resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
A Tale of Three Dance Books
"There are three steps you have to complete to become a professional dancer: learn to dance, learn to perform and learn how to cope with injuries." – D. Gere, 1992.
Kinesiology comes literally from the Greek words kinesis (movement) and logos (a story, speech, or study); thus, the study of movement, particularly movement of the human body. When I look for books about kinesiology, I want to see a fair emphasis of content about movement along with the more static information on specific muscles, attachments and structure. What I'm highlighting in this month's column are three books, one more basic, one that extends into details and one that touches on spatial awareness in how we move. Interestingly, all three books have a background in dance.
The more basic book is Blandine Calais-Germain's, Anatomy of Movement. As the title suggests, its focus is on anatomy. Yet, written by a dancer, it is not your standard anatomy text. Filled with numerous line-drawings, it details muscles and the movements they create. One feature I especially like is that it depicts anatomy with the human body not in standard anatomical position, allowing the reader to gain a better perspective of the body and muscles as they are used.
Moving to a more detailed text with substantial kinesiology, Karen Clippinger provides a presentation that is both elegant and concise in Dance Anatomy and Kinesiology. The chapters on specific areas of the body are comprehensive, covering the muscles, movements, common injuries, some assessment tests and exercises for strength and flexibility. They are illustrated with good quality black and white photos and drawings. It is the general chapters that have gained my greatest appreciation.
The opening chapter on the skeletal system is a thorough introduction to types of joints, types of attachments, planes of movement and terminology for all of the above. A lot of the information is summarized concisely in tables. Beyond this, there are discussions of joint stability and mobility, closed and open kinematic chains, and degrees of freedom of joints.
The following chapter on the muscular system includes a clear presentation of a visco-elastic model of tissue properties, including components both in parallel and in serial with the contractile component of a muscle. There's a good discussion of types of muscle contractions: dynamic, isometric, concentric and eccentric. There's good coverage of types of levers and of mechanical advantage. The various roles a muscle can play are pointed out: agonist, antagonist, synergist, stabilizers and force couples. Finally (but not exhaustively), there's discussion of the line of pull of a muscle and of deducing muscle actions from the attachments. I greatly prefer this approach to simply having students memorize all three of both attachments and the action without understanding the relationship between them.
In the final chapter, Clippinger returns to the whole body after covering specific areas. Now it's time for anatomical movement analysis, discussion of posture and covering gait analysis. It's a moving conclusion to a thorough and very readable text.
The third book I want to review is Constance Schrader's, A Sense of Dance, which was written to be an introduction to use of your body for movement and, in particular, dance. As such an introduction, it looks both at people having cultural and family "home bases" of movement patterns and at characterizing movement in terms of time, space and effort. Time includes concepts of tempo, beat and rhythm. A person's relationship to the surrounding space includes vertical level, shape, direction, dimension (relative size), perspective and focus. It also includes the four interpersonal spaces which we use to structure our lives: intimate, personal, social and distant. The concept of effort can be characterized as involving energy, ease, motivation and struggle against resistance. As an instructor primarily of sports and deep tissue massage, focusing on alleviating restrictions of movement and facilitating ease of movement, Schrader's writing has given me tools to analyze what I see, both physically and from the perspective of a psychology of movement.
To complete the tale, all three of these books provide high value of content in a very practical format. I've enjoyed all three and drawn from all of them in my teaching. As those from a culture of substantial understatement would say, you could do worse.