resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
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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