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Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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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