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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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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 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.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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?
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.
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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