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The Perrin Technique
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== Diagnostic signs == Perrin argues that there are five physical signs are almost always present in those who suffer from ME/CFS: #mechanical disturbances of the thoracic spine #breast varicosities #tender Perrinβs 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=212β214|doi=10.1177/147323001103900122|issn=0300-0605|pmc=|pmid=|quote=|access-date=|via=}}</ref> #tender coeliac plexus, and #dampened cranial flow<ref name="Hives2017">{{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 = 5695376|pmid=29133321|quote=|access-date=|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 name="CCC">{{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 = 7β115|doi=10.1300/J092v11n01_02|issn=1057-3321|pmc=|pmid=|quote=|access-date=|via=}}</ref> or a diagnosis of exclusion. The Perrin technique's diagnostic clinical assessment involves assessing patient symptoms and detailed history and uses these signs as a positive aid to diagnosis rather than the commonly used diagnosis by exclusion. Using the full clinical protocol licensed practitioners should be able to score the severity giving an idea of the prognosis and how long it will take for the treatment to be beneficial.
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