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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
February, 2001, Vol. 01, Issue 02
Attention to Learning
By Keith Eric Grant, PhD, NCTMB
The last couple of weeks, I have succumbed to the pleasures of revisiting some long fallow kinesthetic roots. When I was a graduate student in physics, I started taking massage and dance classes to enforce some sense of balance in my life. Surprisingly, many of the movements required to massage effectively seemed intuitive to me. Years later, when I began teaching massage, I realized the reason. There had been a period when, for much the same reasons of balancing life, I had baked the majority of the bread I consumed.
I learned to move with my whole body to knead the bread, rather than relying only on the easily fatigued intrinsic muscles of my hands and forearms. I developed a relaxed and steady tempo that allowed me to maul the dough into its required elasticity without tiring. I also developed my sense of touch, to feel the subtle changes in texture that occurred as the dough neared the point at which it was ready for its first rising.
Thinking back, as I recently made bread once again, I acknowledged that my first massage "instructor" used no words, but nonetheless gave me much feedback. From a behaviorist viewpoint, my attention and efforts were rewarded and reinforced by the bread I ate and shared with friends. When I began to learn massage, these neuromuscular patterns were already in place to transfer to a new and equally rewarding application.
What this story exemplifies for me is the diversity of kinesthetic and interpersonal skills that we bring to our first formal massage class. Both skills of interpersonal awareness and communication and those that require learning movement patterns can be transferred to new applications. Our minds and bodies don't care that we originally learned such skills for another purpose. Often, we learned them early and use them without being conscious of that use or of when we practiced and perfected them. In thinking of such skills as innate or intuitive, we fail to acknowledge those who modeled and reinforced them, in some instances before we had words capable of expressing our gratitude. We also fail to remember the amount of attention, awareness, and practice that was required of us. Returning our awareness to these early lessons allows us a model for what we already do well, and for extending our learning in new directions and to new depths.
Stages of Competence
Robert Jolles is a trainer of trainers for Xerox. In his book How to Run Seminars and Workshops, he presents a model for the stages of learning a new skill. The four stages are unconscious incompetence, conscious incompetence, conscious competence, and unconscious competence. Following this model, in the beginning we are unaware that we don't have a skill in place, and may also be unaware of our need for the skill. As we progress, we become aware that we need a skill and that we haven't mastered it. We then turn our focus and attention to learning and practicing the skill. Sometimes someone breaks it down into small increments for us; sometimes we practice the whole of what we see demonstrated as best we can. As we practice, we begin to learn new perceptions and motor skills that can add further refinements to practice. At last, when we consciously think about it, the skill is ours to use, and with more use and practice, the skill becomes natural and we begin to use it unconsciously. We have progressed through the learning stage, but over time will have to bring our attention back to it again and again to adapt to changing conditions, regain proficiency after a lapse of use, and keep current with new innovations.
Awareness Follows Attention
Learning occurs by becoming aware of interactions we previously did not perceive, and by consciously practicing movements until they become part of our kinesthetic vocabulary. In perception, awareness follows attention. As we consciously remind ourselves to attend to what our sense of touch is telling us as we massage a classmate or client, our awareness of differences in shape and tissue texture sharpens. As we consciously attend to nuances in others' gestures and body postures, our abilities to consciously be aware of the communications we are receiving increases. We can enhance our nonverbal perceptions by exposure, such as watching a movie with the sound off or observing the body motions of those con receiving increases. We can enhance our nonverbal perceptions by exposure, such as watching a movie with the sound off or observing the body motions of those conversing in a coffeehouse. Finally, as we practice movements with attention, we become aware of what we tried and what resulted. When we observe ourselves and noncritically note the results, we allow ourselves to learn new kinesthetic vocabulary short, habitual patterns of movement and balance that are the basis for our abilities to walk, dance, ski, play a musical instrument, and practice massage.
As we learn and practice, the behaviors and skills that are reinforced by our environment and our internal values take hold, as they did in our early lives. Given motivation and a gentle hand, there are few limits to what we can accomplish via the direction of our attention.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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