resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
May, 2001, Vol. 01, Issue 05
Using Space, Time and Energy
By Keith Eric Grant, PhD, NCTMB
If you can walk, you can dance; if you can talk, you can sing
- Dinka Sudan proverb
As a physicist, this title tempts me to lead you into a discussion of the origin and development of the universe.Instead, I will delve into the ways we perceive and use the personal universes we create. Understanding more about how our clients occupy, move and perceive their bodies can help us to better facilitate their well-being and achievement of their embodied potential.
Cultural Perceptions of Space and Time
From the multicultural perspective of anthropologist Edward T. Hall (The Hidden Dimension, The Silent Language, The Dance of Life), there is great diversity in how we create our reality and communicate it nonverbally. Within the range of these cultural differences lie differences of our family backgrounds and personal temperaments. These differences shape our expectations for the use of space, time and energy/effort.
Hall explores the cultural differences in how we surround ourselves with bubbles of individual space. We have distinct separations that we find comfortable for the increasingly close categories of public, social, personal, and intimate contact. Our bubbles can range from being substantial in the United States and northern Europe to being much smaller to almost nonexistent in Mediterranean, Latin American, and Arab cultures. Not surprisingly, frequency of casual touch often varies inversely to the perceived need for separation. Interactions that mix different cultural definitions of personal space can leave one party feeling invaded, while the other feels unexpectedly rebuffed and dismissed. Respecting boundaries can be far from a simple matter, because the unwritten rules of nonverbal coexistence vary from person to person and culture to culture. Vigilant awareness and the flexibility to respond quickly to nonverbal feedback are often required of us.
Hall also focuses on cultural differences in our use of time. Monochronic time is linear, tangible, and divisible. In monochronic time, events are scheduled one item at a time and this schedule takes precedence over interpersonal relationships. In contrast, polychronic time supports the simultaneous occurrence of many things, intense involvement with people, and an emphasis on completing interpersonal transactions that supercedes fixed schedules. People in polychronic cultures often conduct business in the middle of a central room with multiple interactions intertwined, rather than in private offices. The different views of time and context between monochronic and polychronic cultures create major differences in the steps to establishing rapport and in expectations for how it will subsequently be reinforced - important considerations as the new census reveals the diversity of our potential clients.
Personal Embodiment in Space, Time, and Energy
Now I want to return to a theme that I brushed briefly across last month. Dance instructors Constance Schrader (A Sense of Dance) and Sandra Cerny Minton (Body & Self: Partners in Movement) both look at the body and movement in terms of space, time, and energy/effort. Schrader illuminates why understanding these concepts is important to our massage work:
Let's consider working with a partner on the table (female, in this example). What are her feelings and awareness of the space she occupies? (Ask her). How does that differ from what she might like to feel? How can you pace her current sense of space, and how could you, via your touch and movements, lead her toward a new sense of body and space?
Now consider time. What is your partner feeling about time? What tempo and rhythm is she displaying in her breathing and small, unconscious movements. How smoothly does she transition from one movement to the next? How can you convey to her a sense of your understanding and pacing of her current relationship to time? How might you then lead her to a better equilibrium? What tempo do you want to initially approach her with? In the continuum of movement, does her current relationship with time feel chaotic or coherent to you?
As your partner "rests on the table," what is her feeling of energy and effort in lying there? What was the quality of effort in her movements before lying down? How would you communicate your awareness, understanding, and empathy for where she is in her relationship to effort or energy? How might you then lead her, via your touch and nonverbal communication, toward a state of relaxed and focused ease?
None of these questions has a "right" answer, yet they are important parts of how we interact with a client. By such exercises, we focus kinesthetically and interpersonally in our bodies to develop both awareness and skills. It's a process of moving away from our verbal-visual minds into that kinesthetic world of vulnerability, empathy, and ultimately, connection and humanity.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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