ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Shamsul Azhar b. Mahmood Founder of Human Magnetic System & Magnetic Manual Therapy Registered under Law of Copyright Malaysia M.M.P.A, Dip. Physiotherapy (Mal )
ii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Published: Ct publishing No 9, Jln Kebun Nenas 2G / KS 7, Bandar Putera, 41000 Klang, Selangor. Tel: 0133518732 Ct_book@yahoo.com.my
Copyright © 2007 Shamsul Azhar b.Mahmood @ Abd. Hamid
First Printing 2007 ISBN 978-983-42263-1-2
Magnetic Line Massage Therapy
All right reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. Anatomy picture was re-illustrate from Principles of Anatomy and Physiology Tortora / Grabowski – ninth edition WILEY © 2000
SMT MANUAL THERAPY Research, Treatment & Training Center Phone: 60133518732 medicmassage@yahoo.com.my
National Library of Malaysia Cataloguing-in-Publication Data
Shamsul Azhar B. Mahmood
Magnetic Manual Therapy “Magnetic Line Massage Therapy” ISBN 978-983-42263-1-2 1. book 1. Title
iii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
SPECIAL DEDICATION TO:
My mother and father, (Mdm Satariah and Mr. Mahmood) My Mother and father in law (Mdm Haj. Salamiah and Mr. Haj. Yusuf) My loving wife (Ms. Siti Hadijah), Daughter and sons (Siti Fatimah Aqilah, Muhammad Iz’aan & Muhammad Fikri) My dear Friends (Mdm. Sasikala, Mdm.Normah Abd Jamil & Mr Abd.Rahman) Special thanks to: (Mr. Appasamy and Miss Lalitha) All my families and relatives (Mr. Haslanoor, Mdm. Suria Hanin, Ms. Suzana, Mr. Sulaiman, Mr. Mohd. Khairi & Ms. Siti Zubaidah)
Thank you so much for your loves and care
iv
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
FOREWORD
The first time I met Shamsul was when he started working in the Physiotherapy Unit Sri Kota Specialist Medical Center Klang in the middle of 2001. He is a very quiet man although he knows a lot about the patients. Nevertheless, my patients ‘like’ meeting with him. This is because they say that the manual treatment that he gave was very effective especially in cases involving muscloskeleter problems. Undoubtelly, from the look in his eyes, I know that he has a secret that will change the world of medicine that he is involved at the moment. His research of nearly 10 years about Trigger points is worth his while for he has found the Human electromagnetic system. As far as I am concerned, I never have before heard or come about a system as complete as his. The trigger points that he has shown are truly complete and well balanced in terms of the location and numbers. In the medical field, trigger points are of invaluable use in treating cases like tendinoses, tendonopathies, periostitis, myogeloses and many more. Injections with corticosteroid solution can reduce the trigger point symptoms but in physiotherapy the uses of these points are not clear. This is due to lack of the research especially in orthopeadic cases. My perception, nevertheless, has been changed when I met Shamsul and knowing that his techniques are able to treat many muscloskeleter cases effectively. It is hard to believe that a local Perak born has outshone the western researchers who are still uncertain about the points and system. With the publishing of this book, all uncertainties can thus be clearified. I am very proud and would recommend this first book of my friend be used by Modern Medical Practitioners. I am very sure and I believe that this technique would be very effective in reducing muscloskeleter problems in the early and middle stages. To all researchers, they need to find reasons to elaborate further the use of this system. Thank you.
Mr. Appasamy Vellu MD, FRCS (Edinburgh), AM (Malaysia) Consultant Orthopaedic & Trauma Surgeon.
v
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
PREWORD
Shamsul Azhar Mahmood Physiotherapist “In the name of Allah, Most Gracious and Most Merciful”
The development of movement for mankind starts when man is born. This physical development begins from the bottom, that is from the lying position, crawling, sitting, kneeling, standing, running, climbing and jumping. The science of human movement is called kinesiology. In the study of kinesiology, we also learn about structures of the anatomy like joints, muscles and nerves. These structures are important because they are the basic parts for movement apart from other structures. This is the creations by Allah the Creator, the Greatest Architect of all, the Creator of mankind. Every movement needs energy that comes from the food we eat daily and in turn is used by the body cells for daily activities. This food is being carried into and out of the cells by active transportation with the aid of electro-magnetic energy (produced by the human electro-magnetic system still not fully known or explained by any medical journals before). This process is repeated until the body gets sufficient energy to activate the cells metabolism process. I dare say this system exist in influencing the balance of activities of the living cells. This theory exists from basic clinical evidence, positive effects in patient treatments and research data that were done (explained in chapter 15) Other than balancing the cell activities, it also serves to repair the broken cells and to reduce pain caused by injuries to the outside or inside cells. How does this happen? Many theories have arisen in explaining pain. One very popular and practiced theory these days is the Pain Gate Theory. It explains that the pain impulse journey through fibril A and C of the peripheral nerves at difference stations of the main nerves and central nerves can be stopped by various chemical agents (medicine) and physical agents (electrotherapy gadgets in physiotherapy treatment), thus reducing the pain. In my theory of magnetic-electro system, pain is reduced by activating autonomic nerves end with the use of certain chemicals to cause magnetic points
vi
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
(autonomic nerves ends) or other structures to be excited and to release chemicals. This will certainly cause change to the charges inside and outside of the cell i.e attracting or distracting negative charges (charges existed after metabolism activities) thus controlling the cells activities. The control in the activities of these charges inside and outside of the cell causes the metabolism process rate to increase more than usual. This makes these cells stronger and it overcomes any weakness. Thus the pain, burden and its weakness can be overcome and supported by the cells themselves with the help of the magnetic system. This is a new theory that need to be tested and proven by analysts so as to ensure that the theory can be used in the modern medical world. Other than this, the theory for this system can also be used to explain the reason why pain is reduced in alternative treatment such as meditation, reiki, reflexology and many more. In this book I do not fully elaborate the electro-magnetic system, only 10% , for it is not the appropriate time to do so. Nevertheless, I promise that one day I will come out with a book about the human electro-magnetic system, god willing. This book only explains about the functions and uses of magnetic lines in manual therapy treatment. If after reading this book, you find the lines applicable to other kinds of treatment I welcome the idea. I hope my first book will be accepted by the public and used by modern and alternative practitioners in treating their patients and also to fill the needs in the existing medical field. God willing, my second book, Mechanical Manual Therapy, will be out soon, god willing.
