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The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
May, 2006, Vol. 06, Issue 05
Spotlight on Research: Massage Helps Improve Grip Performance, Recovery Time Following Exercise
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.
Grip strength or "grip performance" is a general term used to describe the amount of power a person can generate with his or her hands.While often overlooked, grip strength plays a significant role in the performance of athletes such as weightlifters, rock climbers, martial artists and others who rely on strong hands and forearms for athletic success. Of course, grip strength is beneficial to just about everyone in a variety of day-to-day situations, particularly tasks that involve lifting and/or carrying.
Although the effects of massage on increasing muscle performance and recovery time are well-known, the majority of studies that have examined massage and physical performance have focused on large muscle groups in the lower extremities. A new study published in the Journal of Alternative and Complementary Medicine evaluated the ability of manual massage to improve the performance of smaller muscle groups in the forearms and hands. The study found that a brief massage produces "greater effects" on grip performance after exercise, and helps fatigued muscles return to normal performance levels more quickly, compared to a placebo massage or no treatment.
In the study, researchers recruited 52 healthy volunteers (39 female, 13 male; average age 39 years) from a suburban allied health school. Forty-nine of the patients were right-handed; 58 percent exercised at least three times per week. After baseline measurements were taken, each patient was subjected to up to three minutes of maximal exercise, using a commercial isometric hand exercise machine that fatigued each subject's grip performance to 60 percent of his or her baseline strength. The exercise protocol was performed on the subject's non-intervention hand first to familiarize the patients with the exercise equipment and to measure natural muscle recovery times.
Following the exercise and a five-minute rest period, grip power measurements were taken on the non-intervention hand with a commercial hand dynamometer to compare them with baseline. The entire procedure was then repeated on the other hand, with one of four interventions performed immediately after grip performance fatigued to 60 percent of baseline:
All treatments were delivered by senior therapeutic massage students experienced in providing massages to the public. Final measurements were taken following exercise, the intervention and a five-minute rest period using the same dynamometer. For all measurements, subjects sat in a standardized measurement position, with the test shoulder adducted and neutrally rotated, elbow flexed at 90 degrees, forearm in neutral, and the wrist in slight extension and ulnar deviation, with the dynamometer facing away from the patient.
According to the researchers, the effect of manual massage on grip performance "was greater than no massage or than placebo" after the occurrence of fatigue. Interestingly, massage appeared to have a greater effect on recovery on the nondominant-hand group than the dominant-hand group. The authors stated that while this finding "demonstrates limited influence of massage on stronger, highly conditioned muscle," it also indicates that the effects of massage "may be more easily demonstrated in untrained versus conditioned muscle."
In addition, the researchers found there was less natural muscle recovery measured in the groups who received massage compared to the shoulder/elbow group and the no-treatment group. This suggested that in the period immediately following isometric exercise, "the effects of massage are greater than the effect of natural muscle recovery alone."
While previous studies examining the effects of manual massage on muscle performance have presented differing conclusions, the JACM study utilized several methods to ensure the validity of the testing procedures, including a standardized massage protocol, measurement of only one outcome, and the use of placebo and control groups for comparison. As a result, the authors felt firm in their conclusion that massage was effective in improving grip power and helping fatigued muscles recover more quickly:
"This is the first study to show that massage can improve immediate grip performance after fatigue in healthy adults. Furthermore, even though natural muscle recovery affects overall muscle performance up to five minutes after fatigue, the effects of massage are greater than with natural muscle recovery alone. Finally, differences in natural muscle recovery between the dominant and non-dominant hand may also influence the effects of massage after exercise in healthy subjects. Following this preliminary assessment, it is suggested that future prospective studies be designed to determine post-exercise differences in natural muscle recovery between dominant and non-dominant hands of healthy individuals and to ascertain the effects on response to massage."
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