Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
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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