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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
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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