resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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