vii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
CONTENTS
CHAPTER
TOPIC
PAGE
COPYRIGHT
ii
DEDICATION
iii
FOREWORD
iv
PREFACE
v
CONTENTS
vii
LIST OF DIAGRAMS
xvii
LIST OF TABLE
xxi
GLOSSARY
xxii
FOR THE MIND
xxiv
CHAPTER 1:
HISTORY OF THE DISCOVERY AND RESEARCH OF THE MAGNETIC POINTS
1.1
Research idea and interest
1
1.2
Initial research and findings
5
1.3
Names and function
10
1.4
Comparison to acupuncture points
11
CHAPTER 2:
HUMAN ELECTRO-MAGNETIC SYSTEM
2.1
Foreword
20
2.2
Functions of the electro-magnetic system
20
2.3
The charges activities of the cells
21
2.3.1
Normal active cell
21
2.3.2
Normal passive cell
21
2.3.3
Acute injured abnormal viii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
cell 2.2.4
21
Chronic injured abnormal cell
2.4
2.5
CHAPTER 3:
21
Electromagnetic system structures
22
2.4.1
Part 1 electro- magnetic system structures
22
2.4.2
Part 2 electro- magnetic system structures
23
Human magnetic lines
26
2.5.1
Sagittal / Coronal Medial Line
28
2.5.2
Rotational Posterior Line
30
2.5.3
Sagittal / Coronal Lateral Line
32
2.5.4
Rotational Medial Line
34
2.5.5
Rotational Anterior Line
36
2.5.6
Rotational Lateral Line
38
2.5.7
Sagittal Posterior Line
40
2.5.8
Sagittal Anterior Line
42
APPLICATION OF THE SHAMSUL MANUAL THERAPY TECHNIQUE
3.1
Foreword
44
3.2
Various hand technique
44
3.2.1
Technique No 1
45
3.2.2
Technique No 2
48
3.2.3
Technique No 3
50
3.2.4
Technique No 4
52
3.3
3.4
Patient’s body position during treatment
53
3.3.1
Supine lying position
54
3.3.2
Prone lying position
56
3.3.3
Side lying position
57
3.3.4
High sitting position
58
Vector force
59
ix
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
3.5
3.6
3.4.1
Longitudinal force
60
3.4.2
Circular force
61
3.4.3
Transverse force
61
3.4.4
Vertical force
62
Diagnosis and evaluation of disease using magnetic points
63
3.5.1
Foreword
63
3.5.2
Diagnosis Points
64
3.5.3
Representation and location of the points
65
3.5.4
Way of using the points
67
Treatment of the manual electro-magnetic therapy
69
3.6.1
Foreword
69
3.6.2
Diseases caused by disturbances to the electro-magnetic system
3.6.3
3.6.4
70
Treatment principles in the Shamsul Manual Therapy
71
3.6.3.1 Principle 1
71
3.6.3.2 Principle 2
72
Eight techniques using the electro -magnetic system
3.6.5
3.6.6
72
Treatment indications Manual Magnetic Therapy
73
Contra-indication
75
CHAPTER 4 (PART 1) LOWER EXTREMITY – FOOT AND TOES 4.1
Foreword
78
4.2
Joints at the sole and toes
78
4.3
Muscles at the sole and toes
81
x
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
4.4
Nerves at the sole and toes
82
4.5
Treatment indication
84
4.6
Treatment Method 4.6.1
Part 1 Sagittal Medial line (P1 SM)
85
4.6.2
Part 1 Rotational Medial line (P1 RM)
86
4.6.3
Part 1 Rotational Posterior line (P1 RP)
87
4.6.4
Part 1 Rotational Lateral line (P1 RL
88
4.6.5
Part 1 Sagittal Lateral line ( B1 SL)
89
CHAPTER 5 (PART 2) LOWER EXTREMITY - CALF AND ANKLE JOINTS 5.1
Foreword
90
5.2
Joints at the ankle
90
5.3
Muscles at the calf
92
5.4
Nerves at the ankle and calf
94
5.5
Treatment indication
96
5.6
Treatment method. 5.6.1
Part 2 Sagittal Medial line (P2 SM)
97
5.6.2
Part 2 Rotational Medial line (P2 RM)
98
5.6.3
Part 2 Rotational Posterior line (P2 RP)
99
5.6.4
Part 2 Rotational Lateral line (P2 RL)
100
5.6.5
Part 2 Sagittal Lateral line (P2 SL)
101
5.6.6
Part 2 Rotational Anterior line (P2 RA)
102
CHAPTER 6 (PART 3) LOWER EXTREMITY – KNEE JOINTS AND THIGH 6.1
Foreword
103
6.2
Joints at the knee
103
6.3
Muscles at the thigh
106
6.4
Nerves at the knee and thigh
108
6.5
Treatment indication
110
xi
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6
Treatment method 6.6.1
Part 3 Sagittal Medial line (P3 SM )
111
6.6.2
Part 3 Rotational Medial line (P3 RM)
112
6.6.3
Part 3 Rotational Posterior line (P3 RP)
113
6.6.4
Part 3 Rotational Lateral line (P3 RL)
114
6.6.5
Part 3 Sagittal Lateral line (P3 SL)
115
6.6.6
Part 3 Rotational Anterior line (P3 RA)
116
CHAPTER 7 (PART 4) LOWER EXTREMITY – PELVIC 7.1
Foreword
117
7.2
Joints at the pelvic
117
7.3
Muscles at the pelvic
120
7.4
Nerves at the pelvic
122
7.5
Treatment indication
124
7.6
Treatment method 7.6.1 7.6.2
Part 4 Sagittal Medial line (P4 SM) Part 4 Rotational Medial line (P4 RM)
125 126
7.6.3
Part 4 Rotational Posterior line (P4 RP)
127
7.6.4
Part 4 Rotational Lateral line(P4 RL)
128
7.6.5
Part 4 Sagittal Lateral line(P4 SL)
129
7.6.6
Part 4 Rotational Anterior line(P4 RA)
130
7.6.7
Part 4 Sagittal Medial –Anterior line (P4 SM-A)
131
7.6.8
Part 4 Sagittal Anterior line (P4 SA)
132
7.6.9
Part 4 Sagittal Posterior line (P4 SP)
133
xii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
CHAPTER 8 (PART 5) TRUNK – LUMBAR AND ABDOMEN 8.1
Foreword
134
8.2
