS, interferential therapy, galvanic current, laser therapy, and iontophoresis. It provides details on the mechanisms of action, clinical indications, contraindications, and proper application of each modality.
Trigger Point Therapy Presentation 29.09.18
This document outlines an agenda and materials for a workshop on trigger point therapy and soft tissue release techniques for sports and massage therapists. The itinerary includes sessions on the theory of trigger points, practical demonstrations of techniques for various muscle groups, and case studies. The document provides detailed information on trigger points including definitions, types, symptoms, formation, and treatment approaches. Assessment measures for evaluating trigger point therapy outcomes such as pain scales, range of motion, muscle strength, and palpation are also discussed.
Osteopathic manipulation treatment
Osteopathic Manipulation Treatment (OMT) is growing rapidly as a preferred and natural family medicine. As a treatment, osteopathic manipulation attempts to improve joint range of motion and balance tissue and muscle mechanics in order to relieve pain.
Myofascial release review
Myofascial release is a manual therapy technique that aims to relax and elongate the fascia through slow, sustained pressure. Fascia is the connective tissue that surrounds and connects muscles, bones, and organs. Injuries, immobilization, and aging can cause fascial adhesions or restrictions that impair movement. Myofascial release techniques like crosshand strokes, skin rolling, and deep tissue stroking apply moderate pressure to "creep" or elongate the fascia and increase range of motion. It can help remove waste from injuries and is often used with other treatments like exercise. Precautions include acute injuries or conditions affecting the skin, blood vessels, or nerves.
Neurodynamics-II
Comprises of assessment and diagnostic techniques of neurodynamics.
it includes both the mechnaical interface and neurological aspect, along with the level of application of diagnostic as well as treatment part of neurodynamics
Positional release technique
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Recent advances in Manipulative Medicine
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
Cupping therapy
1. Cupping is an ancient alternative therapy where suction is created on the skin using cups to promote healing and blood flow.
2. It can be done using heat (fire cupping) or mechanical pumps (dry cupping), and sometimes involves controlled bleeding (wet cupping).
3. While side effects are typically mild, such as bruising or discomfort, limited research exists on its effectiveness for treating medical conditions.
Yamamoto new scalp acupuncture
Yamamoto New Scalp Acupuncture (YNSA) is a scalp acupuncture technique developed by Dr. Toshikatsu Yamamoto in the 1960s. It projects the entire body onto specific points on the scalp. The document discusses the development and principles of YNSA, including the use of abdominal and neck diagnosis to identify treatment points. Studies using fMRI and PET-CT scanning have shown that YNSA can increase cortical activation in motor areas and activate nociceptive and motor centers in patients with chronic pain. YNSA has been shown to be an effective treatment for conditions like stroke and musculoskeletal pain.
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Dry needling forum boas prÃĄticas da acupuntura. Dry needling x Ah Shi points
O documento discute se o "Dry Needling" (agulhamento a seco) deve ser considerado um recurso exclusivo dos acupunturistas ou se pode ser realizado por qualquer profissional. Apresenta a histÃŗria da tÊcnica e argumenta que hÃĄ sobreposiçÃŖo significativa entre os pontos usados no Dry Needling e os pontos da acupuntura, sugerindo que se trata de uma tÊcnica semelhante à acupuntura. Conclui que apenas acupunturistas reconhecidos pelo sistema CREFITO/COFFITO devem executar procedimentos com ag
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Dry Needling
Dry Needling involves insertion of very thin needles into âmyofascial trigger pointsâ to deactivate and help resolve trigger points, and thus, pain. This technique has been proven to bring relief, not only for pain, but also in patients of fibromyalgia.
10 legalities involved in dry needling
This document discusses dry needling and whether it falls within the scope of practice for physiotherapists. It provides background that dry needling is practiced by physiotherapists in many countries. In the US, 33 states allow it while 4 prohibit it. The document also notes that dry needling is legally performed by physiotherapists in India under current regulations, and unlikely those regulations will change in the future. It gives a brief history of dry needling and mentions some accrediting organizations for dry needling courses in India.
Dry Needling Research
Dry needling is a therapeutic treatment where a thin needle is inserted into myofascial trigger points by a trained physical therapist to deactivate sensitized nerves and reduce pain. When the needle penetrates a trigger point, it can cause a local twitch response in the muscle that helps break the pain cycle through anti-inflammatory effects. Dry needling provides benefits like immediate pain relief and improved range of motion by stimulating the body's natural healing response at the trigger points. While the exact mechanisms are unknown, it is believed dry needling induces biochemical and biomechanical changes in the nervous system to reduce pain transmission.
