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Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
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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