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Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
August, 2013, Vol. 13, Issue 08
The Rewards of Working with Dementia Patients
By Ann Catlin, LMT, NCTMB, OTR
I'm a brain/behavior geek from way back. In college as an occupational therapy student in the 1970's, I added a semester just to take more psychology classes. An internship was spent living and working at a large state mental hospital in Wisconsin.I loved it! My first jobs were in acute psychiatric units. I loved that, too. I spent ten years working in a rehabilitation center for people with traumatic brain injuries. I really loved that! Then I started working in nursing homes and began to learn about Alzheimer's disease and related dementias.
Fast forward to the present time and my favorite work is sessions with people with advanced dementia and teaching massage therapists and other professional caregivers how they do it, too. As our population ages, we will see greater numbers of people with cognitive impairment. Did you know that of people over the age of 85, about half have some degree of dementia? This is an issue that will affect almost all of us personally or professionally.
Geek that I am, I like finding a new piece to the puzzle of dementia and the inner world of people living with it. One piece I'd like to share with you is that not all dementia is the same. What follows is a description of the most common forms of dementia and the conditions that create it. Dementia is a general term meaning loss of memory and other intellectual abilities serious enough to interfere with daily life. It's important to understand that no two people are alike when it comes to dementia, even if the diagnosis is the same.
Alzheimer's disease (AD)
This is the most common type of dementia and accounts for about 60 percent of cases. AD is a progressive, degenerative disease that results in impaired memory, thinking and behavior reducing the ability to perform routine activities; common symptoms of dementia include memory loss, confusion, difficulty in communicating, disorientation in time and place, mood swings, restlessness, sleeplessness, behavioral disturbances, personality changes and perceptual motor problems. Abnormal structures called plaques and tangles are prime suspects in damaging and killing nerve cells, leading to brain atrophy. Plaques and tangles are deposits of protein fragments that bind together over time. Experts believe they play a critical role in blocking communication among nerve cells and disrupting processes that cells need to survive.
It's the destruction of nerve cells that causes symptoms of Alzheimer's disease. If AD is diagnosed prior to age 65, it is considered early onset. The course of the disease is similar as described above. Researchers have identified a possible genetic or familial link in people who develop the disease in their 40's or 50's. Early onset AD is relatively uncommon.
Vascular dementia is the second most common. It's caused by decreased blood flow to parts of the brain, depriving cells of nutrients needed to live. Onset can be sudden following a cerebral vascular accident (stroke). In others, onset is more stepwise. This happens when the person has a series of small strokes, known as transient ischemic attacks. Unique symptoms may include emotional outbursts and weakness in one or more extremities.
Lewy body dementia (LBD) is progressive and caused by abnormal protein structures in the brain called Lewy bodies. Symptoms are similar to AD, except that visual hallucinations and paranoia is a unique feature. People with LBD have symptoms very much like Parkinson's Disease including muscle rigidity and tremors and stooped posture. LBD is the third most common form of dementia.
Frontotemporal dementia (FTD) is caused by cell degeneration and tissue shrinking in the brain's frontal or temporal lobes, which control functions of personality, behavior and language. Symptoms vary, depending upon the portion of the brain affected. Some people with FTD have dramatic personality changes and social behavior is inappropriate and impulsive while others lose language abilities. Most people diagnosed with FTD are in their 50's or 60's.
Dementia is a growing concern in healthcare, our communities and families. Sound information gives us a foundation from which to act and increases our comfort level to serve this special population. My next article will explore how focused touch and sensitive massage can improve the quality of life for both the person living with the disease and their care partners. Until then, take good care.
Want to learn more?
These links take you to brief videos.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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