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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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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).
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.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
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?'
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
July, 2002, Vol. 02, Issue 07
Cutting Through Chaos
By Keith Eric Grant, PhD, NCTMB
We all benefit at times from retreating to a place in which the input to our nervous system is less chaotic than that of the normal pace of life. In doing so, we provide a space for regrouping our own energy and direction so that we may better meet creative opportunities. As I sit down to write this month's column, I have just returned from such a time; five days at the Esalen Institute, taking a workshop on Thai massage facilitated by Richard Gold.2 One of the impressions I have taken away with me is that of an interleaving dance of gentle rhythms.
Esalen is located on a sliver of land along the rugged Big Sur coast of California. At the western edge of the institute, the land sweeps precipitously down to the sea. Immediately to the east, the Santa Lucia range rises steeply. Within this sliver of land bathed by alternating sun and cloud, the ever-present rhythmic surge of waves breaks against the rocky shore. Joining these natural rhythms are the predictable human rhythms of the meal and workshop schedules. To these general rhythms, my own experience added the slow palm presses and stretches of Thai massage. Richard, both conscientious of time and material and possessing an ever-present twinkle of eye, marked the session boundaries with the soft tones of a meditation bowl/bell struck three times and with the chanting of the traditional homage to Father-Doctor Shivago.2 Day by day, we worked together through the slow, well-organized protocols of touch.
I dwell on these descriptions of rhythmic tempo and organization because I believe that we can learn much about the power of massage to center and heal from looking at situations in which chaos overwhelms and sensory integration fails. It is in these venues that the tools used to cut through chaos become most needed and most obvious.
Carol Kranowitz describes children who become overloaded with sensory information and cannot integrate the world around them to respond appropriately.4 Many individuals with pervasive developmental disorders (PDD) have difficulty attending to tasks and learning new skills because they operate at high levels of arousal and anxiety due to over-reactivity to sensory stimuli.6 For these individuals, stimuli that for most of us would be barely noticeable evoke sensory defensiveness and flight-or-fight responses. What's interesting from a massage perspective is that rhythmic brushing of their skin with soft surgical brushes and rhythmic joint compression often seems to help children with deficiencies in sensory integration deal better with their surroundings and achieve a state of calm alertness. The patterned stimulus appears at least partly to counteract the sensory chaos.
While those with PDD form the outlying edge of those having difficulty with sensory input, they are not alone in struggling with sensory overload. Elaine Aron estimates that about 15-20 percent of the population is composed of what she terms highly sensitive persons (HSPs).1 Aron describes HSPs as having both greater sensitivity to subtle sensory inputs and a much higher susceptibility to experiencing sensory overload and fatigue from intense or sustained stimulation. While discussing the use of anti-anxiety medications for crisis intervention, Aron recommends more lifestyle-oriented methods for ongoing care:
These lifestyle methods combine to create a space of sanctuary, seeking emotional support, and immersing ourselves in repetitive rhythmic motions. In applying rhythmic movements and pressure, we perhaps intuitively act on the physics observation that nearby systems with similar resonant frequencies will synchronize, a phenomenon that can produce entire trees filled with synchronously pulsing fireflies.8 We pace so that we may subsequently lead. Behind the slow rhythmic patterns of a dance, such as Ma Avarech 7 or the gentle repetitive patterns of caring touch, there is great power for integrating our bodies and minds and cutting through chaos.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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