resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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?
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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?'
September, 2002, Vol. 02, Issue 09
Breathing Fresh Air
By Keith Eric Grant, PhD, NCTMB
Breathing fresh air has literal and metaphorical significance. In the beginnings of the industrial revolution, little thought was given to the environment. As a severe result, the particulate air pollution in London from coal burning resulted in "killer fogs" from the 1800s into the 1950s.9 Since then, greater understanding and attention to the system as a whole has freshened the air. This is partly a change from perceiving everything as simple stand-alone machines, to understanding more of the interactions, feedbacks, and true complexity of systems. It is the change of viewpoint from the industrial revolution to the information revolution. The "fresh air" of a wider perspective can contribute significantly to the literal freshness of the air.
The somatic consideration of breathing fresh air returns us to thoughts from last month's column. I brought up the effects of chronic shortening of our anterior line, including compaction of our ribcage and dysfunctional breathing patterns. Philip Greenman notes that alteration in ribcage function can negatively impact respiratory activity, circulatory activity (arterial, venous, and lymphatic), and neural activity.3 During inspiration, as the diaphragm contracts and descends toward the pelvis, the ribs should elevate and expand using secondary muscles of respiration.1,3,6 The reverse occurs during expiration. Lengthening the anterior line restores space for the ribs to function, but does not automatically restore function. Art Riggs comments on working with clients to correct their breathing patterns:7
Sometimes, especially in relation to chronic postural patterns, the motion of one or more ribs can become restricted - fixed in either exhalation or inhalation. Directly working the soft tissues of the thoracic regions around the costotransverse, costovertebral, costochondral, and sternochondral regions is a first step toward restoring movement.5 Additional steps can involve direct work on the deep intrinsic muscles of the spine, gentle movements of the ribcage, and gentle resistance against breathing in the manner of post-isometric relaxation.5,7 Gentle resistance techniques can also be used to help a client become aware of and relearn breathing patterns.7
Breathing fresh air also has the metaphorical meaning of taking a new path in looking for solutions to well-known problems. One such problem comes in seeking ways to reach out and help at-risk and disadvantaged segments of our population to help themselves. I've recently become involved in such a project via the Touch Health Association, the community outreach agency of the McKinnon Institute at which I've long been teaching massage.8
Many young mothers are unaware of their children's needs because they lack maturity and/or education to pick up on their cues. An infant massage training program, now in its own gestation, will teach disadvantaged mothers to touch their children in a healthy/healing way that improves infant development and increases their familiarity and comfort with appropriate touch. It is planned that, as these women complete their training in massage therapy, they will be hired through the non-profit agency to bring massage and appropriate touch back to their own communities. We will make use of the community knowledge the young mothers already have and the trust they can access from being part of the community served. The focus of the project is to create sustainable job options for young mothers as well as increase availability of massage to underserved populations.
Much of the coursework is based on results of developmental research from the Touch Research Institute (TRI). In many cases the trainees will not be persons fluent in academic learning and assessment methods - chalk and talk and standardized tests won't cut it. The project will have to move both to use of active visual media and to an experiential/kinesthetic mode of teaching topics such as anatomy.1,6 Assessment will need to be done directly within the context of practice.
What I'm describing is without a doubt at odds with many existing state practice acts - laws written and passed without a thought of using massage as a tool for community intervention. The pursuit of "credentialism" embodied in such laws can have needless impacts on those already disadvantaged.2
Such laws were written by people and can be changed by other people. Advocate such change to colleagues and legislators when licensing acts are either being initially considered or are up for a review of need and efficacy. Cherish and preserve the flexibility you do have, working with nonprofit resources and government agencies to create touch-based outreach programs. By caring enough to participate, we can create a breath of fresh air in how we reach out as massage therapists to improve community and culture and stem the tides of despair and violence.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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