Clinical reasoning in Western acupuncture

237 Pages·2010·14.35 MB·English

by  Jennie Longbottom

Acupuncture in
Manual Therapy
Commissioning Editor: Rita Demetriou-Swanwick
Development Editor: Veronika Watkins
Project Manager: Jagannathan Varadarajan
Designer: Stewart Larking
Illustration Manager: Merlyn Harvey
Illustrator: Antbits
Acupuncture in
Manual Therapy
E d i t e d b y
Jennie Longbottom
MSc MMEd BSc FCSP MBAcC
Director Parks Therapy Centre, St Neots
Director Alied Acupuncture Training Limited
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2010
© 2010 Elsevier Ltd. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or
by any means, electronic or mechanical, including photocopying, recording, or
any information storage and retrieval system, without permission in writing from
the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as
the Copyright Clearance Center and the Copyright Licensing Agency, can be
found at our website: http://www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under
copyright by the Publisher (other than as may be noted herein).
ISBN 978-0-443-06782-2
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication Data
A catalogue record for this book is available from the Library of Congress
Notice
Neither the Publisher nor the Editor and Authors assume any responsibility
for any loss or injury and/or damage to persons or property arising out of
or related to any use of the material contained in this book. It is the
responsibility of the treating practitioner, relying on independent expertise and
knowledge of the patient, to determine the best treatment and method of
application for the patient.
The Publisher
The
Publisher’s
policy is to use
paper manufactured
from sustainable forests
Printed in Europe
Contributors
Jo Gibson, Grad Dip Phys Case study contributors
Clinical Physiotherapy Specialist, Department of
Physiotherapy, Royal Liverpool University Hospital,
Siobhan Byrne, BSc (Hons) (Pthy)
Liverpool
Senior Physiotherapist, Chelsea and Westminster
Hospital
Lee Herrington, PhD MCSP
Senior Lecturer in Sports Rehabilitation, School of Health, Kenny Cross, BSc MMTC MCSP
Sport and Rehabilitation Sciences, Directorate of Sport, Private Practitioner, Falkirk
University of Salford, Salford
Hannah Edwards, BSc (Hons) MCSP
Senior Physiotherapist in Rheumatology
Mark I Johnson, PhD BSc
Professor of Pain and Analgesia
Faculty of Health, Leeds Metropolitan University, Leeds Dan Franklin, MSc MAAP
Director Morpheus Wellness Solutions, London
Jennie Longbottom, MSc MMEd BSc FCSP MBAcC Sharon Helsby, MCSP
Director Parks Therapy Centre, St Neots Clinical Specialist
Director Alied Acupuncture Training Limited
Kevin Hunt, MSc MCSP
Alison Middleditch, MCSP MMACP Director Spinal physiotherapy & sports medicine clinic ltd,
Director Surrey Physiotherapy, Post Graduate research Cambridge
post University College, London
Melissa Johnson, MCSP
Lynley Bradnam-Roberts, PhD Candidate
Daniel Christopher Martin, BSc MCSP MACP
Movement Neuroscience Laboratory, Department
Private practice, Head Physiotherapist, Newport Gwent
of Sport and Exercise Science, Faculty of Science,
Dragons
University of Auckland
Lawrence Mayhew, MCSP
Dr. Cherye Roche, DC FCC (UK) FEAC (Ortho) Musculoskeletal Physiotherapist, North Tees and
Private Practitioner and Senior Lecturer/Supervisor
Hartlepool NHS Foundation Trust
New Zealand College of Chiropractic
Cathie Morrow, MCSP
Claire Small, MPhty St. MMACP Extended Scope Practitioner
Clinical Director, Pure Sports Medicine, London
Brigit Murray, BHS (Pthy)
Neil Tucker, MHSc (Hons) BHSc (Pthy) PGDip Associate Physiotherapist, Private Practice, New Zealand
(musculoskeletal Physiotherapy), PGCert (acupuncture)
Physiotherapist, Munster Rugby, University of Limerick, Eghon Murray, MSc BSc
Limerick Specialist Musculoskeletal Physiotherapist
Howard M Turner, BSc BAppSc (Pthy) MCSP Charlie Plummer, MSc MCSP
Private Practitioner and Lecturer Wilmslow Physiotherapy Director, Boughton Physiotherapy Practice and Sports
Wilmslow, Cheshire Injury Clinic, Maidstone
Contributors
Andy Reynolds, MSc MMACP MCSP James Thomson, MCSP
Senior Physiotherapist
Matthew Walmsley, MCSP
Efterpi Rompoti, BSc (Pthy) MCSP MAACP Musculoskeletal Physiotherapist, St Luke’s Hospital,
Musculoskeletal Physiotherapist, The Sloane Hospital Bradford
Sarah Rouse, MSc MCSP Katy Williams, MCSP
Helen Sankey, MCSP
Rose Sutcliffe, MSc MCSP
Superintendent Physiotherapist, St Luke’s Hospital,
Bradford

This book is dedicated to John … I need never say more.
‘For those of you reading this text, I fervently hope that you will not become trapped in the
surface of acupuncture therapy, striving only to learn experiential points from teachers and
colleagues. Bring the medicine to life.’
—Wang Ju-Yi (2008)
Acknowledgements
I thank all those who have contributed to the whose initial guidance and support to me as a
development of this book. Each person has offered junior physiotherapist made me the clinician I am
a wealth of specialized knowledge within manual today. To Andrew Wilson for his professional edit-
therapy and acupuncture. As a result, I have learnt ing services and who has taught me to proof-read.
from their knowledge, as I hope you will. I would My sincere thanks to Mark Charboneau, Graphic
also like to thank those inspirational teachers who Designer, St Neots, who provided the art work and
brought acupuncture into my clinical management; inspiration for the cover.
how did I ever survive without it? I thank all those students who contributed
I particularly thank those who have made an through their hard work with case studies, and
incredible impact on my clinical skills during my who teach me something new on each course
professional journey: Ann Green, Dr Jeremy Lewis, I provide. For Hayley, Myrtle, and John who have
Alison Middleditch, Mark Johnson to name but listened to my constant doubts and supported me
a few. I will particularly remember Gill Hughes, throughout.
Preface
This book is primarily written for physiotherapists been more than adequately covered by a number of
who use manual skills and acupuncture as an inte- excellent well-informed texts previously published.
grated approach to pain management and the facilita- The book emphasizes clinical reasoning, which is a
tion of rehabilitation in musculoskeletal dysfunction. fundamental necessity in all physiotherapy care and
This book has brought together a number of manual in the philosophy of Chinese medicine. Without it
therapy experts who have provided the reader with we offer nothing more than a point-specific protocol,
current evidence, and best available practice, for the which will serve to reduce the efficacy, accuracy, and
management of a variety of musculoskeletal condi- effectiveness of acupuncture intervention.
tions affecting various joints of the body. The addition of acupuncture within my treat-
Physiotherapists working extensively in these ment toolbox has not only enhanced my manual
areas and students undertaking the Acupuncture skills, but has facilitated a holistic approach to
Association of Chartered Physiotherapists (AACP) patient management. It has challenged my train-
Foundation training course have supplied the acu- ing and beliefs, informed, complimented, and at
puncture text. This text has not involved an in depth times, confused my physiotherapy reasoning, but at
account of traditional Chinese medical theory, not all times it has fascinated and enhanced my clinical
because of preference or neglect, but because this has knowledge … and continues to do so.