resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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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