resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
November, 2003, Vol. 03, Issue 11
Falling Behind the Recovery Curve
By Keith Eric Grant, PhD, NCTMB
In my article, "Training Effects"1 (www.massagetoday.com/archives/2003/06/08.html), I discussed sports scientist N.Yakovlev's model of training and adaptation. After a workout, there is a recovery period, followed by a period of super-compensation. The optimum time for the next workout is at the peak of super-compensation. Work out again too early, and the body is still recovering; wait too long, and the benefits of the last workout are lost. The length of recovery depends on the workout intensity and factors such as nutrition, hydration and sleep.4
Yakovlev's model is a guide to understanding adaptation and improvement with regular exercise, but it also contains one of the greatest banes of those who start exercise programs - overuse injuries. Overuse injuries account for 30 percent to 50 percent of all sports injuries, and are among the most common encountered by heath care practitioners. Even injuries with a sudden onset without a clear traumatizing event are often the result of falling behind the recovery curve.
Overuse injuries frequently occur when an athlete changes exercise patterns or rapidly increases the amount or intensity of exercise. Without sufficient time for recovery, repetitive micro-trauma leads to inflammation and local tissue damage in the form of cellular and extracellular degeneration .3 Such degeneration can lead to chronic pain or sudden injury. An increase in injury risk with lighter muscle fiber loading at higher repetitions (Fig. 1) is explicable in terms of decreased tensile strength of over used tissues. Overextension andoverly intense exercise also can be detrimental to immune system functioning.5 Allowing time, and setting conditions for the recovery period, are important to performing well; recovery is aided by good nutrition and adequate sleep. Best conditioning without breakdown is obtained by catching the Yakovlev curve at its super-compensation maximum. Massage can aid normal training by helping to reduce residual muscle hypertonicity, thus speeding recovery.1
If chronic or acute injury has occurred, allow healing while gently maintaining joint mobility. Functional rehabilitation must be done before training can return to pre-injury levels. At the heart of functional rehabilitation are Davis' Law and Wolf's Laws, which state that soft tissue and bone heal along the lines in which they are stressed. For optimal healing, tissue must be stressed gradually to accept a given force. Crossfiber massage can be used to help align healing soft tissue and stimulate healing. Rehabilitation also involves exercise movements to regain joint proprioception.6 Impaired joint "position sense" is overlooked in many rehabilitation programs and may be a major risk factor for recurrent injuries after the muscles and ligaments have been restored. Restoring proprioception after injury allows the body to maintain stability and orientation during static and dynamic activities.
A massage practitioner can assist clients in restoring joint sense and neuromuscular movement by encouraging them to perform movements against the practitioner's light resistance. Such work also helps identify areas of adhesion that can be normalized by deep tissue work.
Finally, one of the hardest exercises involved in recovery and rehabilitation comes not in exercising the body, but in exercising patience. In coming back from behind the recovery curve, an athlete could do far worse than cooling his or her heels on your massage table. With less than a full workout schedule, each has the time.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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