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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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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?
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.
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?'
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.
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.
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.
Code Connection: 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.
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.
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.
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.
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.
December, 2002, Vol. 02, Issue 12
Movement Awareness: Connecting Self with Client, Part I
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Every massage session is a movement relationship between practitioner and client. Because clients are passive receivers, we tend to ignore their awareness of and responses to what may be happening to their own body image perceptions.We consider our role in this interaction as body use, contact, and application of technique.
Movement organization differentiates between massage as therapy and improvement vs. massage as treatment only, whether as a relaxing or as a myofascial relieving experience. The root of massage practice is in movement itself. The practitioner must move his/her own body in harmony with the inexorable laws of gravity and biomechanics. Massage is not generally considered a movement modality; in reality, it is, and it grows in public significance when it is consciously practiced with self-movement awareness and skill. Sooner or later, the client picks up on whether the message in the massage carries something more. Consider the following:
First, picture a standard massage treatment. The practitioner's actions reveal well-organized movements, or compromised, imbalanced, stressful postures during the application of treatment. There appears to be little client movement, and little equivalent or commensurate response. The client's body absorbs the potentially beneficial forces applied by the practitioner. The neglected, significant question is this: Is the practitioner benefiting? Is he or she getting better or worse?
The general protocol and expectations of a massage session have been shaped by tradition, experience and habit. The passive client comes to a session for the purpose of experiencing relaxation, without movement, or without any self-induced motion except to lie down, remain motionless, and then to get up and leave. The client feels the positive effects, but is minimally conscious of the process. The reality is that the practitioner does most of the moving; the client's body is moved. The effort is distinctly disproportional.
Second, the practitioner's actions reveal active mobilization that resembled work or effort. Any kind of hands-on work must affect one's own body. Physics dictates that any force generated must travel freely, without resistance or torque. To do otherwise is to generate turbulence affecting one or more components: muscle, nerves, myofascia, joints or bones. Whatever the modality used, the body must experience some effect, and this effect must be registered in the nervous system.
Third, the practitioner is moving his/her own body -- but how? The very act of movement involves using vectors of force, direction of force, body tensioning along myofascial planes, and an entire dimension of sensory-motor stimulation through touch. Some of these myofascial pathways of movement have been anatomically described (for example, see Thomas Myers' Anatomy Trains). No matter the technique or style used, the practitioner has to begin with self-organization, in the field of gravity. Technique is secondary to the greater principle: well-organized and efficient direction of movement energy in motion. This can be further broken down into components, such as the core functional movement based on the actions and planes of movement. In essence, every practitioner, either intuitively or by sheer behavioral learning, must use the basic functional components of human biological and biomechanical motion.
When working on a client, a practitioner intuitively recognizes a fundamental need for postural stability; for balance; for transmission of forces from the ground through oneself; for a certain amount of strength; for lengthening of one's own body; for relaxation, and for satisfaction while one works. This means that the practitioner, like the musician, has only natural, core functional motion possibilities: notes, then chords, then melodies or compositions. The notes are single actions of one part. The chords are combinations of notes that form core functional actions of extension, flexion, rotation and lateral bending of the opposite segments. These core functional movements, or colors of the body spectrum, allow joints to perform different actions.
As a functional movement, that action is precise and ideally effortless, not forced. If the articulation, with its corresponding muscle contraction, muscle lengthening, connective tissue or fascial spread, and internal sensory feel, are not resonant and syntonic, trouble ensues. If the movements go well, they combine to form patterns of action, or primary functional actions, the practitioner and the client benefit. As the practitioner moves, so does the client. Where the practitioner is struggling in her/his body, the client absorbs the manual forces, not having a clue (until later, perhaps) as to why a negative reaction was felt. It is rationalized often as: "I felt good, but then the pain came back."
Josef DellaGrotte is a certified Feldenkrais trainer, registered muscular therapist, integrative somatic practitioner and body-centered psychotherapist. He began training with Ida Rolf, then with Moshe Feldenkrais, who named Josef as a training assistant. His interest and practice is in combining therapy with somatic education, taking the client beyond passive experience and dependency into learning and self-care.
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