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32 Cards in this Set

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Tuina Indication
any disease disease prevention, anything therapy needle can do, some things needle can’t do (e.g., adjustments), no side effects unlike Western modalities (e.g., pharmaceutical drugs, surgery, steroid shots, etc.), good result for solving problem, not just treating the symptom
Tuina Contraindications
1)open soft tissue injuries, wounds, bleeding
2)early stage fractures (e.g., fracture is not stabilized, manipulations may move fracture), 6-9 weeks from day of injury
3)local area injured by dermatosis (e.g., autoimmune disease)
4)diseases with hemorrhagic tendency (e.g., hemophilia, splenic rupture)
5)acute infectious diseases (e.g., virus hepatitis, pulmonary TB, bacillary dysentery, late stage AIDS)
6)critical disease of the heart, brain, liver, kidney & other viscera (e.g., shock, myocardial infarction – call 911 don’t touch the patient! Stimulation may cause sudden death)
7)menstruating or pregnant women (scrubbing okay on dysmenorrheal patient) – do not do manipulations that strongly stimulate
8)UB 67, GB 21, LI 4, SP 6 – do not use these points for pregnancy
Tuina Cautions
1)trimmed fingernails, clean hands, warm hands, no rings
2)observe reaction of patient
3)dizzy or light-headed, have patient lay face up and head lower to promote blood flow; stimulate DU 26, also PC 6 for nausea
4)chronic every other day, acute daily treatment, adapt manipulations, insurance may only cover once a week
how many cervical vertebrae?
7
how many cervical nerve pairs?
8
Sciatica
Straight Leg for sciatica, Bragard’s to check if it’s nerve root, great toe extension (aka dorsiflexion, L4-L5) & plantarflex test (L5-S1)
name for test for sciatica?
Extension of Great Toe Test (between discs L4-L5, compression of L5 nerve; Flexion of Great Toe Test (between discs L5-S1, compression of S1 nerve)
Heel Walking Test
Positive between L4-L5 discs, compression of L5
Toe Walking Test
Positive between L5-S1 discs, compression of S1
Frequency of rolling and one-finger meditation?
120-160
Upward force manipulations?
pinching and grasping
Patient with DDD radiating to thumb?
C6 (between C5 & C6)
Index & Middle?
C7 (between C6 & C7)
Ring & Pinky?
C8 (between C8 & T1)
Sprained ankle with swelling and inflammation?
RICE (rest, ice, compression, elevation)
Manipulations with swinging of joints?
Kneading, one-finger, rolling
Left toothache?
Manipulate on Right LI 4
What does foraminal distraction test mean – tests for cervical
MORE pain indicates muscle spasm pain (no nerve damage) but LESS pain is a positive test, indicating cervical root compression (compression tests are positive result when there is MORE pain) –
A positive foraminal distraction test means
a lessening in pain and indicates compression of cervical nail compression
Positive SLR and Bragard Test indicates
sciatic nerve root compression
If people with shoulder pain injury experience pain 60 – 120 degrees, this indicates?
This indicates damage or tendonitis of supraspinatus tendon
If you want to treat children’s indigestion, what is the manipulation?
Spinal pinching*, abdominal rubbing
What kind of manipulation uses downward force?
Acupressure, palm pressure
What kind of manipulation moves in only level?
Scrubbing, rubbing, pushing
Carpal tunnel syndrome
use Phalen’s & Tinel’s
Dequervain’s syndrome
Finkelstein’s test
If patient is positive for Lindner’s Sign?
Positive sign indicates compression of lumbar nerve roots
Positive Ely’s sign indicates what?
Irritation of Lumbar Nerve Root: Hip Lesions or Irritation of the Ilopsoas muscle or sheath will make this test impossible
Positive Mill’s Test indicates what?
1)Tennis elbow, aka lateral epicondylitis
2)Positive Patrick’s Test indicates what? SI Joint Sprain/Strain
1)Positive Gaenslen’s Test indicates what?
a.Under 90 degrees – Hip Joint Sprain/Strain
b.90 – 120 degrees – SI Sprain/Strain
c.Over 120 degrees – L5/S1 Sprain/Strain
Positive Bedside Test indicates what?
SI Sprain/Strain
Positive Yeoman’s Test indicates what?
SI Sprain/Strain