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Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
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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