There are several theories about how acupuncture works, according to both traditional theory and modern science.
Traditionally, acupuncture is said to stimulate Qi (pronounced "chee") which is a kind of life-energy that flows everywhere in the body, through channels or meridians. When Qi becomes blocked or diminished, illness and pain follow. By inserting needles at specific acupoints, a traditional acupuncturist affects the flow of Qi in your channels, restoring it to a normal, balanced condition and therefore a state of health.
- Affecting the nervous system and releasing endorphins and enkephalins that modulate pain
- Encouraging the body to enter a parasympathetic state, or "rest-and-digest" state conducive to healing (as opposed to a sympathetic "fight-or-flight" state)
- Releasing muscle fibers that are in a state of spasm, often referred to as "trigger points"
- Changing the behavior of cells that generate fascia and connective tissue
- Hypothesizing that acupuncture needles can communicate with stem cell function to regenerate needed tissues.
Modern science theories range from explaining the effects of acupuncture through several various mechanisms:
Nov 12, 2020
Acupuncture stimulates the balance and flow of Qi energy that in Traditional Chinese Medicine is considered essential to health. When the body is healthy, Qi (pronounced chee), flows smoothly through the meridians that make up a conceptual network of pathways throughout the entire body. When the balance or flow of Qi is deficient or obstructed it may be diseased or susceptible to illness. Acupuncture treats both the symptoms and the root causes of the patient’s illness.
In North America acupuncture is often used when western medicine has failed. In western medicine, the yin/yang balance it achieves is known as homeostasis.
How does it work?
- Pain relief
- Increased energy
- Improved mood
- Improved body function
Acupuncture is an ancient, safe and effective alternative to medication and, in some cases, surgery. Acupuncture stimulates the release of endorphins – the body’s natural pain-relieving neurohormones – through the insertion of needles into specific anatomical points (acupuncture points) to encourage natural healing. Therapeutic effects include:
Acupuncture needles are rounded at the tip so that they slide smoothly through tissue and are unlikely to cause bleeding. Needles are left in place for 15 to 30 minutes during which time the practitioner may manipulate the needles in order to strengthen or reduce the flow of Qi.
Are there similar therapies that don’t use a needle?
Related techniques include acupressure which involves the application of pressure on acupuncture points using thumbs or fingers. Electrical or laser stimulation may also be used.
Nov 7, 2020
Physical Therapy is a professional health discipline directed towards the prevention or alleviation of movement dysfunction, and towards the enhancement of physical capacity. The ultimate goal of Physical Therapy is to assist the client/patient to achieve the highest possible level of independent function. Exercise, therapeutic modalities and consultative strategies are used to maximize function. In addition, physical therapists educate their patients and the community about the prevention of disabilities and promotion of health.
- Relieve pain
- Improve movement or ability
- Prevent or recover from a sports injury
- Prevent disability or surgery
- Rehab after a stroke, accident, injury, or surgery
- Work on balance to prevent a slip or fall
- Manage a chronic illness like diabetes, heart disease, or arthritis
- Recover after you give birth
- Control your bowels or bladder
- Adapt to an artiﬁcial limb
- Learn to use assistive devices like a walker or cane
- Get a splint or brace
- People of all ages get physical therapy. It can treat a variety of health problems.
Physical therapy or (PT) is care that aims to ease pain and help you function, move, and live better. It can be used to :
Next, physical therapists can treat a wide variety of medical conditions, depending on their specialty.
- Cardiopulmonary conditions, such as chronic obstructive pulmonary disease (COPD), cystic ﬁbrosis (CF) and post-myocardial infarction (MI)
- Hand therapy for conditions such as carpal tunnel syndrome and trigger ﬁnger
- Musculoskeletal dysfunction such as back pain, rotator cuﬀ tears, and temporomandibular joint disorders (TMJ)
- Neurological conditions such as stroke, spinal cord injuries, Parkinson’s disease, multiple sclerosis, vestibular dysfunction, and traumatic brain injuries
- Paediatric conditions such as developmental delays, cerebral palsy, and muscular dystrophy
- Sports-related injuries, such as concussion and tennis elbow
- Women’s health and pelvic ﬂoor dysfunction, such as urinary incontinence and lymphedema
- Burns, wound care, and diabetic ulcers.
Some conditions that can beneﬁt from this type of treatment are:
- Pain management with reduced need for opioids
- Avoiding surgery
- Improved mobility and movement
- Recovery from injury or trauma
- Recovery from stroke or paralysis
- Fall prevention
- Improved balance
- Management of age-related medical problems
- A sports therapist can help an athlete to maximize their performance through strengthening speciﬁc parts of the body and using muscles in new ways.
- A healthcare provider or physical therapist can advise individuals about the beneﬁts speciﬁc to their personal medical history and their need for treatment.
Depending on the reason for treatment, the beneﬁts of physical therapy include:
Oct 31, 2020
What is Biering-Sorensen test ( postural endurance test )
The best test for LBP prediction = has a greater benefit in clinical practice
examination of the isometric endurance of the hip and back extensor muscles to predict the risk of nonspecific LBP.
A timed measure used to assess the endurance of the trunk extensor muscles.
It is used to assist in the prediction of the incidence and occurance of LBP in patients.
The Original Sorensen Test
- Safety: Have a chair placed in front of the patient for when the fatigue to hold on to
- Arms: arms bent across chest
- Hips: Fully extended
- Location of the edge of the table: ASIS placed at the end of the table
- Number of Strps: three straps with a pillow placed under the tibias
- One at the pelvis
- One behind the knees
- One at the ankle
- Starting Position: patient performs a concentric contraction to place the spine in horizontal
- Method for Documenting Horizontal: Originally this was visually assessed by the clinician
- Criteria for Stopping the Test: The patient is no longer able to maintain the horizontal position, becomes too fatigued to continue, or experiences pain. If the test is not challenging for 240 seconds, the test is stopped.
- Stopped after 240s in patients with no difficulty
- Less than 176s = LBP in the next year
- Greater than 198s = absence of LBP
- Latimer et al
- Asymptomatic patients = 132.6s ± 42.2s
- Current LBP = 94.6s ± 33.4s
- Females hold for longer than males