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The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
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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