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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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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?'
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.
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.
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.
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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