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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
August, 2014, Vol. 14, Issue 08
Using Massage to Ease Traumatic Brain Injury Symptoms
By Tina Allen, LMT, CPMMT, CPMT, CIMT
The Brain Injury Association of America states that traumatic brain injury (TBI) is the leading cause of disability and death in children and adolescents nationwide. The age groups most at risk for brain injury are newborns through age four and teens from 15 to 19 years of age.Every year, an average of 564,000 children are treated for brain injuries in the emergency room and 62,000 children with brain injuries are hospitalized. This is a staggering amount of children suffering with chronic symptoms that often do not have a definitive treatment in mainstream medicine.
Definition of TBI
There is a big difference between a bump on the head and a traumatic brain injury. TBI is caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. The severity of a TBI may range from "mild," i.e., a brief change in mental status or consciousness to "severe," i.e., an extended period of unconsciousness or amnesia after the injury. The majority of traumatic brain injuries that occur each year are concussions or other forms of mild TBI.
The results of a TBI can affect almost every aspect of the child's life. Ongoing issues arise through development, many times children appear to look okay and are assumed to be so, but it is not uncommon for educational, behavioral or social problems to emerge years after an injury. With the injury in the rear view, it is harder to make the connection between these issues and the past injury.
Developmental delays or issues in development may not be seen until years following the incident, although they were initially caused by the TBI. Unlike adults, children are still developing, making these injuries even more devastating and potentially crippling in the long term. Scientific research has indicated that TBI in childhood can be followed by a significant decrease in cognitive, social or behavioral skills at the time of injury and also by a later "stall" (possibly years later) during which failure to develop cognitive, behavioral or social skills affects learning and the ability to maintain friends, relationships and a career.
After the accident and initial diagnosis, the patient and family must consider a wide variety of treatment options. This has led many of the 5.3 million Americans living with disabilities resulting from traumatic brain injury to use complementary and alternative medicine.
Massage and TBI
Massage therapy has long been used to ease pain, provide comfort and address cognitive and neurological issues. Currently, there are many massage therapists who focus their practice solely on headaches, sports related concussions and other TBI related issues.
In addition to possible complications with a TBI, the practitioner has other concerns outside of simply following the typical known contraindications and precautions associated with pediatric massage therapy. Children are still developing and have not reached their full cognition levels. This can make communication challenging, until you learn how best to communicate with the individual patient. As always, the therapist should seek guidance from the parents and healthcare team on how to best to seek permission and proceed with safe communication.
A detailed health history and medical intake form should be completed by the parents and any questions should be answered before beginning the session. Physicians, other healthcare staff and parents will look to the massage therapists for careful scrutiny of a child's healthcare needs prior to providing massage therapy, and in devising an effective treatment plan. For a child with medical and healthcare related needs, communication with healthcare personnel provides massage therapists with essential information to develop an effective plan and approach for care.
It is best to understand the specific indications for which massage therapy has been sought, and discuss any concerns with the parents, patient and healthcare team prior to beginning the first session. Each session may not be the same as the last, and so it is best to see your patient as an individual that requires an individual treatment plan and approach at potentially each and every session. There is not one protocol that fits the mold for every child, but with a unique approach, there is great potential to make a beneficial difference.
As we continue to see the rates of traumatic brain injury, and head injury rise, it is important that massage and healthcare practitioners research safe and effective approaches for appropriate therapeutic care.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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