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Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
November, 2007, Vol. 07, Issue 11
When a Child Wants to Move But Canít
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Dr. Upledger has asked Tad Wanveer to contribute this month's column. Tad has been the guest author for several previous "CranioSacrally Speaking" columns.
Cerebral palsy (CP) is a group of movement and posture challenges that stem from the abnormal development of, or damage to, the motor-control areas of the brain.For more than 20 years, CranioSacral Therapy (CST) has been used to enhance brain function and help those with CP move with greater ease and balance. It can help them reach their highest potential by balancing motion, facilitating brain reorganization and elevating the body's natural self-corrective processes.
The Puzzling Causes of CP
The types of brain injuries that cause CP are not fully understood. The damage seems to primarily stem from congenital problems due to infection, toxicity, genetic disorders, trauma and complications of premature birth.
A common cause is perinatal (five months before through one month after birth) asphyxia, which is when the brain is subjected to hypoxia (deprived of adequate oxygen supply); ischemia (restriction of blood supply); and hypercarbia (abnormally high levels of carbon dioxide in the blood).
Within the brain, consequences of these conditions can include metabolic changes and edema, leading to cell gliosis (the formation of a dense, fibrous network of glial cells in the area of damage), cyst formation and/or fluid congestion.
Brain damage with CP is non-progressive, though motor problems can change. The severity of CP ranges from mild to severe, depending on the amount of brain damage. Some children might experience difficulty with movement and challenges with one or more of these issues: gait, swallowing, chewing, balance, posture, sight, hearing, speech, breathing and sensory processing. Seizure activity also is present in many children with CP.
CP Types and Classifications
There are four types of CP, all named for a type of movement disturbance: spastic, athetoid, ataxic and mixed.
Spastic CP is the most common type, affecting 70 percent to 80 percent of all cases. Characterized by hypertonia (abnormal muscle tightness, rigidity and reduced ability to stretch), it's due to injury to the pyramidal system. This is the network of motor nerves extending from the brain to various spinal cord levels, particularly the cortex and internal capsule. The injury disturbs the brain's ability to modulate motor-neuron activity, and it leads to varying degrees of continuous muscle contraction, also known as elevated deep tendon reflex.
Athetoid CP is characterized by hypotonia (abnormally low muscle tone and strength), or mixed muscle tone (muscles that are sometimes hypotonic and sometimes hypertonic), and abnormal involuntary movements. Athetoid CP often is due to a disturbance of the extrapyramidal system. This network of brain neurons modulates movement and maintains muscle tone and body stability, especially in the basal ganglia.
Ataxic CP is characterized by difficulty with movement coordination. It's often due to damage of the cerebellum, which fine-tunes and controls the timing of movement. Ataxic CP can affect any part of the motor system, including the extremities, torso and speech.
Mixed CP is characterized by a combination of the aforementioned forms. Various parts of the body are affected by CP. They are classified as: hemiplegia (affecting one side of the body); diplegia (affecting the whole body, lower extremities more than upper extremities); or quadriplegia (affecting the whole body, lower and upper extremities equally).
CST Enhances the Child's Natural Body Processes
CranioSacral Therapy can assist the CP client in numerous ways. It can decrease brain congestion, hypertonicity or hypotonicity, and enhance motor-system neurological signaling.
Gentle cranial mobilization techniques can reduce brain congestion by helping membrane layers around the brain move with more efficiency and ease. The membrane motion can travel throughout the brain to enhance tissue and fluid movement, and decrease intracellular congestion, abnormal pressure on the cells and gliosis. It also can increase the availability of nutrients to the cells. All this maximizes the self-corrective potential of brain cells, creating an optimal environment for neuroplasticity - the ability of the brain to reorganize itself by forming new neural connections.
CST helps decrease hypertonicity and hypotonicity through techniques like the delicate tractioning of muscle and fascia, following and assisting body parts into positions of release, directing energy to decrease or increase tone and facilitating tissue movement in synchrony with the craniosacral rhythm. The rhythm is created by the motion of body tissue in response to the filling and emptying of cerebrospinal fluid within the craniosacral system.
All this helps muscles by increasing vascular flow, flushing toxins, increasing muscle fiber length or strength, and decreasing fascial strain. As muscle correction occurs, different sensory signals are sent from the muscles to the spinal cord and on to the brain, where they can encourage it to reorganize existing sensory areas that can stimulate improvement or help form new motor areas and pathways.
CST can enhance motor system neurological signaling through the application of the "direction of energy" technique. This helps neurons and nerve pathways use and integrate neurological information with optimal efficiency by boosting the energy available for cells to work, move and effect change.
Also, the delicate mobilization of the craniosacral system can decrease spinal cord irritation that might have occurred due to overloaded, overactive or underactive muscle reflexes by facilitating the movement of fluid and tissue around and within the spinal cord.
Through all of these processes, CranioSacral Therapy gently facilitates the self-corrective mechanisms through techniques that improve the balanced motion of cells, tissue, fluids and systems. It supports the remarkable plasticity of the nervous system and the extraordinary potential for compensation within the whole body. The result often is newfound movement, balance, expression and freedom for the child with CP.
Click here for previous articles by John Upledger, DO, OMM.
Tad Wanveer, LMT, CST-D, is a certified instructor for The Upledger Institute, where he was a staff clinician for more than five years. He earned his diploma in massage therapy in 1987 from the Swedish Institute of Massage and Allied Health Sciences in New York City. He currently runs a private practice in North Carolinaís Raleigh-Durham area specializing in CranioSacral Therapy.
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