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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
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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