CLINICAL EXPERIENCES WITH ACUPUNCTURE: FAILURES AND SUCCESSES

Part 4
Philip A.M. Rogers MRCVS
e-mail : progers@grange.teagasc.ie
IVAS Congress, The Netherlands 1990

QUESTIONS

In these questions, we define clinical success as medium-term elimination of most of the severe signs and symptoms, with restoration of body-mind functions to the extent possible under prevailing circumstances.

1. One of the following statements is not correct. Indicate the incorrect statement:

Clinical failures may be due to:

(a) professional error

(b) patient/owner error (non-compliance with advice given)

(c) coincidental disorders

(d) inability of target organs to respond

(e) refusal of an animal patient to allow acupuncture treatment

2. One of the following statements is not correct. Indicate the incorrect statement:

There are five main sources of professional error in AP therapy:

(a) faulty diagnosis

(b) incorrect choice of points

(c) inadequate point stimulation

(d) the use of supportive conventional therapies

(e) premature withdrawal of therapy

3. One of the following statements is not correct. Indicate the incorrect statement:

One can expect poor clinical success to AP in:

(a) equine carpitis (with carpal chips)

(b) equine septic tendinitis (with sesamoideal chips)

(c) canine posterior ataxia (with degenerative myelopathy)

(d) equine cervical ataxia (in older horses/chronic cases)

(e) equine hindlimb lameness (with sacroiliac muscular pain but sacro-iliac height similar on both sides when the horse is stood square)

4. One of the following statements is not correct. Indicate the incorrect statement:

(a) Experienced clinicians search carefully for Trigger Points at each session

(b) Even experienced clinicians miss TPs occasionally. It is common to find TPs on the second or third session which were absent (or were missed) in the first examination

(c) Failure to treat and eliminate TPs can mean that the clinical signs persist in spite of correct use of other (regional and general) AP points

(d) It may be necessary to rely on a colleague (who may not know AP) to continue treatment after the first session. The colleague is advised (at the first consultation) as to which points to use, and how to treat them in 2-5 subsequent sessions at intervals of 3-7 days

(e) In all cases, the colleague should be able to get the same therapeutic results as the acupuncturist if he/she uses the points discussed in the first consultation

5. One of the following statements is not correct. Indicate the incorrect statement:

(a) In Vet AP, it may be very difficult to recognise whether or not DeQi is obtained

(b) In treating difficult animals (especially dangerous horses or dogs), clinicians may not place needles as they would wish

(c) All horses accept Electro-AP (EA) calmly

(d) Laser (especially lower power, used for too short time) may not be as effective as classical needling, EA or point injection

(e) For large-animal work, pulsed lasers with output in the range 30-50 mW/cm sq are recommended

(f) Some "laser" instruments are not real lasers and offer little more therapeutic power than a domestic flashlamp

Answers