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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
April, 2002, Vol. 02, Issue 04
The Third Element of the Great Spa Conversation: Movement
By Robin Zill, LMT
ISPA (the International Spa Association) recognized the importance of exercise and fitness from the beginning: it was originally named the International Spa and Fitness Association.In fact, many of the harbinger consultants and creators of the spa industry have a strong fitness background. This third element is defined as vitality and energy through movement, exercise, stretching and fitness. It includes movement of all forms: aerobic and cardiovascular exercise; dance; yoga; walking meditation; and client movement within the spa space.
The health and fitness boom of the '90s dominated the lifestyles of many in the U.S. and abroad. The desire to live a happier and healthier life wove itself into the American dream. The rise in the popularity of aerobics and other relatively high-impact exercise programs mirrored this passion. Many destination spas adapted their philosophies in kind, changing from spas with an emphasis on weight management to lifestyle spas with a strong emphasis on fitness. It became obvious that the problem with overweight America was not just a matter of counting calories. The real culprit was stress. This became the motivating drive and market niche that would give the spa industry its explosive growth.
Deby Harper of Fitness Company, a pioneer in the fitness movement, articulates this concept well. She says it is not necessarily how much we eat or even exercise that allows us to keep our desired body weight. After all, why do some of us retain weight while others stay slim, regardless of our diet or exercise? According to Harper, our brain prescribes a powerful chemical called cortisol when stressed. In response to cortisol, the body takes action:
These responses to stress are rooted deep in our genes, according to Dr. Robert Eliot, co-founder of the Institute of Stress Medicine in Jackson Hole, Wyoming. Our bodies are designed to react to stress as a survival strategy. Our daily stress triggers are sometimes rooted in emotional and mental challenges - conflicts that can be abstract. Paying the bills, professional competition, relationship issues, and raising children all add to our stress. Although it may seem like a good idea to wrestle your boss down to the ground if you disagree with him/her, it is no longer socially acceptable. Exercise is a better outlet for this physical expression. Not only does it give us a release, it gives us the added benefits of increased endorphins, a natural mood elevator.
Many of us in the massage industry (at least the "older/wiser" generation) would not be considered fanatics about our weight and looks. But as we age, the desire to age gracefully with less pain becomes more and more appealing. We recognize the need to stay healthy, fit, and productive as well as be role models for our clients. A 2001 ISPA study by Cox Consulting points out that 88% of spa goers get a massage, and 56% participate in some type of fitness or sports activity.
From bungi jumping to wall climbing, water yoga, kickboxing, hiking and even tap dancing, spas are leading the way in bringing exercise and movement to their customers. Spas are on the cutting edge of new trends for exercise and movement. ISPA embraced this new trend by identifying a new type of spa membership: the club spa. A club spa is defined as a company that operates a facility whose primary purpose is fitness, but that offers a variety of professionally administered spa services on a day-use basis. This category is rising quickly: according to the ISPA Spa Industry Study (August 2000), there are 423 club spas in the United States. Together, club spas average 12.1 million visits per year, which places club spas between day spas and resort/hotel spas in ranking of total visitors.
The club spa has some unique characteristics. Like the day spa, clients come in on a regular basis and are community-based. Multi-use rooms that provide a variety of massage, spa body and facial services have proven to be very effective and profitable. With a built-in consumer base to draw from, spa services can be test marketed and catered directly to the needs of the membership. ISPA Executive Director Lynne McNees comments:
Usually, salon services are not a requirement, but can be found in the larger club spa. Just as the day spa industry boomed, I believe we can expect the same to happen for the club spa.
Our market is changing at a fast pace. New terminology and new concepts are needed to meet the needs of our market and new integrated health paradigm. Futurists now project that 50% of the population will be over the age of 50 by the year 2005. Debra Smith, from Smith Club and Spa Specialists, predicts that more than ever, fitness and new movement therapies that emphasize balance and integration will be woven into the spa experience. People do not want to risk injury; they want to build stability and strength. Consequently, the next wave of fitness activities will feature systems like Pilates, yoga and tai chi, which are considered core therapies. These programs emphasize the mind, body, spirit and emotional needs of the client.
The new PFS (Personal Fitness Assessment) is just such a tool. New behavioral research indicates that the most effective exercisers are those who understand themselves, both their strengths and weaknesses, so they can develop strategies to meet the demands of their fitness program. If you have a hard time getting motivated to exercise or determining what exercise program is right for you (or a client), you may want to try the new PFS personality assessment program. It is designed to give you insight into what motivates, frustrates, and helps you get the most out of a workout. Another professional consideration for today's massage therapist would be to consider becoming a yoga or Pilates instructor. It would be an excellent synthesis of two languages that help to re-educate and re-align the body though a mind-body-spirit connection -- helping make you that much more employable.
The last important quality about movement in the context of the third domain is the actual process of how a client moves from one space to another in your spa. The layout of the spa should be simple and easy to navigate. From reception, to locker room, to waiting areas, to the actual treatment room(s), gentle and easy client movement is critical to a good spa experience. It is all about flow. The third element dovetails here with environment, climate and touch. People get nervous and stressed if they do not know where to go. If possible, it is still best to escort a client to the next treatment.
Good signage, repeated directions, and clear instructions regarding how clients get on and off the table, especially on wet tables where the client is more vulnerable, are all essential to creating a great spa experience. From the minute they walk through the door, you are taking your clients on a journey. Make each step count and be memorable. Please feel free to contact me! Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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