resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
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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