resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
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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