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Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
August, 2004, Vol. 04, Issue 08
Kinesiolgy and Orthopedic Assessment
By Whitney Lowe, LMT
Kinesiology is a fascinating science; as the study of human movement, it has considerable relevance in the clinical environment. Unfortunately, too often in massage education, this field of study gets reduced to memorization of muscle actions (in order to pass some test), and the whole purpose for studying kinesiology gets lost in the process.Because kinesiology is the study of human movement, and because the field of orthopedics deals with movement-system disorders, kinesiology is an essential science for the process of evaluating movement-system disorders (orthopedic assessment). Once you grasp the importance of this relationship, you'll find that understanding kinesiology is an inseparable part of the assessment process.
The field of kinesiology is composed of three separate disciplines: musculoskeletal anatomy, neuromuscular physiology and biomechanics. Musculoskeletal anatomy is perhaps the most obvious of the three with relation to orthopedic assessment. Identifying the structures involved in various pain or injury conditions starts with knowing the anatomy. If the client has anterior knee pain from overuse, knowledge of the different tissues that could produce that pain, such as the patellar tendon, quadriceps retinaculum or sub-chondral bone underneath the patella, is essential in assessing the problem. A detailed knowledge of anatomy ,combined with well-developed palpation skills, are excellent tools for the soft-tissue practitioner; this gives us a distinct advantage in identifying pathologies.
Neuromuscular physiology, the second branch of kinesiology, is also important to assessment. While one might feel bogged down with the effort involved in memorizing muscle attachments (anatomy) and actions (physiology), there are more interesting applications of these studies. For example, in discussing neuromuscular physiology, anatomy texts focus on the role of a muscle's concentric action; eccentric and isometric actions are rarely listed. However, it is just as important to identify other functions of a muscle, because they may be more important for assessing the nature of an injury.
A case in point would include what commonly occurs when a person injures his or her back while bending over to pick something up. If you analyze the motion used in the midst of the injury, you notice that flexion of the torso occurs while bending over. Consequently, you might then assume that the muscles involved in forward torso flexion would be engaged, thus identifying the rectus abdominis and iliopsoas as the major muscles that flex the torso; however, bending over to pick something up does not use these muscles much at all. This motion is governed much more by eccentric activation of the spinal extensor muscles. The process of bending over from a standing position and using these muscles eccentrically is a common mechanism of injury. When you understand how these muscles are used in various activities, you can do a much better job of evaluating the muscles involved in the injury.
The final branch of kinesiology, biomechanics, is commonly confused with kinesiology, but it is actually a separate branch of science that helps make up the discipline of kinesiology. Biomechanics is the field that studies the application of principles of mechanical physics to organic systems. So, identifying how much tensile stress may occur to a ligament before the fibers become stretched and torn (a ligament sprain), for example, involves the field of biomechanics.
Simple biomechanical principles are routinely used in kinesiology and also become an important part of orthopedic assessment. If a client reports knee pain when descending stairs, we use biomechanical principles to identify the different types of stress to different tissues in and around the knee. The menisci of the knee are under compressive stress and could produce pain during this activity. The patellar tendon and retinaculum are under tensile stress and could also produce pain in an activity like this. There is some tensile stress on the anterior cruciate ligament as it helps in the deceleration process as well. Knowing what types of mechanical stresses these tissues are exposed to will give valuable clues for identifying the source of the client's pain.
If you can get past the initial roadblocks to kinesiology that may have been constructed from previous experiences in school, you can appreciate this fascinating science. It is an integral part of orthopedic assessment and should therefore be a tool that is readily used in your clinical practice if you are attempting to treat any kind of pain or injury condition with massage.
Click here for more information about Whitney Lowe, LMT.
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