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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
January, 2002, Vol. 02, Issue 01
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
I'd like to take this opportunity to thank you all for your support on this, the one-year anniversary of my column and, coincidentally enough, of Massage Today! I appreciate your questions and suggestions, and I answer all letters.(If you wrote and did not receive a reply, your message got lost in a shuffle between new computers. Please try again.)
I thought this would be a good month to answer the most commonly asked question I've been asked: "How can I learn more, and what books do you recommend?" I'd also like to tie this question in to a much larger issue - how people portray themselves, particularly with regard to their training.
First off, qi is a completely experiential phenomenon; you cannot learn about it from books. It is energetic in nature and thus, elusive. There is absolutely no substitute for training with an experienced instructor. You can get an idea about the functions of qi, etiology, pathology and treatment strategies from books and articles, but it is not going to come together without someone to help sort it all out. Start collecting brochures from places that you know are reputable, such as www.aobta.org and other websites. Decide if Chinese medicine is really what you want to do, then figure out how to do it!
As far as books go, there is one that I recommend that, if you only buy one book for the rest of your life, get Foundations of Chinese Medicine by Giovanni Maciocia. It is not cheap, but divide the price up over the years that you will use it and it is clearly a bargain. Foundations of Chinese Medicine is the most readable, comprehensive text written in English (or Italian if you would prefer). Everything in it is applicable to shiatsu and Asian bodywork. If you also want an acupoint book, try Peter Deadman's Manual of Acupuncture. It is also expensive, but you'll never need another meridian and point location book. Either of these books can be ordered from redwingbooks.com, and AOBTA members receive a discount.
So, let's say you've read all my articles, and purchased and read both of the abovementioned books. Maybe you've even taken a weekend course. Are you ready to add shiatsu to the list of "specialties" on your card? Probably at this point you're response is, "Heavens no, of course not!" but I know for some it may be tempting. It seems fashionable these days to list many specialties on business cards, websites and other places.
One problem in doing that is, people are less likely to call you. Narrow down what you specialize in. Interestingly enough, the more you specialize, the busier you get! The public perceives those who claim to do many different practices as jacks-of-all-trades and masters of none. The public is accustomed to seeking out "specialists." There are obviously other reasons to seriously consider how you portray yourself.
How do you feel about people who say they do massage therapy after maybe only a few weekends of training? If you think this does a disservice to your profession, you may sympathize with how I feel. Substitute the word "shiatsu" for "massage" in the scenario above. It is painful for me to see people with little or no training portray themselves as shiatsu therapists.
I have been studying for over 15 years, and I have only covered the tip of the shiatsu iceberg. How much is enough? What is the minimum? Just as the National Certification Exam (NCE) is considered as entry level into the massage profession, the Asian Bodywork Therapy (ABT) Certification Exam, administered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), is considered the benchmark in the field for shiatsu and ABT. Each exam requires approximately 500 hours of training as requisite; the curriculum requirements are separate but equal. Both the NCCAOM and the NCBTMB are NCCA-certified and members of NOCA. The NCCAOM also certifies acupuncturists and Chinese herbalists, has been in existence almost 20 years, and has exams accepted for licensure in over 40 states.
Do I think that there are excellent shiatsu therapists who have not taken the ABT exam? Absolutely! However, I believe that by taking the exam, they would benefit themselves and the field of ABT as a whole. Do I think that there are excellent shiatsu therapists out there with less than 500 hours of training in ABT? Maybe. But few would come close to having the high level of sensitivity, knowledge, assessment and treatment skills that I expect from an Asian bodywork therapist.
In Japan, 2,200 hours of training are required to practice shiatsu. I don't think Americans are ready for that benchmark yet, but maybe you see my point! I am happy to say that ABTs have a friend in their quest for practitioners to accurately and ethically represent themselves. AMTA has received a lot of bad press due to "the lawsuit," and I really think it's a shame.
I know Cliff said that he didn't want to appear biased in his last editor's column, but I am fine with coming out as very partial to AMTA and its current board of directors. I personally prefer to be represented by an organization that is membership-driven, nonprofit and that supports high educational standards in the field. I know many of you find that other organizations better fulfill your needs, and I respect everyone's choice!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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