J Korean Acupunct Moxib Soc Search

CLOSE


J Acupunct Res > Volume 30(5); 2013 > Article
Youn, Park, and Park: A Study on the Use of Dong-Si Acupuncture Points at Movement System Impairment Syndrome of Shoulder and Cervical Spine
See the Original "".

Abstract

Objectives:

The purpose of this study was to present clinical utility of therapeutic exercise on the neck and shoulder parts based on the movement system impairment syndrome(MSIS) as Dong-Qi therapy of the Dong-Si Acupuncture and was to examine which Dong-Si acupoints were most effective and non-invasive when performing therapeutic exercise of the MSIS.

Methods:

Totally eight therapeutic exercises correspondent to eight neck and shoulder MSIS were summarized and tabulated from the Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines by Sahrmann SA. Together with the MSIS summaries, acupuncture points and Dong-Qi therapy were summarized and tabulated from Yangweijiequanji 1 and Yangweijiequanji 2 by Yangweijie. According to the posture and movement of the MSIS exercise, effective and non-invasive acupoints were selected. Thereafter, clinical pilot study which five normal volunteers participated in were performed to examine whether these acupoints resulted in any side effects of acupuncture therapy such as pain and distortion of the needle during the MSIS exercises.

Results:

Through clinical pilot study, ZhongZi, ZhongXian, ZhengJin, ZhengZong and MuLiu in a sitting position, and HuaGuYi, ZhongZi and ZhongXian in a supine position were finally determined as safe and non-invasive Dong-Si acupoints to treat cervical pain. In terms of shoulder pain, ZuQianJin, ZuWuJin, HuaGuEr and JianZhong in a supine position, SiHuaZhong, ZuQianJin, ZuWuJin, QuLing, JianZhong, ShenGuan and JiuLi in a standing position, and ZuQianJin, ZuWuJin, HuaGuEr, QuLing and JianZhong in a prone position were finally accepted as safe and non-invasive Dong-Si acupoints.

Conclusion:

It is concluded that Dong-Si acupoints can be safely and non-invasively used together with therapeutic exercises of the MSIS to treat cervical and shoulder pains.

Fig. 1.
First, the subject poses a quadruped position in cervical extension syndrome
And then after applying acupuncture on ZhengJin(①), ZhengZong(②), move like this picture.
acupunct-30-5-1-f1.gif
Fig. 2.
First, the subject poses a supine position in cervical flexion-rotation syndrome
And then after applying acupuncture on ZhongZi(①), ZhongXian(②), move like this picture.
acupunct-30-5-1-f2.gif
Fig. 3.
First, the subject poses a prone position in humeral superior glide syndrome
And then after applying acupuncture on JianZhong(①), move like this picture.
acupunct-30-5-1-f3.gif
Fig. 4.
First, the subject poses a standing position in humeral superior glide syndrome
And then after applying acupuncture on ZuQianJin(①), ZuWuJin(②), move like this picture.
acupunct-30-5-1-f4.gif
Fig. 5.
First, the subject poses a quadruped position and then applying acupuncture on JianZhong, do MSIS exercise
acupunct-30-5-1-f5.gif
Table 1.
Dong-Si Acupuncture Points About Cervical Part
Acupuncture points
Cervical pain ZhengJin( acupunct-30-5-1-1i1.gif) : on the center of Achilles tendon, from plantar part, go 3.5 cun up
ZhengZong( acupunct-30-5-1-1i2.gif) : from Zheng Jin, move 2 cun up directly
HuaGuYi( acupunct-30-5-1-1i3.gif) : between the first & second metatarsal bone at the plantar part
Shouldr-neck pain ShenGuan( acupunct-30-5-1-1i4.gif) : from YinLingQuan(TianHuang) go 1.5 cun down directly
BiGuan( acupunct-30-5-1-1i5.gif) : on the end of the proximal part of rectus femoris muscle, the concave spot between the sartorius muscle and tensor fasciae latae muscle
