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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
March, 2003, Vol. 03, Issue 03
The Practical Pitfalls of Research
By John Upledger, DO, OMM
Werner Heisenberg, best known as a founder of quantum mechanics, gave us the Uncertainty Principle, which took our comprehension of quantum physics a giant leap forward. We began to understand that we may often get what we're looking for.If an experiment is designed to measure particle mass and activities, that's what we get; if the experiment is designed to measure wave activity, that's what we get. If one scientist sees evidence that energy is particles, and a second scientist sees evidence that energy is waves, they might argue. Both would be correct, but the argument might continue ad nauseum.
Heisenberg also alluded to the idea that there is no such thing as a purely objective experiment. As soon as you begin to measure something, the energy of the observer may change the results. I'll share with you a few personal experiences that strongly support this concept.
In the late 1970s, I was conducting research at a center for autism in Michigan. At one point, I got the bright idea that autistic children have different energy fields than nonautistic children. I worked with my co-investigator, biophysicist Jon Vredevoogd, to bring in an arbor-type wooden structure in which a child could stand. We mounted 10 receiver electrodes in the arbor to serve as antennae. The signals they received were passed into a sensitive Keithley Electrometer that gave us a digital printout of the child's electrical field at any given moment.
As I suspected, the electrometer consistently measured higher electrical fields in autistic children than nonautistic children. After we had collected what appeared to be groundbreaking data, Jon took our apparatus to his basement laboratory. He wanted to measure the influence of natural versus synthetic fabrics on the electrical fields of those wearing them. His experiment worked according to his expectations: Synthetic clothing produced a higher electrometer reading than natural fabrics.
One night at about 10 p.m. Jon called me at home. He said he had news that invalidated our results. This upset me. I was sure we were on to something important. Jon went on to tell me that he could sit across the room from the electrometer and its electrodes, and change the printout of the electrical fields using only his mental intention. With practice, he was able to get the exact numerical printout he intended.
Skeptical, I immediately went to his house. I was unable to change the electrometer printout with my intention - but Jon could. I didn't want to be able to change the numbers, so I couldn't. I was convinced that autistic children had higher electrical energy fields than nonautistic children, so they did. Jon didn't have as clear a feeling about his fabrics; he got the results he sort of wanted, then was shown the truth. This was an educational experience for both of us.
Another series of lessons came from my experiments using Kirlian photography in the 1970s. At the time, there was an upsurge of interest in this type of photography, which captures energy emissions on a photographic film or plate. Kirlian enthusiasts would use these images to diagnose everything from cancer to schizophrenia. The assumption was that the corona - the energy emission recorded on the photograph - was relatively consistent for any given human subject, and coronal defects or abnormal patterns reflected disease states or conditions.
Skeptic that I am, I began to investigate, first by photographing the coronas of my patients' fingertips on the same film as my own. The process involved creating a time-controlled, electrical-potential field. I took the photos before and after each treatment session, or between each segment, if I used several modalities. The coronas depicted an apparent interchange of energies between myself and the patient. Frequently, on a first visit, the patient's corona was less dense and expansive than mine; posttreatment, my corona usually diminished, while the patient's corona was enhanced, suggesting some of my energy had transferred to the patient.
As the treatments progressed, the patient's corona sometimes appeared stronger than mine in the pretreatment photographs, while I showed a stronger corona posttreatment. This suggested that the patient energized me. Usually, about the time the treatment series was to be completed and the symptoms were resolved, both of our coronas strengthened. I began to accept these positive changes as indicators that the case was "solved." In this manner, I was using Kirlian photography as an indicator of progress.
I decided to photograph my students' fingertips before and after patient examinations, while I observed and graded the results. I found if I reflected a happy mood, the student's corona was strong. If I warned the student that this would be a tough exam, the corona weakened and reflected flaws similar to those interpreted as diseases by other investigators. If I told the student he or she did well and then re-photographed, the corona was strong again. Some investigators would have used this to indicate a "cure" for a previously diagnosed disease; to me, it suggested that anxiety or fear, no matter how transient, could be misinterpreted as a disease process on a Kirlian photograph.
I went on to test a wide range of variables for their ability to influence a Kirlian photograph. Among our observations: Strenuous exercise caused no significant change in coronas. One person's feelings of happiness toward another caused his or her coronas to blend, while feelings of anger left an empty space between coronas. Temperature differences caused variable corona changes. Acupuncture was used to relieve a toothache in one student, and menstrual cramps in another, and their coronas improved with pain relief. We even studied bloodflow, which caused no change in coronas.
We ended our research after more than a year, and presented our findings at an international Kirlian convention in New York. The results were not warmly received.
In any case, I learned that intention can change the reading on a Keithley Electrometer, while thoughts, moods, anxiety, temperature and pain relief can change a Kirlian photograph. Yes, Mr. Heisenberg, the observer does change the outcome. So, how do you put the observer in the equation, when he or she is an inconsistent factor?
Every session of CranioSacral Therapy, SomatoEmotional Release, Energy Cyst Release, and Therapeutic Imagery and Dialogue requires the therapist to blend with the patient. Moreover, each patient problem and method of treatment is unique. If you follow a standardized protocol, you will not get the same results as if you had blended with the patient and followed the steps provided by the patient's inner wisdom, which is integral to the practice of these therapies. Obviously, you cannot have a double-blind study if no two treatments are alike.
It seems to me that the only studies that can be done to validate the efficacy of such modalities are clinical outcome studies that do not dictate the protocol. The results obtained for given disease diagnoses could then be compared to the thousands of conventionally treated patients with similar diagnoses. To go beyond this in terms of control is to study something that is not CranioSacral Therapy.
I am biased, but I believe I have a right to be. I have worn the moccasins of the rigorous experimentalist. I spent three years as a teaching/research fellow in biochemistry. I spent eight and a half years as a clinician/researcher in biomechanics at Michigan State University. I served for five years on the American Osteopathic Association's Bureau of Research, and two years on the Alternative Medicine Program Advisory Council for the National Institutes of Health.
I have seen both sides, and have come to the conclusion that in health care, it's the outcome that counts, whether you understand the process or not. I have had people tell me I should not use a treatment protocol until I know how it works. My answer to them is to stop using gravity and electricity, until they understand how they work.
Click here for previous articles by John Upledger, DO, OMM.
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