resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
November, 2008, Vol. 08, Issue 11
The Art and Science of Fascia
Celebrating the Legacy of Dr. Ida P. Rolf
By Erik Dalton, PhD
I attended the Rolf Institute of Structural Integration's 2008 Annual Convention in Boulder, Colo., this fall. The institute's legendary reputation as a rich and diverse resource of talented therapists and educators continues to flourish.Its members are heart-filled and compassionate, while still naturally spiced with an equal dose of stubbornness and ego, no doubt handed down by their brilliant, demanding and eccentric founder, Dr. Ida P. Rolf.
Following Dr. Rolf's death in 1979, a prominent New York City consulting firm was hired to help calm the waters and provide guidance for the institute's future journey. Concerns were expressed when the firm bluntly informed us that organizations founded by authoritative and dominating leaders, like Rolf, statistically had a three-year survival rate following the founder's death unless dramatic guidelines were implemented. But in spite of these omens and warnings, we've managed to survive and thrive. Twenty-nine years later, it can safely be said that we beat the odds, but not without the inherent growing pains, opposing viewpoints and the predictable but uncomfortable confrontations among faculty members, the board of directors and members-at-large as to our future vision and educational mission.
A Celebration of Hope
Any attempt to herd these strong-willed Rolfers into a cohesive, highly functioning unit has traditionally been rather challenging, but this year proved different. The three-day convention at the historic Boulderado Hotel was filled with activities that exuded heartfelt devotion, energetic unity and a sense of "we" -- a synergy sorely missed by some in years past. It was obvious from the first day of the packed convention that these passionate and dynamic therapists weren't there to squabble or complain, but to raise the somatic education bar via groundbreaking fascial research programs and extraordinary hands-on seminars.
The highlight of the event was the keynote address, titled "From Fish to Man: The Story of the Human Spine," stunningly delivered by renowned Canadian researcher Serge Gracovetsky, PhD. The following day featured a host of inspired presentations and workshops, many conducted by some of the first teachers Dr. Rolf hand-selected nearly 40 years ago.
Jan Sultan and Michael Salveson lectured on the essence of Rolfing and the power of Rolf's original vision, followed by breakout sessions scattered throughout the next two days. The wide array of stimulating breakout sessions featured Jim Asher (Rolfing Children); Tom Findley, MD, PhD (Cell Biology From a Rolfing Perspective); Helen James, MPT (What's Emerging in Research); Gail Ohlgren (Internal Landscape of Perception); Pedro Prado, PhD (Psychological Dimension of Rolfing); Tom Wing (What Is Integration Anyway?); Jan Sultan (Neck & Core); and Michael Salveson (Advanced Foot Techniques).
My Personal Motivation
It had been 21 years since I last attended an annual conference. The rationale for my giving up a weekend of teaching to participate in this event was determined by four factors: to eagerly reconnect with old friends; to celebrate the formation of the Ida P. Rolf Research Foundation; to share in the new developments generated by the tremendously successful Harvard Fascial Congress; and to help assist and pick the brain of the foremost biomechanical gait researcher of our time, Dr. Serge Gracovetsky.
Therapists familiar with my "Don't Get Married" articles are keenly aware of Gracovetsky's influence on my approach for correcting inefficient movement patterns. A background side note: Gracovetsky and I first met at a 1987 Rolf Institute Convention, where he also honored us with a keynote address. We reconnected again last October at the Harvard Fascial Congress (co-sponsored by the Rolf Institute), when he was awarded "Best Presentation" for his impressive spinal engine theory of human locomotion. Two decades later, I'm still clumsily attempting to translate his elaborate spinal biomechanics concepts into my clinical practice.
I could blabber forever about his 27-year career as the head of Concordia University's physics department in Montreal, his 34-year association with the late great biomedical researcher Harry Farfan (the co-founders of the prestigious International Society for the Study of the Lumbar Spine), and his astounding 2,000 research publications and presentations - in three languages. I asked myself: Where in this guy's illustrious career does one stop? No easy answer comes to mind. Inevitably, Gracovetsky's future accomplishments will only magnify as his massive body of work continues to infiltrate the world of structural integration and pain management. Sometimes, the best way to understand a man is to know the man, so I'll briefly share one priceless encounter that occurred at the convention.
And Then There Were Three
When the news became public that Serge Gracovetsky would be speaking again at my old alma mater, I immediately contacted my best friend and mentor, Jim Asher. As one of the first instructors hand-picked by Ida Rolf, Jim worked tirelessly by her side until her death. With karma apparently at the helm, it was eerie Jim had already made plans for us to spend quality time with Serge during the upcoming convention. He had arranged an early pickup at the Denver airport to allow 45 minutes to drill Serge before arriving at the hotel, where adoring fans would most certainly consume all his attention. Little did we know we'd be gleefully glued to his hip for the next three days - a treat of a lifetime.
