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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
May, 2002, Vol. 02, Issue 05
The Fourth Element of the Great Spa Conversation: Touch
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the fifth article in a 12-part series and focuses on the fourth of the 10 elements: Touch.
"We were just givin' love, mon..."
During the annual spa getaway and education month at the Swept Away Resort and Spa in Jamaica, I learned a great lesson.During a hands-on wrap session, we American massage therapists took a quick break in the adjoining room while the clients were resting. As we were talking and laughing, one of the therapists noticed that all the Jamaican therapists were still with their clients, sitting on the edge of the table, each with one hand gently touching the client. As we re-entered the classroom, one of the American therapists asked, "What were you doing?" The response: "We were just givin' love, mon."
Touch, the soul of universal language, speaks to each of us no matter our age, race, economic class or culture. That sense of soul is perhaps why touch and massage therapy remain among the most popular treatments in the burgeoning spa industry.
In the context of the 10 Elements of the Spa Experience, we define this fourth element as "connectivity and communication embraced through touch, massage and bodywork." With the incredible expansion in scope and skill of talented therapists and visionaries, touch services have penetrated the spa industry in many ways. Treatments now range from traditional touch specialties to hot rocks, watzu and water dance, to adjunctive medical, beauty and sports training sessions. Spa, like massage, has gone mainstream.
Dovetailing with the growth of the spa industry in corporate America, the touch professions have an opportunity to lead by example when it comes to integrating vocation and lifestyle. Massage therapists have set a standard for 21st century, next-level professionalism. What is that next level? It is when professional goals and job requirements balance and support, and enhance a lifestyle choice. As Steven Capellini, author of Massage Therapy Career Guide and contributing columnist for Massage Today, writes:
I believe the spa industry is the perfect home for pursuing such endeavors. But we are not without problems, and we can't do it alone.
It is no secret that any successful spa operation, no matter the type, is dependent on the skills and competencies of the technical staff. The lack of strong educational programs focusing on spa services has made recruiting and educating qualified personnel one of the biggest challenges facing the industry today. Many spas, especially larger destination, resort and day spas choose to actually train therapists themselves. But what does this mean for national or international standards? How do we provide access to improving the quantity and quality of therapists to meet the increasing demand of this sixteen billion dollar industry?
To address this need, the International Spa Assocation (ISPA) set an immediate goal in 2001 to begin the process of establishing core competencies for the spa industry, based on actual feedback of spa owners, spa directors, spa therapists and consumers. Through roundtable feedback from membership, in-depth discussion from our interdisciplinary committee, interviews with selected spas and therapists recommended for their excellence, and an ISPA membership survey, we were able to begin the process of defining what kind of skills are required to become a successful massage therapist in a spa environment. Although spa environments vary greatly from a large, busy resort spa, to a day spa, salon, club spa or medical spa, certain qualities define excellence. Consider the following foundations of this profile.
Here is a summary of the characteristics considered critical or important to being a successful therapist in the spa environment:
Interaction with Spa and Other Staff
One of the great qualities about the spa industry is its ability to embrace the concept of integration. Aside from the desire for most of us to achieve a greater sense of well being, there is a sincere effort at this point in the spa industry's development to embrace this concept from a business perspective as well. For massage therapists, this means that spa managers and owners usually make genuine efforts to provide an optimal environment for caring touch. After all, if the environment is not beautiful, easy or comfortable to work in, it is not conducive to creating that magic space and feeling that keeps clients coming back. Somehow these intangibles set the tone for the reputation of the spa. Scheduling, compensation, career incentives and many other issues have all become an active part of an enthusiastic spa dialogue between massage therapists and their co-workers. We all must rise to the challenge of creating a soulful workplace.
For me, the spa industry has opened the door to the magic of water, the pleasure of scent and sound, a deeper comfort from touch, and the fineries of taste and the concept of ousia (oo-see-ahh). Ousia is a philosophical system that has helped me understand and integrate the living patterns of nature into my environment and work. The concept of ousia, along with the 10 Elements, helps me explore the multi-dimensional nature of the wellness journey through the senses. There is a word I am exploring that I think you would like, called synethesia. It refers to when all your senses blend together to create one feeling and sense of awe for something greater than yourself. This is what inspires me to connect the foundation I have gathered from massage and bodywork to the multi-faceted nature of the spa experience. I hope you will join me.
Remember, spa is a people's movement. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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