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Acupuncture for the Pediatric Patient - Ancient Approaches for Modern Ailments PowerPoint Presentation

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Description : This medical presentation titled "Acupuncture for the Pediatric Patient - Ancient Approaches for Modern Ailments" by Danielle M. Graff, MD, MSc, FAAP Co-Fellowship Director- PEM Pediatric Acupuncture Division of Pediatric Emergency Medicine Department of Pediatrics, gives a brief history of acupuncture, theories on mechanisms, current research and techniques and clinical applications

Tags : Acupuncture, Pediatric Patient, history, theories, mechanism, techniques

Published on : Apr 15, 2021 | Views : 2252 | Downloads : 7

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Danielle M. Graff, MD, MSc, FAAP Co-Fellowship Director- PEM Pediatric Acupuncture Division of Pediatric Emergency Medicine Department of Pediatrics Acupuncture for the Pediatric Patient: Ancient Approaches for Modern Ailments
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What Children Think Acupuncture Entails…
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When In Reality, This Is Acupuncture…
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History of Acupuncture Theories on Mechanisms Current Research Techniques and Clinical Applications Overview
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Background
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Traditional Schools Texas Health and Science University- Austin
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Medical Acupuncture
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How Does Acupuncture Work?
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Eastern Medicine Acupuncture used to balance the flow of Qi Energy Movement Connection
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Different Techniques Classical Chinese Japanese Energetics Korean Interventions Electroacupuncture Cupping Trigger Point Acupressure Moxibustion Laser Gua Sha
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“Acupuncture points and meridians, in the traditional sense, do not exist” - Felix Mann Complex and plastic interaction Neurotransmitters Opioid peptides Western Medicine
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Western Medicine
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Gate Control Theory https://www.naturesenergieshealth.com/natural-therapies/acupuncture/
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Nerve Theory
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Nerve Theory
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Will the Primo Vascular System Finally Solve the Mystery of Acupuncture? McDonald MJ, Medical Acupuncture Feb, 2015, 27(1): 33-37 Primo Vascular
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“A needle-induced multifactorial modification occurring in the body related to opioids, neurotransmitters, various central nervous system structures and the movement of fascia” Overall Concept
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Does It Work In Children? Will Children Tolerate Acupuncture? Is It Safe For Children?
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Research
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…“it seems acupuncture is a safe complementary/alternative medicine modality for pediatric patients on the basis of the data we reviewed.” Research
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“Conclusion. Pediatric patients with chronic, severe pain found acupuncture treatment pleasant and helpful.” Research
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Research
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Show Me How It Is Done!!! (and what for)
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Needling
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Electrical Stimulation
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Moxibustion Heat Lamp Heat Therapy
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Auricular
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Low Level Laser
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Cupping
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Gua Sha
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Scar Deactivation
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WHY NOW?
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Clinical Sites Inpatient Consultations Emergency Department Outpatient Clinic
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Outpatient Clinic
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Anxiety Back pain Biliary colic Bladder dysfunction Chronic cough Constipation Depression Dysmenorrhoea Epigastric pain Facial pain Fibromyalgia Fracture pain (trauma pain) Headache/Migraine Joint pain Muscle tightness Nausea and vomiting Neck pain Pain in dentistry Periarthritis of shoulder Plantar fasciitis Postoperative pain Rash/skin lesions Renal colic Rheumatoid arthritis Scar pain Sciatica Sinus pressure Sprain/Strain Weight loss Conditions
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Referrals
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Migraines Pain management Focus of Attention
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BUT… Beyond the scope of this talk Discuss a more immediate tool Focus of Attention
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Ear Homunculus
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Innervation Auricular branch of the vagus Auriculotemporal branch of the trigeminal Great auricular nerve from C2, C3 Facial nerve Glossopharyngeal nerve Acupoints Myelinated and unmyelinated fibers Neurohormonal release Possible Mechanisms
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Auricular Acupuncture
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Complex True unclear etiology Average of 4.4 to 5.3 hours in ED Migraines https://migraineagain.com/how-to-improve-acute-treatment-for-pediatric-migraine/
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Auricular Acupuncture
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Auricular Acupuncture
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“With all subjects showing improvement or resolution of migraine headache, this pilot study introduces an alternative intervention to pediatric migraine management. Further studies are needed to evaluate the duration of symptom resolution and comparative effectiveness; auricular acupuncture seems to be a valid alternative.” Pediatric Emergency Care
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Results
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Location of Darts
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Battlefield Acupuncture
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Auricular Acupuncture
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Muscle Pain Surface Release
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A Randomized trial comparing auricular acupuncture and intravenous migraine medications in the treatment of status migrainosus in the pediatric emergency department. Where We Are Now
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Kentucky State Laws “The law’s requirement that individuals who are not licensed as physicians obtain an acupuncture license prior to engaging in the practice of acupuncture”
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Bachur RG, Monuteaux MC, Neuman MI. A comparison of acute treatment regimens for migraine in the emergency department. Pediatrics. 2015;135:232–238. A standard international acupuncture nomenclature: memorandum from a WHO meeting. Bull World Health Organ. 1990;68:165–169. Shang C. Prospective tests on biological models of acupuncture. Evid Based Complement Alternat Med. 2009;6:31–39. Lin YC, Aimee B, Lee A. Acupuncture for the management of pediatric pain: a pilot study. Med Acupunct. 2003;14:45–46. Pintov S, Lahat E, Alstein M, et al. Acupuncture and the opioid system: implications in management of migraine. Pediatr Neurol. 1997;17:129–133. Allais G, Romoli M, Rolando S, et al. Ear acupuncture in the treatment of migraine attacks: a randomized trial on the efficacy of appropriate versus inappropriate acupoints. Neurol Sci. 2011;32(Suppl 1):S173–S175. Romoli M, Allais G, Airola G, et al. Ear acupuncture in the control of migraine pain: selecting the right acupoints by the “needle-contact test”. Neurol Sci. 2005;26(Suppl 2):s158–s161. Hershey AD, Winner P, Kabbouche MA, et al. Use of the ICHD-II criteria in the diagnosis of pediatric migraine. Headache. 2005;45:1288–1297. Nogier R. How did Paul Nogier establish the map of the ear? Med Acupunct. 2014;26:76–83. Noseda R, Burstein R. Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, cortical spreading depression, sensitization, and modulation of pain. Pain. 2013;154(Suppl 1):S44–S53. Espinosa-Sanchez JM, Lopez-Escamez JA. New insights into pathophysiology of vestibular migraine. Front Neurol. 2015;6:12. Acupuncture for Pediatric Emergency Department Migraines Biella G, Sotgiu ML, Pellegata G, et al. Acupuncture produces central activations in pain regions. Neuroimage. 2001;14:60–66. Dhond RP, Kettner N, Napadow V. Neuroimaging acupuncture effects in the human brain. J Altern Complement Med. 2007;13:603–616. Liu WC, Feldman SC, Cook DB, et al. f MRI study of acupuncture-induced periaqueductal gray activity in humans. Neuroreport. 2004;15:1937–1940. Takeshige C, Sato T, Mera T, et al. Descending pain inhibitory system involved in acupuncture analgesia. Brain Res Bull. 1992;29:617-34. Graff, D and McDonald, M, Auricular acupuncture for the treatment of pediatric migraines in the emergency department. Peds Emer Care, 2015. Helms, J. Acupuncture energetics. Medical Acupuncture Publishers. Berkeley, California. 2007 References
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