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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
December, 2009, Vol. 9, Issue 12
Massage Therapy and Translational Research
By Leon Chaitow, ND, DO
In recent years, there has been an explosion of interest in translational research.1,3-5 This research looks at ways in which the evidence that emerges from basic research in laboratory settings can become more clinically usable.In other words, how scientific evidence translates into what you and I do with our hands, assessments, treatments and re-education of patients towards better posture, breathing and ergonomics.
Translational research has become a priority for major organizations such as the National Institutes of Health (NIH), which initiated the Clinical and Translational Science Award (CTSA) program in 2006, as well as forming a number of academic centers to promote these ideas. For more on NIH's translational research initiatives, go to http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp.
A number of peer-review journals (several of them open access) have emerged on the topic, although none so far has focused primarily on biomechanical/manual health enhancement methods.
What therapists actually do is being translated into research, but not always in ways that will delight everyone. For example, a recent translational research study looked the effects of massage after eccentric exercise.2 The basic manual effects of Swedish massage were analyzed, and mechanical methods was developed that could apply intermittent loading to the muscles of rabbits that had been artificially exercised. This bizarre research was meant to mimic the effects of Swedish massage in order to evaluate the effects this had in preventing damage to muscles that had been eccentrically exercised.
The study reported: "The tibialis anterior muscles of six New Zealand White rabbits were subjected to one bout of damaging, eccentric contractions. One muscle was immediately subjected to cyclic compressive loads, and the contralateral served as the exercised control." These researchers concluded that subjecting muscle to such compressive loads (i.e., "massage") immediately after exercise leads to an enhanced recovery of muscle function and reduction of the damaging effects of inflammation in the rabbits.
A bout of primitive thinking suggests to me that this same information could possibly have been obtained by having volunteers exercise their legs eccentrically. This would be followed by Swedish massage on one of the legs, with a subsequent evaluation of the outcomes using perhaps real-time ultrasound, functional MRI or a simple visual analogue scale to measure pain thresholds. This could all be accomplished without bothering the rabbits.
Despite the relative craziness of this particular study (in my personal opinion), there can be very real value to ourselves, and those we treat, when translational research takes original scientific studies and applies them to our ability to better use manual therapy.
This trend will become even more valuable when scientists learn to address practitioner needs more clearly when they publish their results; for example, if they can more adequately ensure that they explain to readers, as far as possible, the clinical relevance of their research. After all, wouldn't we all benefit from knowing which methods of assessment are most clinically accurate and useful; which methods are safest and most effective in particular settings; and which mechanisms are involved when different modalities are used in different ways?
Upcoming Translational Research Events
It's possible to see that both the scientific and the clinical aspects of translational research are important. Both aspects will be discussed next spring, when the University of Ulm in Germany will be hosting a unique event in which researchers and clinicians will gather for an interdisciplinary fascia research course. The aim of this workshop (restricted to 48 participants) is to help to train clinicians in basic principles of fascia-directed research.
Participants will include physiotherapists, bodyworkers, medical doctors, sports coaches and movement instructors. The classes will include hands-on fascia explorations on human cadavers and animal tissue dissections, as well as clinical examination and palpation. For details visit www.uni-ulm.de/einrichtungen/akademie-wwt/kursprogramm/medizin-und-biowissenschaften/interdisciplinary-fascia-research.html.
Another 2010 event that has translational research as a major focus will be the Massage Therapy Foundation's second "Highlighting Massage Therapy in CIM Research" conference, to be held in Seattle May 13-15. For more information about this, visit www.massagetherapyfoundation.org/researchconference2010.html.
The future for bodywork looks bright, with translational concepts emerging as a catalyst for enhanced dialogue between scientists and clinicians to the ultimate benefit of patients - if not rabbits.
Click here for more information about Leon Chaitow, ND, DO.
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