resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
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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