만성통증에 효과적인 치료방법 - 트위치를 유발하는 자동화 근육내 자극요법

1장 Introduction
1. 통증이란 무엇인가? 2
2. Intramuscular Stimulation(IMS) and Dry Needling 2
3. 통증완화에 있어 국소연축반응(Local Twitch Response; LTR)의 중요성 3
4. 통증완화에 대한 LTR 효과의 증거 3
5. 통증 사이클에 대한 모델 4
6. LTR와 Automated Intramuscular Stimulation(AIMS) 6
7. IMS와 AIMS 사이의 차이 6
8. 통증환자 8
9. 만성 통증환자 9
10. Proximal muscle 치료의 이론적 근거 10
11. Candidates for AIMS 11




2장 Evaluation of New Patients
1. History 14
2. Review of Systems-환자의 최근 Signs과 Symptoms에 대한 Comprehensive list 17
1. 환자는 두통을 경험하는가?
2. Numbness, pins & needles sensation, tingling sensation은 있는가?
3. Dizziness 또는 light-headedness?
4. Nausea
5. Memory loss
6. Concentration deficits
7. Sleep disturbance
8. Hair loss, 점차 심해지나 또는 독특한가?
9. Weight gain 또는 loss
10. Weakness 또는 motor control difficulties
11. Bowel 또는 bladder habits의 변화
12. Skin color changes
13. 냉·온각의 감수성 증가
14. Swelling
15. Fatigue
16. 1-10 Scale을 사용한 Patient-rated pain level (0=no pain, 10=extreme pain)
3. Pain Diagram 19
4. Pain Disability Index 25
5. The Physical Examination 28



3장 Treating AIMS Patients
1. 장비 40
2. AIMS 치료의 금기 42
3. Patient education 42
4. Common side effects of AIMS 42
5. Potential complications of AIMS 43
6. Pre-medication 44
7. Side effects of medications 45
8. Proplylactic antibiotics(if indicated) 45
9. Treatment protocol 46
10. Homework sheet 47
11. Treatment frequency 47
12. Treatment positions 48
13. General needling technique 48
14. Hand position 49
15. Muscles to be treated 52

4장 Upper Extremities Treatment
1. MASSETER 56
2. TEMPORALIS 58
3. STERNOCLEIDOMASTOID 60
4. CERVICAL PARASPINAL MUSCLES 62
5. TRAPEZIUS 65
6. LEVATOR SCAPULAE 74
7. RHOMBOIDS 76
8. TERES MAJOR 78
9. TERES MINOR 81
10. INFRASPINATUS 83
11. SUPRASPINATUS 85
12. LATISSIMUS DORSI 88
13. PECTORALIS MAJOR 92
14. DELTOID 94
15. TRICEPS 102
16. BICEPS BRACHII 106
17. BRACHIORADIALIS 108
18. EXTENSOR CARPI RADIALIS 110
19. EXTENSOR DIGITORUM 112
20. ADDUCTOR POLLICIS 114
21. DORSAL INTEROSSEI 116

5장 Lower Extremities Treatment
1. THORACOLUMBAR 120
2. QUADRATUS LUMBORUM 122
3. GLUTEUS MAXIMUS 124
4. GLUTEUS MEDIUS 127
5. GLUTEUS MINIMUS 129
6. QUADRATUS FEMORIS 130
7. TENSOR FASCIA LATAE 133
8. RECTUS FEMORIS 135
9. SARTORIUS 137
10. VASTUS MEDIALIS 139
11. VASTUS LATERALIS 141
12. ADDUCTOR MAGNUS 143
13. ADDUCTOR LONGUS 145
14. BICEPS FEMORIS 146
15. SEMITENDINOSUS 149
16. SEMIMEMBRANOSUS 152
17. GASTROCNEMIUS 155
18. SOLEUS 158
19. TIBIALIS ANTERIOR 160
20. TIBIALIS POSTERIOR 162
21. EXTENSOR DIGITORUM LONGUS 164
22. PERONEUS LONGUS 166

6장 Case Summary
1. PREVIOUS LUMBAR SPINE SURGERY 170
2. URINARY INCONTINENCE 171
3. FROZEN SHOULDER 172
4. SEXUAL DYSFUNCTION 173
5. HYPERTENSION 17



INDEX 177