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Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
November, 2003, Vol. 03, Issue 11
Spotlight on Research
By Edie Seyl
Editor's note: This periodic column keeps you abreast of the latest research documenting the benefits of massage and bodywork. Published research is summarized, with references to the full study text provided; abstracts of research projects planned or in progress are reproduced with minimal edits, whenever possible.The following abstract was presented at the 2002 AMTA National Convention; it appears in Massage Today with permission from the author.
Seniors in Touch at Weaver's Tale Retreat Center: A Two-Year AMTA Foundation-Funded Project
People entering their senior years face major life changes, including retirement, decreased community involvement and decreased parenting/family roles. These changes, naturally perceived as losses, are often accompanied by declining physical and mental health, as well as grief associated with the death of a spouse and close friends. Social isolation and depression are frequent outcomes. Research and life experiences indicate that the best treatment for depression is social, physical and mental stimulation through meaningful activities. It is the rare occasion when a resident has the opportunity to spend time outdoors communing with nature or the world outside his or her residence. This lack of stimulation often leads to sleep disorders; anxiety; decreased appetite; and a general decrease in physical and mental stamina.
Weaver's Tale Retreat Center (WTRC) is a 501(c)(3) organization that offers daylong nature retreats for elders who primarily reside in nursing homes, assisted living facilities, and retirement and foster homes in the Portland metropolitan area. WTRC's mission is for elders and all people to connect to each other and nature. Using the natural resources Oregon has to offer, participants share in physically and mentally stimulating activities that improve their physical, mental, psychosocial and spiritual well-being. Program activities include Nature Group Experience: an outdoor walk on wheelchair-accessible trails, plant identification and a nature craft; Self-Renewal: a quiet, nurturing massage by licensed massage therapists (LMT), and self-massage instruction; and Circle of Friends: a music circle that encourages reminiscing and socialization. WTRC provides a high quality program at minimal expense that enables most elders to attend. WTRC has grown dramatically from 50 seniors in 1997 to over 1,000 in 2002.
To study the effects of massage and self-massage instruction to seniors and caregivers in the Portland metropolitan area. The massage group activity provided a sensory and self-awareness aspect of the WTRC program. Massage offers not only tactile stimulation, but it evokes memories as a person moves into a relaxed state of awareness. Touch offers people an opportunity to be more aware of their bodies, note pain and stress points and experience a release and deeper sense of relation. Through self-massage instruction, WTRC empowers an individual to have more control of his or her health. General objectives of the massage group project were:
Objectives were measured through the pre- and post-tests completed by senior participants, caregivers, activity directors from the senior residences, and massage therapists. Data were collected by observation, as well as through a verbal questionnaire that LMTs administered to their massage clients before and after massage. A follow-up survey was sent to the activities directors three weeks after attending the program. The pre- and post-tests included measurements using a pain scale; emotional stress scale; flexibility; general effect; and comments made by the massage clients that related to body awareness and control regarding health care. The massage therapy coordinator surveyed the massage therapists regarding prior gerontological massage experiences and new insights regarding the senior population. Likewise, a survey for caregivers and staff regarding new insights and previous massage experience for seniors was administered by the massage therapy coordinator.
Senior participants and caregivers pre- and post-tests: Surveys showed a decreased breathing rate in 50% of participants. Other results showed intensified feelings of wellness; calm; relaxation; happiness; and a sense of belonging. Physically, the LMTs' measures of range of motion (ROM); body posture; skin color and tone; and body awareness all improved.
Massage therapists pre- and post-tests: The LMT [reported] perceptions of how seniors benefit from massage did not vary significantly from pre-to post-tests. The LMT [reported] benefits of giving seniors massage were a sense of calm; satisfaction; helpfulness; gratitude; the importance of listening; intercon-nectedness; sharing; fun/laughter; appreciation; and "compassion keeps growing." LMTs were surprised by how open the seniors were to share, explore and express feelings. One hundred percent of the massage therapists stated that they plan to include geriatric massage in their practices.
Facilities staff pre- and post-tests: 100% of the staff thought seniors benefit from massage because of improved circulation; relaxation; emotional well-being; decreased pain and stress; and a sense of connectedness. The post-test also revealed that the seniors experienced a new and pleasant experience; helped them forget about their problems; helped them be in the moment; and gave them a sense of peace.
Surveys three weeks post-program: As of this paper, 91.7% of the facilities initiated a massage therapy program as a result of attending WTRC. The physical and occupational departments at one nursing home have contracted with a massage therapist to do a massage clinic every Friday. Another senior developmentally disabled group does massage and has it documented as part of the patient care plan. One activity director of a nursing home leads a group two to three times a week that she calls the "Scented Hand Massage" group; it provides sensory stimulation and relaxation, and, because it meets right before lunch, promotes good hygiene. Another activity director of a nursing home has a massage-relaxation group weekly. And the assisted living facility that was interviewed stated they have LMTs regularly - usually weekly - with residents paying for their private massages. These all are a result of the WTRC experience. Facilities who reported that they had not initiated massage stated they have been unable to find resources and/or the cost has been prohibitive. They both requested a list of resources and suggestions to create massage programs that work for them. WTRC compiled and sent a list of resources and creative solutions.
All of the objectives of this project were met. The number of massage therapists actually decreased, but the results were an improvement (i.e., a consistent core massage therapy staff developed as a result of available salaries.). WTRC anticipated there would be an increased awareness of the benefits of massage for the senior population among massage therapists, caregivers, activity directors and senior groups. With increased awareness, we anticipated and experienced an increased number of participants and a more consistent staff of massage therapists at our programs, as well as an increased number of senior massages in the community-at-large. Results of our study demonstrated that seniors and caregivers have an increased sense of control and responsibility regarding their health care. The study also demonstrated that massage significantly promotes mental and physical health among seniors.
WTRC is designed to offer seniors the opportunity to spend time outdoors breathing fresh air and experiencing the sights and sounds of nature. Massage therapy at our retreat is intended to promote the health and well-being of seniors. After attending our day program, caregivers and staff report that seniors show an improvement in affect, an increased sense of well-being and increased involvement in their "home" environments. Staff and caregivers who come with their seniors for the day receive nurturing massages and leave the retreat with an added awareness of the importance of human touch. Staff often report that for the first time they are able to experience their seniors as people with distinct personalities and pasts, rather than as patients with physical or mental health needs.
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