resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
February, 2016, Vol. 16, Issue 02
Understanding the Seven Senses in Pediatric Massage
By Tina Allen, LMT, CPMMT, CPMT, CIMT
When we are born, we go through a series of changes which lead into our adult life. From growth and physical development, to a myriad of sensory experiences, which help to form who we are and how we take in the world.Some children's senses integrate at a different rate, and they may experience what is known as inefficient sensory integration. When too much information enters the brain and nervous system, the child may be unable to cognitively process what is happening. In simple terms, they may not be able to filter input in the same way as another child. Carol Kranowitz, has helped to define three causes of poor sensory integration:
Just as we would adjust our session for each adult client, we would do the same for children. However, for those with sensory integration differences we need to take into consider all seven senses when making such adjustments.
The proprioceptive system is the unconscious awareness that tells us our body position relative to other body parts and to the environment. This system provides information that helps a child understand movement and touch. This unconscious sense contributes to the development of motor planning which aids us in movement and action. In many cases, when we receive appropriate propriopceptive stimulation, hyperactivity tends to decrease. It is rare that proprioceptive input would cause an overload the nervous system and cause anxiety.
The proprioceptive system is connected with both the tactile and vestibular systems. Tactile-proprioceptive (somatosensory) is the simultaneous stimulation of touch and body position, while the vestibular-proprioceptive perception is the simultaneous awareness of head and body positions while moving in the environment.
For children, receiving even pressure during your therapeutic session can not only be received as calming input, but can provide much needed proprioceptive input. Using still hands placed on the body in a consistent and routine pattern, can often be much more calming for children, as opposed to lots of continuous and non-patterned gliding motions.
The vestibular system is the sensory system that responds to the position of the head in relation to gravity. The neck, eyes and body adjust constantly with movement of the body. In general, stimulation of the vestibular system does not cause any conscious sensation, although some low frequency stimulation may cause nausea, dizziness or rhythmic eye movements.
There are two main components of the vestibular system, which include:
For children with vestibular differences, positioning during your session becomes important. If we ask a child to lay or sit in a position that causes them to be off balance, we may create an uncomfortable environment. Movement should be slow and strategic, which includes any movement from therapy mat to chair to massage table.
The sense of touch is critical in helping us to function on a daily basis. For all children, receiving repetitive and consistent tactile stimulation is necessary. Tactile stimulation helps to keep us organized and functioning. Through our sensory receptors, we feel sensations of pressure, vibration, movement, temperature and pain. Just as the vestibular system has two components, the tactile system does as well.
The protective system is a more primitive component that alerts us when something potentially dangerous is touching our bodies. The body reacts against the environment to protect itself from being harmed by evoking a fight or flight response while at other times will simply alert the nervous system.
The discriminative system is more advanced and provides us with details about touch such as, the pressure, texture, and area where the touch is provided on the body. A successful tactile system depends on a balance between both the protective and discriminative systems. When this system is not balanced tactile defensiveness or under-responsive tactile discrimination results.
With touch therapy, we have a variety of options to help create the best session. We can use lubricant, or not and we can use a variety of tactile tools, puppets and textures. Spend the time to really find out what is best for each individual as far as pressure, movements and use of lubricant.
This system is responsible for our sense of smell and ability to detect odors in our environment. For some children, they may have a heightened sense of smell that can lead to a fixation in wanting to smell a particular scent, or the opposite, an aversion to a distinct odor. With this is mind, it becomes even more important to create an unscented environment for pediatric clients and patients. Particular caution needs to be extended to the use or introduction of any essential/aromatherapy oils. Using such oils is not advised with children unless you have significant training in the area and know that you are using a quality oil.
Eyesight is only one component of vision, however there are four other components that are also influenced by the vestibular system that do aid in visual processing. The four components attributed to vision include:
Providing an environment free of overwhelming visual stimulation is key. If there are too many busy patterns, if the room is too bright (i.e. pediatric dentist office), you may have a child who becomes overwhelmed visually and cannot calm to receive touch therapy well. You are often better served with a simple, plain environment or a single visual focus.
Audition involves both the process of "hearing," as well as the process of what is being heard. The act of hearing is not to just physically to detect sounds, but also to integrate and assimilate the sound information received by the environment. Audition is also associated with the vestibular system.
In our work then, the standard massage environment set up with classical music or those containing animal sounds, may not be as soothing to a client with auditory processing differences. Music choices, or the lack of, should be considered when creating the best environment for a pediatric massage to take place.
One of the very first ways we explore our environment as an infant is through the action of bringing items to our mouths. The compact presentation of tactile receptors in the lips, mouth, tongue, cheeks and gums are all stimulated and give us information about the object. As we grow, we continue to depend less on oral stimulation to understand our environment, however, this sense still plays a strong role in our daily functioning.
As therapists, we need to observe children for biting, grinding and other oral behaviors which may be an indication of possible anxiety, or self stimulation of the oral cavity. Providing targeted massage can often address a need for oral stimulation whether extra-orally, or intra-orally by trained providers.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.