Transcript Exploring Issues in Dry Needling and Acupuncture/TCM

Exploring Issues in
Dry Needling and
Acupuncture/TCM Practice
in Illinois
Scope of Practice/Acupuncture (IL)
TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1140 ACUPUNCTURE PRACTICE ACT
As used in this Act: "Acupuncture" means the evaluation or treatment of persons
affected through a method of stimulation of a certain point or points on or
immediately below the surface of the body by the insertion of pre-sterilized, singleuse, disposable needles, unless medically contraindicated, with or without the
application of heat, electronic stimulation, or manual pressure to prevent or modify
the perception of pain, to normalize physiological functions, or for the treatment of
certain diseases or dysfunctions of the body and includes activities referenced in
Section 15 of this Act for which a written referral is not required. Acupuncture does
not include radiology, electrosurgery, chiropractic technique, physical therapy,
naprapathic technique, use or prescribing of any drugs, medications, herbal
preparations, nutritional supplements, serums, or vaccines, or determination of a
differential diagnosis.
Scope of Practice/Acupuncture (IL)
An acupuncturist registered under this Act who is not also licensed as a physical
therapist under the Illinois Physical Therapy Act shall not hold himself or
herself out as being qualified to provide physical therapy or physiotherapy
services.
An acupuncturist shall refer to a licensed physician or dentist, any patient whose
condition should, at the time of evaluation or treatment, be determined
to be beyond the scope of practice of the acupuncturist.
Scope of Practice/Physical Therapist (IL)
TITLE 68: PROFESSIONS AND OCCUPATIONS
CHAPTER VII: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
SUBCHAPTER b: PROFESSIONS AND OCCUPATIONS
PART 1340 ILLINOIS PHYSICAL THERAPY ACT
As used in this Act: (1) "Physical therapy" means all of the following: (A) Examining,
evaluating, and testing individuals who may have mechanical, physiological, or
developmental impairments, functional limitations, disabilities, or other health and
movement-related conditions, classifying these disorders, determining a rehabilitation
prognosis and plan of therapeutic intervention, and assessing the on-going effects of
the interventions.
(B) Alleviating impairments, functional limitations, or disabilities by designing,
implementing, and modifying therapeutic interventions that may include, but are not
limited to, the evaluation or treatment of a person through the use of the effective
properties of physical measures and heat, cold, light, water, radiant energy, electricity,
sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and
rehabilitative procedures, with or without assistive devices, for the purposes of
preventing, correcting, or alleviating a physical or mental impairment, functional
limitation, or disability.
Scope of Practice/Physical Therapist (IL)
(C) Reducing the risk of injury, impairment, functional limitation, or disability, including
the promotion and maintenance of fitness, health, and wellness. (D) Engaging in
administration, consultation, education, and research. Physical therapy includes, but is
not limited to: (a) performance of specialized tests and measurements, (b)
administration of specialized treatment procedures, (c) interpretation of referrals from
physicians, dentists, advanced practice nurses, physician assistants, and podiatrists, (d)
establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures
when such medication is prescribed by the patient's physician, licensed to practice
medicine in all its branches, the patient's physician licensed to practice podiatric
medicine, the patient's advanced practice nurse, the patient's physician assistant, or
thepatient's dentist, and (f) supervision or teaching of physical therapy. Physical therapy
does not include radiology, electrosurgery, chiropractic technique or determination of a
differential diagnosis; provided, however, the limitation on determining a differential
diagnosis shall not in any manner limit a physical therapist licensed under this Act from
performing an evaluation pursuant to such license. Nothing in this Section shall limit a
physical therapist from employing appropriate physical therapy techniques that he or she
is educated and licensed to perform. A physical therapist shall refer to a licensed
physician, advanced practice nurse, physician assistant, dentist, or podiatrist any patient
whose medical condition should, at the time of evaluation or treatment, be determined
to be beyond the scope of practice of the physical therapist.
(
Dry Needling definition/AAAOM
American Association of Acupuncture and Oriental Medicine (AAAOM) Position
Statement on Trigger Point Dry Needling (TDN) and Intramuscular Manual
Therapy (IMT)
1. Acupuncture as a technique is the stimulation of specific anatomical locations
on the body, alone or in combination, to treat disease, pain, and dysfunction.
2. Acupuncture as a technique includes the invasive or non-invasive stimulation
of said locations by means of needles or other thermal, electrical, light,
mechanical or manual therapeutic method.
