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Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
January, 2008, Vol. 08, Issue 01
Things to Consider Before You Buy
By Angie Patrick
In massage therapy, one of the biggest purchases you will make is your massage table. Choosing the proper table and accessories to buy can be a daunting task. There are so many choices, so many manufacturers, a multitude of table names, varied widths, specialized uses and a rainbow of colors. Whether I am on a trade show floor, speaking at a school or in our call center, the same concerns seem to be global in the industry. How can I possibly make an informed choice with so many decisions to make?
I would like to share with you some bits of information I hope may help you sort through some of the options and enable you to make the right choice for your needs, your body type and your budget. In this article, you will find some of the more frequently asked questions answered in a non-biased and informative manner. By taking the time to consider some of the points to follow, you can be confident you have made the best possible buying decision for you and your unique needs.
How do I plan on using my table?
You may be a spa company, student, seasoned professional, homemaker or a grandparent buying a gift for a loved one. What are your specific reasons for purchasing a massage table? Will you have a brick-and-mortar business? Or will you be on the road? Are you specializing in mobile therapy at sports events or will you be seeing individual clients? Once you have firmly established your needs for a table then making some of the other choices gets a bit easier.
How much can I afford to spend?
Believe it or not, this decision is not driven by budget alone. Once you have decided your intended use, you can weigh out the benefits of an open-end model as opposed to a more professiona-grade table. For instance, an average consumer wanting a massage table in their home will not have the same requirements a professional massage therapist will have. The needs are different.
Some will tell you to buy the most expensive table you can find because they equate cost with quality. Others will tell you to spend as little as possible because they are penny-wise and pound-foolish. The truth is, high cost does not always indicate quality and a less expensive table is not always a lesser quality table. The most important thing to remember is to buy professional-grade equipment for your practice.
You do not have to spend a great deal to spend wisely. The most economical purchase a massage therapist can make is an informed purchase. Investing in a product that can withstand repeated usage day after day, is far more economical than replacing a table every three years. Over the long haul, what features will withstand the ravages of time and usage? Comparing woods, vinyl, hinges, face rests, joints and support cables can help you decide what will best fit your needs.
What width table do I need?
This often is the biggest reason for buyer's remorse among therapists. The old adage "bigger is better" does not always apply to massage tables. Your own body style has a great deal to do with the width of the table that you will find most comfortable day after day.
If you choose a table too wide for your body type, you can begin using improper body mechanics and cause yourself discomfort and stress to your lower back. In most cases, if your height is approximately 5'4" to 6'5", I suggest the use of a table from 29" to 31". The most popular and widely recognized standard size table is 30" in width. This table accommodates most therapists, and a large percentage of clients will fit comfortably on this size table. If you are more petite, you may need to consider a table 28" - 29" wide. If you are taller in stature, you may want to consider tables 32" and up.
What height range should I look for?
Table height is determined by practitioner stature and the modality they practice. The majority of portable tables on the market today can adjust to a varied height of 24" to 34" or higher. This can accommodate most needs and is widely accepted as the average. Some modalities require the table to adjust lower or even lie flat on the floor. For example, shiatsu and Feldenkrais both require lower adjustment. Look at your needs to determine if this is a feature you will require in your regular practice. Keep in mind proper body mechanics when you are considering a table. You do not want to lean over too far and cause stress on your back; conversely, you do not want to stand on your toes to reach the mid-back of a client. Protecting your own health is paramount because an injured therapist is an unemployed therapist.
Is table weight really important?
Most wooden portable tables weigh in ranges of 30 lbs to 38 lbs. You also can purchase some well-made aluminum models that are 21 lbs to 29 lbs. You should think about how often you will be transporting your table. If you are planning to work outcalls, then weight is a factor. Keep in mind your carry case, face cradle, sheets, fleece pad, table warmers, oils, tools and bolsters will add weight to your transport. It's important to choose a quality carry case with cross-body, carry straps to minimize the wear and tear on your body.
One amazing little miracle designed to save the therapist's back was the invention of the table cart. These fabulous little devices are fantastic for a mobile therapist and can alleviate much of the transport woes for your table and peripheral products. Thanks to the genius of this cart, you can consider a heavier table and know that you will only be lifting it in and out of the car, rather than carrying it from the car to the client's door.
