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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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