Joints at the Lumbar
134
8.3
Muscles at the Lumbar and Abdomen
137
8.4
Nerves at the Lumbar and Abdomen
140
8.5
Treatment indication
142
8.6
Treatment method 8.6.1
Part 5 Sagittal Posterior line (P5 SP)
143
8.6.2
Part 5 Sagittal Medial line (P5 SM)
144
8.6.3
Part 5 Rotational Medial line (P5 RM)
145
8.6.4
Part 5 Rotational Posterior line (P5 RP)
146
8.6.5
Part 5 Rotational Lateral line(P5 RL)
147
8.6.6
Part 5 Sagittal Lateral line (P5 SL)
148
8.6.7
Part 5 Rotational Anterior line (P5 RA)
149
8.6.8
Part 5 Sagittal Medial-Anterior line
8.6.9
(P5 SM-A)
150
Part 5 Sagittal Anterior line (P5 SA)
151
CHAPTER 9 (PART 6) TRUNK - THORACIC AND CHEST
9.1
Foreword
152
9.2
Joints at the Thoracic
152
9.3
Muscles at the Thoracic and Scapular
155
9.4
Nerves at the Thoracic
158
9.5
Treatment indication
160
9.6
Treatment method 9.6.1
Part 6 Sagittal Posterior line (P6 SP)
161
9.6.2
Part 6 Sagittal Medial line (P6 SM)
162
9.6.3
Part 6 Rotational Medial line (P6 RM)
163
xiii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
9.6.4
Part 6 Rotational Posterior line (P6 RP)
164
9.6.5
Part 6 Rotational Lateral line (P6 RL)
165
9.6.6
Part 6 Sagittal Lateral line (P6 SL(a))
166
9.6.7
Part 6 Sagittal Lateral line (P6 SL(b))
167
9.6.8
Part 6 Rotational Anterior line (P6 RA)
168
9.6.9
Part 6 Sagittal Medial-Anterior line (P6 SM-A)
169
9.6.10 Part 6 Sagittal Anterior line (P6 SA)
170
CHAPTER 10 (PART 7) TRUNK – CERVICAL AND NECK
10.1
Foreword
171
10.2
Joints at the cervical
171
10.3
Muscles at the neck
174
10.4
Nerves at the cervical
177
10.5
Treatment indication
179
10.6
Treatment method 10.6.1 Part 7 Sagittal Posterior line (P7 SP)
180
10.6.2 Part 7 Sagittal Medial line (P7 SM)
181
10.6.3 Part 7 Rotational Medial line (P7 RM)
182
10.6.4 Part 7 Rotational Posterior line (P7 RP)
183
10.6.5 Part 7 Rotational Lateral line (P7 RL)
184
10.6.6 Part 7 Rotational Anterior line (P7 RA(b))
185
10.6.7 Part 7 Sagittal Lateral line (P7 SL)
186
10.6.8 Part 7 Rotational Anterior line (P7 RA)
187
10.6.9 Part 7 Sagittal Medial-Anterior line (P7 SM-A)
188
10.6.10 Part 7 Sagittal Anterior line (P7 SA)
xiv
189
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
CHAPTER 11(PART 9) UPPER EXTREMITY - SHOULDER
11.1
Foreword
190
11.2
Joints at the shoulder
190
11.3
Muscles at the shoulder
193
11.4
Nerves at the shoulder
196
11.5
Treatment indication
197
11.6
Treatment method 11.6.1 Part 9 Sagittal Medial line (P9 SM)
198
11.6.2 Part 9 Rotational Medial line (P9 RM)
199
11.6.3 Part 9 Rotational Posterior line (P9 RP)
200
11.6.4 Part 9 Rotational Lateral line (P9 RL)
201
11.6.5 Part 9 Sagittal Lateral line (P9 SL)
202
11.6.6 Part 9 Rotational Anterior line (P9 RA)
203
CHAPTER 12 (PART 10) UPPER EXTREMITY – ELBOW AND UPPER ARM
12.1
Foreword
204
12.2
Joints at the elbow
204
12.3
Muscles at the upper arm
207
12.4
Nerves at the elbow and upper arm
209
12.5
Treatment indication
210
12.6
Treatment method 12.6.1 Part 10 Sagittal Medial line (P10 SM)
211
12.6.2 Part 10 Rotational Medial line (P10 RM)
212
12.6.3 Part 10 Rotational Posterior line (P10 RP)
213
12.6.4 Part 10 Rotational Lateral line (P10 RL)
214
12.6.5 Part 10 Sagittal Lateral line (P10 SL)
215
12.6.6 Part 10 Rotational Anterior line (P10 RA)
216
xv
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
CHAPTER 13 (PART 11) UPPER EXTREMITY – WRIST JOINT AND LOWER ARM
13.1
Foreword
217
13.2
Joints at the wrist
217
13.3
Muscles at the lower arm
220
13.4
Nerves at the wrist and lower arm
221
13.5
Treatment indication
223
13.6
Treatment method 13.6.1 Part 11 Sagittal Medial line (P11 SM)
224
13.6.2 Part 11 Rotational Medial line (P11 RM)
225
13.6.3 Part 11 Rotational Posterior line (P11 RP)
226
13.6.4 Part 11 Rotational Lateral line (P11 RL)
227
13.6.5 Part 11 Sagittal Lateral line(P11 SL)
228
13.6.6 Part 11 Rotational Anterior line (P11 RA)
229
CHAPTER 14 (PART 12) UPPER EXTREMITY- HAND AND FINGERS
14.1
Foreword
230
14.2
Joints at the hand and fingers
230
14.3
Muscles at the hand and fingers
233
14.4
Nerves at the hand and fingers
234
14.5
Treatment indication
235
14.6
Treatment method 14.6.1 Part 12 Sagittal Medial line (P12 SM)
236
14.6.2 Part 12 Rotational Medial line (P12 RM)
237
14.6.3 Part 12 Rotational Posterior line(P12 RP)
238
14.6.4 Part 12 Rotational Lateral line (P12 RL)
239
14.6.5 Part 12 Sagittal Lateral line (P12 SL)
240
14.6.6 Rotational Anterior point No 40 (RA 40)
241
xvi
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
CHAPTER 15
PROOF OF THE CLINICAL RESEARCH
15.1
Foreword
242
15.2
Comparison of the study
242
15.3
Research evaluation form
243
15.4
Data from patient and disease collected
246
15.5
Data from research results 15.5.1 Comparison (1) Connection between magnetic -electro and magnetic-electro problems.
