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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."
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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!
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.
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.
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.
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.
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.
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.
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."
January, 2006, Vol. 06, Issue 01
Spotlight on Research: Massage Effective in Treating Young Children's Skin Conditions
By Michael Devitt
Editor's note: This periodic column keeps you abreast of the latest research documenting the benefits of massage and bodywork. Published research is summarized, with references to the full study text provided; abstracts of research projects planned or in progress are reproduced verbatim whenever possible.This month we look at the effectiveness of massage in treating young children's skin conditions.
Burns and eczema are among the most common pediatric skin conditions experienced in the United States. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) estimates that up to 20 percent of all infants and young children suffer from eczema at any given time. While much less common, pediatric burns often are just as painful and, by some accounts, even more stressful; the procedures associated with changing burn dressings can be particularly traumatizing, and might cause anxiety in both children and their parents.
It is well-known that skin conditions such as eczema and burns can be stressful and harmful to children. It's also well-known that while these conditions usually are treated with medications or other standard procedures, a variety of alternative therapies also might be used to treat them, with outcomes similar, if not superior, to traditional care. In a recent issue of Dermatologic Clinics, researchers from Florida examined the use of massage in two studies on pediatric burns and atopic dermatitis. The studies, published as a single article, suggest massage can play a significant role in the treatment of both conditions, and can be a useful complement to standard methods of care.
Massage for Burns
In the first study, 24 children (average age 29.3 months) admitted to a burn unit at a large university hospital were randomized to either a massage therapy group or a control group. All of the children were scheduled to have the dressings on an existing burned changed. Approximately 30 minutes prior to dressing change, 23 of the children were administered an analgesic to help relieve pain.
In the control group, a massage therapist spent 15 minutes with the children prior to dressing change, sitting next to the child's bed and talking with the child. In the massage group, the children received a 15-minute massage from a trained therapist, with strokes applied to areas of the child's body that were not burned, using moderate pressure.
Dressings were changed by nurses unaware of which group each child had been assigned to. To determine incidence of pain between groups, an observer (also unaware of each child's group assignment) recorded a series of six "distress behaviors" in the children just prior to, and during, the dressing change.
Children given a massage before the dressing change "showed only an increase in torso movements" while their dressing was changed. The nurses "also reported less difficulty conducting the procedure" on children who had been massaged prior to dressing change.
In contrast, children who did not receive a massage showed increases in all of the other distress behaviors.
The authors concluded that children who had received a massage prior to dressing change "showed minimal distress behaviors and no increase in movement other than torso movement." They suggested future studies examine the effectiveness of teaching parents to perform massages on their children before burn care procedures, which could help to reduce the stress levels of all involved.
Massage for Atopic Dermatitis
In the second study, scientists recruited 20 children ages 2 to 8, all of whom had been diagnosed with atopic dermatitis, a type of eczema that causes severe itching and a red, raised rash on the skin. The children were randomized into two groups: half received "standard care" (consisting of emollients and topical corticosteroids) from a dermatologist, while the other half received standard care along with a daily massage.
In the massage therapy group, massages were performed by the children's parents. During the first session, a therapist gave the parents a 20-minute massage to familiarize them with massage techniques and how the massage felt. The therapist then demonstrated the same massage techniques on the child. At the end of the first session, the parents were given a videotape and a written description of the massage to take home and review.
The massage consisted of two standardized phases. First, the child was placed in a supine position, with the dermatitis medication applied as a moisturizer to ensure smooth stroking movements. Next, five regions of the child's body (face, chest, stomach, legs and arms) were massaged in sequence, with different techniques performed on different parts of the body. Any severely affected, sensitive areas of the body were avoided. Massages were administered daily for one month, with each massage lasting 20 minutes.
Regions of the Child's Body Massaged in SequenceFace
When compared to the standard care group, children receiving a daily massage showed a "statistically significant improvement" in a variety of symptoms associated with atopic dermatitis over the length of the study period. The only factor both groups showed similar improvements in was scaling.
The daily massage protocol appeared to have a positive affect on both parents and children. Parents who administered massages to their children, for example, showed decreased anxiety levels after the first massage session and by the last day of treatment, and reported their own feelings about their children "improved." Receiving massages had a likewise effect on the children, whose anxiety and activity levels improved throughout the course of care.
While the length of the study was rather brief, the researchers suggested continued massage likely would have improved the children's condition even further, and at worst would have maintained the improvements seen during the initial one-month treatment session.
"Although this study did not assess the long-term effects of the massage intervention, it is hypothesized that the observed improvement in the children's condition would stabilize or continue to improve if the parents continued to administer the massage protocol," they wrote. They added that parental massage "is a very cost-effective adjunct therapy" to standard care for atopic dermatitis, costing an average of $30 for patient.
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