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Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
June, 2012, Vol. 12, Issue 06
A Tale of Three Dance Books
By Keith Eric Grant, PhD, NCTMB
"There are three steps you have to complete to become a professional dancer: learn to dance, learn to perform and learn how to cope with injuries." – D. Gere, 1992.
Kinesiology comes literally from the Greek words kinesis (movement) and logos (a story, speech, or study); thus, the study of movement, particularly movement of the human body.When I look for books about kinesiology, I want to see a fair emphasis of content about movement along with the more static information on specific muscles, attachments and structure. What I'm highlighting in this month's column are three books, one more basic, one that extends into details and one that touches on spatial awareness in how we move. Interestingly, all three books have a background in dance.
The more basic book is Blandine Calais-Germain's, Anatomy of Movement. As the title suggests, its focus is on anatomy. Yet, written by a dancer, it is not your standard anatomy text. Filled with numerous line-drawings, it details muscles and the movements they create. One feature I especially like is that it depicts anatomy with the human body not in standard anatomical position, allowing the reader to gain a better perspective of the body and muscles as they are used.
Moving to a more detailed text with substantial kinesiology, Karen Clippinger provides a presentation that is both elegant and concise in Dance Anatomy and Kinesiology. The chapters on specific areas of the body are comprehensive, covering the muscles, movements, common injuries, some assessment tests and exercises for strength and flexibility. They are illustrated with good quality black and white photos and drawings. It is the general chapters that have gained my greatest appreciation.
The opening chapter on the skeletal system is a thorough introduction to types of joints, types of attachments, planes of movement and terminology for all of the above. A lot of the information is summarized concisely in tables. Beyond this, there are discussions of joint stability and mobility, closed and open kinematic chains, and degrees of freedom of joints.
The following chapter on the muscular system includes a clear presentation of a visco-elastic model of tissue properties, including components both in parallel and in serial with the contractile component of a muscle. There's a good discussion of types of muscle contractions: dynamic, isometric, concentric and eccentric. There's good coverage of types of levers and of mechanical advantage. The various roles a muscle can play are pointed out: agonist, antagonist, synergist, stabilizers and force couples. Finally (but not exhaustively), there's discussion of the line of pull of a muscle and of deducing muscle actions from the attachments. I greatly prefer this approach to simply having students memorize all three of both attachments and the action without understanding the relationship between them.
In the final chapter, Clippinger returns to the whole body after covering specific areas. Now it's time for anatomical movement analysis, discussion of posture and covering gait analysis. It's a moving conclusion to a thorough and very readable text.
The third book I want to review is Constance Schrader's, A Sense of Dance, which was written to be an introduction to use of your body for movement and, in particular, dance. As such an introduction, it looks both at people having cultural and family "home bases" of movement patterns and at characterizing movement in terms of time, space and effort. Time includes concepts of tempo, beat and rhythm. A person's relationship to the surrounding space includes vertical level, shape, direction, dimension (relative size), perspective and focus. It also includes the four interpersonal spaces which we use to structure our lives: intimate, personal, social and distant. The concept of effort can be characterized as involving energy, ease, motivation and struggle against resistance. As an instructor primarily of sports and deep tissue massage, focusing on alleviating restrictions of movement and facilitating ease of movement, Schrader's writing has given me tools to analyze what I see, both physically and from the perspective of a psychology of movement.
To complete the tale, all three of these books provide high value of content in a very practical format. I've enjoyed all three and drawn from all of them in my teaching. As those from a culture of substantial understatement would say, you could do worse.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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