resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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.
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.
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.
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.
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.
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.
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.
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.
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 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?
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.
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
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.
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.
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.
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.
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.
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."
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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