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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.
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).
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.
Code Connection: 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.
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.
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 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.
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?'
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?
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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.
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.
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.
December, 2008, Vol. 08, Issue 12
Samples From the Research Stream
By Keith Eric Grant, PhD, NCTMB
In monitoring water chemistry and quality, hydrologists often dip into the flow of a river or stream, collecting samples. Similarly, I've been sampling from the stream of recent research in several areas.First, I want to touch on a couple of samples specific to massage and exercise.
A news release from Ohio State University suggests compressive massage has a positive effect on post-exercise tissue recovery.2 The report notes, "The muscles in animals receiving simulated massage had improved function, less swelling and fewer signs of inflammation than did muscles in the animals that received no massage treatment after exercise." Recovery of muscle strength was also greater. The importance of the research is that it starts to reveal a cellular basis for the positive effects of massage, even though the exact mechanism of how the changes occur is not yet known.
On Tuesdays, The New York Times publishes "The Science Times," which spotlights breaking science news. Among the stories they caught from the forefront of research on exercise physiology was one advancing knowledge on how muscles fatigue: "A popular theory, that muscles become tired because they release lactic acid, was discredited not long ago. ... [The report] says the problem is calcium flow inside muscle cells. Ordinarily, ebbs and flows of calcium in cells control muscle contractions. But when muscles grow tired, the investigators report, tiny channels in them start leaking calcium, and that weakens contractions. At the same time, the leaked calcium stimulates an enzyme that eats into muscle fibers, contributing to the muscle exhaustion."1
It's long been thought that delayed-onset muscle soreness (DOMS), the soreness that occurs 24 to 72 hours following strenuous exercise, was due to microfiber damage resulting in leakage of calcium ions from the sarcoplasmic reticulum. Normally, calcium ions are released from the reticulum to initiate muscle fiber contraction and pumped back into it to end contraction. The microdamage would result in leakage, thereby initiating a process of hypertonicity, inflammation and pain-receptor sensitization. The current research pushes this process back in the exercise-recovery cycle as a process of muscle fatigue.
In late October, I attended several days of the annual Science Writers' Conference, jointly put on by the National Association of Science Writers (NASW) and the Council for the Advancement of Science Writing (CASW). The threads of research I want to sample from the conference change the focus to learning and communication. Among the presenters were Clifford Nass, professor of communication and computer science at Stanford University, and Robert Bloomfield, professor of management at the Johnson School of Management at Cornell University. Along with nuances of computer-human interaction, Nass talked about brain neurology. He noted that the upcoming Internet generation are cognitive multi-taskers in a manner never seen before. While hunter-gatherers had to pay attention to multiple signals from their environment, there was a coherence to the different inputs. In contrast, modern multi-taskers pay attention to multiple windows and streams of input that are unrelated to each other. Nass noted that there is no current psychological model for how the young manage multi-tasking, but manage it they do. Moreover, multi-taskers become bored with linear input. It's likely that different neurological use of the brain has physically changed the neurons retained during development. Nass' observations are consistent with observations made by Marc Prensky, who distinguishes between "digital natives" and "digital immigrants."3 There are some profound implications that the learning style of the upcoming generations will be substantially different than for previous generations. To be effective, education and training will have to adapt.
Robert Bloomfield also gave an interesting presentation on the use of the virtual world "Second Life," both for social research and as a place for communicating remotely. As he gave his talk in the "real world," he also was in front of a podium, located on Muse Isle NorthWest in "Second Life," talking to about 15 virtual listeners. Bloomfield characterized "Second Life" as providing "people, time and tools" for research and communication. As an economist, he was interested in the banking failures that occurred in "Second Life," as a means of seeing real people responding to a simpler economic situation than exists in the real world. As a means of communicating remotely, Bloomfield noted that "Second Life" provides a sense of place. The visual view can emulate locations in the real world known to participants. Those attending a virtual conference have access to audio, visual presentations and texting. Via texting, different subgroups of participants can spin off side discussion with little impact to others. While it would be more difficult to teach a kinesthetic "vocabulary" via such means, "Second Life" could provide a rich environment for conceptual learning and for viewing and discussing videos of technique demonstration. While I don't expect virtual massage clients to exist anytime soon, the world of learning and communicating continues to evolve and change.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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