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Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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