resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
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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