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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
June, 2003, Vol. 03, Issue 06
By Keith Eric Grant, PhD, NCTMB
Humans exchanged difficult childbirth and a longer maturation period for versatile bipedal mobility; dexterity and expression with our arms; an upright environment; and the far-reaching vision that stimulated the development of minds that strive for beauty in movement. We are literally a species designed to adapt physiologically and neurologically to the movements we perform regularly.
We go through three identifiable stages when we learn a motor skill, such as massage or dance. We start learning in a verbal-cognitive phase, in which we derive information on position and direction from demonstration and verbal direction. Our movements typically are created by joining together bits and pieces of our existing movement "vocabulary." In the associative phase, we develop focused movement patterns and continue to perfect and adjust them through practice. In the autonomous phase, there is little need for constant monitoring, because movements are performed consistently, with precision and accuracy. We can turn our attention from the present task back to the surrounding environment.
In powering our movements, we have three different systems for obtaining energy that operate in a continuum. Immediate energy, for high-intensity movement lasting up to 20 seconds, comes from the production of adenosine triphosphate (ATP) from creatine phosphate. Anaerobic glycolysis provides energy for high-intensity exercise lasting 20-180 seconds. Finally, aerobic oxidation provides energy, quite literally, for the long run. With correct training, muscle cross-section and muscle strength increase. Our abilities to use oxygen (VO2 max) and process the lactate produced by glycolysis, also increase. One of the most dramatic effects of including anaerobic intervals in aerobic conditioning is an increase in the intensity of exercise performance for extended periods - our lactate threshold.
Some years back, Russian sports scientist N. Yakovlev devised a conceptual model that captured the concept of optimal training, both in intensity and repetitive timing, for maximum improvement (Figure 1). If we train too hard for our current conditioning and recovery rate, we head ourselves into deepening fatigue and, ultimately, breakdown. If we don't train hard enough, we obtain too little benefit. The right intensity of training allows us to recover fully and enter a period of super-compensation. If we train again during the maximum super-compensation period, we gain the greatest effect. If we wait too long, we lose the benefit of what we did before.
The benefits of massage come partly, I believe, in shortening the recovery time in Yakovlev's model. When recovery capacity is increased, exercise capacity can increase, yet stay in balance (Figure 2). Thus, we facilitate the gains of super- compensation. I believe the mechanisms for this lie in the interactions between the psychological and neurological. Daniel Arnheim noted both aspects of staying focused and relaxed in discussing injuries in dancers: The psychological aspect of injury prevention is as important to the dancer as is proper conditioning and nutrition. Dancers, like all people, have varying personalities and react to stress in unique ways. What sets dancers off as unique from other individuals is that they are artists seeking perfection in movement. The extent to which the dancer can withstand the psychological stresses imposed by the dance environment is determined by the dancer's total psychoemotional development and lifestyle, both past and present.
When considering injuries associated with psychogenic factors, one must consider muscular tension as a major cause in the dance field. Tension is defined as increased muscular contraction as a result of some emotional state or muscular work. Nervous tension is a syndrome that is characteristic of the so-called fast way of life of our times. It is associated with anxiety that comes from an undefined worry or fear. An overanxious dancer can have an extremely high level of unneeded muscular tension. The person who is outwardly anxious may be less flexible and less able to smoothly coordinate muscles. Organically, he or she may have an increased heart rate and blood pressure. The tense dancer is extremely susceptible to injury, and because of the increased muscular excitability, may over-respond to painful conditions.
We become part of the lifestyle structures of support to which an athlete and kinesthetic artist can turn when viewing massage as an interaction and communication. Beyond this, we can address the tension to which they might unconsciously cling. Among the wonders of our human embodiment is the astounding plasticity we have, which enables us to learn new kinesthetic skills, and adapt our bodies to their impassioned pursuit. Among the wonders of the massage we pursue is our ability to affect the training of those who come to us.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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