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1 J Chin Med (,): -, 00 * neck/shoulder pain -year-prevalence %0%% % -% -% p< cuspat@yahoo.com.tw, leafbook@gmail.com

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10 10. :-. Bovim G, Schradr H, Sand T. Neck pain in general population. Spine., :0-0,.. : Borghouts JA, Koes BW, Vondeling H. Cost-ofillness of neck pain in the Netherlands in. Pain., 0:-,... :- 00. :-. 0:-. :- 0. : :- 00. :- 00. : :- 00. Simons DG, Travell JG, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual. Lippincott Williams & Wilkins.. Weid WD, DechmanG. Considerations When Testing and Training the Respiratory Muscles. Phys Ther.,:-,.. Sanna A, F Bertoli, G Misuri, F Gigliotti, I Iandelli, M Mancini, R Duranti, N Ambrosino, G Scano. Chest wall kinematics and respiratory muscle action in walking healthy humans. J. Appl. Physiol., : -,.. Sheon RP, Moskowitz RW, Goldberg VM. Soft Tissue Rheumatic Pain: Recognition, management, Prevention. rd Ed, Williams and Wilkins, Baltimore,.. Wolf SG. Diaphragmatic spasm: a neglected

Considerations When Testing and Training the Respiratory Muscles. Phys Ther.,:-,.. Sanna A, F Bertoli, G Misuri, F Gigliotti, I Iandelli, M Mancini, R Duranti, N Ambrosino, G Scano.

11 11 cause of dysponea and chest pain. Integr Physiol Behav Sci., : -,. 0. Franco Laghi, Martin J. Tobin. Disorders of the Respiratory Muscles. Am J Respir Crit Care Med., :0-, 00.. ():-.. Myers TW, Anatomy Trains. Harcourt Publishers Limited, : - 00

Disorders of the Respiratory Muscles. Am J Respir Crit Care Med.

12 12 J Chin Med (,): -, 00 ON THE COMBINED CLINIC THERAPY OF ACUPUNCTURE AND BREATHING PATTERN AIMED AT NECK AND SHOULDER PAIN Chia-Chun Lai, Mao-Feng Sun, Chin-Lieh Hung, Yu-Sheng Chen* 1 Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine Taoyuan, Taiwan 2 Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital and Chang Gung Institute of Technology Taoyuan, Taiwan ( Received 14 th April 2008, accepted 26 th June 2008 ) Neck/shoulder pain is one of the most common complaints among patients of acupuncture clinic. Those patients suffer from neck & shoulder stiffness, feeling sore, pained, swelling or numbing on the mentioned body parts. Moreover, such painful feeling even spread to scapula, head, and arms. The most common views of treatments used in acupuncture were channel sinew, spinal nerve root, brachial plexus root and local therapy. However, such treatments did not stop the recurrence of neck/shoulder pain which may disturb patients' daily life and work by revisiting doctors repeatedly. The patients revisits to hospital also increase the burden of the national medical expense. As such neck/shoulder stiffness often comes along with respiration problems (like chest distress, shortness of breath) and with sore stiff respiratory muscles (scalene muscle and Sternocleidomastoid muscle), the author assumes that the cause of stiff neck/shoulder may be the incorrect breathing pattern which overly presses the respiratory muscles in the neck/shoulder area. According to this hypothesis, we try to treat and adjust patients' breathing condition by acupuncture, and we find that the patients were relieved from chest distress and short of breathing, and afterward their neck/shoulder pain is alleviated. In the same time, if we instruct patients with the correct coordinated way of exhaling / inhaling, and remind them to keep good breathing pattern all the time, the recurrence of the neck/shoulder pain is greatly reduced. Via breathing pattern, we believe that it could provide us another therapy to treat the patients with neck/shoulder pain: helping patients breathe smoothly and instructing them with correct coordinated respiration can keep them away from such neck/shoulder pain for good. Key word: neck/shoulder pain, acupuncture, breath pattern, channel sinew, Quepen Correspondence to: Yu-Sheng Chen, Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan. Tel:(0)-00 ext., Fax:(0)-, cuspat@yahoo.com.tw, leafbook@gmail.com.

Chang Gung Institute of Technology Taoyuan, Taiwan ( Received 14 th April 2008, accepted 26 th June 2008 ) Neck/shoulder pain is one of the most common complaints among patients of acupuncture clinic.

66 a T. S. Kuhn 2 b a b Thomas Kuhn disciplinary matrix examplars or shared examples incommensurability

J Chin Med 20(1,2): 65-78, 2009 65 1 1 1,3 1,3 1,2 1 2 3 98 01 16 98 05 07 1 33378 123 03-3196200 2613 03-3298995 tcmchh@mail.cgu.edu.tw, chenlien@seed.net.tw 66 a T. S. Kuhn 2 b a b Thomas Kuhn1962-78