Evidence based acupuncture

DR.S.IBRAHIM SHERIFF P.T.

M.P.T.,M.D.(Acu).,M.D.(AM).,PGDHM.,PGDCE.,PGDip.varma.,MIAP.,

DIRECTORGLOBAL INSTITUTE FOR ACUPUNCTURE

THERAPYMADURAI

BRANCH OF TRADITIONAL CHINESES MEDICINE(TCM)

What is Acupuncture? INTERNATIONAL RECOGNITION TYPES OF ACUPUNCTURE PHILOSOPHY Mechanisms of Action Indications for Acupuncture GLOBAL COLLEGE-COURSES

Acupuncture is an alternative medicine methodology originating in ancient China that treats patients by manipulating thin, solid needles that have been inserted into acupuncture points in the skin. According to Traditional Chinese medicine, stimulating these points can correct imbalances in the flow of qi through channels known as meridians

United States- National Institutes of Health,

National Health Service- United Kingdom

World Health Organization National Center for

Complementary and Alternative Medicine

MOXIBUSTION CUPPING TUINA (ACUPRESSURE) ELECTROACUPUNCTURE EAR ACUPUNCTURE(AURICULAR) HAND ACUPUNCTURE (SUJOK) MEDICAL ACUPUNCTURE COSMETIC ACUPUNCTURE

The general theory of acupuncture is based on the premise that bodily functions are regulated by an energy called qi which flows through the body; disruptions of this flow are believed to be responsible for disease.

Acupuncture describes a family of procedures aiming to correct imbalances in the flow of qi by stimulation of anatomical locations on or under the skin (usually called acupuncture points or acupoints), by a variety of techniques

The most common mechanism of stimulation of acupuncture points employs penetration of the skin by thin metal needles, which are manipulated manually or by electrical stimulation.[

Good health is balance btwn man & the natural world; balance btwn Yin & Yang; everything has a Y&Y component

Yin - assoc w/ earth, coldness, dampness Yang - assoc w/ heaven, sky, warmth,

dryness Balance is regulated by the flow of chi

(qi); the “life energy” flowing along meridians. Imbalance disrupts flow of chi - resulting in pain or illness - stimulation of points restores balance.

Most points are highly conductive High concentrations of free nerve endings and

sensory receptors have been are commonly found at points.

Electroacupuncture causes increased levels of beta-endorphin in the CSF

Some parasympathetic effects have been documented - lowered BP & stress; even fainting/hypnotic state

Moderately strong relationship between trigger points, motor points & acupuncture points (location)

Possible placebo effect Unknown – traditional Chinese philosophy (mysticism)

fMRI with blood oxygen level-dependent (BOLD) measurements

Acupuncture points: rich in neuroreceptors

Modulates pain network via analgesic effects

CNS hormones release in hypothalamus and limbic system

Causes changes in interpretation of pain

Fascia is bath of conductive fluid General tx (2-8 Hz)

• Enkephalin released from periaqueductal gray• Endorphin released from the hypothalamus• May be reversed/blocked by Naloxone

Local tx (above 10 Hz) Dynorphin released in spinal cord Activates low-threshold skin and muscle

receptors Serotonin/Norepinephrine released in

midbrain

INDICATIONS RELATED WITH PHYSIOTHERAPY

(WORLD HEALTH ORGANIZATION-DECEMBER 1979 INDICATIONS OF ACUPUNCTURE)

Respiratory Diseases Acute sinusitis Acute rhinitis Common cold Acute tonsillitisBronchopulmonary Diseases Acute bronchitis Bronchial asthmaEye Disorders Acute conjuctivitis Cataract(without complications) Myopia Central retinitisDisorders of the Mouth Cavity Toothache Pain after tooth extraction Gingivitis PharyngitisOrthopedic Disorders Periarthritis humeroscapularis Tennis elbow Sciatica Low back pain Rheumatoid arthritis

Gastrointestinal Disorders Spasm of the esophagus and cardia Hiccups Gastroptosis Acute and chronic gastritis Gastric hyperacidity Chronic duodenal ulcer Acute and chronic colitis Acute bacterial dysentery Constipation Diarrhea Paralytic ileusNeurologic Disorders Headache Migraine Trigeminal neuralgia Facial paralysis Paralysis after apoplectic fit Peripheral neuropathy Paralysis caused by poliomyelitis Meniere's syndrome Neurogenic bladder dysfunction Nocturnal enuresis Intercostal neuralgia

Chronic Pain/Fatigue Syndromes Osteoarthritis Joint disease/back pain Acute Pain--Sprains, Strains, Post-Operative Pain Migraines Fibromyalgia Depression, Anxiety

The NIH consensus panel stated that promising results emerged, for example, efficacy of

acupuncture in:adult post-operative and chemotherapy nausea and vomitingpostoperative dental pain.

Classic Acupuncture- Needling- Needling w/ manual stimulation of needle- Needling w/ electrical stimulation thru needle

Physical Therapy on acupuncture pts.- Manual pressure (acupressure)- TENS on the points- Laser on the points- Ultrasound on the points

The Prescription method: certain points are for particular clinical presentations & symptoms. A Western adaptation

Stimulate point in the same area as the pain / stimulate known MTPs in the area / stimulate Ah Shi points

Classical method: Holistic assessment w/ detailed understanding on body, mind, lifestyle, environment, etc.. (ie. Yin & Yang)

Global college of paramedical college was started in the year of 2009 at Alanganallur, Madurai district,tamilnadu, aim is the meet the challenges of new era in the hospital industry.

The institution is affiliated by BSS, National Development agency and promoted by Government of India. Registration No: TN/1693

Approved by Tamilnadu Physical Education & Sports University, Chennai –DDE

APPROVED BY BHARAT SEVAK SAMAJ ,NATIONAL DEVELOPMENT

AGENCY,PROMOTED BY GOVT OF INDIA TAMILNADU PHYSICAL EDUCATION AND SPORTS

UNIVERSITY-DDE,CHENNAI

BSS COURSES TNPESU COURSES (distance education )

MASTER DIPLOMA IN ACUPUNCTURE THERAPY(M.D.Acu)

DIPLOMA IN ACUPUNCTURE THERAPY (D.Acu)

Nursing assistant

Medical laboratory Technician

Xray Technician

Operation theatre Technician

M.Sc /B.Sc (Yoga &naturopathy)M.B.A.(General)M.B.A.(SPORTS MANAGEMENT)M.Sc (Psychology)

PG Diploma in onfield sports injury mangementPG Diploma in fitness and nutritionPG Diploma in Gym and Fitness InstructorPG diploma in Varma and Thokkanam sciences

GLOBAL COLLEGE OF PARAMEDICAL SCIENCES

275,VELLIMALAYAN II STREET, KALAIVANAR NAGAR, ALANGANALLUR,MADURAI-625 501

PH:04543-244255 Dr.S.Ibrahim sheriff : 9659392525 Dr.K.Saravanan : 9489966956

EMAIL: [email protected]

SPECIAL CONCESSION FOR PHYSIOTHERAPY STUDENTS & PHYSIOTHERAPISTS

Evidence based acupuncture

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