resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
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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