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News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
December, 2011, Vol. 11, Issue 12
A Hands on Approach for Pediatric ADHD
By Tina Allen, LMT, CPMMT, CPMT, CIMT
As 16-year-old Samuel describes it, when you have Attention Deficit Hyperactivity Disorder (ADHD), you can't concentrate on the things you want to focus on. It is challenging to clearly focus enough to distinguish between important items and those which are not.Everything comes in all at once and it's impossible to filter. Sometimes, it's challenging to distinguish what is real and what is in his head. Often times, he says he feels like he has a cloud on top of his head that won't go away.
It can take an extreme amount of motivation and focus to do tasks that come naturally to others. When he does have the motivation and focus, Samuel can do amazing things and come up with amazing ideas. One of the worst parts about having a diagnosis of ADHD is the social imparities you have from not being able to concentrate. Each and every day, Samuel feels like he has to be someone else to satisfy everyone else and himself. He has stopped taking his medications because of the comedowns and the desire to not be different from others.
What is ADHD?
How do you describe ADHD to someone who doesn't have this condition? When ADHD is mentioned, often times we conjure up images of a child who is uncontrollable, can't sit still and appears to be bouncing off the walls. This is not always the case. Just as with any diagnosis, the symptoms may present differently for each individual. It is common for people to use the term ADD to describe Attention Deficit Disorder without hyperactivity and ADHD to describe Attention Deficit Disorder with Hyperactivity. Many people use these terms interchangeably, adopting the term that is most comfortable and easier for them. In doing so, they are not necessarily describing the symptoms, but providing a generic name for the disorder. The American Psychiatric Association lists three main types of Attention Deficit Disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which is used by physicians in the diagnostic process.
ADHD, Predominantly Inattentive Type: This type includes the following symptoms: not paying close attention to detail, makes careless mistakes, difficulty sustaining attention, failure to follow through on instructions, difficulty with organization, reluctance to engage in tasks that require sustained mental effort, often loses items, is easily distracted and forgetful.
ADHD, Predominantly Hyperactive-Impulsive Type: This type includes the following symptoms: fidgeting, gets up from seat at inappropriate times, talking excessively, restlessness, difficulty being still or sitting quietly, acting as if driven by a motor, interrupting others, difficulty waiting turns and blurting out answers.
ADHD, Combined Type: This type includes symptoms from both of the above groups.
What Causes ADHD?
It is believed that ADHD may stem from sensory deprivation. Having such an interference with the perceptive senses or movement may produce a central nervous system that behaves as if it is overcharged, causing energy to build up until there is some outlet to expend it. As a result, movement and extra stimulation are required to use this excessive energy. If a child with ADHD is not provided with a method of using this energy, he or she may become irritable, upset or even lash out in anger or rage. Children with ADHD often appear to have difficulty holding attention or focus, display impulsive behaviors and activity levels beyond what might be typically expected. Often, they show poor academic performance as compared with their peers and have difficulty with social and emotional skills.
How Many Kids are Affected?
The number is higher than you might think. Many kids go day-by-day just trying to fit in without knowing they have ADHD. Sometimes healthcare providers miss the signs or parents may not wish to have their child diagnosed officially. Then, there are those occasions where parents and caregivers try to have their child diagnosed, when there is really nothing going on, other than having a healthy, energetic child. Whatever the reason, the evidence points to a high incidence of the diagnosis Attention Deficit Hyperactivity Disorder, or ADHD, and is rising as the most common psychiatric diagnostic label for children. According to the Centers for Disease Control and Prevention (CDC), close to 10 percent of children aged four to 17 in the United States have ever been diagnosed with ADHD. This number has continued to rise in recent years. The National Institutes of Health, states that ADHD is the most common behavioral disorder among children. Historically boys have been diagnosed at a much higher rate then girls, nearly nine times as many boys appear to be affected. However, the rate for girls diagnosed with ADHD is on the rise.
Benefits of Pediatric Massage
The question for the massage therapy profession is what are the benefits for children with ADHD? Because under stimulation might be a cause, and excess energy is the result, pediatric massage may be a very effective intervention to provide comfort and relief of some the child's symptoms. Aside from only the symptom of hyperactivity, a child may present with a strong temper, defiance and lack the ability to "sit still" for long periods of time.
Two studies conducted by the Touch Research Institute at the University of Miami reported that regular massage therapy can be an effective treatment for kids with ADHD. One study found adolescent boys who received ten 15-minute daily massages were observed by their teachers to be more focused in their schoolwork and they fidgeted less. In addition, the children rated themselves as happier than those who participated in a relaxation therapy program.
Another study involved kids aged 7-18, 20 percent of whom were girls. Each subject received a 20-minute massage twice a week. They showed immediate improvement in their moods and longer-term behavioral improvement in the classroom. They also reported feeling happier and their teachers found them to be more attentive.
In adult studies, massage has been shown to reduce levels of the stress hormone cortisol, helping to mitigate the active fight-or-flight response. Massage also helps improve math computation performance and raises alertness levels, as measured on electroencephalograms (EEGs). Finally, massage decreases depression and increases mental focus. The same effects are seen in children and teenagers with ADHD. With this diagnosis on the rise, pediatric massage therapists need to arm themselves with tools, techniques and approaches to best serve children with ADHD. By doing our part now to support these children, we positively impact their future.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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