LaoZhen ZhongZi( acupunct-30-5-1-1i6.gif) : at the palm of hand, between the first & second metacarpal bone, from hukou down 1 cun
ZhongXian( acupunct-30-5-1-1i7.gif) : the point of contact between the first & second metacarpal bone
ZhengJin( acupunct-30-5-1-1i8.gif) : on the center of achilles tendon, from plantar part, go 3.5 cun up
ZhengZong( acupunct-30-5-1-1i9.gif) : from Zheng Jin, move 2 cun up directly
MuLiu( acupunct-30-5-1-1i10.gif) : the connection part between the third and fourth metatarsal bone
Table 2.
Cervical Extension Syndrome
Movement position Methods
Cervical extension syndrome Sitting on a chair Leaning head against a wall, supporting both forearms with pillow, do bending exercise not to detach your head from wall
Keeping your head bend and lean against a wall, raise your both arms and put fingers on the wall not to close your elbows. Forearms and wall are in alignment and raise your hands along the wall
Straighten your arms out in front of you and bend both elbow joints at an angle of 90°. With the palms toward to the face, raise your hands at the ceiling
Quadruped Keep your lumbar, thoracic and cervical vertebrae straight and bend your neck repeatedly
Supine From the ground, with your chin pulled and head bent, raise your head without help. If it is hard, use your both hands
Prone With one hand laid on top of the other, put your forehead on the palm doing neck stretching exercise
Standing Facing the wall, close your ulnar part of both arms to the wall and raise your hands up
Table 3.
Cervical Extension-rotation Syndrome
Movement position Methods
Cervical extension-rotation syndrome Sitting on a chair Leaning head against a wall, supporting both forearms with pillow, do bending exercise not to detach your head from wall
Supine Rotate your neck on a vertical axis without stretching and side bending of neck
Standing Facing the wall, close your ulnar part of both arms to the wall with bending your elbow joints at an angle of 90°. Rotate your neck on a vertical axis without stretching and side bending of neck
Quadruped Keep your back horizontal to the floor and do exercise same with the previous table
Table 4.
Cervical Flexion Syndrome
Movement position Methods
Cervical flexion syndrome Prone With one hand laid on top of the other, put your forehead on the palm doing neck stretching exercise
Quadruped Keep your back horizontal to the floor and do bending and stretching exercise
Table 5.
Cervical Flexion-rotation Syndrome
Movement position Methods
Cervical flexion-rotation syndrome Sitting on a chair Sit on a chair having backrest, don’t flatten your back. Rotate your neck on a vertical axis without bending and side bending of neck
Supine Lie down and draw up your knees. Rotate your neck on a vertical axis without bending and side bending of neck
Quadruped Arch your back little and rotate head and neck on its axis
Standing Lift your head and chin to avoid neck bending excessively and rotate your neck on a vertical axis without bending and side bending of neck
Table 6.
Appropriateness of Acupuncture Points about Cervical Part to the MSIS Movement
Dong-Si acupuncture points
ZhengJin( acupunct-30-5-1-1i11.gif), ZhengZong( acupunct-30-5-1-1i12.gif) HuaGuYi ( acupunct-30-5-1-1i13.gif) ShenGuan( acupunct-30-5-1-1i14.gif), BiGuan( acupunct-30-5-1-1i15.gif) ZhongZi( acupunct-30-5-1-1i16.gif), ZhongXian( acupunct-30-5-1-1i17.gif) ZhengJin( acupunct-30-5-1-1i18.gif), ZhengZong( acupunct-30-5-1-1i19.gif), MuLiu( acupunct-30-5-1-1i20.gif)
Sitting on a chair S Us Us S S
Supine Us S Us S Us
Quadruped S Up Us Us Us
Prone S S Us Us Us
Standing S Us S Up Up

