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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
December, 2008, Vol. 08, Issue 12
Winds of Change in North Carolina & Pennsylvania
By Editorial Staff
In the past two months, North Carolina and Pennsylvania have each passed legislation that, among other stipulations, allows for the potential use of a non-NCBTMB exam as a method of approving massage therapists for practice.They join 13 other states that have opened the door to and/or approved use of the Massage and Bodywork Licensing Examination (MBLEx) including Arkansas, Georgia, Iowa, Louisiana, Maine, Mississippi, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and West Virginia.
According to the Federation of State Massage Therapy Boards (FSMTB), the New Mexico Massage Therapy Board intends to use the MBLEx for licensure; rewrites of specific language to allow for the MBLEx are in process.
In North Carolina, recent legislation amending the state's Massage and Bodywork Therapy Practice Act included this key requirement regarding examinations: "[The applicant] has passed a competency assessment examination that meets generally accepted psychometric principles and standards and is approved by the Board." The NCBTMB and FSMTB exams were developed based on "psychometric principles and standards."
Following passage of the legislation, the North Carolina Board of Massage and Bodywork Therapy approved sole use of the Massage and Bodywork Licensing Examination (MBLEx) for "regular" licensure after Jan. 1, 2011.
Pennsylvania's recent massage licensure legislation included similar language; that bill was approved in October, making Pa. the 40th state to enact massage regulation. As of press time, no decision has been made as to whether the MBLEx will be the exclusive test used to license the state's massage therapists.
N.C. Adopts MBLEx
In October of this year, the North Carolina Board of Massage and Bodywork Therapy sat down with the NCBTMB and the FSMTB to discuss Senate Bill 1314, which was signed into law Aug. 18, 2008. When the meeting adjourned, the N.C. Board approved the MBLEx, administered by the FSMTB, as the exam to be used for "regular" licensure. The existing NCBTMB exam will be phased out in two years and the MBLEx will take its place.
"The N.C. Board voted to accept the MBLEx only after much research including presentations from both the NCBTMB and the FSMTB regarding examinations," said Susan Beam, the chair of the North Carolina Board of Massage and Bodywork Therapy.
"Because protection of the public is the primary concern of licensing agencies and the MBLEx is designed as a licensing exam, almost one quarter of the MBLEx addresses ethics, boundaries, and professional standards," she said. "Also, the MBLEx is owned by the member boards of FSMTB, of which North Carolina is one. We have been able to observe, and when appropriate, participate in the development of the MBLEx. We will continue to have input regarding content and delivery of the MBLEx. Finally, we expect the MBLEx to eventually be accepted by most, if not all, states, which will increase portability of licensure for massage therapists."
The N.C. bill stipulation was supported by the North Carolina chapter of the American Massage Therapy Association (AMTA), as well as the Associated Bodywork and Massage Professionals (ABMP).
Pennsylvania: Similar Language in New Licensing Law
In Pennsylvania, massage therapist licensing legislation was signed into law on Oct. 9, 2008, by Gov. Edward Rendell. The legislation includes similar language to the North Carolina legislation with regard to exams: "Any examination approved by the board must meet generally recognized psychometric principles and standards."
As of press time, no qualification has been made concerning which organization's examination (NCE or MBLEx) can be taken to satisfy the state's requirement.
Commenting on the recent trend involving choice of exams, M.K. Brennan, AMTA said, "The AMTA-Pennsylvania chapter and many other massage therapy organizations and individuals devoted several years and countless amounts of energy in working for legislation that would be fair for all in the profession and for the public. AMTA believes state regulatory boards should have the option to choose the massage therapy licensing exam(s) they will recognize. However, AMTA does support the concept of one massage therapy licensing exam recognized by all states, as it is a key element in working toward future portability of massage therapy practice."
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