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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.
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.
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.
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.
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.
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.
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?
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?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
September, 2011, Vol. 11, Issue 09
What is Your Play Personality?
By Sharon Puszko, PhD, LMT
When the last time you played? I'm sure there are some people who can quickly give an account of what they did yesterday that constituted play for them. There also will be many who will pause with a furrowed brow and remain silent as they try to remember when they last did something just for the fun of it.
Whether it's cooking a new recipe, going on a hike, watching a movie, fixing up an old car or reading a book, play is a primal and necessary part of our lives. Especially in a competition-based culture such as ours, play is essential to being a productive member of society. As helpers and caregivers, it is crucial that we as massage therapists give ourselves time to play. It is impossible to help others heal and relax when we aren't relaxed ourselves. Playing helps us re-boot our systems and bond with others, which, in turn, makes us better therapists.
Merriam-Webster defines play as, "a recreational activity; especially the spontaneous activity of children." However, the types of play that exist are as varied as the people who engage in them. As adults, we often do not think about, or spend a significant amount of time, playing. Notice that the definition itself refers specifically to children. While play is crucial for the intellectual and social development of our children, it is also important for us in adulthood.
We are learning that it would be beneficial to change the ending of that entry to "children and adults." Current research demonstrates that not only have Americans made work and competition a priority, but that we are sacrificing playfulness and creativity for them. For instance, over the past 30 years, time spent at work has jumped 10 hours a week. Therefore, learning how to play more at work has become a popular subject these days. However, the nature of our work as massage therapists puts a limit on how much play we can integrate into our work. While some clients enjoy playful banter and laughing throughout a massage, others would never return if we did not respect the quiet time they look forward to while in a session. This makes it all the more important that we try to incorporate play into our lives outside of work.
So, if we simply work less, will we spend more time playing? Not necessarily. Play and work are not mutually exclusive; rather, one cannot survive without the other. A life without play is not one filled with work: it is a life filled with depression. For example, the work we find most fulfilling usually reflects the type of play we engaged in as a child. Does this mean I spent a lot of my childhood volunteering massages to my friends? Not necessarily. But it does mean that I was an active, social child who enjoyed problem solving, which Stuart Brown, M.D., the founder of the National Institute for Play, would say meant I have three different types of "play personalities."
After years spent gathering "play histories" from people, Brown noticed several archetypes that play preferences usually fall into. While some people might fit into just one type, others might have several preferences for the type of play they enjoy. An easy way to start putting more play into your life is to identify what type of "personality/personalities" the play you enjoy fits into.
I've listed what I feel are the more common types below. You can find the complete list in his book. These "types" can be used as a guideline to determining the type of play you prefer, and help you remember how to put some fun back into your life.
Someone who enjoys comedy shows, making people laugh and finding the humor in any situation enjoys the Joker type of play. It is the most basic form of play, and is repeatedly found throughout recent history as a species. Think of the saying, "Laughter is the best medicine."
The Kinesthete is the person who taps their foot, twirls their hair or rocks back and forth during an exam. Kinesthetes are happiest when they are moving, whether that be playing basketball, walking, or cleaning the house. I am also inclined to believe that the majority of massage therapists — those that truly enjoy their work — are all or partly Kinisthetes, since our work is very physical.
The unique, the different, the unknown is what drives the Explorer personality. Visiting a new park, reading about a new scientific theory, or trying a new cuisine are all activities someone with a dominant Explorer personality would prefer.
People who have an Artist/Creator play personality find pleasure in creating things: planting a garden, cooking, writing music, or even fixing up an old car. Some might share their creations with others, some may not, but the point is simply to create.
Fun is found in the imagination for people with a dominant Storyteller personality. Some examples include people who like to write, perform, play Dungeons & Dragons, watch movies or read books.
No matter what type of play you enjoy, the point is simply to make sure you spend time having fun. It doesn't have to be all fun all the time, but one needs to find a balance between focused work and playfulness. Remember: the opposite of play is not work; it's depression. The more ways we find to incorporate play into our lives, the happier and healthier we will be. This in turn will make us better therapists, which is a good example of how work and play complement each other. So start singing, take a road trip, see a play, or get out your postcard collection and just start having fun!
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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