IDN Foundation Course Practice Flashcards

This set of vocabulary flashcards covers concepts from the IDN Foundation course, including clinical models, needling dosage guidelines, safety protocols, and nerve point locations.

IDN

Integrative Dry Needling

3I's

The three components describing musculoskeletal pain and dysfunction: Inflammation, Irritation, and Inhibition.

3S's

The treatment concept addressing the site of pain: Symptomatic (local), Segmental, and Systemic.

Homeostatic neuro-trigger points

Key neurological areas in predictable locations that have stronger therapeutic signaling to the CNS and are extensions of major peripheral nerves.

Therapeutic lesion

The neurophysiological response of the body to needle penetrations; the number and extent of these determine needling dosage.

Needle rotation

A technique where the in-situ needle is turned until a definitive endpoint is reached, signifyng soft tissue has wound around the shaft.

Needle tenting

A technique used when soft tissue is wound tightly around the needle and is pulled up to create traction.

Needle pistoning

A high velocity up and down conical movement of the needle; considered the most aggressive manipulation technique.

Low Dosage

A treatment category for initial sessions involving superficial or basic deep needling with $5$ to $10$ needles and no manipulation.

Moderate Dosage

A treatment category for patients with prior positive reactions, involving up to $20$ needles, manipulation, and up to $5$ minutes of ENS.

High Dosage

A treatment category for healthy, active individuals, involving $21$ or more needles, high intensity manipulation, and $10+$ minutes of ENS.

Quantitative Sensory Testing (QST)

A paradigm used to assess central hypersensitivity by applying a standardized stimulus to peripheral nerve tissue.

Neuropathic pain

Pain caused by a lesion or disease of the somatosensory nervous system.

Hyperalgesia

An increased response to a painful stimulus.

Allodynia

A painful response to a normally nonpainful stimulus.

Objective pain

A passive neuro-trigger point sensitivity that is only perceivable when palpated; used in IDN bedside QST exam.

Autogenous infections

Infections caused by agents the patient is already carrying, which can be transferred between locations or into deeper cavities during needling.

Cross-infections

Infections acquired from other sources such as other patients, the practitioner, or the clinic environment.

Universal precautions

Infection-control steps based on treating all blood and bodily fluids as though they contain HBV, HIV, or other infectious agents.

Antiseptic

A product used to reduce the density of microbial life on living tissue, particularly on the skin.

Clean field

A clean skin area for needling and a clean environment, such as the table surface for storing needles.

2:2 Rule

Safety rule for the upper lumbar region paravertebral muscles: $2$ finger widths lateral to the spinous process and up to a $2"$ needle.

1:1 Rule

Safety rule for the thoracic paravertebral area: $1$ finger width lateral to the spinous process and up to a $1"$ needle.

Deep Radial point

HNTrP located $2$ finger widths distal to the lateral epicondyle in the groove under the extensor bulk.

Saphenous point

HNTrP located in a box defined by the inferior tibial plateau and the medial tibial shaft.

Pass Criteria

To receive course credit, participants must achieve an $80\%$ or better on both the written and practical examinations.