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Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
August, 2004, Vol. 04, Issue 08
Knowledge and Networks
By Keith Eric Grant, PhD, NCTMB
As an unabashed academic and massage instructor, I've a tendency to look at how we organize and model our accumulated knowledge about the wider context of bodywork. The maps we create have significant effects on how we approach the acquisition and conveyance of knowledge, skills and abilities.
Massage, particularly when defined in an encompassing context of all touch practices, has many different subpractices (see my article, "Swimming Upstream Toward Effective Practice," in the March 2003 issue, www.massagetoday.com/archives/2003/03/13.html.) and many different theories of underlying action.When I periodically hear about someone advocating creation of "massage tiers," I have difficulty understanding how such tiers translate into measurable improvements in our ability to practice across the scope of what we might do. My worry is that such tiers have little to do with improvements, and everything to do with rites of initiation.
The criteria for evaluating the need for training and education, I believe, is that it is objectively needed to produce effective practice, including the technical, business and interpersonal facets. I also believe there is a tendency in our profession to want to use training as a gauntlet to promote commitment, the basis of which is noted by James Atherton in a short review of cognitive dissonance:1 "Ordeal is therefore an effective - if spurious - way of conferring value on an educational (or any other) experience. 'No pain, no gain,'as they say. The more difficult it is to get on a course, the more participants are likely to value it and view it favorably regardless of its real quality." Robert Cialdini makes similar observations in his treatment of social influence.4 Advocating training on such a basis is, I believe, a disservice both to the student and the ultimate consumers. Atherton is correct in noting the often spurious nature of the result.
For a long while, I thought the underlying problem with tiers was simply a factor of inadequate definition and too narrow motivation. Recently, I've realized that the problem is inherent in the broad scope of bodywork - tiers assume that knowledge is structured like a tree, with specialty branches spreading out above a single root. In contrast, massage knowledge forms much more of a web of interconnecting clusters, a shape that looks like a tree only when viewed very close at a single area of entry. In the more interior regions of such a web, the connections branch off to other clusters, eventually reaching other entry points and destroying the illusion of a single tree on which to base the concept of tiers.
Such webs occur throughout knowledge connections, social structures and the structures of life itself. Physicist Mark Newman has organized a gallery of web pictures showing their pervasive occurrence 6 and written an extensive technical review article on research into the structure of networks.5 Barabasi and Bonabeau wrote a recent introductory review,3 and Barabasi has written an excellent lay-oriented book on this research.2
Moving ahead with this idea of networks, consider putting together an online encyclopedia, containing pages for all the pertinent sections of knowledge for everything in massage and bodywork. This shouldn't be too fine-grained: something on the order of the sections in the chapters of a book. Technique sections might have demonstration video clips attached. By looking at the hyperlinks between pages, we would better understand the interconnection between information in different clusters. Areas with a lot of mutual interconnection would be self-defining as a study area. If an area exists that's linked from everywhere, it would pretty much have to be a natural core area.
Things that come to mind are information on touch itself, as Ashley Montagu put it, "The human significance of the skin." Other areas that I see as likely core foundations would be business skills, particularly for those running their own practices, and interpersonal skills. Areas on Western anatomy and physiology would have great emphasis from orthopedic massage but much less direct access from sections on Asian bodywork or energy work.
In summary, our overall knowledge of massage is too diversely connected to be tree-shaped, having a single core and specialty branches. Everything is by some route interconnected, but the density of interconnections varies greatly and creates separate clusters of study. Such a structure captures the paradox of being too diverse to ever appear to have a single root, yet too interconnected to appear totally separate. Massage is thus a totality that thwarts our efforts to compactly define it while greatly rewarding our efforts to pursue its many links.
Editor's Note: Due to the transient nature of the Internet, some links may not be operational.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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