A Study on the Use of  Acupuncture Points at Movement System Impairment Syndrome of Shoulder and Cervical Spine

Woo Suck Youn; Young Jae Park; Young Bae Park

doi:10.13045/acupunct.2013041

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

Original Article

The Acupuncture 2013; 30(5): 1-9.

Published online: December 20, 2013

DOI: https://doi.org/10.13045/acupunct.2013041

A Study on the Use of Dong-Si Acupuncture Points at Movement System Impairment Syndrome of Shoulder and Cervical Spine

Woo Suck Youn¹, Young Jae Park^1,², Young Bae Park^1,^2,^*

¹Department of Human Informatics of Oriental Medicine, Interdisciplinary Programs, Kyung Hee University

²Department of Biofunctional Medicine & Diagnostics, College of Oriental Medicine, Kyung Hee University

^*Corresponding author : Department of Biofunctional Medicine & Diagnostics, College of Korean Medicine, Kyung Hee University, 26, Kyungheedae-ro 6-gil, Dongdaemun-gu, Seoul 130-701, Republic of Korea, Tel : +82-2-958-9195 E-mail : bmppark@khu.ac.kr

Received July 17, 2013 Revised November 21, 2013 Accepted November 25, 2013

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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.

Key Words: Movement system impairment syndrome; MSIS; Dong-Si acupuncture; Dong-Qi therapy.

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.

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.

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.

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.

Fig. 5.

First, the subject poses a quadruped position and then applying acupuncture on JianZhong, do MSIS exercise

Table 1.

Dong-Si Acupuncture Points About Cervical Part

	Acupuncture points
Cervical pain	ZhengJin( ) : on the center of Achilles tendon, from plantar part, go 3.5 cun up ZhengZong( ) : from Zheng Jin, move 2 cun up directly
Cervical pain	HuaGuYi( ) : between the first & second metatarsal bone at the plantar part
Shouldr-neck pain	ShenGuan( ) : from YinLingQuan(TianHuang) go 1.5 cun down directly
Shouldr-neck pain	BiGuan( ) : 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( ) : at the palm of hand, between the first & second metacarpal bone, from hukou down 1 cun
	ZhongXian( ) : the point of contact between the first & second metacarpal bone
	ZhengJin( ) : on the center of achilles tendon, from plantar part, go 3.5 cun up
	ZhengZong( ) : from Zheng Jin, move 2 cun up directly
	MuLiu( ) : 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
Cervical flexion syndrome	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( ), ZhengZong( )	HuaGuYi ( )	ShenGuan( ), BiGuan( )	ZhongZi( ), ZhongXian( )	ZhengJin( ), ZhengZong( ), MuLiu( )
Sitting on a chair	S	U_s	U_s	S	S
Supine	U_s	S	U_s	S	U_s
Quadruped	S	U_p	U_s	U_s	U_s
Prone	S	S	U_s	U_s	U_s
Standing	S	U_s	S	U_p	U_p

S : suitable when considering movement and pain.

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

U_p : 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 ( )	ShenGuan( ) : from YinLingQuan(TianHuang) go 1.5 cun down directly	Painless part
	SiHuaZhong( ) : from SiHuaShang(from DuBi go down 3 cun) go 4.5 cun down directly	Painful part
	ZuQianJin( ) : from ZuSanLi, go 2 cun outside directly and then go 4 cun down ZuWuJin( ) : from ZuTianJin, go 2 cun down
	HuaGuEr( ) : between second & third metatarsal bone at the plantar part
	QuLing( ) : with ChiZe same	Bloodletting
Frozen shoulder	With Movement limitation of the upper limbs due to pain same
Frozen shoulder	JianZhong( ) : the outer side at the back of humerus, from the acromion, go 2.5 cun down
Shoulder pain	With frozen shoulder same
Shoulder pain	ShenGuan( ) : from YinLingQuan(TianHuang) go 1.5 cun down directly JiuLi( ) : 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
	Standing	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
	Standing	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 ( )	SiHua Zhong ( )	ZuQianJin( ), ZuWuJin( )	HuaGuEr ( )	Qu Ling ( )	Jian Zhong ( )	ShenGuan( ), JiuLi( )
Supine	U_p	U_p	S	S	U_p	S	U_p
Standing	S	S	S	U_s	S	S	S
Quadruped	U_p, U_and	U_s	U_p	U_p	U_p	U_and	U_p
Prone	U_p	U_s	S	S	S	S	U_p

S : suitable when considering movement and pain.

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

U_p : unsuitable because of the pain.

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

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