Trigger Point Therapy Slides
A detailed presentation from our Trigger Point Therapy workshop for sport's and massage therapist's. This event was held at our St John Street clinic on the 30th April 2016.
DIFFERENT CONTEMPORARY MASSAGE TECHNIQUES AND ITS IMPORTANCE IN AYURVEDA
This document provides an overview of different contemporary massage techniques and their importance in Ayurveda. It begins with definitions of massage and classifications based on techniques, including stroking, pressure manipulations like kneading and petrissage, vibratory techniques, tapotement, and others. A variety of massage types are described such as hot stone massage, shiatsu, Thai massage, and more. The benefits of Abhyanga massage are discussed. The document concludes by noting factors to consider for massage and the role of touch sensation.
kinesioTaping
This document provides an overview of kinesio taping, including its origins, mechanisms of action, applications, and techniques. The key points are:
- Kinesio tape was developed in the 1980s by Dr. Kenzo Kase to mimic skin and avoid sensory stimuli. It can facilitate or inhibit muscles depending on application tension.
- It works by lifting the skin to enhance muscle, joint, and circulatory function. It can be used to support injured structures in all injury phases from acute to rehab.
- Common applications include pain relief, swelling reduction, improved biomechanics and range of motion. Different cut techniques like I, Y, X are used for specific conditions.
-
Introduction to Sports Physical Therapy
This document discusses sports injuries and the role of a sports therapist. It defines key terms like sports injury, incidence, prevalence, acute vs overuse injuries, and severity of injuries. It outlines the common causes of sports injuries which can be intrinsic factors like anatomy or extrinsic factors like training. It discusses preventing injuries through warmups, equipment, technique etc. Finally, it covers treating both acute and chronic injuries through methods like RICER, medication, exercises and various physical therapies.
LBP
Here are some key references that could be used to support the evaluation, examination, interventions, and outcomes discussed in this case:
- Goniometry measurement techniques
- Manual muscle testing procedures
- Fundamentals of orthopedic management for musculoskeletal conditions
- Principles of therapeutic exercise and rehabilitation
- Modalities like interferential current, aquatic therapy, etc.
- Studies on the effectiveness of different treatment approaches
- Resources on specific techniques like myofascial release, dry needling, lumbar stabilization exercises
- Articles on back safety, ergonomics, body mechanics
Let me know if you need any of the full references included. I selected sources that would be relevant to further examining and treating this particular low back
Trigger point presentation workshop 01.04.17
Our 2nd Trigger Point Therapy workshop - an updated presentation ran by our experienced massage therapists
Kinesiotaping
Taping a therapeutic and a protective approach by physiotherapist having various types; Kineso, McConnell, Rigid, Neutral tape, Mulligan taping techniques.
this slideshow states brief about taping techniques with elaboration of Kinesiotaping technique
McConnell taping technique: 05/04/2020
Other taping techniques: 08/04/2020
Cupping therapy
Cupping is a form of alternative medicine where cups are placed on the skin to create suction. It is believed to promote healing by mobilizing blood flow, promoting detoxification, and invigorating qi. Cupping can be used to treat various conditions like pain, respiratory diseases, weight loss, and more. There are different cupping techniques that vary the level of suction and heat used. Cupping marks on the skin are a normal result of bringing more blood to the surface.
Physical Therapies in Management of Sports Injuries
The document discusses various physical modalities used in sports medicine and rehabilitation, including cryotherapy, superficial heat therapy, ultrasound, TENS, interferential therapy, galvanic current, laser therapy, and iontophoresis. It provides details on the mechanisms of action, clinical indications, contraindications, and proper application of each modality.
Trigger Point Therapy Presentation 29.09.18
This document outlines an agenda and materials for a workshop on trigger point therapy and soft tissue release techniques for sports and massage therapists. The itinerary includes sessions on the theory of trigger points, practical demonstrations of techniques for various muscle groups, and case studies. The document provides detailed information on trigger points including definitions, types, symptoms, formation, and treatment approaches. Assessment measures for evaluating trigger point therapy outcomes such as pain scales, range of motion, muscle strength, and palpation are also discussed.
