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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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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