만성통증에 효과적인 치료방법

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

2장 Evaluation of New Patients
1. History
2. Review of Systems-환자의 최근 Signs과 Symptoms에 대한 Comprehensive list
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
4. Pain Disability Index
5. The Physical Examination

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

4장 Upper Extremities Treatment
1. MASSETER
2. TEMPORALIS
3. STERNOCLEIDOMASTOID
4. CERVICAL PARASPINAL MUSCLES
5. TRAPEZIUS
6. LEVATOR SCAPULAE
7. RHOMBOIDS
8. TERES MAJOR
9. TERES MINOR
10. INFRASPINATUS
11. SUPRASPINATUS
12. LATISSIMUS DORSI
13. PECTORALIS MAJOR
14. DELTOID
15. TRICEPS
16. BICEPS BRACHII
17. BRACHIORADIALIS
18. EXTENSOR CARPI RADIALIS
19. EXTENSOR DIGITORUM
20. ADDUCTOR POLLICIS
21. DORSAL INTEROSSEI

5장 Lower Extremities Treatment
1. THORACOLUMBAR
2. QUADRATUS LUMBORUM
3. GLUTEUS MAXIMUS
4. GLUTEUS MEDIUS
5. GLUTEUS MINIMUS
6. QUADRATUS FEMORIS
7. TENSOR FASCIA LATAE
8. RECTUS FEMORIS
9. SARTORIUS
10. VASTUS MEDIALIS
11. VASTUS LATERALIS
12. ADDUCTOR MAGNUS
13. ADDUCTOR LONGUS
14. BICEPS FEMORIS
15. SEMITENDINOSUS
16. SEMIMEMBRANOSUS
17. GASTROCNEMIUS
18. SOLEUS
19. TIBIALIS ANTERIOR
20. TIBIALIS POSTERIOR
21. EXTENSOR DIGITORUM LONGUS
22. PERONEUS LONGUS

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

INDEX