resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
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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