S : suitable when considering movement and pain.

Us : unsuitable because it was not exposed when performing the MSIS exercise.

Up : unsuitable because of the pain.

Table 7.
Dong-Si Acupuncture Points About Shoulder Part
Acupuncture points Methods
Movement limitation of the upper limbs due to pain ( acupunct-30-5-1-1i21.gif) ShenGuan( acupunct-30-5-1-1i22.gif) : from YinLingQuan(TianHuang) go 1.5 cun down directly Painless part
SiHuaZhong( acupunct-30-5-1-1i23.gif) : from SiHuaShang(from DuBi go down 3 cun) go 4.5 cun down directly Painful part
ZuQianJin( acupunct-30-5-1-1i24.gif) : from ZuSanLi, go 2 cun outside directly and then go 4 cun down
ZuWuJin( acupunct-30-5-1-1i25.gif) : from ZuTianJin, go 2 cun down
HuaGuEr( acupunct-30-5-1-1i26.gif) : between second & third metatarsal bone at the plantar part
QuLing( acupunct-30-5-1-1i27.gif) : with ChiZe same Bloodletting
Frozen shoulder With Movement limitation of the upper limbs due to pain same
JianZhong( acupunct-30-5-1-1i28.gif) : the outer side at the back of humerus, from the acromion, go 2.5 cun down
Shoulder pain With frozen shoulder same
ShenGuan( acupunct-30-5-1-1i29.gif) : from YinLingQuan(TianHuang) go 1.5 cun down directly
JiuLi( acupunct-30-5-1-1i30.gif) : the center point of outside of the thigh, with FengShi same
Table 8.
Humeral Anterior Glide Syndrome
Movement position Methods
Humeral onterior glide syndrome Supine Bend your elbow joint and do shoulder joint 90 degrees abduction. While do inner rotation, using your hand of painless arm, prevent anterior glide of head of humerus
Standing Facing the wall, bend your shoulder joint while do outer rotation at the same time
Quadruped Do posterior rocking using power of pushing arm, not to use power of bending hip joint
Table 9.
Humeral Superior Glide Syndrome
Movement position Methods
Humeral superior glide syndrome Supine Repeat inner and outer rotation, limiting movement of head of humerus using painless hand at the same time
Prone Do outer rotation exercise
Standing Put your hand on the wall and push up
Table 10.
Shoulder Medial Rotation Syndrome
Movement Position Methods
Shoulder medial rotation syndrome Supine Bend the elbow joint 90 degrees and do the shoulder joint 90 degrees abduction. And then do outer rotation using 2 pound weight
Standing Standing against the wall, bend the elbow joint and do bending shoulder joint exercise
Facing the wall, put your hand on the wall and bend your shoulder joint while pushing your hand up
Quadruped Repeat anterior and posterior rocking
Table 11.
Humeral Hypomobility Syndrome
Movement position Methods
Humeral hypomobility syndrome Standing Using your hand of painless arm, bend the elbow joint of painful arm and then do your shoulder joint flexion
Put your ulnar part of painful arm on the wall and do your shoulder joint flexion using your hand of painless arm
Supine Do the shoulder joint 50∼85 degrees abduction and bend the elbow joint. And then do your shoulder joint bending exercise
Quadruped Do posterior rocking using power of pushing arm, not to use power of bending hip joint
Table 12.
Appropriateness of Acupuncture Points about Shoulder Part to the MSIS Movement
Dong-Si acupuncture points
Shen Guan ( acupunct-30-5-1-1i31.gif) SiHua Zhong ( acupunct-30-5-1-1i32.gif) ZuQianJin( acupunct-30-5-1-1i33.gif), ZuWuJin( acupunct-30-5-1-1i34.gif) HuaGuEr ( acupunct-30-5-1-1i35.gif) Qu Ling ( acupunct-30-5-1-1i36.gif) Jian Zhong ( acupunct-30-5-1-1i37.gif) ShenGuan( acupunct-30-5-1-1i38.gif), JiuLi( acupunct-30-5-1-1i39.gif)
Supine Up Up S S Up S Up
Standing S S S Us S S S
Quadruped Up, Uand Us Up Up Up Uand Up
Prone Up Us S S S S Up

S : suitable when considering movement and pain.

Us : unsuitable because it was not exposed when performing the MSIS exercise.

Up : unsuitable because of the pain.

UAnd : unacceptable because this acupoint resulted in the needle bending over the 2 mm after the MSIS exercise.

VI. References

1. Lee CW, Cho TS, Park IB, et al. A Clinical Study for The Influence of Dong-Shi Acupuncture on Neck Pain. The Journal of Korean Acupuncture & Moxibustion Society. 2003;20(2):50–67.

2. You JH, Kim DH, Kim JH, Lim SK, Choi DY. A Case Report on Shoulder Pain and Dysfunction of Visual Display Terminal Syndrome Patient Treated with Dong-Shi Acupuncture Therapy. The Journal of Association of the Spine & Joint Korean Medicine. 2010;7(1):15–20.
pmid
3. Kim CY, Kwon NH, Shin YJ, et al. Randomized Controlled Trial: Effect of Master Dong’s Acupuncture in Chronic Shoulder Pain Patients. The Journal of Korean Acupuncture & Moxibustion Society. 2007;24(6):89–96.

4. Ha CH, Han SG, Park CH, et al. A Clinical Study on the Effects of Pain control of Dong-Si acupuncture therapy for the patients with lumbago. The Journal of Korean Acupuncture & Moxibustion Society. 1996;13(1):214–24.
pmid
5. Chae WS. Compilation of Dongsiqixue. Seoul: Il joong sa. 1997:2.

6. Kim SC. A Study of Literature Review on Needling Sensation and the Flow of the Needling Sensation. The Journal of Korean Acupuncture & Moxibustion Society. 2001;18(3):201–14.
pmid
7. Yang Wei Jie. Yangweijiequanji 1. Gyeonggi: Daesung publishing company. 2005:42.

8. Kim HH, Kim JK, Seo JH, Park YJ, Park YB. Feasibility on Evaluation of Movement System Impairment Syndromes by MEMS-IMU. J Korean Oriental Medical Diagnostics. 2011;15(3):223–34.

9. Youn WS, Park YJ, Park YB. Dong-Qi Therapy of Dong-Si Acupuncture to Movement System Impairment Syndrome of Lumbar Spine and Knee. The Journal of Korean Acupuncture & Moxibustion Society. 2013;30(1):13–22.

10. Sahrmann SA. Movement System Impairment Syndromes of The Extremities, Cervical and Thoracic Spines. St Louis, MO: Mosby Inc. 2011:69–99.

11. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndrome. St Louis: Mosby. 2002:295–310.

12. Yang Wei Jie. Yangweijiequanji 2, Gyeonggi : Daesung publishing company. 2005;197, 199, 227, 232.



Article and Issues
For this Journal
For Authors
Ethics
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2021 by Korean Acupuncture & Moxibustion Medicine Society.

Developed in M2PI

Close layer
prev next