3. Acupuncture as a field of practice is defined by the study of how the various
acupuncture techniques can be applied to health and wellness.
4. Trigger Point Dry Needling and Intramuscular Manual therapy are by definition
acupuncture techniques.
5. Trigger Point Dry Needling and Intramuscular Manual Therapy are by definition
included in the Field of Acupuncture as a field of practice.
Dry Needling definition/CCAOM
It is the position of the Council of Colleges of Acupuncture and Oriental Medicine
(CCAOM) that dry needling is an acupuncture technique.
Rationale
A recent trend in the expansion in the scopes of practice of western trained health
professionals to include “dry needling” has resulted in redefining acupuncture and
re-framing acupuncture techniques in western biomedical language. Advancement
and integration of medical technique across professions is a recognized
progression. However, the aspirations of one profession should not be used to
redefine another established profession.
In addition proponents of “dry needling” by non-acupuncture professionals are
attempting to expand trigger point dry needling to any systemic treatment using
acupuncture needles and whole body treatment that includes dry needling by
using western anatomical nomenclature to describe these techniques. It is the
position of the CCAOM that these treatment techniques are the de facto practice
of acupuncture, not just the adoption of a technique of treatment.
Dry Needling definition/West Virginia
BOARD OF PHYSICAL THERAPY
Task Force on Dry Needling
The Board of Physical Therapy Task Force on Dry Needling met on Friday,
March 30, 2007 at the Department of Health Professions, 6603 West
Broad Street, 5th Floor, Conference Room #3, Richmond, Virginia
Dry Needling – is a technique used to treat myofascial pain that uses a dry
needle, without medication, that is inserted into a trigger point with the
goal of releasing/inactivating the trigger points and relieving pain.
Dry Needling definition/Dr. Ma
What Is Dry Needling? by Dr. Yun-tao Ma
Dry needling technique is a modern Western medical modality that is not
related to Traditional Chinese acupuncture in any way.
Dry needling has its own theoretical concepts, terminology, needling
technique and clinical application.
Dry Needling was first developed in 1940's by Janet Travell, MD, former
medical adviser to White House (JFK's physician). Thus, dry needling a.k.a
biomedical acupuncture is based on modern understanding of human
anatomy and patho-physiology and on modern SCientific research,
drawing heavily on leading-edge neurological research using modern
imaging techniques such as Functional MRls of the brain.
Different terminology for dry needling technique have been created; for
example trigger point needling, dry needling technique, intra muscular
stimulation (IMS) and biomedical acupuncture are all in use.
Dry Needling Position Paper/AAAOM
The AAAOM has the following additional specific concerns: 1) No standards of
education have been validly determined to assure that Physical Therapists (PT)
using TDN are providing the public with a safe and effective product; 2) There is a
clear effort to redefine identical medical procedures and thereby circumvent or
obscure established rules and regulations regarding practice; and 3) In many
states, addition of TDN to PT practice is a scope expansion that should require
legislative process, not a determination by a PT Board. The U.S. Department of
Education recognizes ACAOM as the sole accrediting agency for Acupuncture
training institutions as well as their Master’s and Doctoral Degree programs.
Training in Acupuncture, which has been rigorously refined over the course of
hundreds of years internationally and forty years domestically, is well established
and designed to support safe and effective practice. Attempts to circumvent
Acupuncture training standards, licensing or regulatory laws by administratively
retitling acupuncture as “dry needling” or any other name is confusing to the
public, misleading and creates a significant endangerment to public welfare.
Dry Needling Position Paper/AAAOM
The actual risk has already been investigated by at least one malpractice
insurance company that has stated it will cancel polices for Physical Therapists
“engaging in a medical procedure for which they have no adequate education
or training.” (Letter from Allied Professional Services [on file at AAAOM] ).
Recent actions by state medical regulatory authorities have identified and acted
upon the aforementioned risk.
In conclusion, the AAAOM strongly urges legislators, regulators, advisory boards,
advocates of public safety, and medical professional associations to carefully
consider the impact of these actions.
Dry Needling Position Paper/CCAOM
A current author and provider of dry needling courses, Yun-tao Ma, Ph.D.,
extends dry needling beyond trigger points to include acupuncture points. He
describes the points according to the neuroanatomical location and effects and
calls them “Acu reflex” points. It is this adaptation and renaming of acupuncture
to provide total body treatment that poses the greatest risk to the public, as it
circumvents established standards for identical practice, i.e., acupuncture,
without the rigorous training of acupuncture and the licensing of such.
