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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Industry News for Performance Health
First Step to Active HealthÂ® Exercise Program Improves Functional Fitness of Older Adults
Low cost Thera-Band® exercise program as effective as high-intensity exercise protocols and high-cost equipment.
Despite the wealth of evidence demonstrating the benefit of exercise for older adults, physical inactivity levels remain high due to several barriers including a lack of toolkits that provide evidence-based programs. The First Step to Active Health® exercise program, which uses a red Thera-Band® Exercise Band, addresses these barriers and a recent study by researchers at the University of Pittsburgh validated its effectiveness.
Pamela Toto, PhD, OT, and fellow researchers tested a ten-week exercise program with 15 community-dwelling older adults from low-income households in Pittsburgh(1). “We chose the First Step to Active Health intervention because of its low-cost design, incorporation of self-efficacy-enhancing activities, and inclusion of self-assessment and goal-setting features linking the exercise program to Activity of Daily Living (ADL) measurements,” stated Dr. Toto. “We are very pleased with the results of this study that showed that the seniors significantly improved their ADL measures and functional fitness on all six components of the Senior Fitness Test.”
The exercise program included group sessions in the participants’ apartment buildings and a home exercise program component. The team employed the EASY Screening Tool to screen individuals who might be at risk for adverse events during exercise. Each participant received a First Step to Active Health kit including a Thera-Band elastic resistance band. The exercise protocol included five to ten minutes of cardiovascular warm-up, 11 upper body and lower body strengthening exercises, six balance training exercises using a chair for support, and eight flexibility exercises as cool-down. Participants increased their sets, repetitions and resistance as the program progressed.
The study finished with 70% percent of the participants completing the First Step program and an adherence rate for the entire group at 90%.
“The American College of Sports Medicine recommends a well-rounded exercise program for older adults including strength, cardiovascular, flexibility and balance activities,” stated Dr. Phil Page, Director of Clinical Education and Research for Performance Health. “Thera-Band products have been successfully used in many published studies of older adult exercise programs and continue to be the go-to-product for therapists, physicians and researchers when addressing the issues of inactivity and compliance with exercise programs.”
The researchers concluded that the First Step to Active Health program can be as effective as high-intensity exercise protocols and high-cost exercise equipment. “Our study indicates that gains in physical performance can also be achieved with low-cost equipment and an exercise program of a lower intensity, which may be more acceptable and sustainable in this population,” continued Toto. “While there was no control group and a small homogenous sample for this pilot study, the results of this study are promising for future research.”
About the Academy
The Thera-Band® Academy was formed to scientifically document the benefits of resistance exercise and pain relief, guide the company in its development of new products and exercise programs, and to promote therapeutic exercise and pain management through professional and consumer education. The Academy web site is a unique resource that connects healthcare professionals and consumers to the ever growing body of knowledge on exercise. Registration is free and provides access to the largest database of rehab exercises, protocols, research and education in the world.
About Performance Health
Featuring leading brands like Thera-Band®, Biofreeze® and Pedigenix®, Performance Health offers a broad portfolio of products for the therapy, rehabilitation, wellness, massage, podiatric and performance markets. In addition to market-leading products, Performance Health provides practice building support, evidence-based protocols, clinical and product education, turn-key dispensing and pain management solutions.
Senior Fitnes Test - The Senior Fitness Test manual as developed as part of the LifeSpan Wellness Program at Fullerton University, by Dr. Roberta Rikli and Dr. Jessie Jones. As such, the test is sometimes known as the Fullerton Functional Test. It is a simple, easy-to-use battery of test items that assess the functional fitness of older adults. The test describes easy to understand and effective tests to measure aerobic fitness, strength and flexibility using minimal and inexpensive equipment.
EASY Screening Tool - The development of EASY Screening Tool was recommended by participants attending a Roundtable Meeting on the Role of Pre-Activity Participation Screening in Older Adults held March 2005 in Washington DC. Several multidisciplinary experts worked together to translate existing science into a practical tool that could be used by health care providers, older adults, and physical activity program managers.
1. Toto PE, et al. Outcomes of a multicomponent physical activity program for sedentary, community-dwelling older adults.J Aging Phys Act. 2012 Jul;20(3):363-78. Epub 2011 Dec 20.