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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.
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.
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.
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.
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.
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.
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.
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.
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.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
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.
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.
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.
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.
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.
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.
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.
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.
December, 2003, Vol. 03, Issue 12
CranioSacral Therapy Alters Brain Functioning: A Clinical Overview
By John Upledger, DO, OMM
While head of the clinical psychophysiology service at McLean Hospital - the largest psychiatric teaching hospital at Harvard Medical School - Paul Swingle, PhD, FCPA, RPsych, was asked to consult on a research project conducted by an osteopath at the New England Medical School who wanted to determine the effect CranioSacral Therapy (CST) had on the brain activity of a patient and therapist during a typical session."At the time, I dismissed CranioSacral Therapy as pure bunk," said Dr. Swingle, now a clinical psychoneurophysiologist in Vancouver and a highly respected biofeedback practitioner. Nonetheless, he agreed to measure the brain activity during the treatment session. "What I found startled me," he said. "With all the necessary experimental controls in place, I saw a marked change in alpha brainwave amplitude that immediately coincided with the CranioSacral Therapy. I didn't know exactly what the technique was, but the results so impressed me that I promptly enrolled in a class."
That was over four years ago. Since then, Dr. Swingle has used CS in his neurotherapy practice to help modify brain functioning to treat a wide range of disorders. "During treatment sessions I obtain EEG measurements. Some of the most important brain effects I've witnessed include a marked increase in theta and alpha brainwave amplitude in the back of the brain associated with the induction of a still point." Dr. Swingle's discovery was consistent with my early findings at Michigan State University when I was first developing CST, and with studies conducted by Dr. Elmer Green, formerly of the Menninger Clinic and Hospital in Topeka, Kan.
"Slow wave (i.e., theta) deficiency in the occipital region is associated with poor stress tolerance, sleep disturbance, racing thoughts, generalized anxiety, and vulnerability to substance addiction," said Dr. Swingle. "Neurotherapy that focuses on restoring this deficit is strongly enhanced with still-point induction."
Currently, Dr. Swingle treats children with involuntary movement disorders and seizure disorders. A major component of his protocol is to "increase the sensory motor rhythm over the sensory motor cortex [roughly across the top of the head from the tips of the ears]. The sensory motor rhythm is represented by brainwave activity between 13 and 15 cycles per second. When made stronger with brainwave biofeedback, it results in increased seizure threshold and reduced involuntary body movements," he notes. The increased brainwave amplitude Dr. Swingle has witnessed with CST is associated with "calm and passive attentiveness."
He has also reported an increase in the important sensory motor rhythm when a thoracic release is performed. To illustrate, he performed still point inductions on six patients with closed head injury and one with attention deficit disorder. "The effect of the still point was an increase in theta amplitude from a low of 6.2 percent to a high of over 80 percent," he reported. "Such changes in theta amplitude can have profound effects on brain quieting."
Dr. Swingle has reported these findings at various North American conferences. According to Dr. Swingle, children undergoing sensory motor rhythm training strongly benefit by a CST sequence of still point followed by sphenoid, thoracic and occipital releases. In terms of brainwave activity, this CST regimen results in increased amplitude of occipital theta frequencies (mental quieting) and of the sensory motor rhythm (body quieting). "The quieting often occurs immediately," he added, "and parents usually report a marked, sustained improvement."
Once a skeptic, Dr. Swingle now strongly advocates the use of CST as part of neurotherapeutic treatment of many disorders. The synergistic effect of these modalities results in "efficient and permanent remediation of many disorders associated with anomalous brain functioning."
Click here for previous articles by John Upledger, DO, OMM.
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