resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
February, 2003, Vol. 03, Issue 02
Movement Awareness: Connecting Client With Self, Part II
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Editor's note: Part I of this article appeared in the December 2002 issue, available online at www.massagetoday.com/archives/2002/12/04.html.
The Essential Qualities of Human Movement
When the practitioner moves well, it indicates that forces are being transmitted along pathways of contraction and lengthening - an interplay of force vectors matching up with myofascial pathways of lengthening, such that the net effect is both postural uplift and neutralization of torquing stresses.An observer would see smooth motions and a relaxed, satisfied client. Movement is a science, a skill, an art form which, when well executed, affords practitioners a better chance of working without the attrition rate of injuries associated with the profession; a sustained pain-free practice; and more-satisfied, better-managed clients.
The Essential Skill of the Practitioner Is in the Quality of Movement
The real science and art of massage begins with the practitioner's awareness through movement, which has higher-grade value than simply learning several external techniques. Movement is the very condition of life and all life activities.
There is no escape: If the practitioner does not have awareness of movement and how she/he is being affected, it is only a matter of time before the gravitational stresses of life lead to structural and functional disorders in the form of musculoskeletal or myofascial pain. Disorder, the dreaded entropy of the body, sets in. Will power and determination are no match for these forces. The practice life of the bodyworker is cut short; damage and pain becomes recurrent - and all the unnecessary result of poor learning or weakened kinesthesia!
Moshe Feldenkrais, the somatic innovator and pioneer, observed that life without movement is inconceivable. Ida Rolf understood that structure was the key to stability, balance and mobility. Several somatic innovators have developed new learning approaches, so that not only the practitioner, but also the client can experience basically efficient movement, leading to the maintaining of supported upright posture. The field of somatic study has moved outward, from treatment to educative therapy.
Once again, historically speaking, the client has another chance at self-learning and self-maintenance. Once aware that the way we move is a major key to practice, we can look into the detail of primary functional movement actions. What I'm referring to are species-based activities of daily life that have a purpose, satisfy life needs, and even share a species commonality, to some extent. For example, people all over the world must lie down, get up, sit, stand and walk.
What Practitioners Need to Know
To be structurally, functionally and even psychophysically well-integrated, every person needs the essential movement nutrients: resonant movement; lengthening through the spine and along myofascial pathways; stretching of local connective tissue pathways; strengthening of muscle groups in a balanced way; relaxation responses, which are built into every movement activity; feelings of satisfaction and enjoyment from movement activity; and clarity of direction and intention. We may not get the full complement at any one time; as when taking vitamins and minerals into our bodies, it can take place at different times.
The bodyworker needs to be able to access lengthening, which is how energy is being transmitted through the body. Every position we assume when working on clients requires this lengthening. Otherwise, shortening or harmful compressions start to take place by default. When you work, you are either lengthening or shortening; there is no in-between.
Stretching is an essential component, but a highly misunderstood one. Ideally, stretching takes place when we slowly move one local myofascial area. For example, yoga stretches work so well because they take place in slowed down, stillness time, with breathing, relaxation and focus.
Strengthening takes place whenever we move in concentric fashion against gravity. We also can focus on conscious strengthening through particular exercises. Doing massage work can strengthen, but it also can weaken. (I have done therapy with many practitioners who were getting weaker in certain areas of the body, especially the shoulder girdle and upper back.)
Resonance, or smooth movement, is an essential quality that represents everything working together, with forces being distributed without internal turbulence or damage. Resonance derives from physics: the resonant frequency-of-motion principle, represented in pendulums, coils and springs. All living bodies seek and enjoy resonant movement.
Relaxation is an internal physiological experience. The response has been described and documented by many. How does it occur in movement? Whenever movement is resonant, the points at which we move through our own center of gravity (the neutral place), we experience a millisecond of effortlessness, even enjoyment.
Psychophysical (Somatoemotional) Dimension: Empathic Touch
The client who is being moved well unconsciously responds and registers positive somatophysical or psychophysical well-being. This response is enhanced further when the client begins to notice improved sensation when sitting, standing, walking, or performing other activities. Whenever the client notices that, following a session, something has carried over, and that some function has improved, this has significance. Whenever the nervous system has an experience which is not imposed upon it, but is suggested through a empathic touch contact that matches the client's need state, there is likely to be not only healing, but more: improvement of function, and with this a further move in the direction of health and wellness.
Whenever the client notices that something beyond temporary alleviation of discomfort has occurred, he or she is far more likely to return. The massage therapist who follows this path soon has not only a regular clientele, but also a set of learners and movers who are ready to reclaim their bodies and actively take charge of their own wellness.
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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