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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
June, 2002, Vol. 02, Issue 06
Just Tell Me What I Need to Know to Pass the Test
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
These are the words to make any instructor wince! I want my students to be inspired by what I teach. I'd like them to learn Asian/Chinese medicine because it's fascinating and it works. But practically speaking, like it or not, exams are necessary for evaluating theoretical material learned, setting standards and creating laws.There is also a certain amount of information you need to commit to memory before you are able to pass an exam. This article is designed to help you learn the Asian Bodywork Therapy (ABT) theory portion of the National Certification Exam (NCE) so you can continue to do whatever it is that you love the most. The NCBTMB states that the NCE covers some basics of Traditional Chinese Medicine, and although this outline is as simple as you can get, I can't guarantee that it covers all of the questions asked.
I have to tell you truthfully though, that if this subject matter doesn't thrill you and/or you have had little or no training in ABT, don't worry. According to Cliff Korn, a past chairman of the NCBTMB, there is only a small percentage of the content outline pertaining to traditional Chinese medicine on the exam, and you can probably miss every single ABT question and still pass. Call the NCBTMB if you don't believe me! Spend your time studying the information that you learned and know it well, rather than trying to cram a lot of material into your head that you may find irrelevant to your practice.
Don't get me wrong, I am a big supporter of the NCE. If you graduate with a degree in massage, take the NCE whether you think you need it or not. You will be glad that you did, particularly if you ever decide to move to a state that requires it for licensure.
If you practice any form of ABT, such as shiatsu, acupressure or tuina, I recommend you take the more appropriate ABT exam offered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). The NCCAOM has been the benchmark in Asian medicine for almost 20 years; their acupuncture certification is already being used in 42 states for licensure.
The benefits for doing so are numerous. Diplomate ABT (NCCAOM) is the highest certification available in the field of ABT, clearly distinguishing the education and standards as separate from massage. If you practice any form of ABT, I believe that this is the single most important action you can take to support your personal growth, your profession and the field of ABT as a whole.
So if you are determined to forge ahead and learn "just what you need to pass the exam," here are my suggestions, followed by a five-month game plan to learn some basics.
Admit That You May Be Afraid
Many people suffer from exam anxiety. Most of the time it's not rational. I don't remember ever failing an exam in my life, but I still suffer from exam fear.
If you feel the same way, get someone to work on your Kidney meridian to help you calm your fears. The Kidneys in Chinese medicine relate to the Water element, which relates to fear.
Lie face down. Ask your partner to hold the Kidney shu points bilaterally. (Bl 23, located 1.5 cun/anatomical Chinese inches from the space below L 2.) With their free hand, have them thumb-press up from your sole along the medial posterior aspect of your leg slowly. Ask them to finish by rubbing the lower back vigorously, then gently holding the area beside the lumbar vertebrae bilaterally with their palms.
Form a Study Group
All of my students who form study groups do well on their exams. Start five months ahead of time if you need to cover a lot of material that you haven't already learned thoroughly in your course of study.
Commit to meeting one time a week and stick to it. Divide the list of topics to cover evenly over the time you have left before the exam. (See below for a suggested basic outline.)
Rotate among the people in the group presenting a topic each week. For example, one person on the list presents the basic yin/yang theory with relative associations the first time you meet. Use handouts, drawings and any other materials you can think of to make it interesting and fun. Laugh as much as possible as that helps to open your Heart/Mind and you will remember things longer. If you like the people you are studying with, it also has a similar good effect on your memory, as this all relates to the Fire element.
Start each meeting by quizzing each other on material that you went over last time. When you ask a question that draws a blank, give someone time to pull it out of his or her memory reserves. If they still can't get it, when you finally tell them the answer, they will tend to remember it longer.
Here is a 20-week game plan for covering basic ABT theory:
The night before and day of the exam, get plenty of rest and relax. My clients swear that they do better on exams if they have a shiatsu session the night before. There are points and meridians that can be worked on specifically for clear thinking and grounding, allowing you to access the information that you studied so hard.
Eat a warm, nutritious breakfast.
When you sit down to take the exam, even before you look at anything, make charts of all of the elements, meridians and times. You then have something to refer to if you blank out during the exam from overload.
Skip over questions you don't know and go back to them later. You may find that another question will spark your memory and you will get that question. When you finish the exam, go over it again for careless errors.
If you follow these steps and prepare methodically, you have nothing to worry about come exam time. But remember, if you pass the NCE, it's a national certification in massage and bodywork, not specific to Asian Bodywork Therapy such as shiatsu or acupressure. Advertise your credentials proudly, accurately and ethically!
Author's note: For a more detailed study guide, see the chapter by Barbra Esher and John Johnston in the new edition of Tappan's Healing Massage Techniques, due out at the end of this year.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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