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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
January, 2013, Vol. 13, Issue 01
Pediatric Massage May Alleviate Childhood Depression
By Tina Allen, LMT, CPMMT, CPMT, CIMT
We do not like to think of children in pain, and have great difficulty with the idea that children suffer depression. Depression in childhood and adolescence is defined as a mood disorder that affects children under the age of eighteen years old.Those under significant stress, who have experienced loss, are subject to peer pressure and bullying, have learning, cognitive and anxiety disorders and are at a higher risk for depression.
Those without depression find it difficult to understand how certain events can affect others in such a way. Often, those with depression are questioned or judged, "Why are you not strong enough to handle it?" Childhood depression is quite different than the expression of normal everyday emotions that happen as a child grows and develops. When a child appears sad, this does not necessarily indicate they are depressed. If the sadness becomes persistent, or if it disrupts behavior and normal activities, this may possibly indicate there is more going on and the situation should be addressed.
The Rate of Childhood Depression
Approximately 2.5% of children in the United States suffer from depression. During childhood years, both boys and girls appear to be at equal risk for depressive disorders. Depression is significantly more common in boys under the age of 10 and by age 16, girls have a greater incidence of depression. During adolescence, girls are twice as likely as their male counterparts to develop depression. Often, children who develop major depression are more likely to have a family history of the disorder. While children show differences in rates of depression between gender, when it comes to symptom severity, there is no difference.
Sad or Depressed?
Symptoms of depression vary from child to child. These symptoms may go unnoticed and often untreated. Typical symptoms might be passed off as normal emotional reactions. One child's symptoms might include acting out or displaying angry behavior. While for other children, they display sadness which appears similar to many adults who are depressed. The symptoms of depression typically involve a feeling of hopelessness, sadness and changes in mood and behavior.
Signs and symptoms of depression in children might include:
Each child with depression does not display all of these symptoms. In reality, most will display different symptoms at different times and in different settings.
The Hard Reality
Depression in children and adolescents is associated with an increased risk of suicidal behaviors. Suicide is rare in children under the age of twelve, but young children do make attempts to take their life. Many times, this act is impulsive and they try when they are in the height of anger. According to published statistics, girls are more likely to attempt suicide, but boys are more likely to actually kill themselves when they make an attempt.
Why Pediatric Massage?
Pediatric touch therapy has been examined in numerous research studies. Upon review of studies performed using tactile stimulation for children, evidence has demonstrated that massage therapy consistently provides a reduction of anxiety, depression and levels of stress hormones. As is always the case, more research should be performed to further demonstrate the positive benefits of this noninvasive therapeutic approach.
When working with any pediatric client, we not only address their physical ailments, but their emotional care as well. This is not to say that we are acting out of our scope. We would never diagnose depression, but rather we must always use our best skills to support the possibilities that emotional support is needed. As a professional practitioner, you need to remember to empower the child by using a structured permission process, safe positioning and giving choices. Permission should always be obtained from our pediatric client, and proper support should be provided the ensure safety, trust and open communication.
Begin slowly and use slow transitions. It is important that we are consistent and interact with these children based on emotional age. So your communication must be age appropriate considering a child's unique cognition level, how many words they understand well and also consider their non verbal communication cues. Body language can be a big piece of our communication with pediatric clients. For children with depression, we need to do our research, obtain a detailed intake form and consider a safe approach to be most effective. With support and compassion we can make our best inroads with pediatric clients.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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