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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
September, 2010, Vol. 10, Issue 09
The Changing World of Education
By Keith Eric Grant, PhD, NCTMB
"For everything you have missed, you have gained something else, and for everything you gain, you lose something else." -- Ralph Waldo Emerson
Back in December 2003, I attended a lecture by William A. Wulf, then president of the National Academy of Engineering. One of his comments that struck me was on the difference between small improvements in technology that make something already being done easier and on the continuing and often unexpected social changes stemming from huge quantitative changes in technology. He noted that he had a computer in his briefcase 100 times faster than the ENIAC computer (circa 1946), which weighed 100 tons and was the size of a squash court. The computer in his briefcase? It was a greeting card with a microprocessor to generate music. Wulf also quoted a statement by computer scientist Danny Hillis, likely looking back from the late 1990s to the late 1970s:
"I went to my first computer conference at the New York Hilton about 20 years ago. When somebody there predicted the market for microprocessors would eventually be in the millions, someone else said, 'Where are they all going to go? It's not like you need a computer in every doorknob!' Years later, I went back to the same hotel. I noticed the room keys had been replaced by electronic cards you slide into slots in the doors. There was a computer in every doorknob."
In the last 15 years, we've seen great changes in the diversity of people using electronic communication. E-mail lists and "UseNet" groups became common and then morphed into social networking and communication media such as Facebook, Twitter, Flickr, Skype, and YouTube. We can now share thoughts, pictures, and videos in ways unthinkable a few years before. With Skype, we can converse with colleagues by voice, share text and Web links, and even see their computer desktop or share ours as we work on projects together. Our friends and colleagues can now as easily be across the world as across town.
Communication has changed enormously in the amount of information that can be moved and stored and in the capabilities to display it. Communication also changed both in the move from media control of information to individual control and in information media having to adapt both in presentation of information and in finding new business models -- a transition that is still in process. Now, I believe, we are on the verge of such changes in education, including, at the least, didactic elements of massage training. There is a tremendous amount of effort and creativity being thrown into technology for education.
Technology in Education: Hybrid Textbooks, Interactive Tools, and More
This morning, before sitting down to write, I chatted with Susan Salvo, author of Mosby's Pathology for Massage Therapists, about her experience with Elsevier Publishing's hybrid textbooks. The textbooks are hybrid because they include a physical textbook, an access code to online interactive modules, and a user guide.
In using such technology for hybrid classes, Salvo stresses the need for the teacher to demonstrate access within the class and to provide regular links and contact via e-mail. For the student, the online modules provide additional ways of learning and the ability to review material until they grasp it. According to Elsevier's description, their Evolve Course Management System (CMS) is available to instructors upon adoption of a core textbook and provides both learning resources for a corresponding textbook along with access to a comprehensive suite of communication and organization tools. These tools include discussion boards, e-mail, chat rooms, calendars, address books, task organizers, and more, allowing an instructor to customize course content, build online tests, create assignments, enter grades, post announcements, manage student groups, and much more.1 (Ryann Ellis provides a more general discussion of the desirable features of such a learning management systems.2)
Jan Schwartz and her colleagues at Education and Training Solutions3 have taken a more direct path to online learning -- one that includes being a provider of classes for Massage Envy. Schwartz noted that they chose Moodle4 as a course management system (CMS) because of it being developed and maintained by "an open source concept community -- working together to create a product that just keeps getting better".
Schwartz, who holds a masters degree in Sustainable Entrepreneurship: Specialization in E-Learning spoke with me about the flexibility of such systems. Moodle, for example, provides for synchronous sessions with group chat rooms and having office hours in which students can talk with the instructor. It also provides for students doing group projects together, working asynchronously as their own time permits. An example she gave was for students to read an article, review it, and then comment on at least two of their classmate's reviews. Schwartz notes that part of the instructor's role is to nudge students to stay on topic in the work rooms and to be succinct. There's a social forum provided for more casual interactions among students.
At this point, online learning can't teach the basic kinesthetic vocabulary of massage skills. Some things still need to be learned in person. What the technology is capable of providing is both theoretical knowledge and demonstrations of ways of applying a kinesthetic vocabulary once learned. At this point, there are still state laws and board regulations that can prevent full utilization of current technology. Both the technology and its use for education in general are evolving so rapidly at this point, however, that such laws and regulations will increasingly be seen as quaint anachronisms. Students who have grown up with technologically-based education will push the profession into using technology for its full potential in providing training that is both flexible and highly interactive. From a regulatory standpoint, training concerns should not be about how content is delivered, but about how well students can demonstrate their mastery of required content after training.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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