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Looking Back: Abstracts From Chiropractic History (Summer 2015 Issue)
The following abstracts are reprinted with permission from Chiropractic History, the official journal of the Association for the History of Chiropractic. Chiropractic History is the leading scholarly journal of the chiropractic profession dedicated to the preservation and dissemination of the profession's credible history.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Chiropractic Care and Risk of Stroke: The Shoe Moves to the Other Foot
For decades, numerous papers have linked upper cervical chiropractic care to the incidence of vertebral artery dissections and stroke.
7 Reasons You Want a Beacon in Your Office
Have you heard about how "beacons" are transforming the way businesses interact with their customers? Beacons are low-energy Bluetooth devices that have the ability to send information to a smartphone app.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Research: Know What You're Talking About
Have you ever seen a patient in your office with multiple serious health problems you weren't sure exactly how to address?
Reverse Digit Span: A Useful Assessment Tool for Patients With and Without Concussion
Reverse digit span is an easily administered test of attention span. It is a component of the SCAT3 test, which is frequently used to assess concussion. It has been part of the armamentarium of cognitive assessment for many years.
The Winter of Life: A Personal and Chiropractic Practice Perspective
Last November, my wife and I invited an elderly relative, Uncle Josh, to spend the winter with us. He was 82 years old at the time and turned 83 during his stay. As soon as he accepted our invitation, we began preparing.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Are You Making the Wrong Impression?
Taking a page from Stacy and Clinton of The Learning Channel's hit television program, "What Not to Wear," we recently published an article in the summer issue of Chiropractic History: The Archives and Journal of the Association for the History of Chiropractic, that explores the evolution of physician attire from prehistoric times to the present.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
May, 2004, Vol. 04, Issue 05
Is It Time to Implement Levels of Education?
By Ralph Stephens, BS, LMT, NCTMB
In my previous article, the question of whether massage is a trade or a profession generated many interesting responses (www.massagetoday.com/archives/2004/03/11.html).One came from a person on the trade side: She claimed to be a "multiple-degreed professional" who teaches massage at the continuing education level, but misspelled many words, including "therapeutic." She informed me, "It is a massage, not brain surgery!" and indicated that she is part of a group that will "file a class-action lawsuit over any attempt to raise core requirements for massage therapists" in her state. She feels massage is nothing more than a trade, and "how dare anyone try to professionalize it," especially through education. This supports my theory that the status quo will always defend its cash flow.
From the professional side, a therapist from Canada held up his country's 3,000-hour model, which has a bachelor's program on the way. He wondered when the United States would catch up. Those are the extremes. They are far apart. David Palmer and others have promoted the idea of a multi-level profession for a long time. I have always resisted the idea of a tiered profession. The professional boundaries and scope-of-practice issues between each of the levels would be one of those proverbial "sticky wickets." The challenge is in defining where relaxation ends and therapy begins, and the entry-level education requirements for each level will undoubtedly create interesting discussion. I am beginning to think it may be the best idea after all. Is it time to establish and recognize a trade level and professional level of massage?
The trade level would be chair and table relaxation massage routines only; the professional level would include wellness enhancement and therapy. I'm just asking - not advocating. It's a discussion that needs to take place again. It was discussed and rejected in the early 1990s, but things have changed a lot since then. From my view, it is beginning to appear inevitable that some sort of split must occur. However, it will require a dramatic change in our current educational structure, which leads me to the next point: how to increase the quantity of skilled massage educators.
What's a School Without Instructors?
A fellow philosopher went beyond the trade/profession argument to point out that it will be very difficult to raise the educational component of our profession, unless we raise the competency of massage educators in entry-level programs. He is working on developing innovative programs that will accomplish that. He said:
The Council of Schools has been sponsoring massage instructor conferences for the last few years. This program needs to be expanded. Our educators need more training, especially in teaching psychomotor skills to adult learners. In regulated states, massage boards need to lead the way in establishing instructor credentials.
Do we need to create an instructor level or class within our profession? Of course, this would require determining what the requirements should be to become a professional massage educator. It needs to include more than just being a practicing therapist. (Last year's graduates are not acceptable as instructors.) It especially needs to be more than a therapist who cannot make a living doing massage or has destroyed their own body doing massage. Such incompetence does not need to be passed along. Whatever change happens in massage education, it will occur as a slow, evolutionary process...In the meantime, how about something useful, instead of philosophical?
The Deltoid Trap
Most of you only know me as a controversial columnist. While I enjoy sharing my views on the politics and philosophies of our profession in order to motivate people to think (and hopefully act), my first love is massage therapy and helping people find relief from their pain. To make my column more immediately useful, I plan to include a short, practical, clinical tip occasionally. The following relates to the upper trapezius muscle generally thought to elevate the shoulder, which is really more of a stabilizer that holds the clavicle against the sternum (www.chiroweb.com/archives/22/05/09.html).
This muscle often harbors trigger points that cause headache-like pain from the base of the skull, up around the ear to the temple. I often find it difficult to get this muscle to relax, and the trigger points refuse to deactivate. Look at "The Musculature System" wall chart from the Chicago Anatomical Chart Company, drawn by Dr. Peter Bachin. Notice the trapezius fibers share a common fascial attachment with the deltoid at the acromion process.
"Ah- ha!" I exclaimed when I noticed that. I treated and stretched the deltoid and went back to the upper trapezius, treated it again - and it melted into my hand - the trigger points reducing in 10 seconds of sustained pressure. Headache gone! This has worked hundreds of times for me. Think about it. Look at it. Try it. Your patients might like it!
Until next time, remember: A bad law is worse than no law at all, and no matter what you choose to call it, to the public it's all just massage.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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