248
15.5.2 Comparison (5) Effect of magnetic-electro with magnetic-electro problems.
250
15.5.3 Comparison (2) Connection between magnetic-electro and mechanical problems.
251
15.5.4 Comparison (6) Effect of magnetic- electro with mechanical problems.
252
15.5.5 Comparison (3) Connection between magnetic-electro and medical problems.
253
15.5.6 Comparison (7) Effect of magnetic-electro with medical problems.
254
15.6
Data summary from group 1, group 2 and group 3
255
15.7
Example of clinical cases treated
256
INSPIRATION SOURCES
261
REFERENCE
262
READING SOURCES
262
xvii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
LIST OF DIAGRAMS
DIAGRAM NO.
TOPIC
PAGE
1.1 (a)
Classic therapy zone diagram
3
1.1 (b)
Manual electro – magnetic therapy diagram
4
1.2
Trigger points scatter
6
1.3
Updated trigger points scatter
8
1.4
Magnetic lines of the front part of the body
12
1.5
Meridian lines of the front part of the body
13
1.6
Rotational anterior magnetic points of the upper extremity
16
1.7
Meridian sanjiao points of the upper extremity
16
1.8
Rotational medial magnetic points of the upper extremity
16
1.9
Meridian heart points of the upper extremity
16
1.10
Rotational lateral magnetic points of the upper extremity
17
1.11
Meridian lung points of the upper extremity
17
1.12
Rotational posterior magnetic points of the upper extremity
17
1.13
Meridian pericadium points of the upper extremity
17
1.14
Rotational posterior magnetic line of the upper extremity
18
1.15
Meridian pericadium line of the upper extremity
18
1.16
Rotational lateral magnetic line of the upper extremity
18
1.17
Meridian lung line of the upper extremity
18
1.18
Rotational medial magnetic line of the upper extremity
19
1.19
Meridian heart line of the upper extremity
19
1.20
Rotational anterior magnetic line of the upper extremity
19
1.21
Meridian sanjiao line of the upper extremity
19
2.1
Magnetic structures of the upper extremity
25
xviii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
2.2
Positive spaces in the magnetic lines
27
2.3
Negative spaces in the magnetic lines
27
2.4
Sagittal Medial line journey
29
2.5
Rotational Posterior line journey
31
2.5.1
Sagittal Lateral line journey
33
2.6
Rotational Medial line journey
35
2.7
Rotational Anterior line journey
37
2.8
Rotational Lateral line journey
39
2.9
Sagittal Posterior line journey
41
2.10
Sagittal Anterior line journey
43
3.1 (a)
Technique no.1 single
47
3.1 (b)
Technique no. 1 reinforced
47
3.2 (a)
Technique no. 2 single
49
3.2 (b)
Technique no. 2 reinforced
49
3.3 (a)
Technique no. 3 single
51
3.3 (b)
Technique no. 3 reinforced
51
3.4 (a)
Technique no. 4 single
52
3.4 (b)
Technique no. 4 reinforced
53
3.5
Supine lying position
55
3.6
Side lying position
56
3.7
Prone lying position
57
3.8
High sitting position
58
3.9
Energy reaction circle and its changes during treatment
59
3.10
Longitudinal force
60
3.11
Circular force
61
3.12
Transverse force
62
3.13
Vertical force
63
3.9
Location of diagnosis magnetic points
68
3.10
Location of treatment line ( front)
76
3.11
Location of treatment line (rear)
77
xix
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
4.1
Joints at the sole and toes
80
4.2
Muscles at the sole and toes
81
4.3
Nerves at the sole and toes
83
5.1
Joints at the ankle
91
5.2
Muscles at the calf
93
5.3
Nerves at the ankle and calf
95
6.1
Joints at the knee (front)
104
6.2
Joints at the knee (rear)
105
6.3
Muscles at the thigh
107
6.4
Nerves at the knee and thigh
109
7.1
Joints at the pelvic (front)
118
7.2
Joints at the pelvic (rear)
119
7.3
Muscles at the pelvic
121
7.4
Nerves at the pelvic
123
8.1
Joints at the lumbar (front)
135
8.2
Joints at the lumbar (rear)
136
8.3
Muscles at the abdominal
138
8.4
Muscles at the lumbar
139
8.5
Nerves at the lumbar
141
9.1
Joints at the thoracic(front)
153
9.2
Joints at the thoracic (rear)
154
9.3
Muscles at the thoracic(front)
156
9.4
Muscles at the thoracic(rear)
157
9.5
Nerves at the thoracic
159
10.1
Joints at the cervical(front)
172
10.2
Joints at the cervical (rear)
173
10.3
Muscles at the neck(front)
175
10.4
Muscles at the neck(rear)
176
10.5
Nerves at the neck
178
11.1
Joints at the shoulder(front)
191
11.2
Joints at the shoulder(rear)
192
xx
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
11.3
Muscles at the shoulder(front)
194
11.4
Muscles at the shoulder (rear)
195
11.5
Nerves at the shoulder
196
12.1
Joints at the elbow(front)
205
12.2
Joints at the elbow(rear)
206
12.3
Muscles at the upper arm(front)
207
12.4
Muscles at the upper arm(rear)
208
12.5
Nerves at the elbow and upper arm
209
13.1
Joints at the wrist(front)
218
13.2
Joints at the wrist(rear)
219
13.3
Muscles at the lower arm(front)
220
13.4
Muscles at the lower arm(rear)
221
13.5
Nerves at the lower arm and wrist
222
14.1
Bones at the hand and finger
231
14.2
Joints at the hand and finger
232
14.3
Muscles at the hand
233
14.4
Nerves at the hand
234
xxi
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
LIST OF TABLES
TABLE NO.
