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CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
July, 2009, Vol. 09, Issue 07
Including Exercises as Part of a Treatment Plan
By Ben Benjamin, PhD
Question: When you teach a client exercises as part of a treatment plan, how do you ensure that they do them regularly?
Answer: It depends on the client. Each of your clients may be motivated by something different. It's important to remember that people have different learning styles, so an explanation or instruction that works for one person may not work for another. Some people learn visually -- they need to see something on paper or watch you demonstrate what you're talking about. In contrast, auditory learners learn best by hearing what you have to say, and kinesthetic learners need to have a direct experience, either physically or emotionally.
With any client, I tend to give a verbal explanation first. I might say, "Healing while you're doing these exercises means that you'll have a fuller range of movement when the the status of the injury has improved. If you heal without a full range of movement, there's a greater danger that you'll re-injure yourself when you become more active." Then, for a visually oriented client, I might show the person a drawing that illustrates how adhesive scar tissue contributes to re-injury.
For auditory or kinesthetic learners, I might tell a story about a client who healed more quickly once she started doing the exercises. I'd also have the kinesthetic learner practice the exercise as I explained it. In addition, I often bring up the financial benefits that come from healing more quickly. I explain that doing the exercises will make the treatment process much shorter, saving the client a good deal of money. This is often a strong motivator -- both for relatively wealthy people and for those whose financial situation is less secure.
Some people have a strong desire to do the exercises, but need some support to make that possible. For a person who is not very physically active, doing any kind of exercise daily may feel challenging and unnatural. Establishing a new routine takes a long time. Research has shown that it takes at least a month of doing something every day to create a new habit. I often work together with my clients to develop strategies that will help them take ownership of the exercise process. One client asked me to send her an email reminder every day for a week until she got the hang of it. Another client came up with a unique strategy. He said to his 10-year-old son, "Every time I do these exercises you get 50 cents. If I forget, I don't pay you." His son never forgot to remind him to do the exercises.
Of course, there are some people who will never do their exercises. Don't take it personally. We all have challenges in different areas and can be resistant to doing certain things even though we know they're good for us. For instance, I personally don't like exercising alone or taking vitamins, so I devise strategies to help me. All you can do is be patient and do the best you can to help your clients form healthier habits.
Author note (submitted after this article was published):
I neglected to mention an important fact: In some states, massage therapists are not allowed to teach exercises or stretches to their clients. According to my sources, it is permissible to mention exercises if you do so as a suggestion rather than a prescription. If you would like to offer your clients the option of doing particular exercises that you think might help them, I recommend saying something like "Some people find doing these exercises helpful. You may do them if you wish." Or "Some people recover more quickly when they do exercises like these."
My thanks to the thoughtful reader who brought this issue to my attention.
Click here for more information about Ben Benjamin, PhD.
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