Osteopathic manipulation treatment
Osteopathic Manipulation Treatment (OMT) is growing rapidly as a preferred and natural family medicine. As a treatment, osteopathic manipulation attempts to improve joint range of motion and balance tissue and muscle mechanics in order to relieve pain.
Myofascial release review
Myofascial release is a manual therapy technique that aims to relax and elongate the fascia through slow, sustained pressure. Fascia is the connective tissue that surrounds and connects muscles, bones, and organs. Injuries, immobilization, and aging can cause fascial adhesions or restrictions that impair movement. Myofascial release techniques like crosshand strokes, skin rolling, and deep tissue stroking apply moderate pressure to "creep" or elongate the fascia and increase range of motion. It can help remove waste from injuries and is often used with other treatments like exercise. Precautions include acute injuries or conditions affecting the skin, blood vessels, or nerves.
Neurodynamics-II
Comprises of assessment and diagnostic techniques of neurodynamics.
it includes both the mechnaical interface and neurological aspect, along with the level of application of diagnostic as well as treatment part of neurodynamics
Positional release technique
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Recent advances in Manipulative Medicine
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
Cupping therapy
1. Cupping is an ancient alternative therapy where suction is created on the skin using cups to promote healing and blood flow.
2. It can be done using heat (fire cupping) or mechanical pumps (dry cupping), and sometimes involves controlled bleeding (wet cupping).
3. While side effects are typically mild, such as bruising or discomfort, limited research exists on its effectiveness for treating medical conditions.
Yamamoto new scalp acupuncture
Yamamoto New Scalp Acupuncture (YNSA) is a scalp acupuncture technique developed by Dr. Toshikatsu Yamamoto in the 1960s. It projects the entire body onto specific points on the scalp. The document discusses the development and principles of YNSA, including the use of abdominal and neck diagnosis to identify treatment points. Studies using fMRI and PET-CT scanning have shown that YNSA can increase cortical activation in motor areas and activate nociceptive and motor centers in patients with chronic pain. YNSA has been shown to be an effective treatment for conditions like stroke and musculoskeletal pain.
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DIFFERENT CONTEMPORARY MASSAGE TECHNIQUES AND ITS IMPORTANCE IN AYURVEDA
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Physical Therapies in Management of Sports Injuries
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āĻ˛āĻžāĻāĻĢ āĻ¸ā§āĻāĻžāĻāĻ˛ āĻ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āĻ¯
āĻ°ā§āĻāĻŽā§āĻā§āĻ¤ āĻĻā§āĻ°ā§āĻ āĻā§āĻŦāĻ¨ā§āĻ° āĻ°āĻšāĻ¸ā§āĻ¯
Dry needling forum boas prÃĄticas da acupuntura. Dry needling x Ah Shi points
O documento discute se o "Dry Needling" (agulhamento a seco) deve ser considerado um recurso exclusivo dos acupunturistas ou se pode ser realizado por qualquer profissional. Apresenta a histÃŗria da tÊcnica e argumenta que hÃĄ sobreposiçÃŖo significativa entre os pontos usados no Dry Needling e os pontos da acupuntura, sugerindo que se trata de uma tÊcnica semelhante à acupuntura. Conclui que apenas acupunturistas reconhecidos pelo sistema CREFITO/COFFITO devem executar procedimentos com ag
Myofascial Dry Needling
Myotherapists to release and relax muscle(s) groups in order to change, align and correct the force in which the muscle exudes on its attachments and dramatically impact the effect it has on its surrounding connective tissue.
cupping & dry needling
This document provides information on cupping and dry needling techniques. It defines cupping as a form of alternative medicine that uses suction cups on the skin to relieve pain and promote healing. Dry needling is defined as using thin, solid needles to penetrate the skin and stimulate trigger points for pain management. The document discusses the history, benefits, contraindications, and techniques for both cupping and dry needling. It also provides case studies that demonstrate their effectiveness in treating various conditions like low back pain, fibromyalgia, hypertension, and osteoarthritis.
Muscle Energy Technique (MET)
Muscle energy techniques (MET) involve voluntary muscle contractions by the patient against a counterforce applied by the practitioner. The goal is to move restrictive barriers and normalize muscle and fascial restrictions. Key elements include controlled joint positioning, patient-applied muscle contractions in a specific direction, and operator counterforce. MET can be used to lengthen shortened muscles, strengthen weakened muscles, reduce pain and edema, and increase joint mobility. It relies on principles like post-isometric relaxation and reciprocal inhibition. Careful technique and patient/practitioner coordination are important for success. MET can help many somatic dysfunctions but requires an understanding of indications and contraindications.
