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HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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