Page 94 - วารสารปีที่15ฉบับที่2

219

emerges from the distal border of the supina- SSP1 in the upper limbs was the point

tor muscle and then descends behind the IM where the suprascapular vessels and nerve
(Table 3). enter the infraspinatus muscle, while the OSP2

in the lower limbs was the point where the
Discussion
superior gluteal vessels and nerve enter the
[7]
Anatomical structures were normal in tensor fascia latae muscle . Massage at these
the participants, and no differences were points should be undertaken with care in
detected between participants of male and patients because it may damage the arter-

female. ies, nerves and lymph nodes.
The BLs of the upper limbs are found Additional points present in the lower
along the longitudinal arrangement of muscles limbs were the OSP2 (hip joint), the ISP4 (knee

from the origins to the tendons, and also the joint) and the OSP3 (the penetrating point of
vessels and nerves supplying the muscles. the sciatic nerve to the inferior border of the
[7]
This is a similar arrangement to the loca- piriformis muscle) . Cadaver dissection in-
[7]
tions of BLs in the lower limb . dicated that comparable points were not
present in the upper limb because the SPs in
The points that are considered to be both
the upper limb did not correlate to joints or
massage points and SPs
nerves.
In the upper limbs, the Poed Pratu Lom
The SPs
points (ISP2) correspond to the BA whereas
the Poed Pratu Lom points in the lower limbs SPs present in the upper limbs such as
correspond to the femoral artery. Similar re- OSP3 (humeroradial joint), OSP4 (humeroulnar

sults are obtained if a Poed Pratu Lom point joint), ISP3 (between humeroradial and
is pressed, this leading to a decrease in the humeroulnar joints) and SSP5 (glenohumeral

radial and dorsalis pedis arterial pulse, re- joint). Cadaver dissection indicated that com-
[7]
spectively . parable points were not present in the lower
In the upper limbs ISP2 corresponds to limb because the SPs in the lower limb did
[7]
the BA, while in the lower limbs ISP4 corre- not correlate to joints .
sponds to the popliteal artery. Similar effects Vessels and nerves in the upper limb
are obtained if ISP2 or ISP4 is pressed, this such as BA and MN at ISP3 or the AA at

leading to a decrease in the radial and dorsa- SSP5 moved down through the joints. Those
[7]
lis pedis arterial pulse, respectively . structures were not present in the lower