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Dry needling forum boas prÃĄticas da acupuntura. Dry needling x Ah Shi points
Dry needling forum boas prÃĄticas da acupuntura. Dry needling x Ah Shi points
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The document provides information on ECG basics and heart physiology. It discusses the structure of cardiac muscle and how the heart maintains pumping. Key points include the syncytial nature of cardiac muscle, differences in resting membrane potential and action potential compared to skeletal muscle, and the heart's ability for auto-rhythmicity. Factors affecting the cardiac action potential include potassium, calcium, and sodium concentrations as well as temperature. Excitation-contraction coupling and the duration of atrial and ventricular contraction are also covered. The document then discusses the cardiac cycle, heart sounds, regulation of pumping via the Frank-Starling mechanism and autonomic innervation, and the effects of autonomic stimulation. Special topics include the conductive system
Introduction to musculoskeletal radiology
Wilhelm Roentgen discovered X-rays in 1895 in Germany. He observed that X-rays could pass through human tissue and cast shadows of bones on photographic plates. In recognition of this groundbreaking discovery, Roentgen received the first Nobel Prize in Physics in 1901. X-rays provide valuable medical imaging by allowing visualization of internal structures in the body.
Geriatric pt
Geriatrics is the branch of medicine focused on healthcare for the elderly. It aims to promote health and prevent/treat diseases and disabilities in older adults. Gerontology studies the process of aging. As people age, their skin, eyes, ears, kidneys, bones, nervous system, heart, lungs, and gastrointestinal system all undergo changes that can impact health. Common diseases in older adults include Alzheimer's, arthritis, cancer, cardiovascular disease, incontinence, and stroke. Geriatric physiotherapy addresses three main issues - deconditioning, cardiovascular diseases, and musculoskeletal problems. It focuses on reconditioning, exercise therapies, and addressing conditions like osteoporosis and osteoarthritis.
Prevention of illness
The document describes two men, Mr. Chopin and Eric, who are both 36 years old with similar backgrounds but different levels of fitness and health. Mr. Chopin weighs 407 lbs, struggles with daily activities, and has health issues like hypertension and diabetes. Eric is in great shape, feels energetic, and engages in exercise. It is revealed that Eric Chopin underwent a weight loss program, lost over 200 lbs, and gained a new life, showing the power of fitness to improve health and well-being.
Health Promotion
This document discusses the importance of health promotion and the role of physiotherapists. It defines health and explains that health promotion aims to help people change their lifestyles to achieve optimal health. Health promotion is important for prevention, reducing treatment costs, coping with population growth, and adapting to changing life demands. As experts in movement and communication, physiotherapists are well-suited to lead health promotion efforts through activities like awareness, motivation, education, and periodic assessment. Common diseases and conditions that can be prevented or managed through lifestyle changes are also outlined.
Amputation notes
Amputation is the complete removal of an injured or deformed body part. It is indicated for conditions like peripheral vascular disease, infection, trauma, tumors and diabetes. The goals of amputation are to remove diseased tissue, reduce morbidity/mortality, and allow for maximum independent function with prosthetics. Determining the appropriate amputation level considers factors like circulation, soft tissues, bone/joint condition and infection control. Techniques aim to debride nonviable tissue, close wounds primarily or with flaps/grafts, smooth bone edges and allow for rapid rehabilitation. Complications include non-healing, infection, phantom pain/sensation and contractures.
Amputation class
Amputation is the complete removal of an injured or deformed body part. It is performed to treat conditions such as peripheral vascular disease, trauma, infection, tumors, and congenital anomalies. The goals of amputation are to remove diseased tissue, reduce morbidity and mortality from severe conditions, and allow for reconstruction to produce a functional end organ. Various techniques are used depending on the condition and location of the amputation. Postoperative management focuses on wound healing, pain management, rehabilitation, and prevention of complications.
Sports injury
This document provides information on many common sports injuries organized by body part. It describes the most frequent ankle injuries like ankle sprains and Achilles tendon ruptures. It also covers knee injuries, injuries to the thigh, hip, lower back, shoulders and injuries associated with the elbow, wrist, hand and fingers. For each injury, it lists symptoms and potential treatments.