Should I invest in an adjustable face rest?
In all things, a positive first impression is key. When it comes to the comfort of your client, nothing should be left to chance. There are a wide variety of manufacturers producing adjustable headrests and most are well worth the investment. A few things to look for are quiet release knobs, easy adjustment and overall strength. Your clients will feel you have provided a more personalized treatment if you can adjust the headrest to fit their comfort level. To go one step beyond the adjustable cradle, perhaps you should consider a memory- foam face rest. This table additive can enhance the overall massage experience by reducing facial pressure points and preventing sinus pain. This also can make the best of a standard non-adjustable platform if budgetary restraints are an issue. In most cases, manufacturers offer their tables in packages and often include a carry case and adjustable face rest.
Endplates? What are endplates?
You often will have an option of choosing standard or Reiki endplates. The differences are subtle but important. Many modalities, including varied types of energy work, require you to position your knees under the table while seated. If you practice one of these modalities or like the idea of enjoying that capability, then you will want to ask for Reiki endplates. These are the support beams on the ends of the tables and can be built to allow easy access for your legs. If your planned modality will not require you to work in a seated position, you will do well with standard endplates that cross the lower portion of the table.
I have no idea what color to choose! So many choices!
Individual tastes vary, but ultimately there are a few colors that have been proven to be tried and true favorites: teal, agate, black, burgundy, green, tan and purple. But even though these are the most commonly stocked and readily available does not mean they are the only options. In fact, there are so many colors on the market the choices are virtually endless. Ultimately, your table rarely will be seen by anyone, given you have properly layered it with a body warmer, fleece pad, fitted sheet, top sheet and blanket. Perhaps you will leave your table stationary for the most part and have décor to consider, or you may want to be bold and make a personal statement. In either case, manufacturers have a wide array of colors to suit your needs. Some colors may require special ordering and may take a bit longer to ship. So just have fun, and do what makes YOU feel good!
I have seen tables at discount/wholesale clubs with a great price. They look OK, so why should I continue to look?
Have you ever heard that beauty is only skin deep? It can be especially true of discount or bargain store tables. Here are a few things to consider when you are comparing tables.
Wood: You should look for well-made construction of hardwoods such as oak, birch, bamboo or maple. Avoid soft woods your fingernail can sink into. Soft wood means low weight support, and can result in table warping and bowed legs.
Hinges: Additionally, you should pay attention to the hinges used to join the two halves of your table. A full-length hinge is best in avoiding table torque and twist. The center of your table is its weakest point. You should be sure the hinges are built to withstand weight and repeated usage.
Foam Density: "Discount" tables often have a 2" - 2.5" single layer of foam or less. This will not withstand repeated usage on a professional level. These are better suited for the consumer who is looking for a table for home use. For better comfort over the life span of your table, I recommend tables with double- or triple-layered 2.5" foam systems or higher. Most professional-grade tables have a multi-layered 2.5" - 3" or higher foam system, built to withstand the needs of the professional user. Multiple layers of foam in varied densities help to prevent the client from eventually "bottoming out" on the platform of the table. The single- layer, single-density foams have a distinct habit of wearing out and breaking down with repeated use.
Noise Reduction: After time, some discount membership club tables can begin to squeak and creak, leaving the client uncomfortable and concerned about the table integrity and ability to support their weight. Tables built with the professional in mind will have squeak-resistant legs and joints, built to withstand continuous use.
Some Basic Maintenance Tips to Extend the Life of Your Table
Just as with your car, truck, lawnmower, or any other equipment you depend on, your table requires maintenance. I suggest going over your table once a month to make sure the wheel knobs are securely tightened. Check your table legs to inspect for any fractures or cracks that may have developed. If you have screws or bolts, check them to make certain they are tight and secure. If you take the time to make sure your table is performing up to par, you will lessen the likelihood of mishaps and table failures.
There are many manufacturers and retailers that provide professional products. Most have very informative Web sites you can peruse and see images of the tables before you buy. Do your research online and make the comparisons. You are now armed with a bit of knowledge that should make choosing the right table much easier.
Click here for more information about Angie Patrick.
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