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Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
April, 2014, Vol. 14, Issue 04
Highlighting the Use of Massage for Children Affected by FASD
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Fetal Alcohol Spectrum Disorder (FASD) refers to the very broad spectrum of health issues infants' encounter from their mother's alcohol use during pregnancy.FASD includes several different health diagnosis; fetal alcohol syndrome (FAS), alcohol-related neurodevelopmental disorders (ARND), alcohol-related birth defects (ARBD), fetal alcohol effects (FAE), and partial fetal alcohol syndrome (PFAS). There is still much debate about a safe level of alcohol use, with many advocates saying any use during pregnancy puts a child at risk for negative physical or behavioral problems.
When a mother drinks alcohol during her pregnancy, it crosses the placental barrier and into the womb. A mother's body may be able to metabolize the alcohol, while the small or underdeveloped infant liver cannot. The alcohol may then stay inside of the infant's system longer. So, even the smallest amount of alcohol can have detrimental effects to a fetus.
The amount, sequence and timing of alcohol to the fetus all directly influence the type of health issues the child may experience once born. This causes a wide range of effects on the spectrum from severe (facial anomalies) to mild (judgment skills compromised.) Even more problematic is that many issues may not arise until the child begins to grow. The child may initially appear typical until there are subtle, and not so subtle, behavioral problems associated with the prenatal injury. Children who display facial anomalies, growth retardation and developmental abnormalities of the center nervous system are associated with the severe end of the spectrum. or simply fetal alcohol syndrome (FAS.)
Diagnosis of full fetal alcohol syndrome is based on three key features, a pre- and post-natal growth deficiency, facial abnormalities, as well as brain and central nervous system dysfunction. Professor Sterling Clarren's primate and mouse research on alcohol and pregnancy found that the lip and philtrum anomaly of (full) FAS happened during a very small development period; the 19th to 20th day after conception in the human – the period called gastrulation. However, it is well documented that children with facial features are only the tip of the iceberg. For every child diagnosed with full FAS, there will be another three to ten with alcohol-related neurodevelopmental disorders.
The brain injury that results from FASD can lead to developmental delays, an information processing deficit, the inability to reason in the way that others do and a distressing inability to fit in with the rules and behaviors required by society (deficits in self-control, hyperactivity and increased rates of ADHD) due to damage of the sensory processing system, nervous system and the brain. Heavy prenatal alcohol exposure can lead to structural abnormalities in the orbitofrontal cortex, anterior singulate, hippocampus, amygdala and corpus callosum.
The corpus callosum is the part of the brain that links the right hemisphere of the brain to the left hemisphere. The right-brain handles creativity, intuition and impulse and the left-brain handles the rules, logic, order and thoughts. When the two cannot link properly, because of prenatal exposure to alcohol or another brain injury, then the person cannot always predict the outcome of his actions even though he knows and can repeat the "rules."
Primary characteristics in children, adolescents and adults affected by FASD, include memory problems, difficulty storing and retrieving information, impulsivity, distractibility, disorganization, cognitive processing deficits (may think more slowly), slow auditory pace (may only understand every third word of normally paced conversation), developmental lags (may act younger than chronological age) and inability to predict outcomes, or understand consequences and inability to show remorse. However they often have strengths such as being highly verbal, artistic, musical, mechanical, athletic, friendly, outgoing, determined and persistent. In addition to cognitive and functioning difficulties, sleeping is also of great concern for children affected by FASD.
How Massage Can Help
Growth and developmental issues are key to the diagnosis of FAS, and in research studies of pediatric and infant massage therapy, it has been demonstrated to assist in both. For infants born prematurely, the use of massage has demonstrated a measurable increase in weight for the infants who received the therapeutic intervention. Additionally, when followed to an infant's one year birthday, researchers found that the massaged infants had a weight advantage, as well as, placing 12 to 15 points higher on the mental and motor tests of the Bayley Scales of Infant Development than the infants who hadn't been massaged. Even better, these results have been replicated by at least two other groups of researchers.
Another study was done with full-term, healthy 1 to 3-month-old infants who were given 15 minutes of either massage or rocking for 12 days over a 6-week period. What the group found was that the massage group gained more weight, displayed better face-to-face interactions, improved on emotionality, sociability and soothability, displayed less stress hormones and increased serotonin levels.
Sleep issues are a common complaint for many children with FASD, massage may not only help the child fall asleep quicker, but can often improve the quality of deep sleep. Having adequate amounts of sleep can assist in the child's mood, their behavior and may even decrease hyperactivity. Attention issues are also another key issue for children and adolescents with FASD and research demonstrates that massage increases mental focus and concentration.
While research is ongoing with both FASD and massage therapy, it is important to best understand the child who may benefit from massage therapy and what those indications may be. As a practitioner, it is important to provide the time to complete a detailed intake. A safe environment benefits all clients, but in the case of children affected by FASD you should also consider an environment which is not over stimulating to other senses. Take your time and proceed slowly when introducing touch therapy, as children may experience sensory processing difficulties and may be hypo or hyper sensitive to touch.
While it is a clear that massage is beneficial for many children, those affected by FASD may see some wonderful improvements following the intervention of pediatric massage therapy.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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