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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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
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.
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.
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?
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.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
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.
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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