resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
January, 2011, Vol. 11, Issue 01
Understanding Alzheimer's Part 1
By Ann Catlin, LMT, NCTMB, OTR
You don't have to look too far to find a person with Alzheimer's disease (AD) or someone caring for a family member with this devastating condition. While teaching massage therapists about working with people with Alzheimer's disease, common questions - and misperceptions - emerge.Sound information gives us a foundation from which to act and increases our comfort level to serve this special population. In this two-part series, I'll answer some of these questions and explore the shared human experience of living with Alzheimer's disease.
What's the difference between dementia and Alzheimer's disease?
People sometimes use the term "Alzheimer's" to describe any kind of cognitive impairment. Some believe that Alzheimer's is a normal part of growing old. Neither is quite accurate. According to the Alzheimer's Association:
"Dementia is a general term meaning loss of memory and other intellectual abilities serious enough to interfere with daily life. There are many diseases that result in dementia, including cerebral vascular accident (stroke), metabolic disorders and brain tumors, although Alzheimer's disease is the most common. Alzheimer's disease is a progressive brain disorder that damages and eventually destroys brain cells, leading to loss of memory, thinking and other brain functions. AD is not a part of normal aging, but results from a complex pattern of abnormal changes."
What causes AD?
In spite of years and dollars spent on research it still is not known what causes AD. While the exact cause remains unknown, what happens in the brain resulting in symptoms is clear to scientists. Brain damage gradually occurs due to complex cellular abnormalities called plaques and tangles. As the disease progresses, the brain tissue actually shrinks significantly.
Is AD hereditary?
There appears to be a genetic link in what's called "early-onset AD", which tends to run in families. Relatively rare (less than 10 percent of all AD cases), early-onset AD strikes people before age 65.
How is AD diagnosed?
Since there is no single medical test that definitively diagnoses AD, physicians rely on a battery of examinations. Interviewing the patient and family provides information about cognitive and behavioral changes and other symptoms. Initial medical tests will be conducted to rule out other possible causes for the dementia. For example, blood tests can detect hypothyroidism or vitamin B12 deficiency both of which can cause dementia in frail elders. Brain imaging tests reveal problems like blood clots or tumors. Common brain imaging tests include computerized tomography (CT scan) and magnetic resonance imaging (MRI). Positron emission tomography (PET) measures brain activity and can detect plaque cell density. A neuropsychological exam may be prescribed. This is a complex set of tests that measures problem solving, memory and language skills. The physician finally takes all this information into account to diagnosis AD.
How does the disease progress?
It's important to note that no two people are alike when it comes to how the disease progresses. However, experts give us general guidelines. The Alzheimer's Association identifies seven stages of AD but it is simpler to categorize in terms of mild, moderate, and severe. AD develops slowly and gradually worsens as more brain cells shrink and die. Ultimately, the disease is fatal. A thorough account of the stages is too extensive for this article, but what follows is a general description offered by the American Health Assistance Foundation, which conducts AD research.
Stage 1 (mild): Early in the illness, those with Alzheimer's tend to be less energetic and spontaneous. They exhibit minor memory loss and mood swings, and are slow to learn and react. They may become withdrawn, avoid people and new places and prefer the familiar. Individuals become confused, have difficulty organizing and planning, get lost easily and exercise poor judgment. They may have difficulty performing routine tasks, and have trouble communicating and understanding written material. If the person is employed, memory loss may begin to affect job performance. They can become angry and frustrated.
Stage 2 (moderate): In this stage, the person with Alzheimer's is clearly becoming disabled. Individuals can still perform simple tasks independently, but may need assistance with more complicated activities. They forget recent events and their personal history, and become more disoriented and disconnected from reality. Memories of the distant past may be confused with the present, and affect the person's ability to comprehend the current situation, date and time. They may have trouble recognizing familiar people. Speech problems arise and understanding, reading and writing are more difficult, and the individual may invent words. They may no longer be safe alone and can wander. As Alzheimer's patients become aware of this loss of control, they may become depressed, irritable and restless or apathetic and withdrawn. They may experience sleep disturbances and have more trouble eating, grooming and dressing.
Stage 3 (severe): During this final stage, people may lose the ability to feed themselves, speak, recognize people and control bodily functions. Their memory worsens and may become almost non-existent. Constant care is typically necessary. In a weakened physical state, the patient may become vulnerable to other illnesses and respiratory problems, particularly when bedridden.
Are there drugs that slow the progression of AD?
In recent years, certain drugs have emerged as helpful in managing certain symptoms associated with AD. Drugs that help regulate neurotransmitters (e.g. Aricept) may help maintain cognitive and behavioral function for months or a few years but there is no drug that stops the progression of the disease.
How long can a person live with AD?
There are individual differences but generally survival is four to six years after being diagnosed and some people live much longer.
How prevalent is AD?
According to the Alzheimer's Association, there are currently 5.3 million people with AD in the United States and that number is expected to grow to 16 million by 2050.
Are most people with ad in nursing homes?
No. Actually about 70 percent of people with AD are cared for at home. That equals to a lot of our friends, colleagues and neighbors dealing with the consuming task of caregiving.
What support is available for families of people with AD?
Thankfully there is a great deal of support. Many communities offer caregiver support groups and local resources. A good place to start is your local area office on aging or your regional Alzheimer's Association office.
Massage therapists, with specialized training, have a great deal to offer to improve the quality of life of people with AD. In Part 2 of this series, I'll explore the specific benefits of sensitive massage and focused touch for the person living with AD as well as the human experience of AD.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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