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Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
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.