PAGE
2.1
Structure representative of the sagittal medial line
28
2.2
Structure representative of the rotational posterior line
30
2.3
Structure representative of the sagittal lateral line
32
2.4
Structure representative of the rotational medial line
34
2.5
Structure representative of the rotational anterior line
36
2.6
Structure representative of the rotational lateral line
38
2.7
Structure representative of the sagittal posterior line
40
2.8
Structure representative of the sagittal anterior line
42
3.1
The angle of joints in the treatment of part in the supine lying position
3.2
55
The angle of joints in the treatment of part in the side lying position
3.3
56
The angle of joints in the treatment of part in the prone lying position
3.4
57
The angle of joints in the treatment of part in the high sitting position
15.1
58
Connection between the magnetic points(diagnosis) with the magnetic lines and rings
15.2
249
Effects of the electro-magnetic treatment on the electro-magnetic problems
15.3
250
Connection between the electro-magnetic structures with the mechanical problem
15.4
251
Effects of the electro-magnetic treatment on the mechanical problems
15.5
252
Connection between the electro-magnetic structures with the medical problem
15.6
253
Effects of the electro-magnetic treatment on the
xxii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
medical problems 15.7
254
The overall min of the effect of the electro-magnetic treatment in group 1, 2 and 3
255
GLOSSARY
Sagittal
-
Cross-section of the front and rear
Coronal
-
Cross-section of the inner and outer part
Rotational
-
Circular cross-section
Horizontal
-
Transverse cross-section
Longitudinal
-
Straight direction
Circular
-
Circular direction
Transverse
-
Horizontal direction
Vertical
-
Upright direction
Anterior
-
Front part
Posterior
-
Rear part
Lateral
-
Outer part
Medial
-
Inner part
Superior
-
Top part
Inferior
-
Bottom part
Posterior medial
-
Rear inner part
Posterior lateral
-
Rear outer part
Extension
-
Straight joint movement
Flexion
-
Bending joint movement
External Rotation
-
Outwards rotation joint movement
Internal Rotation
-
Inwards rotation joint movement
Abduction
-
Outwards side joint movement
Adduction
-
Inwards side joint movement
xxiii
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Inversion
-
Ankle joint inward movement
Eversion
-
Ankle joint outward movement
Pronation
-
Radioulnar joint inward movement
Supination
-
Radioulnar joint outward movement
Ulna deviation
-
Wrist joint inward movement
Radial deviation
-
Wrist joint outward movement
Depression
-
Scapula downward movement
Elevation
-
Scapula upward movement
Protection
-
Scapula forward movement
Retraction
-
Scapula backward movement
Opposition
-
Fingers angulation movement
Extensor
-
Extension muscles movement
Flexor
-
Flexor muscles movement
External Rotator
-
Outwards rotation muscles movement
Internal Rotator
-
Inwards rotation muscles movement
Abductor
-
Abduction muscles movement
Adductor
-
Adduction muscles movement
Evertor
-
Eversion muscles movement
Invertor
-
Inversion muscles movement
Supinator
-
Supination muscles movement
Pronator
-
Pronation muscles movement
Depressor
-
Depression muscles movement
Elevator
-
Elevation muscles movement
Protector
-
Protection muscles movement
Retrector
-
Retrection muscles movement
Opponent
-
Opposition muscles movement
xxiv
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
FOR THE MIND
Read, (Oh Muhammad) in the name of the Lord who createth, Createth man from a clot. Read, And the Lord is the Most Bounteous. Who teacheth by the pen. Teacheth man that which he knew not. Nay, but verily man is rebellious. That he thinketh himself independent Lo! Unto thy Lord is the return.
Al-QURAN, CHAPTER 96 AL – ALAQ VERSE 1 - 9
xxv
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
xxvi
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Chapter 1
ELECTROMAGNETIC POINTS: HISTORY AND RESEARCH
1.1
Research idea and Interest
The research idea started in early 1995 when I was in my final year of my physiotherapy course. At that time I was to be located at a hospital of my choice by the principal for the last time at the end of my 5th semester. I chose to do my practical at the Ipoh General Hospital Perak but was turned down because the position was already filled. I then chose to do it at Kota Baharu General Hospital in Kelantan. I was there in Kota Baharu where I started my life as a student interested in physiotherapy. Earlier in the course I felt bored because it was not my choice but my mother’s. All I could do then was to carry on with it as I was already half way of through.
To switch to another course, I had to start all over again from the bottom and a lot of time would be wasted. My meeting with the Head of the Physiotherapy Department, Madam Normah Abdul Jalil, changed my perception towards the science and learning of physiotherapy.
She stressed that the illness and pains of the joints, muscles and nerves in physical treatment starts from the body mechanical changes that is from its position first and only then to its structure. Correction to its position will cause the pain to be reduced and cured instantly. Positive results can be observed even in the very first day of treatment. This has opened my mind and made me more interested into probing deeper into the science of physiotherapy.
1
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
From the general point of view, physiotherapy is meant to cure patients through exercise treatment, manipulation, electrotherapy treatment and counseling. The three common groups that physiotherapist treat are the muscloskeleter (joints, muscles and nerves ailment), cardiopulmonary (diseases of the heart and lungs) and neuromuscular (diseases of the nerve center and spine). In manipulative treatment, there is no systematic and balanced way of massaging. We have come to know about massaging from the west which is 30 to 40 years old. As for the technique of treatments, a lot of hard work is needed and is not suitable to be practiced in Malaysia as Asians have smaller body frame.
