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Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
June, 2011, Vol. 11, Issue 06
Pediatric Massage: A Nurturing Intervention for Autism
By Tina Allen, LMT, CPMMT, CPMT, CIMT
For Clarice, incorporating nurturing touch into the life of her family was natural. Her young son, Elliot, enjoyed receiving massage on a regular basis. When he was 3 years old, Elliot developed sensory issues.He started to refuse touch of any kind; clothing, the feel of grass, the feel of any food that he had experienced before, the feel of warm or lukewarm water. His muscle tone began decreasing and by the time he was 3 1/2 years old, he had lost all of his language abilities (previously he was bilingual), refused all eye contact and was unable to stand for more than 30 minutes at a time. He would not eat or drink anything other than milk, eventually regressing to the point when he could not verbally communicate and refused to eat.
Eventually his family would begin to unravel the mystery of how their little boy could be diagnosed with PDD-NOS, Autism, mental retardation and sensory integration disorder.
The incidence of autism and autism spectrum disorders (ASD) is on the rise. In the United States, the Centers for Disease Control believe there are as many as 1 in 80 children affected by this group of disorders, and boys are affected 4 to 5 times as often as girls.
Autism is a complex developmental condition. Most children with autism are perfectly normal in appearance, but spend their time engaged in puzzling and disturbing behaviors which are markedly different from those of children who are developing on a typical spectrum. Autism, as we now know it, is incurable and the behaviors associated with the disorder persist throughout the child’s lifetime. Less severe cases may be diagnosed as pervasive developmental disorder (PDD) or Asperger’s syndrome (these children typically have normal speech, but they have many “autistic” social and behavioral problems).
One important note of clarity is that the diagnosis of Autism is one diagnosis under the umbrella of autism spectrum disorders (ASDs). It can be confusing to understand that there is a spectrum of diagnoses based on symptoms rather than all children being affected by the diagnosis of autism.
Having a diagnosis of autism interferes with normal development of the brain in the areas that influence reasoning, social interaction, motor skills, communication skills and attention. Developmental disorders occur across a spectrum, affecting individuals differently; some children lose the ability to speak, some might have motor impairment, and many lack social and emotional awareness. Behaviors range from hyperactivity to serious self-injury. Families and healthcare professionals often report that children might show lack of eye contact, as well as, have an aversion to touch and tactile stimulation. These disorders make it difficult for children with ASD to communicate with others, leading to frustrated social isolation.
Pediatric Massage Benefits Autistic Children
Researchers have found that children with autism spectrum disorders show less stereotypical autistic behavior, are more social and attentive after receiving massage therapy and have less anxiety. Pediatric massage might provide relaxation, stress reduction and calm muscle spasms. Over time, the child typically becomes more accustomed to tactile stimulation and the regular intervention of pediatric massage might be beneficial in reducing inattentiveness, touch aversion and withdrawal.
It is estimated between 56 percent and 83 percent of children with autism spectrum disorders experience sleep disturbances. Often, by incorporating massage therapy into daily routines, children with autism experience decreased issues with sleeping. When utilized by caregivers, massage therapy might help strengthen the emotional bond between parent and child.
Considerations for Pediatric Massage
It is important to remember that each child with an autism spectrum disorder will have his or her own individual symptoms of autism. A diagnosis is only one factor in determining the best care of the pediatric client.
Patience, patience and more patience is the first key to success. The child must feel safe and that respectful connection takes time. Often, there is susceptibility to sensory overload. So, it is important to begin with proper intention and gradually provide deeper tactile stimulation, while being very aware of non-verbal communication. Always speak to the child with the intent that he or she understands. Investigate what forms of communication are being used (i.e. ASL, picture boards, spoken language and written language). To the best of your ability, incorporate these communication methods in the session.
Respect and incorporate parents to help them understand this is a journey and not a sprint. It might take time to achieve optimal results. Acknowledge that each and every change is a small victory and a step in the right direction. Realize on some days, there will be a plateau and even possibly a regression.
Utilize structure around your sessions. Children with autism prefer structure and have difficulty with transitions and sudden change. Take your time to allow the child to become comfortable with the environment and you, if you have entered their safe space. Never insist that a child participate in the massage session. Speak calmly and lovingly, take your time and introduce slowly. Request that caregivers have items the child likes available during the session. A favorite blanket, toy or flashlight could become the engagement item the child needs to be comfortably present.
The Mystery Unravels
With Elliot, pressure and patience was the key. Pediatric massage was introduced slowly everyday, and sometimes even 3 – 4 times a day. We would avoid the feet, hands, shoulders and head. Once he realized there was no threat, he let me touch his back and face. The face is still a difficult area to receive touch. The success of introducing touch therapy to other areas of his body is surely attributed to mom continuing nurturing touch between our therapeutic sessions.
It is now, after four years of practicing this regimen, that both mom and I can provide a full body massage for Elliot. Now, he even loves his feet being massaged but can only tolerate deeper pressure on his hands and fingers, no soft touch at all. Mom has learned to brush his skin during bath time and then provide firm “washing” with a rough textured towel. Whenever these activities are incorporated, he makes lots of eye contact and motions for more. He now enjoys a rich sensory diet of activities such as being placed in a large comforter and rolled very snug, skin brushing and deep pressure pediatric massage.
When Elliot experiences a “meltdown” (outbursts due to sensory overload, specifically for Elliot issues with lights, shiny floors and balance), he now knows how to self-calm by taking deep breathes, holding something tight or hugging himself. In this way, he is beginning to utilizing touch and breathing as everyday self-calming mechanisms.
For massage therapists and bodyworkers working with children on the spectrum, remember the diagnosis does not give you the entire picture. There are no hard and fast rules for massage due to their individual preferences stemming from their ability to process sensory stimulation.
However, through the use of massage therapy, our basic human need for safe, nurturing contact is met with often wonderful results. For children with autism, it provides not only a positive experience of being touched but the effects hold lifelong benefits for the child and their entire family.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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