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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
December, 2010, Vol. 10, Issue 12
What About My Brain?
Staying Mentally Fit
By Sharon Puszko, PhD, LMT
Being a massage therapist, I am aware of how my body sometimes feels, in terms of muscle soreness, fatigue, illness or general aches and pains, since all of these symptoms can affect my ability to work.Recently, after an extended period of traveling in which I became quite sleep deprived, I began to focus on the other aspects of our health: the mental component of it. After all, without our brain functioning properly, none of our muscles would function properly, either. Information on keeping our brain healthy has increased dramatically over the past 10 years, as advances in medical equipment have helped scientists learn more about how this mysterious organ works. Recent research has demonstrated that one's exercise, diet, sleep, and career can impact the health of one's brain. There is also growing consensus in the medical community that certain choices about exercise and diet can impact the likelihood of being challenged with memory problems and Alzheimer's disease.
Sleep On It
A study headed up by Matthew Walker, PhD, director of the Sleep and Neuroimaging Lab at the University of California, Berkeley, examined how sleep, specifically, REM (rapid eye movement) sleep, impacts our ability to read emotions in other people's faces. In the study, recently reported in Time magazine, 36 adult volunteers were asked to interpret the facial expressions of people in photographs, following either a 60-minute nap, 90-minute nap or no nap at all. Participants who had reached REM sleep (when vivid dreaming mostly occur) during their nap were better able to identify expressions of positive emotions like happiness in other people than participants who did not achieve REM sleep or did not nap at all. In fact, those volunteers who did not experience REM sleep, were more sensitive to negative expressions such as anger and fear.
According to Walker, dreaming (REM sleep) allows the brain to sift through that day's events, process any negative emotion attached to them, then strip it away from the memories: "(REM sleep) tries to ameliorate the sharp emotional chips and dents that life gives you along the way." Walker continues, "Sleep not only rights the wrong of prolonged wakefulness but, at a neurocognitive level, it moves you beyond where you were before you took a nap."1
So, what does all this mean to you? Our success as massage therapists largely depends on our ability to perceive and connect with our client's emotional state during a massage. If a client does not feel a "connection" with his therapist, he is less likely to benefit from the massage, and less likely to return to that therapist. Likewise, the more connection a client feels with his therapist, the more likely he is to become a repeat client, and the more likely he is to recommend massage to someone else. Therefore, going to bed one hour earlier, or taking a quick nap during the day really can have an impact on the success of your business.
We all know the importance of exercise for maintaining a healthy weight and healthy heart, increasing the longevity of life and improving the quality of sleep. It now appears that exercise also effects the brain, in particular the regions that relate to Alzheimer's. In August 2010, the University of Illinois at Urbana-Champaign published findings from research led by Dr. Art Kramer at the Beckman Institute for Advanced Science and Technology. The research team was interested in examining the effect of exercise on neural connectivity between regions of the brain that function together in a kind of "network". For example, the default mode network (DMN) is responsible for people passively engaging with their environment, such as day-dreaming. The DMN and other similar networks seem to lose activity with age, and Kramer's research has shown that the brains of people with Alzheimer's, schizophrenia, and older adults struggle to control the DMN. This study demonstrated that just moderate exercise (40 minutes a day, three times per week), can increase connectivity in the DMN, which aids with planning, strategizing and multitasking.2
It is beginning to seem like the benefits of exercise are endless! While some are vigilant about exercising regularly, others are easily bored by it. For those of you who aren't fans of working out in the traditional manner, there are plenty alternative activities that will not only exercise your body, but ALSO your brain! The following are some great activities (found in a recent article "Everyday Ways to Stay Sharp"):
To Read or Not to Read?
That is the question. There seems to be good reason our educators thrust British Literature upon us in high school. We have known for a long time that reading keeps the brain active and encourages good writing skills. However, we now know that reading Shakespeare has a particular effect on the brain that goes beyond the normal benefits. New studies link Shakespeare's linguistic technique known as "functional shift" (e.g. using a noun to serve as a verb) with positive brain stimulation. This process causes a sudden peak in brain activity and forces the brain to work differently in order to fully understand what Shakespeare is trying to say.
According to Philip Davis, an English professor at the University of Liverpool, "The brain reacts to reading a phrase such as 'he godded me' from the tragedy of Coriolanus, in a similar way to putting a jigsaw puzzle together. If it is easy to see which pieces slot together you become bored of the game, but if the pieces don't appear to fit, when we know they should, the brain becomes excited."4
With that information in mind, I would recommend inquiring at your public library about any Shakespeare book clubs. If you have the financial means, and a community college nearby, you could consider taking a literature class on Shakespeare. OMG, there is so much I can do to work on my brain! There are many more things one can do to keep the brain healthy and active: switch hands when writing or play sports, do crossword puzzles, eat well, journal, and just play.
We have just recently begun to understand the relationship between our external environment and its effect on the brain. It is an exciting area of study, especially when thinking about the connection between wellness and brain function. I look forward to learning more about the link between massage and brain function, and the possibilities it will lead to in our profession.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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