The study of magnetic points came about accidentally and unplanned. The idea started from a Sports therapist who came back to Malaysia to show his technique in treating sportsman. His techniques are mainly based on massaging the Malay / Siamese technique which uses the sore points or trigger points. In my observation, the existing sore points or trigger points used are incomprehensive. If these trigger points with acupuncture points in their points group, it is not original to say that acupuncture points are trigger points. This statement is not true because acupuncture points have been around 4000 – 5000 ago years also in China. Its location, function and effectiveness have been known world-wide. Therefore, there is no reason and to say that they are the same. Nevertheless the way he finds these trigger points systematically interest me. Even though he showed one or two methods in his demonstration, it was sufficient to make me realize the existence of points other than the existing acupuncture points.
2
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Figure 1.1(a): Diagram of Classic Therapy Zone in Reflexsology treatment. (Discovered by Dr. William Fitzgerald 1900)
3
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Figure 1.1 (b): Diagram of Magnetic Manual Therapy (Discovered by Shamsul 2000) © Shamsul 2004
4
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
1.2
Initial Reseach and Finding I started my research after hearing convinced about the presence of points other
then acupuncture points. The initial research was focused on the many points that existed in the body. I referred to many books on alternative treatment and classical and traditional massage for the research. I looked for differences and similarities in functions of these points and also compared the trigger points with existing points on their locations and arrangements, there were obvious differences to one another from what I had obtained.
I finished my studies in physiotherapy in the middle of 1996. The following year I started to work at the Ipoh General Hospital. A year after that I continued with my research focusing mainly on finding these points on the patients body. It became more practical because theoretically these points exist in sore areas. It made them easier to find. Fig: 1.2 shows some of the points found and grouped on the upper limb at the patients.
5
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
? a c
?
b
?
(a) (b) (c) (d)
d
Vertical adjoining line Horizontal adjoining line Trigger point Empty spaces not filled by trigger points
Figure 1.2: Dispersal of Trigger points
6
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
The arrangement of the points in Fig: 1.2 are scattered and incomplete (inconclusive). There are points that exist by themselves and others close to one another. Looking at these clustered points, they are level to one another in their arrangements at the top and at the bottom or at the inside and the outside. If we look at the creation of the world of all living things (by the one god) we find that everything is created well balanced, systematic, safe and perfect, nothing is out of line or out of place. One simple example is our eyes. Why do they exist in twos and not ones or threes and why are they at the same level or why do are have eyelashes controlling the eye.
The answer is that they are created well balanced, systematic, safe and complete. These four reasons are used to solve the problems concerning the trigger points. The first step is to systemize the location of these points by joining them together and completing their numbers because the existing ones still lack 30%. Praise and thanks to Almighty Allah for having inspired me to join all these points in straight lines from bottom to top and from left to right. As a result of this, empty spaces can be found where these lines meet and also the existence of these trigger points that are grouped together. This discovery was a big surprise and Allah Akbar.
Figure: 1.3 shows the result after having joined the lines in the upper limb. It is now 100% completed and in systematic order. Thanks be to Allah.
7
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
a
b
c
(a) Trigger point (b) Vertical line (c) Horizontal line Figure 1.3: Shows the result after having joined the lines in the upper limb © Shamsul 2004
8
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
When these lines were first discovered, I thought of giving them appropriate names. At first I thought of letting it be called trigger points or may be nerve points because this was where it all started with. Nevertheless, looking at the systematic criteria of the location and the arrangements of the points and making it look like an electric circuit, I decided to change its name to energy points. By general definition, energy means the existing power or force which moves a function onto matter. But does this force or energy exist in these points? Does the name fits the functions? Therefore I decided to be more specific by naming them magnetic energy points. Theoretically, it can be said that these are magnetic reactions within these points.
I seek the truth based on these theory. The opportunity came when by chance a patient complained about his thumb and asked me to treat it. Without delay I started treating the patient by putting my fingers on the two magnetic points connected to the thumb area which were situated on his head. Without putting pressure on these points I told him to take deep long breaths. After a few times, the pain in the thumb vanished and he felt as if the pain was taken out from these points as he inhaled. It made me happy. I did not really understand what had happened in the process but I felt sure that it was something new to be discovered and tested.
9
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
1.3 Usage and Effectiveness
After having found the appropriate name for its functions, I began to use it in treating all kinds of physical ailments. Since I spent a lot of time at outpatient, a lot of cases involving joints, muscles, and nerves became my target. Between 1998 and 2004, I treated patients using these magnetic points amounting to the thousands. Some were successful and some were not. It depended on the cause of pain. For example, if the pain was caused by disturbances to the magnetic system; the points are clogged, recovery can be up to a 100%. But if it is due to mechanical or medical problems, recovery is probably around 30 – 50 %.
With my experience, I would say that this system is suitable for the treatment of muscloskeleter, that is points of joints, muscles and nerves compared to the acupuncture points which are suitable for the treatment of internal organs as well as physical problems. This is one of the differences that we can find. There are many more differences between these points but this I shall discuss later.
Theoretically this system can also resolve problems pertaining to alternative medication eg reiki, meditation, yoga, reflexology, massage, shiatsu, wave therapy and a few others. The question that always come to mind is how alternative treatment can reduce pain. What are the mediums available, that help to reduce pain in alternative treatment and what are the effects in treating the sore areas? I would say that it is the effect from the charges inside and outside of the cell. The use of alternative treatment has affected in the increase and decrease of these charges. This occurs either intentionally or otherwise while treatment was applied. This balances the charges. This is the modern, scientific and simple to understand explanation and is acknowledged in the modern medical field.
Using these points resulted in my understanding in detail their functions. It made me deduce that a complete electromagnetic system, which is complete which I believe has never been published anywhere in the world. The system functions as a charge
10
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
balance in the body after an activity of the live cell. Hyperactive cell causes access positive charges in the cell. This may cause the cell to lost a lot of energy. Therefore this system tries to reduce excessive use of energy by releasing negative charges to neutralized the positive charges. The neutrilization of this charges enables cell activities to carry on. This process is repeated until the goal is achieved. There are 8 different ways in the technique that uses this system structure.
1.4 Comparision with Acupuncture points
In this chapter we shall be discussing the differences between magnetic points and acupuncture points. The differences should be mentioned to let reader distinguish the usage and their functions. It is known that acupuncture existed as early as 5000 year ago. It was widely used the end of the 20th century especially in the west. They made researches on its uses and effects in reducing pain. Many books were written and published on this acupunture points and many centers were opened to give training, studies and researches on this matter.
