The Perrin Technique: Difference between revisions
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The Perrin Technique is a form of osteopathic treatment developed by UK-based osteopath Raymond Perrin for patients suffering from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The Perrin Technique is based on the hypothesis that the underlying cause of ME/CFS is impaired function of the lymphatic <ref>{{Cite book|title=The Perrin technique : how to beat chronic fatigue syndrome/ME|isbn=978-1-905140-12-1|url=https://www.worldcat.org/oclc/244652322|date=2007|publisher=Hammersmith|last=Perrin, Raymond N.|oclc=244652322|location=London}}</ref> and "glymphatic" <ref>{{Cite journal|last=Iliff|first=J. J.|last2=Wang|first2=M.|last3=Liao|first3=Y.|last4=Plogg|first4=B. A.|last5=Peng|first5=W.|last6=Gundersen|first6=G. A.|last7=Benveniste|first7=H.|last8=Vates|first8=G. E.|last9=Deane|first9=R.|date=2012-08-15|title=A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid|url=https://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.3003748|journal=Science Translational Medicine|language=en|volume=4|issue=147|pages=147ra111–147ra111|doi=10.1126/scitranslmed.3003748|issn=1946-6234|pmc=PMC3551275|pmid=22896675}}</ref> systems. Perrin argues that five physical signs are always present in those who suffer from ME/CFS: (1) mechanical disturbances of the thoracic spine, (2) breast varicosities, (3) tender Perrin’s point (third left intercostal space)<ref>{{Cite journal|last=Puri|first=BK|last2=Gunatilake|first2=KDR|last3=Fernando|first3=KAC|last4=Gurusinghe|first4=AI|last5=Agour|first5=M|last6=Treasaden|first6=IH|date=2011 | '''The Perrin Technique''' is a form of osteopathic treatment developed by UK-based osteopath [[Raymond Perrin]] for patients suffering from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The Perrin Technique is based on the hypothesis that the underlying cause of ME/CFS is impaired function of the lymphatic<ref>{{Cite book|title=The Perrin technique : how to beat chronic fatigue syndrome/ME|isbn=978-1-905140-12-1|url=https://www.worldcat.org/oclc/244652322|date=2007|publisher=Hammersmith|last=Perrin, Raymond N.|oclc=244652322|location=London}}</ref> and "glymphatic"<ref>{{Cite journal|last=Iliff|first=J. J.|last2=Wang|first2=M.|last3=Liao|first3=Y.|last4=Plogg|first4=B. A.|last5=Peng|first5=W.|last6=Gundersen|first6=G. A.|last7=Benveniste|first7=H.|last8=Vates|first8=G. E.|last9=Deane|first9=R.|date=2012-08-15|title=A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid|url=https://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.3003748|journal=Science Translational Medicine|language=en|volume=4|issue=147|pages=147ra111–147ra111|doi=10.1126/scitranslmed.3003748|issn=1946-6234|pmc=PMC3551275|pmid=22896675}}</ref> systems. Perrin argues that five physical signs are always present in those who suffer from ME/CFS: (1) mechanical disturbances of the thoracic spine, (2) breast varicosities, (3) tender Perrin’s point (third left intercostal space),<ref>{{Cite journal|last=Puri|first=BK|last2=Gunatilake|first2=KDR|last3=Fernando|first3=KAC|last4=Gurusinghe|first4=AI|last5=Agour|first5=M|last6=Treasaden|first6=IH|date=Feb 2011|title=Increased Tenderness in the Left Third Intercostal Space in Adult Patients with Myalgic Encephalomyelitis: A Controlled Study|url=https://doi.org/10.1177/147323001103900122|journal=Journal of International Medical Research|language=en-US|volume=39|issue=1|pages=212–214|doi=10.1177/147323001103900122|issn=0300-0605|pmc=|pmid=|quote=|last7=|first7=|last8=|first8=|author-link=|author-link2=|access-date=|author-link3=|author-link4=|author-link5=|author-link6=|via=}}</ref> (4) tender coeliac plexus, and (5) dampened cranial flow.