Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Fish Oil: A Key Component to 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?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
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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