Modern and alternative medicine practitioners may or may not have heard about these magnetic points. I have read books on these magnetic points but the truth could not be fully justified for the writer may have changed the names of these points just to give them a difference in the treatment. Nevertheless the location of these points are the same the acupuncture points. The writers too may not have fully studied about the acupuncture points than mixed them up with all other points. It could also be one way that their book could sell.
I do not want to say anything negative about these books that are incomplete and mixed up but credit should be given for publishing more books on alternate medication. But then again, let them be precise, complete and with reasons. Back to these magnetic points, let me now elaborate them as beside.
11
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Figure 1.4: Magnetic lines at the front of the body © Shamsul 2004
12
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Figure 1.5: Diagram of meridian lines at the front of the body
13
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Comparisons of the acupuncture and magnetic points:
a)
Magnetic points properly arranged on the magnetic lines (Fig: 1.4) and acupuncture points on meridian lines not in any particular order; dispersed and disarranged.
b)
Magnetic system has 8 lines whereas the acupuncture has 12 meridian lines. The 8 magnetic lines are 1. anterior sagittal 2. posterior sagittal 3. medial sagittal 4. lateral sagittal 5. rotational anterior 6. rotational posterior 7. rotational medial. As for the meridian lines, they are 1. lung meridian 2. large intestine meridian 3. stomach meridian 4. liver meridian 5. heart meridian 6. small intestine meridian 7. bladder meridian 8. kidney meridian 9. liver meridian 10. gallbladder meridian 11. circulation meridian 12. spleen meridian.
c)
The acupuncture system uses the yin and yang principles but the magnetic system uses the positive and negative charges in reasoning out treatment.
d)
Acupuncture uses needles, electricity and fingers to generate the points but electro magnetic uses 100% hand skills to treat patients.
e)
Acupuncture uses the theory based on earth, water, iron, wood and fire in treatment but electromagnet uses the charges of 1-ve, 2 -ve, 1 +ve and 2 +ve.
f)
In electromagnetic treatment, the points are chosen based on the points surrounding the pain area where as acupuncture uses the points based on the meridian line associated with certain organs.
g)
Both depend on the source and condition of the patients in the effectiveness of treatment. Some conditions heal fast while others slow and temporary.
14
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
h)
The electro-magnetic theory is easy to understand and practice and not many points are used during treatment.
j)
The electro-magnetic system is more effective in treating joints, muscles and nerves.
k)
The strength of this system lies in the strength of the hypothalamus i.e. the structure of brain’s center which functions as a dynamo to the body electromagnetic system.
l)
It can be said that the source of the unknown ailment after a variety of diagnosis, starts with this system. This will be elaborated in another chapter.
15
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Comparisons of the acupuncture and magnetic points:
Fig. 1.6: Rotational Anterior Magnetic points (RA)
Fig. 1.7: Sanjiao points (SC)
Fig. 1.8: Rotational medial points (RM)
Fig. 1.9: Heart points (H)
16
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Fig. 1.10: Rotational lateral points (RL)
Fig. 1.11: Lung points (L)
Fig. 1.12: Rotational Posterior points (RP)
Fig. 1.13: Pericadium points (P)
17
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Comparisons of the meridian and magnetic lines:
Fig. 1.14: Rotational Posterior line (RP)
Fig. 1.15: Pericadium Meridian line (P)
Fig. 1.16: Rotational Lateral line (RL)
Fig. 1.17: Lung Meridian line (L)
18
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
Fig. 1.18: Rotational Medial line (RM)
Fig. 1.19: Heart Meridian line (H)
Fig. 1.20: Rotational Anterior line (RA)
Fig. 1.21: Sanjiao Meridian line (SC)
`
19
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
Chapter 6
PART 3 LOWER EXTREMITY – THE KNEE AND THIGH
6.1
Introduction
The knee is constructed by 4 important bones, they are the femur, tibia, fibular and patella. The purpose of each of these bones is to give balance, movement, shape and weight distribution. It also lengthen and shorten the lower extremity. The knee joint is the largest joint at the lower extremity, it give balanced when jumping, squatting and running.
6.2
Joints
1.
Tibiofemoral joint The largest joint in the body. It is a hinge joint. It give excellence stability and free motion for lower limb. It fixed and supported four stronger ligaments, they are anterior cruciate ligament(ACL), posterior cruciate ligament (PCL), medial cruciate ligament (MCL) and lateral cruciate ligament (LCL) and reinforced by capsule that attached around the joint line.
2.
Patellofemoral joint It is a plane joint. One of the function is to prevent friction gliding quarisep
tendon on the femur grove. It stabilize by patella tendon at inferior apec and quadrisep muscle at superior base.
20
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY â—? ___________________________________________________________________________________________
3.
Superior Tibiofibular joint
It is a plane synovial joint. It also influent movement at ankle joint movement. Any hypomobility at this joint can cause pain at the knee joint.
c d
a
e b
f
(a) Tibiofemoral joint
(d) Pattela bone
(b) Fibulotibial joint
(e) Fibular bone
(c) Pattelofemoral joint
(f) Tibial bone
Figure 6.1: Joints at the front of knee
21
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
a c b
d e
(a) Tibiofemoral joint (b) Fibulotibia joint (c) Femur bone (d) Tibial bone (e) Fibular bone
Figure 6.2: Joints at the rear of knee
22
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.3
Muscles
1.
Sagittal Muscles ■ Flexor muscle- Sartorius, biceps femoris, semitendonosus and semimembranosus. ■ Extensor muscles - Rectus femoris, vastus intermedius, vastus medialis and vastus lateralis.
2.
Angular Muscles ■ External rotator. It only had small amount of movement especially during extending the knee. A muscle action is biseps femoris. ■ Internal rotator. This movement occur when knee joint flexing behind. The muscles are semimebranosus, semitendinosus, sartorius, gracilis and popliteus.
3.
Coronal muscles ■ Abductor. They was no abduction movement occur at knee joint. Only accessory movement had occur inside the joint, tibial glide laterally or outside. The abductor of the hip help to assisted this accessory movement. ■ Adductor. No adduction movement at the knee joint but the accessory movement occur when knee flexion. Tibial glide medially on femoral usually assisted by adductor muscles of the hip.
