resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
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.
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.
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.
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.
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.
Industry News for Performance Health
Two Studies Validate the Effectiveness of Novel Tennis Elbow Exercise Using Thera-Band® FlexBar®
Akron, Ohio - September 14, 2010 - A simple and novel exercise using the Thera-Band® FlexBar® has been found to be effective at reducing the pain associated with chronic lateral epicondylitis -- a.k.a. tennis elbow. Two recent studies support the effectiveness of this inexpensive treatment.
The first study, published in the September 2010 issue of Journal of Shoulder and Elbow Surgery1, measures the effectiveness of an exercise that utilizes the Thera-Band® FlexBar® exerciser, a flexible bar designed for wrist, forearm and hand rehabilitation. The study was conducted by researchers from the Nicholas Institute of Sports Medicine and Athletic Trauma in New York City.
"With up to three percent of the population suffering annually with tennis elbow -- a condition attributed to racket sports but can occur from simple everyday activities -- we felt this population deserved an inexpensive and at-home treatment option to in-clinic machine-assisted or injection treatments," stated Timothy Tyler, PT, ATC, and lead author of the study.
A second study was conducted to investigate the electromyographic (EMG) activity of the wrist extensors and flexors while performing the exercise. An EMG is a method of evaluating and recording the electrical activity of muscles at rest and during contraction. This pilot study was completed by Andre Labbe, PT, MOMT, and presented at the 12th annual Thera-Band Research Advisory Committee (TRAC) meeting that was held July 19-21, 2010 in Athens, Greece.
"Tim's exercise is perfect for lateral epicondylitis and now we know the firing pattern of the involved muscles," added Andre Labbe. "An EMG study supports the validity of an exercise, which is critical when the exercise is being used in clinical treatment."
Tyler's study involved 21 patients who had reported chronic symptoms of tennis elbow for at least six weeks, but had no prior surgical treatment for it. The patients were separated into two groups; everyone in the study received standard physical therapy (PT) for seven weeks. Additionally, the FlexBar test group performed a novel exercise, the "Tyler Twist". This exercise involved eccentric (muscle contraction while lengthening the muscle) wrist extension using the Thera-Band FlexBar. The study showed that the patients performing the FlexBar exercise along with the standard treatment had significantly greater improvements in strength and pain.
"Although this study is limited by its small sample size, its findings revealed a practical and inexpensive at-home treatment that does not require direct medical supervision and has no significant side effects," continued Tyler. "The 'maximal' efficacy of this new treatment would thus likely compare favorably against anything else available and could lower healthcare costs."
Labbe's study involved five healthy subjects who conducted the "Tyler Twist" exercise while being analyzed by EMG test equipment. Data was collected from the wrist flexors (flexor carpi ulnaris and flexor carpiradialis) and extensors (extensor carpiulnaris and extensor carpi radialis). An inclinometer was also placed on the dorsum of the hand to measure range of motion (ROM) of the wrist during the exercise. Each study participant used the red (light resistance) FlexBar and performed five repetitions. The resulting EMG activity reports indicated that the success of the exercise could be due to its ability to activate and strengthen the extensors.
"EMG studies make clinicians aware of muscle activity so that diagnosis-specific exercises, such as this one, can be developed and utilized in treatment, including exercises that may reduce the patients dependency on pharmaceuticals or eliminate the need for surgery," commented Labbe. "While our EMG study suggests that the FlexBar exercise is doing exactly what it needs to do to be successful in treating tennis elbow, we need to replicate this pilot study on actual patients with tennis elbow."
Timothy Tyler is a physical therapist in private practice in New York City, New York. He is also a Research Associate at the Nicholas Institute of Sports Medicine and Athletic Trauma at Lenox Hill Hospital. Andre Labbe, PT, MOMT, is the owner and physical therapist at A & K Physical Therapy, and regularly lectures around the world. Both Tyler and Labbe serve on the Thera-Band Research Advisory Committee (TRAC).
Performance Health / Hygenic Corporation (www.thera-band.com) provided the FlexBars for the study, but did not fund these studies. The studies and abstracts can be viewed at www.thera-bandacademy.com
Hygenic / Performance Health is a leading designer, manufacturer and marketer of a broad portfolio of products for the therapy, rehabilitation, massage, wellness and consumer retail markets. Maker of market-leading Thera-Band®, Biofreeze® and Perform® products, Performance Health / Hygenic Corporation provides evidence-based protocols, education, turn-key dispensing and pain management solutions.