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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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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?
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?
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.
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.
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.
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.
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.
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.
June, 2002, Vol. 02, Issue 06
Symbol and Form
By Keith Eric Grant, PhD, NCTMB
Along the road to discovering how people learn to draw well, Betty Edwards began to realize that the problem was not primarily one of kinesthetic skill, but of seeing and perception. Students who learned to draw did so suddenly, not incrementally. One week, their drawings were stereotypic symbolic images, and the next week they were drawing proficiently. Then she found a new clue.
What Edwards concluded was that the brain hemisphere responsible for verbal-linguistic ability couldn't draw except in stereotypic symbols and that the hemisphere responsible for seeing in the way necessary for drawing was nonverbal. I am reminded of Edward's observation whenever I am demonstrating massage and attempting to describe my methods or am Scandinavian dancing and trying to converse. Kinesthetic/perceptual skills and verbal/linguistic skills simply come from different places. Doing both requires a lot of switching back and forth.
What has intrigued me further, however, are the differences Edwards noted between the detailed perceptions of shape and form needed for drawing and the simple symbolic caricatures offered up by the verbal-linguistic mind. There are other ways in which fixating on the symbol rather than switching our minds into the depths of the form can deceive us.
We often think of posture as if it had some independent existence. Yet, if we delve below the symbol, our posture is merely the relative positioning of parts of our body in the downward pulling field of gravity. If we simply lean forward slightly while standing, we can feel the posterior line of the muscles of our calves, hamstrings, and glutei tighten to keep us from falling forward. At the same time, our knees might lock in hyperextension while the intrinsic muscles of our toes contract to grip the ground.1 If we were to hold this posture habitually, the muscles of our posterior line and plantar foot would be working continually. At the same time, the mobility of our knees and ankles and their ability to absorb shock would be reduced. Over time, anterior line tissues would become shortened and weak, locking our bodies in this effort-filled position. From just this small example, we see how many clues to lengthening and releasing specific tissues we receive in going from the symbolic idea of posture to the specific dislocations that have occurred. Sometimes we talk about injuries to soft tissues as if they came in standard packages at the store. Yet again, in working with minor injuries we need to examine the specifics. What type of tissue was injured: muscle, tendon or ligament? What has been the effect of this injury in limiting tissue strength and restricting motion? Do we best create a change by applying compression, a lengthening stretch, or a broadening stroke across the tissue? All are useful but quite different techniques.5 How do we best position our client to facilitate access while keeping our own body mechanics effortless and efficient? Do we want our client to move a joint to enhance either tissue lengthening or broadening? Again, moving our focus from symbol to detail provides the clues.
It's easy to get stuck in the terminology we learn and miss the nuances of its application. In working with the shoulder and hip we learn words for position like flexion, extension, abduction, adduction, medial rotation, and lateral rotation. As we get into the specifics of assessing dysfunctions, however, we begin to realize that position isn't everything; that motion also is present.3 What can be confusing is that the words for position and motion are the same. We can have a motion of flexion in a position of flexion and a motion of flexion in a position of extension. We can also have a motion of extension in a position of extension or a motion of extension in a position of flexion. Similar combinations exist for abduction-adduction and medial rotation-lateral rotation. Again, it's in going beyond the terminology into the specific tracking of both position and motion that we begin to understand working with the shoulders and hips.
Beyond just shaping the work we do with our hands and hearts, the differences between symbol and form can shape our very perceptions of ourselves and of each other. People speak of having "high standards" for entry into practicing massage when what they mean is simply high requirements. In contrast, the Boston Marathon has clear entry standards based on a prior performance in another marathon. For the 18-34 age group, the required finishing times are: men - 3 hours 10 minutes; women - 3 hours 40 minutes. The conditions are measurable and unambiguous. They don't specify how many hours you have spent training, but they do specify what the result of that training must be. It is meaningless to talk about "high standards" apart from a specific context and a well-defined measure of attainment. Betty Edwards was right. The differences between symbol and form lie deep within the perceptions of our minds, and make all the difference in the world in how we draw our conclusions.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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