resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
June, 2008, Vol. 08, Issue 06
Mapping Body Into Motion
By Keith Eric Grant, PhD, NCTMB
"I found that when I made certain expressions, I was flooded with strong emotional sensations. It wasn't just any expression, only the ones I had already identified as universal to all human beings. ... Over the next ten years, we did four experiments, including one in a non-Western culture, the Minangkabau of Western Sumatra.When peopled followed our instructions about which muscles to move, their physiology changed and most reported feeling the emotion. Again, it wasn't just any facial movement that produced this change. They had to make the muscular movements that our earlier research had found were universal expressions of emotion."3
There is a deep and seemingly inherent connection between our bodies and our emotions. Based on more than 40 years of research into human emotions, Paul Ekman characterizes many of our emotional responses as unconscious reactions to triggers that affect (or may have once affected) our welfare.3 Some are inherent, but the differences in individual responses to similar situations indicate many are learned. Ekman and his colleagues discovered that the process of mentally revisiting events from memory retriggered the emotions and bodily responses (such as increased heartbeat, blood pressure, respiration and sweating) that occurred during the original event. The memory "movies" we run in our heads - the events we habitually revisit in our mind's eye - have profound effects on the state of our bodies.
Perhaps even more interesting, from the perspective of massage practice, Ekman found that making various facial expressions would bring forth strong emotional responses. The associations between the expressions and the emotions were observed to be universal across cultures, indicating they are an intrinsic part of how we are "wired" as human beings. There is thus strong support from research that the muscles we activate and the bodily sensations we experience are as much generators of our emotional state as our emotions are influencers of our bodily state.
The ability to positively affect emotions via massage appears to have an extensive foundation in the research literature. In a meta-analysis of previous massage literature, Moyer reported consistent emotional benefits.5 "Reductions of trait anxiety and depression following a course of treatment were MT's largest effects. The average MT participant experienced a reduction of trait anxiety that was greater than 77 percent of comparison group participants, and a reduction of depression that was greater than 73 percent of comparison group participants."
Similarly, in a previous column, "Searching for Medical Massage" (October 2005), I noted that a large number of applications of massage in a medical context were reporting psychological and emotional benefits leading to increased well-being.4
In their recent book, The Body Has a Mind of Its Own, Sandra and Matthew Blakeslee report on neurological research that touches on the mechanisms of such body-mind interactions. The research concerns both how the mind creates our inherent sense of our body and how we map the space immediately around our body into extensions of our body. For example, we use tools as if they were actual parts of our body, extending our sense of touch to include our tool's contact with the outside world. Such mapping may form the scientific basis for the "connection" of touch and for the healing powers of touch.2
"The scientific method has never been able to confirm that qi flows or other mystical vital energies are real and present in the mind and body. Yet the experiences of these things are so palpable for so many people that it would be a cop-out to dismiss them out of hand as 'nothing more than' wishful thinking. Perhaps science, having banished these energies from the account of reality, can nonetheless explain the sensory awareness that people have of them. The brain's touch, movement, and peripersonal space maps go far in explaining many key elements of these beliefs and experiences."2
The Blakeslee's accounts of body maps are in congruence with my own observations from multiple forays into research. There are features and reactions of the body that are not explicitly physical, but stem from the immense pattern-matching and mapping processes of our brain. In some cases, what we perceive might be both a mapping of the peripersonal space and a mapping from one sensory mode to another. Abbott, for example, reports recent research on mirror-touch synesthesia, in which a touch seen literally is felt by the observer.1
The bottom line is that, as humans, we are neurologically wired to respond to and be part of the sensory world immediately surrounding us. As massage practitioners, this opens the door to helping our fellow humans cope with transitions and traumas, and for sharing their joys. Our emotions map into our body, but just as surely, our bodily experiences map into our emotions.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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