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AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
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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