The minute we spotted Serge, it was obvious he wasn't suffering jet lag from the flight. His big blue eyes, mischievous grin, and frazzled hair exuded an energetic air of intellectual eccentricity. Since our previous encounters had been limited to formal convention settings and short technical telephone and e-mail conversations, I was primarily acquainted with Serge's intellectual side. By the time we'd exited the airport, Jim and I were fully captivated by his warm French-Canadian humor, witty unending dialogue and dogmatic nature. Definitely not the stereotypical researcher, Gracovetsky revealed that his passion for playing clarinet in the Montreal Symphony always preceded his love of the lab.
As an indomitable twist of fate, the pre-convention workshops and Rolf faculty meetings left Serge virtually alone with Jim and me. It was obvious that he was accustomed to roadies and confidants, and we were delighted to fill those roles. Like most experienced presenters, his first request was to visit the convention hall where he was scheduled to speak that night, so he could inspect the hotel's audiovisual setup.
Hotel management informed us the ballroom was in use until 4 p.m., so we decided to explore the outdoor Pearl Street Mall, eat sushi and run errands. We strolled the Boulder streets for hours, soaking up the lovely midday sun and relishing in a hodgepodge of nonstop conversations ranging from body biomechanics to Buddhism. What a thrill!
Dr. Gracovetsky's keynote was at 7 p.m., with a "meet-and-greet" Rolf function beginning at 5 p.m. Although the audiovisual set-up proved a bigger challenge than anticipated, we finished just in time to clean up and meet in the spacious lounge area just outside the convention hall, where entertainment, food and drinks were already in progress. It was a delightful experience meeting all the Rolf newbies and reconnecting with old friends.
When the lights finally dimmed and the ballroom filled, Serge was politely introduced and away he went. Beginning with a flamboyant and humorous intro, he immediately captivated the crowd and humbly challenged them to think outside the biomedical box. His two-hour riveting presentation brought down the house. Topping the lovely evening was an impromptu gathering of Rolf elders, educators and friends packed tightly into three big tables in the patio area. An electrifying atmosphere of shop talk, laughter and fine French wine was enhanced by the full moon and the crisp Colorado mountain air.
Relaxation and Restoration
Saturday night's well-organized festivities offered a welcome respite from two 10-hour days of educational drama and information overload, like 30 people packed into a Mini Cooper. What better way to help these kindred spirits unwind than to resurrect a surprise revival of an old Rolf tradition dating back to the early '70s - an acoustic jam session consisting of hand drums, guitars and wind instruments, all accompanied by melodious singing and the oldest body-movement therapy in the world, dancing.
Adding to this magnificent ambiance of unity and nostalgia was the organizing committee's decision to hold the party at the original Rolf Institute building. Some who graduated from that small house on Pearl Street expressed ambivalence about revisiting a place that contained such strong emotional overtones. Indeed, a barrage of memories immediately filled the air as we entered the legendary Rolf "boot camp" training center. As Jim Asher, Jan Sultan and I wandered into the half-darkened, party-decorated, main teaching room, with Serge Gracovetsky tagging behind, it felt as if we'd been thrown into some sort of time warp. The fact that the building's physical appearance seemed untouched heightened our awareness.
Fortunately, our early arrival allowed time to reminisce without interruption. As we began collectively retrieving old visual panoramas of people walking "the line" while Rolf students and faculty astutely assessed their structure, Sultan half-jokingly remarked, "If only these walls could talk." Asher fondly recalled how the cold days often required continual stoking of the big old pot-bellied stove to keep our models warm and moving. But my flashbacks focused on vivid memories of long, arduous and mentally exhausting days often extending into intense late-evening group therapy sessions filled with tears and laughter from emotional and physical fatigue.
Although it seemed like hours had passed, we probably regained consciousness and returned to Mother Earth in only a few minutes. Daydreaming was suddenly replaced with goofy laughter, particularly when we glanced around and saw the expression on Serge Gracovetsky's face. He was puzzled. It was apparent that he was trying to figure out what planet we'd been visiting and how the "people parading around in underwear" ritual correlated with higher education.
Tonight, however, was the time for festivities, and once Serge unpacked his clarinet and the jamming finally began, he felt right at home as wall-to-wall dancers shook the historic home. Rolfers definitely know how to have fun, and the 1960s atmosphere once again overflowed with love and laughter.
The embodiment of Ida Rolf's 52 years of work has infiltrated every branch of manual therapy. Her unfaltering dream of a permanent elite school of hand-picked students eventually led to this house on Pearl Street. So much has evolved since her death, as training facilities continue to sprout up around the globe and her wisdom has seeded a new generation of manual therapies. Seeing the full bloom of her life's work and dedication was humbling and reminded me how lucky I am to be a soldier in such an army of wisdom-seekers bound to a time-honored tradition of excellence.
Click here for previous articles by Erik Dalton, PhD.
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