23
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
a
d f
c
b
e
(a) External rotator (b) Flexor (c) Internal rotator (d) Adductor (e) Extensor (f) Abductor
Figure 6.3: Muscles at the thigh
24
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.4
Nerves
Generally it have three main peripheral nerves passing through and supply to the muscles, joints and cutaneous at thigh and knee. The three main peripheral nerves are sciatic, femoral and obturator nerves.
1.
Sciatic Nerve
■ Passing along the posterior- lateral region of the thigh before divide to two branches, tibial nerve and common peroneal nerve . ■ Myotome- Bicep femoris, semitendinosus, semimembranosus, and adductor magnus muscle.
2.
Femoral Nerve
■ Passing inside the femoral triangle, move down and anterior of the thigh. ■ Myotome- illiacus, sartorius and quadrisep. 3.
Obturator Nerve
■ Ventral division (L2, L3 &L4). Passing to medial thigh before divide by 2 -: 1) Posterior branches 2) Anterior branches ■ Myotome- Adductor longus, gracilis, adductor brevis, adductor magnus and obturator externus.
25
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
c
a a
b
(a) Sciatic nerve (b) Femoral nerve (c) Obturator nerve
Figure 6.4: Nerves at the thigh
26
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.5
Indication
1.
Bones fractured ■ Fractures of the proximal of tibial, fibular and patella bones.
2.
Dislocation or subluxation ■ Dislocation or subluxation of the tibiofemoral, superior tibiofibular and patellofemoral joints.
3.
Soft tissues injuries ■ Tendons injuries including hamsring, quadrisep and adductor muscles. Ligaments torn including ACL, PCL, MCL and LCL. Tendinitis of the tendon pattela and hamstring.
4.
Degenerative arthropathy ■ Any degenerative involving knee joint.
5.
Inflamatory arthropathy ■ Rheumatoid arthritis and gout.
6.
Neuropathy ■ Entrapments of the femoral, sciatic and obturator nerves.
7.
Hypo or hypermobility ■ Hypo or hypermobility of the knee movements.
8.
Hypo or hyperpolarity ■ Hypo or hyperpolarity of the P3 RP, P3 RM, P3 RL, P3 SM, P3 SL and P3 RA magnetic lines.
27
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6
Treatment
6.6.1
Part 3 Sagittal Medial (P3 SM)
Location
-Medial aspect of the thigh (Fig: 6.5(b)).
Represent
-Obturator nerve, adductor muscles and medial structures of the knee.
Indication
-Pain on the P3 SM, structures and limited of abduction.
Application
-Position- Patient in prone with knee flexion 60°. - Therapist stand opposite. -Technique – No 3, (use opposite dorsum knuckle), press 3 kg, massage 5-10 times (Fig: 6.5(a)).
© S M T 2 0 0 5
Figure 6.5 (a)
Figure 6.5 (b)
28
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6.2
Part 3 Rotational Medial (P3 RM)
Location
-Posterior- medial aspect of the thigh (Fig: 6.6(b)).
Represent
-Knee structures, nerve branches at posterior–medial aspect and semitendinosous and semimenbranous.
Indication
-Pain on the P3 RM, structures and limited of external rotation.
Application
-Position- Patient in prone with knee flexion > 60°. - Therapist stand opposite. -Technique – No 3, (use opposite dorsum knuckle), press 3 kg, massage 5-10 times (Fig: 6.6(a)).
© S M T 2 0 0 5
Figure 6.6 (a)
. Figure 6.6 (b)
29
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6.3
Part 3 Rotational Posterior (P3 RP)
Location
-Posterior aspect of the thigh (Fig: 6.7(b)).
Represent
-Knee structures and nerve branches at the posterior area and hamstring.
Indication
-Pain on the P3 RP, structures and limited of extension.
Application
-Position- Patient in prone with knee flexion > 60°. - Therapist stand opposite. -Technique – No 3, (use opposite dorsum knuckle), press 3 kg, massage 5-10 times (Fig: 6.7(a)).
© S M T 2 0 0 5
Figure 6.7 (a)
Figure 6.7(b)
30
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6.4
Part 3 Rotational Lateral (P3 RL)
Location
-Posterior- lateral aspect of the thigh (Fig: 6.8(b)).
Represent
-Sciatic nerve, bicep femoris and posterior-lateral of the knee (lateral meniscus)
Indication
-Pain on the P3 RL, structures and limited of internal rotation.
Application
-Position-Patient in prone with knee flexion 75° and hip
abduction. - Therapist stand behind. -Technique – No 3, reinforced (use opposite dorsum knuckle), press 5 kg, massage 10-15 times (Fig: 6.8(a)).
© SMT 2005
Figure 6.8 (a)
Figure 6.8 (b)
31
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6.5
Part 3 Sagittal Lateral (P3 SL)
Location
-Lateral aspect of the thigh (Fig: 6.9(b)).
Represent
-Lateral structures of the knee (LCL ligament), lateral nerve branches and abductor
Indication
-Pain on the P3 SL, structures and limited of adduction.
Application
-Position-Patient in prone with knee flexion 75° and hip
abduction. - Therapist stand behind. -Technique – No 3, (use same side dorsum knuckle), press 3 kg, massage 5-10 times (Fig: 6.9(a)).
© S M T 2 0 0 5
Figure 6.9 (a)
Figure 6.9 (b)
32
SHAMSUL MANUAL THERAPY
ELECTRO MAGNETIC LINES MASSAGE THERAPY ● ___________________________________________________________________________________________
6.6.6
Part 3 Rotational Anterior (P3 RA)
Location
-Anterior aspect of the thigh (Fig: 6.10(b)).
Represent
-Femoral nerve, quadrisep muscles and patella-femoral joint.
Indication
-Pain on the P3 RA, structures and limited of flexion.
Application
-Position- Patient in supine with knee flexion 30°. - Therapist stand beside. -Technique – No 3, (use opposite dorsum knuckle), press 4 kg, massage 10-15 times (Fig: 6.10(a)).
© SMT 2005
Figure 6.10 (a)
Figure 6.10 (b)
33
SHAMSUL MANUAL THERAPY