resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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