Summary Position of the CCAOM on Dry Needling
It is the position of the Council of Colleges of Acupuncture and Oriental
Medicine (CCAOM) that dry needling is an acupuncture technique.
It is the position of the CCAOM that any intervention utilizing dry needling
beyond trigger point dry needling is the practice of acupuncture, regardless of
the language utilized in describing the technique.
APPROVED
BOARD OF PHYSICAL THERAPY
Task Force on Dry Needling
The Board of Physical Therapy Task Force on Dry Needling met on Friday, March 30,
2007 at the Department of Health Professions, 6603 West Broad Street, 5th Floor,
Conference Room #3, Richmond, Virginia
The Task Force will make the following recommendations to the Board of
Physical Therapy:
•Dry Needling is within the scope of practice of physical therapy;
•A PT using dry needling should complete at least 54 hours of face-to-face
IMS/dry needling course study; online study is not considered appropriate
training;
•Prescriptive written referral should be specific for dry needling and
required, if received orally must be followed up with written referral;
•In order to be obvious to the reader, if dry needling is performed, a separate
procedure note should be required and notes must indicate how the patient
tolerated the technique as well as the outcome after the procedure.
•Consent Form should clearly state that the patient is not receiving
acupuncture. It should also include the risks and benefits. The patient
should receive a copy of the consent form.
Dry Needling as taught by Dr. Ma/
Explained by Dr. Ma
Excerpted from What Is Dry Needling? by Dr. Yun-tao Ma
Please, note: Traditional Chinese Acupuncture (TCM-style acupuncture) is
based on ancient Chinese concepts of meridian systems, such as Qi or
energy channels, using tongue and pulse assessment, and uses a variety
of needle manipulation techniques. TCM Acupuncture does not share any
medical ground with Dry Needling Techniques. It is pointless to compare
hours of training for TCM acupuncturists and medically trained physical
therapists. Definitely physical therapists will have more oranges and TCM
acupuncturists will have more apples.
Dry Needling as taught by Dr. Ma/
Explained by Dr. Ma
Systemic Integrative Dry Needling
.• SIDN represent effective techniques for resolving soft tissue dysfunction:
inflammation, contracture, tissue adhesion, microcirculation and edema,
and biomechanical balance of musculoskeletal system.
Our approach is both systemic and analytical. We emphasize both local
anatomy and systemic functional effects. We treat both local injuries and
assure physiological and mechanical balance of the whole system -human
body. Systemic Integrative Dry Needling techniques allow practitioner to
predict the prognosis of the treatments such as how many treatments the
patients will need and how long the symptom relief can be achieved.
Dr. Ma's 40-year background in clinical and Western (biomedical, no
meridians, no classic acupoints) Dry Needling acupuncture and
neuroscience research has enabled him to address specifically neuroimmunological and neuro-muscular mechanisms of Systemic Integrated
Dry Needling and created SIDN.
Dry Needling by Dr Ma
Integrative Dry Needling,
Orthopedic Approach™ is a
contemporary dry needling therapy
developed by Dr Yun-tao Ma (2005,
2010) and based on the works of Dr
Janet Travell (1982, 1992), Dr Chan
Gunn (1978), clinical evidence,
evidence-based research and Dr
Ma’s own 40 years of clinical and
research experience and
neuroscience training.
Email: [email protected]
Tel: 303-516-0595
3 Wildwood Lane,
Boulder, CO, 80304 USA
http://dryneedlingcourse.com/
[email protected]
<[email protected]> Mon, Sep 26, 2011 at 4:14
PM To: Jeannette Hoyt <[email protected]>
Hello Jeannette
We will be offering dry needling training in Chicago, Dec 9-11
and it is the Pain Management course. The course is being held
at Core Fitness Chicago, 1030 w. North Ave Suite 300 and the
cost is $1295.00. You can register online at
www.dryneedlingcourse.ca
Please let me know if you have any other questions.
Thanks,
Melissa
Feedback…
What is dry needling?
Is dry needling an acupuncture technique, a physical therapy
technique, both or neither?
What amount, type, length, etc. of training should Physical
Therapists have in order to perform dry needling?
What is your response to Dr. Ma’s Dry Needling course
(24 classroom hours) being offered at Core Fitness that will
allow Physical Therapists to offer dry needling to their clients
in Illinois?
Thank you for listening!
Thank you for your feedback!
Any questions, please contact
Coalition for Safe Acupuncture Practice,
[email protected]
To view this power point, please visit
the CSAP page at aardvarksfly.com