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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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."
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!
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.
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.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
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.
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.
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.
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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