resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
October, 2011, Vol. 11, Issue 10
Nurturing Touch for Pediatric Cerebral Palsy
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Working with children teaches you many things, and makes you realize that being fully present is the difference between a positive session and one where nothing is accomplished.
his is extremely important when you are working with someone who is nonverbal. You have to work together to find the best way to communicate. Of course, you should inquire as to any methods a family or healthcare team is already using to communicate with the child. However, as a massage therapist, your first thought might be of the tactile sense. We should actually use all of our senses to make that first connection.
The opportunity to work with children who have been diagnosed with cerebral palsy has presented me with many occasions to communicate with children in a variety of ways. Some of my clients have specific ways they move their eyes to signal yes or no. Others can give you their version of "thumbs up" or "thumbs down," while some use communication devices or a few words. It is important to establish communication when providing massage therapy. Not only to explain a session or positioning, but also to establish rapport and request permission prior to applying nurturing touch. In order to provide massage for anyone, especially a child, you must have their express consent.
Many people believe that if someone is nonverbal, you cannot communicate with them. This is obviously not true. Our work is founded in communicating in a nonverbal manner. We use our first language, touch, to really communicate with our clients. I've probably learned some of most valuable lessons working with clients who speak in a different way.
Cerebral palsy is a non-progressive disease, meaning it does not worsen. However, there are many conditions that develop as a result of cerebral impairment. Remember that the child is a child with a diagnosis. The diagnosis does not give you the full picture. Take the time to really see the client.
A child with cerebral palsy might present with very mild symptoms or a combination of symptoms.
Some of these symptoms and conditions include:
As with any diagnosis, it is important that we meet our client and consider an individual approach of what they might need. One big consideration is positioning. Children with cerebral palsy experience spasticity. In addition to touch, positioning may increase spasticity as well.
Pediatric massage is also more effective with a foundation of strong communication. So, working with children who are nonverbal creates a special opportunity to connect through touch. Once you have established this connection, your hands-on work may provide a multitude of benefits.
The benefits of massage for children with cerebral palsy are unquestionable. These potential benefits include:
As much as the physical benefits are important, the emotional benefit of providing nurturing touch for a child that has been exposed to repetitive medical interventions is profound. Even if a child hasn't had numerous medical interventions, when a child appears unlike others, many people in our society treat them differently. In our culture, people fear those who look, act or sound differently from themselves. Many times, isolation and depression are side effects of being "different" than others.
The best approach with cerebral palsy is to realize massage therapy is not a cure, but can be an effective non-invasive intervention to address the various symptoms that are associated with this diagnosis.
One little boy I worked with recently showed me this first hand. During my work in orphanages in Vietnam, his eyes called to me. Immediately, I noticed he was so severely contracted and lying in one position that there were wear marks in the wooden slats where his body touched and wore out the wood. As I lifted him from that crib, I wondered what he was thinking. Doing my best to explain, still I wondered if he understood I was there to do no harm. Using nurturing massage and some range of motion, I tried to loosen his tight muscles and frozen joints. This proved a challenge to find any movement. We spent a majority of our time making eye contact, while I held him, rocked him and spoke to him. It wasn't long before he laughed. He laughed, it was amazing! He understood my safe touch, funny faces, songs and stories. It didn't matter that we didn't speak the same verbal language. He understood through touch and eye contact. I wasn't initially sure if this little boy understood what was happening, but now I knew that he did. My dear little friend now knows someone in the world loves him enough to hold him and treat him just like another child. He is not different from another child. He just needs love, attention and nurturing to find his childlike giggle.
Sometimes, it is not so much about using our hands to affect muscle tone, increase range of motion and ease constipation, but rather to make a connection and allow a child to feel relaxed enough to laugh.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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