resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
October, 2004, Vol. 04, Issue 10
By Keith Eric Grant, PhD, NCTMB
At the 1968 Summer Olympics in Mexico City, John Stephen Akhwari of Tanzania was the last man to finish the marathon. Akhwari could run, and then some. He was Africa's marathon champion and had been expected to do well in Mexico; however, his training at sea level had not sufficiently prepared him for the altitude of Mexico City, and he fell during an attack of cramps.His legs bloodied and bandaged, Akhwari continued to run as best he could, limping into the Olympic stadium, with darkness falling, more than an hour after others had finished.
Sports cinematographer Bud Greenspan had been packing up his camera when a reporter alerted him to Akhwari's arrival. Pulling out his equipment, Greenspan captured Akhwari's final lap and later asked him why he didn't just stop along the way. Greenspan's film and Akhwari's reply became a classic example of Olympic spirit: "You don't understand," he said. "My country did not send me 7,000 miles away to start the race. They sent me 7,000 miles to finish it."2
Years later, at the Sydney Olympics, the Australian attach‚ for the Tanzanian athletes, brought John Stephen Akhwari to Sydney to receive an award at the closing ceremony as a living symbol of the Olympic ideal. Following the Sydney games, a foundation was created to foster the potential of Tanzanian athletes.5
Although the effect took years to incubate, Akhwari's determination to keep a commitment and face his barriers brought results beyond what even a winning run might have produced.
There are many different kinds of barriers faced in successfully entering the practice of massage, from learning to execute techniques smoothly, to marketing our services, to using good business practices, to jumping the regulatory hurdles imposed by various localities and states - sometimes with little objective basis behind them. While the process may not be pleasant, with commitment and determination to "reach the finish," we can do far more than we might have believed.
One of the opportunities we gain for ourselves by entering the practice of massage is that of helping our clients deal with another kind of barrier: injury or overuse-initiated barriers that limit normal range of motion (ROM). There are several different movement barriers that are used in discussing range of motion: anatomical, elastic, physiological, and pathological or restrictive. Greenman provides an entire chapter on barrier concepts within the larger framework of the diagnostic triad of Asymmetry, Range of motion, and tissue Texture abnormality (ART).3
The outermost limit is the anatomical barrier. When the anatomical barrier is exceeded, the integrity of the joint is compromised by fracture, dislocation or tearing of ligaments. In the interest of having return clients, I strongly advocate staying within the anatomical limits, whatever the facilitation used. Just short of the anatomical barrier, lies the elastic barrier, where the joint tissues offer considerable resistance but still have some slight ability to lengthen. This limit is generally reached using passive assistance. The range of normal active movement ends at the physiological barrier. The barrier resulting from loss of ROM due to dysfunction is the pathological or restrictive barrier. The positional relationships between these different barriers are shown schematically in
Associated with a loss of range is also a shift in the neutral or mid-point of the movement away from the limitation. Our therapeutic goal is to normalize hypertonicity and free adhesive restrictions so that we move the client's pathological barrier outward toward the appropriate physiological barrier.4
This also returns their neutral point to the correct midrange location. Our methods might include direct work to free adhesions between layers of tissue and neurological reflex-based techniques to reduce muscle hypertonicity, the latter including techniques of post-isometric relaxation6 and positional release (strain-counterstrain).1
Whatever the barrier, in facing it for ourselves and for our clients, we may achieve far more than we anticipate. At times, the road may seem long but, for each of us, there are those along the way who have believed in our abilities and helped us along our paths, not so that we could start our race but so that we could finish it.
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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