<ref>{{Cite journal|last=Hives|first=Lucy|last2=Bradley|first2=Alice|last3=Richards|first3=Jim|last4=Sutton|first4=Chris|last5=Selfe|first5=James|last6=Basu|first6=Bhaskar|last7=Maguire|first7=Kerry|last8=Sumner|first8=Gail|last9=Gaber|first9=Tarek|date=Nov 2017|title=Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study|url=http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-017521|journal=BMJ Open|language=en|volume=7|issue=11|pages=e017521|doi=10.1136/bmjopen-2017-017521|issn=2044-6055|pmc=PMC5695376|pmid=29133321|quote=|author-link=|author-link2=|access-date=|author-link3=|author-link4=|author-link5=|author-link6=|via=}}</ref> Perrin proposes that examination for these five signs is a more accurate means of definitively diagnosing ME/CFS than the commonly used [[Canadian Consensus Criteria]]<ref>{{Cite journal|last=Carruthers|first=Bruce M.|last2=Jain|first2=Anil Kumar|last3=De Meirleir|first3=Kenny L.|last4=Peterson|first4=Daniel L.|last5=Klimas|first5=Nancy G.|last6=Lerner|first6=A. Martin|last7=Bested|first7=Alison C.|last8=Flor-Henry|first8=Pierre|last9=Joshi|first9=Pradip|date=Jan 2003|title=Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols|url=http://www.tandfonline.com/doi/full/10.1300/J092v11n01_02|journal=Journal of Chronic Fatigue Syndrome|language=en|volume=11|issue=1|pages=7–115|doi=10.1300/J092v11n01_02|issn=1057-3321|pmc=|pmid=|quote=|author-link=|author-link2=|access-date=|author-link3=|author-link4=|author-link5=|author-link6=|via=}}</ref> or a diagnosis of exclusion. | ||
==Book== | ==Book== | ||
Revision as of 18:12, July 5, 2020
The Perrin Technique is a form of osteopathic treatment developed by UK-based osteopath Raymond Perrin for patients suffering from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The Perrin Technique is based on the hypothesis that the underlying cause of ME/CFS is impaired function of the lymphatic[1] and "glymphatic"[2] systems. Perrin argues that five physical signs are always present in those who suffer from ME/CFS: (1) mechanical disturbances of the thoracic spine, (2) breast varicosities, (3) tender Perrin’s point (third left intercostal space),[3] (4) tender coeliac plexus, and (5) dampened cranial flow.[4] Perrin proposes that examination for these five signs is a more accurate means of definitively diagnosing ME/CFS than the commonly used Canadian Consensus Criteria[5] or a diagnosis of exclusion.
Book[edit | edit source]
The Perrin Technique: How to Beat Chronic Fatigue Syndrome/ME is a self-help book by Raymond Perrin.
See also[edit | edit source]
References[edit | edit source]
- ↑ Perrin, Raymond N. (2007). The Perrin technique : how to beat chronic fatigue syndrome/ME. London: Hammersmith. ISBN 978-1-905140-12-1. OCLC 244652322.
- ↑ Iliff, J. J.; Wang, M.; Liao, Y.; Plogg, B. A.; Peng, W.; Gundersen, G. A.; Benveniste, H.; Vates, G. E.; Deane, R. (August 15, 2012). "A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid". Science Translational Medicine. 4 (147): 147ra111–147ra111. doi:10.1126/scitranslmed.3003748. ISSN 1946-6234. PMC 3551275. PMID 22896675.
- ↑ Puri, BK; Gunatilake, KDR; Fernando, KAC; Gurusinghe, AI; Agour, M; Treasaden, IH (February 2011). "Increased Tenderness in the Left Third Intercostal Space in Adult Patients with Myalgic Encephalomyelitis: A Controlled Study". Journal of International Medical Research. 39 (1): 212–214. doi:10.1177/147323001103900122. ISSN 0300-0605.
- ↑ Hives, Lucy; Bradley, Alice; Richards, Jim; Sutton, Chris; Selfe, James; Basu, Bhaskar; Maguire, Kerry; Sumner, Gail; Gaber, Tarek (November 2017). "Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study". BMJ Open. 7 (11): e017521. doi:10.1136/bmjopen-2017-017521. ISSN 2044-6055. PMC 5695376. PMID 29133321.
- ↑ Carruthers, Bruce M.; Jain, Anil Kumar; De Meirleir, Kenny L.; Peterson, Daniel L.; Klimas, Nancy G.; Lerner, A. Martin; Bested, Alison C.; Flor-Henry, Pierre; Joshi, Pradip (January 2003). "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols". Journal of Chronic Fatigue Syndrome. 11 (1): 7–115. doi:10.1300/J092v11n01_02. ISSN 1057-3321.
