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KMID : 0363620120330010079
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Journal of Korean Oriental Medicine
2012 Volume.33 No. 1 p.79 ~ p.89
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A Review Study on Movement System Impairment Syndromes
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Kim Jeong-Kyun
Kim Hyun-Ho
Seo Jae-Ho
Kim Dong-Won
Park Young-Jae
Park Young-Bae
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Abstract
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Objectives: Sahrmann, an American physical therapist, has developed a set of movement-related diagnoses on musculoskeletal pain syndromes (MPS). We reviewed articles for studies of objectification and quantification of Oriental medicine diagnosis system about MPS.
Methods: The authors reviewed a total of 12 studies found on PubMed to obtain movement system impairment (MSI)-based classification categories.
Results: The MSI system has been developed for objectification and quantification of physical therapists’ MPS diagnoses. The MSI system of classification is based on the basic premise that loss of precise movement is the result of specific repetitive movements and positions in everyday life. The MSI system defines 8 categories in the shoulder region, 5 in the lumbar region, and 7 in the knee region. Treatment involves (1) educating the person about the specific directions of alignment and movement that appear to be contributing to the musculoskeletal problem, (2) modifying the direction - specific alignment and movement patterns during daily activities, and (3) exercises to address the impairments.
Conclusions: The authors propose that MSI studies could help to advance an Oriental medical diagnosis system on musculoskeletal pain syndromes, because MSI shares similarity with Oriental medicine in terms of holism, views of constant motion, and mi-byung (subhealth) treatment.
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KEYWORD
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classification, Sahrmann, movement system impairment syndromes (MSIS), shoulder pain, low back pain, knee pain
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