Complications of fractures
The document discusses various pathologies that can occur with fractures beyond just the bone break itself. It classifies complications as immediate, early, or late and discusses specific issues like hypovolamic shock, fat embolism, deep vein thrombosis, crush syndrome, compartment syndrome, and delayed or non-union. Treatment options are provided for many of these complications aiming to address the underlying causes and minimize long-term disabilities. Early diagnosis and aggressive management of fractures and their associated issues is emphasized.
Resistance exercise
The document defines various terms related to resistance exercise such as resisted exercise, strength, power, endurance, isometric muscle work, isotonic muscle work, and types of muscle contractions. It describes the principles of resistance exercise including overload, SAID, reversibility, and individual variability. It discusses ranges of muscle work, group actions of muscles, and indications for resistance exercise. Overall, the document provides an overview of key concepts in resistance training.
Knee biomechanics
The document summarizes the anatomy and function of the knee joint. It describes the articulating surfaces of the patella and femur, the muscles that act on the knee joint as flexors, extensors, and rotators, and how the angle of pull of the quadriceps femoris muscle is increased by the patella acting as a pulley. It also discusses the Q-angle and how increased or decreased angles can impact patellofemoral contact pressures.
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Weâre talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Â
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Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganongâs Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Artificial Intelligence Symposium (THAIS)
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Overall life span (LS) was 1671.7Âą1721.6 days and cumulative 5YS reached 62.4%, 10 years â 50.4%, 20 years â 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6Âą1723.6 days), 22 â more than 10 years (LS=5571Âą1841.8 days). 67 LCP died because of LC (LS=471.9Âą344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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- 1. DR. SUBHANJAN DAS, PT Subhanjan_82@yahoo.com +91 8967549104 Dry Needling Instructor MPT (Musculoskeletal & Sports) Assoc. Prof., BIMLS, Burdwan
- 2. Also in the series ī http://www.slideshare.net/SubhanjanDas/introduction-to-dry-needling ī http://www.slideshare.net/SubhanjanDas/2-brief-hisory-of-needling ī http://www.slideshare.net/SubhanjanDas/3-superficial-dry-needling ī http://www.slideshare.net/SubhanjanDas/4-indications-of-dry-needling ī http://www.slideshare.net/SubhanjanDas/6-dangers-of-dry-needling ī http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dry- needling ī http://www.slideshare.net/SubhanjanDas/8-dn-vs-acupuncture ī http://www.slideshare.net/SubhanjanDas/9-electroacupuncture ī http://www.slideshare.net/SubhanjanDas/10-legalities-involved-in-dry-needling
- 3. ī One of the advantages of DN is that physical therapists can easily combine the needling procedures with electrical stimulation. ī Several terms have been used to describe electrical stimulation through dry needling, including percutaneous electrical nerve stimulation (PENS), percutaneous electrical muscle stimulation, percutaneous neuromodulation therapy, and electroacupuncture (EA)
- 4. ī Electrical stimulation via needle is almost exclusively given for pain relief. ī Using the needles as electrodes offers many advantages over more traditional transcutaneous nerve stimulation (TENS)
- 5. Advantage skin impedence is bypassed Current is directly delivered to exact location of pain Both A delta and A beta system is engaged,giving better analgesia several studies have also demonstrated that PENS provided more pain relief and improved functionality than TENS.
- 6. parameters Frequencies between 2 and 4 Hz with high intensity are commonly used in nociceptive pain conditions and may result in the release of endorphins and enkephalins. For neuropathic pain, it is recommended to use currents with a frequency between 80 and 100 Hz, which are thought to affect release of dynorphin, GABA, and galanin
- 7. Electrode placement Many conventions exist. ī the negative electrode is usually placed in the MTrP and the positive in the taut band but outside the MTrP ī Elorriaga recommended inserting two converging electrodes in the MTrP, while Mayoral del Moral et al suggested inserting the electrodes at both sides of an MTrP inside the taut band
- 8. Equipment ī Specific electroacupuncture machines are available. ī A standard battery operated machine can be used with add on crocodile electrode ī Chu developed an electrical stimulation modality that automatically elicits LTRs, which she referred to as âelectrical twitch-obtaining intramuscular stimulationâ or ETOIMS
- 9. Precaution ī Strong responder ī Voltage fluctuation