resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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 Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
April, 2013, Vol. 13, Issue 04
Help in Understanding Parkinson's Disease, Part 1
By Ann Catlin, LMT, NCTMB, OTR
More people over the age of 60 are turning to massage therapy for self-care and to help ease symptoms associated with chronic ailments. If you have clientele in this age group, it's possible that you will eventually have a client who is living with Parkinson's disease (PD).It's estimated that at least 500,000 people are diagnosed in the United States. It's important to have at least a basic understanding about this disease, what to expect and how you can best serve your client. Here, I will offer an overview of PD and how it impacts daily functioning of the persons who have it.
What is Parkinson's disease?
Parkinson's disease is a chronic and progressive disorder of the central nervous system. In other words, the symptoms of PD grow worse over a long period of time. PD is classified as a movement disorder. It's called Parkinson's disease because in 1817 a British physician named James Parkinson first described the symptoms. Such symptoms are caused when neurons in brain stem known as the substantia nigra die or degenerate. When functioning properly these neurons produce a chemical called dopamine. Dopamine carries signals between the substantia nigra to an area of the brain responsible for movement. When dopamine levels are depleted, impaired movement results. Other changes in the brain may occur as well, such as Lewy Bodies, an abnormal protein deposit that impairs cell function. It's not known what actually causes these neuron changes. Experts believe that genetics and exposure to environmental toxins are possible culprits.
Symptoms and Function
People who have PD experience a wide range of symptoms that affect people in many different ways. Here I'll focus on common movement symptoms and illustrate how these might affect a person's function in daily activities.
Early in the progression of PD these motor symptoms are considered classic.
As the disease progresses into advanced stages these symptoms emerge.
It's easy to see how a person with these movement impairments would have trouble with daily tasks. What was routine becomes a frustrating and time-consuming challenge. People with advanced PD need a great deal of assistance from caregivers for day-to-day activities and may even require nursing home care.
Treatment for PD typically consists of a combination of medications that help control symptoms and lifestyle changes. Some people have surgical interventions as well. Commonly prescribed medications decrease movement symptoms by increasing the levels of dopamine in the brain. One such drug is called Levodopa (L-dopa). Other drug therapies may be used for other symptoms such as depression, sleep disturbance and pain. Many of these drugs can cause severe side effects that negatively impact quality of life even further. Recommended lifestyle changes include diet modifications, regular exercise, balancing rest and activity, stress management and participation in a support group. Physical, occupational and speech therapies are commonly prescribed. Surgical interventions have been found to help manage symptoms in some people. One example is called deep brain stimulation where electrical stimulators are placed in the areas of the brain that control movement. Clinical trials for stem cell transplants are being studied.
I encourage you to take a look at these two short videos on Youtube to gain a better understanding of Parkinson's disease and how it impacts people's lives. This first video, is Joseph H. Friedman, MD, is chief of Butler Hospital's Movement Disorders Program and an international expert in Parkinson's disease (www.youtube.com/watch?v=IHDFQfmkKlg). The second video is called: A look into Parkinson's: what it is and how it affects the lives of my parents by Tommy Dimmel (www.youtube.com/watch?v=ggNlPYGuAAg).
In part II, I will explore how massage therapy can contribute an important approach in easing symptoms and improving quality of life for the person living with Parkinson's disease.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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