Myofascial Meridian Stimulation Therapy Korean Integrative Medicine Institute KI1: 용천 KI2:...

Korean Integrative Medicine Institute

Myofascial Meridian Stimulation Therapy

KI1: 용천

KI2: 연곡

KI10: 음곡KI16:

KI7: 복유

BL60: 곤륜

BL37: 은문

BL: 담수 , 비수 ,위수 ,

BL40:위중

BL25:대장수

BL11: 대저BL10: 천주

BL57: 승산

BL: 상료 , 차료 , 중료 ,하료

SP6: 삼음교

SP9:음릉천

SP10: 혈해

ST36: 족삼리

ST6: 협차

ST7:하관

ST41: 해계

ST33: 음시

CV24:수구

CV4:관원

CV12: 중완

GV3: 요양관

GV6: 척중

GV14:대추

GV15: 아문GV16:

풍부

GV20: 백회

GV26: 수구

Knee-Ankle approach

Patellofemoral joint dysfunction

Postural Bowlegs

Postural Knock-Knees

Supinated Feet

Pronated Feet

Patellofemoral joint dysfunction

TFL-iliotibial band 또는 gluteus maximus-iliotibial band 의 short

Vastus medialis oblique 의 불충분한 수행

Posterior gluteus medius 의 불충분한 수행으로 TFL 의 근활동 dominant 에 기여

Iliopsoas 의 불충분한 수행으로 TFL 의 근활동 dominant 에 기여

Patella 가 하방에 위치 , tilted inferior, rotated laterally and superiorly

Postural Bowlegs & Postural Knock-Knees A combination of medial rotation of the femurs, pronation of the feet and hyperextension of the kneesA combination of lateral rotation of the femurs, supination of the feet and hyperextension of the knees

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

Cervico-occiput approach

Acting bilaterally:Extension

Acting bilaterally: Extension

Acting unilaterally: same side rotation

Acting bilaterally: Extension

& Lateral flexion

Acting unilaterally: same side rotation

Shoulder approach

Scapulohumeral rhythm

Scapular movement and stabilization

Humerus anterior gliding

Hammer-rock test

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

Impingement due to Scapulohumeral rhythm

During shoulder elevation or flexion, humerus 를 lateral rotation -> impingement 로 기인한 어깨 통증이 제거

During shoulder flexion (180 도 ), upwardly scapular rotation 이 45 도의 abnormal rotation -> impingement 유발

Scapular stabilization

Lower trapezius: scapula medial and inferior

Pectoralis minor: scapula lateral and superior

Serratus anterior: scapula lateral and inferior

Rhomboids : scapula medial and

superior

Downwardly rotated scapula

Levator scapular and Rhomboid (short)

Upper Trapezius, Serratus anterior (long)

Shoulder pain (m/c)

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

Adducted scapula

Rhomboid and Trapezius (short)

Serratus anterior (long)

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)

Upwardly rotated scapula

Shortness of Trapezius

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

Winged scapula

Weakness of Serratus anterior(m/c)

Other causes: flat thoracic spine, rounded back, scoliosis

In scoliosis, prominent asymmetry

Humerus anterior gliding

Anterior gliding

Humerus 근위부가 원위부 보다 더 앞에 있다 .

Pectoralis major 가 subscapularis 보다 더 우세 .->PM short 시 전방 활주

극하근과 소원근이 상완골 하강근으로 작용할 때 견갑하근보다 더 강하게 작용 ->

외회전 하강근이 더 우세해지면 후방관절낭을 더욱 stiffness 있게 만듬

Scapular abduction

유도

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 extensi

on muscle groups

Acromio-clavicular joint Pain

Serratus anterior 가 적절한 기능을 못하면 scapula 의 upward rotation 을 위해 trapezius 가 작용 -> clavicle 과 acromion 에 compensatory stress

Rhomboids 가 short -> trapezius 가 upwardly rotated scapula하기 위해서 acromio-clavicular joint 에 overload of stress

Scapular downward rotation 으로 기인 .

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

LI4: 합곡

LI5: 양계

LI11: 곡지

LI15: 견우

LI14:비노

LI18:부돌

SI3: 후계

SI9: 견정

SI20: 노유

SI15:견중수

SI11:천종

SI19:청궁

SI17:천용

HT7:신문

HT3: 소해

HT1: 극천

PC6:내관

PC1:천지

TE5:외관

TE14:견료

TE13: 중저

TE16: 천유

TE22: 화료

GB34: 양릉천

GB30: 환도GB28: 유도

GB26: 대맥

GB21: 견정

GB20:풍지

GB29: 거료

GB14: 양백

GB43: 협계

LU10:어제

LU2:운문

LU1: 중부

LU5: 척택

LU7: 열결

Hip approach

Posterior gliding

Anterior gliding

Passive SLR 시 femur head 가 posterior glide 하고 움직임 제한 : positive

Faber test 시 femur head 가 anterior glide되고 움직임 제한 : positive

Hip antetorsion: 내회전이 과도

Hip retrotorsion: 외회전이 과도 -> 남자에서 호발

“If there is free flow, there is no pain.

If there is no free flow,

there is pain.” - In Traditional Chinese Medicine

Goals of Treatment in the MMST

improvement of autonomic nervous dysfunction

maintenance of myofascial meridian balance

restoration of segmental dysfunction

1.Improvement of autonomic nervous dysfunction

use sympathetic switch points and parasympathetic switch points

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

3.Restoration of segmental dysfunction

use SomatoSomatic Points (SSP) and SomatoVisceral Points (SVP)

Treatment methods of the MMST

Acupuncture

Dry needling

Subcutaneous taped acupuncture

Injection

Magnetic therapy

Myofascial release

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

“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

Myofascial Meridian Stimulation Therapy Korean Integrative Medicine Institute KI1: 용천 KI2:...

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