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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
December, 2015, Vol. 15, Issue 12
Pediatric Massage: A Collaborative Approach with Occupational, Physical and Speech Therapy
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Pediatric massage therapists often work as part of a comprehensive multidisciplinary and integrative health care team alongside other health professionals such as occupational therapists, physical therapists and speech therapists.In order to best collaborate, it is important to know what each professional does and how massage therapy can aid in their treatment of pediatric patients.
The role of an occupational therapist tends to focus more on evaluating and improving a child's functional abilities. An occupational therapist often does not directly treat a child's injury using techniques such as manual therapy, but more commonly helps a child optimize their independence and their ability to accomplish their daily activities following an injury or in situations of physical impairment.
Under their scope of practice, occupational therapists (OTs) do use some simple tactile therapy techniques to warm and soften tissues prior to their interventions, but not to the extent of the pediatric massage therapist. Having a child receive a massage prior to their occupational therapy session can often help with decreasing anxiety, sensory integration, body awareness, calming and focus, which can improve the outcome of the occupational therapy session.
The physical therapy profession (also called physiotherapy in many parts of the world) tends to be more focused on evaluating and diagnosing movement dysfunctions, as well as treating a child's injury. This type of therapy is used as treatment to help a child move his or her body. Often times, physical therapy helps children who have been injured or who have a physical difference or particular diagnoses, such as cerebral palsy. The physical therapist will be more likely to diagnose and treat the physical source of the problem; the injured tissues and structures.
When a physical therapist works with a child, they often use gentle stroking to warm the muscle group they intend to treat with range of motion, stretching and exercise protocols. When a pediatric massage therapist is co-treating with physical therapy, they often treat the child prior to the physical therapy session. This is a good approach, as it can help prepare the child's muscles and soft tissues to be softened and warmed, while relaxing and calming the nervous system. When muscles are softened prior to stretching and exercise protocols, they are often more effective. After a child has received a pediatric massage session, they are often in a good state of mind, and body readiness to best receive their other therapies.
Speech and language therapists work closely with infants and children who may have various levels of speech, language and communication problems, and also with those who have swallowing, drinking or eating difficulties. Many times, speech therapists and speech language pathologists use touch therapy as a method of waking up the nervous system, aiding in oral-motor function and opening the airways to create clear pathways.
Massage therapy can play a large and significant role in helping children in preparation for speech therapy by warming the soft tissues, relaxing tense areas in the body and facilitating deep breathing patterns and improvements in respiratory function.
Additionally, not all speech language pathologists have training in the use of manual therapy techniques. Preparation of the muscle and fascia tissues prior to initiating feeding and speech activities can require a significant amount of the therapy session time. Massage therapy provided before a therapy session could significantly reduce the amount of time the speech language pathologists may need to achieve release of tight or restricted tissue and spend more of the allotted treatment time focusing on functional activity.
Overlap Between Professions
As each healthcare professional working with pediatric clients and patients uses some form of tactile intervention or touch therapy under their scope of practice, there are often concerns of overlap between therapeutic roles. Having a better understanding of knowledge base and your professional scope of practice can help facilitate a conversation of collaboration between these professionals. Each healthcare professional has unique strengths and abilities to help each other, so children benefit from the most comprehensive and integrative care. When we collaborate together we participate in a comprehensive and well rounded treatment plan for the pediatric clients under our care.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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