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What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
July, 2008, Vol. 08, Issue 07
Getting Comfortable With Postural Analysis
By David Kent, LMT, NCTMB
We all recognize the importance of getting our cars serviced regularly so they run at their optimal level. Not surprisingly, the same is true of the human body. In fact, there is a very useful car-related analogy we can use when it comes to describing postural analysis: front-end alignment and wheel balance.
The word posture is derived from the Latin verb ponere, meaning "to put or place." The word analysis comes from the Greek word analyein, meaning "to break up." Therefore, postural analysis is simply the process of "breaking up" the body to determine where it should be "put or placed." This article reviews body positioning for the purpose of taking a standing (static) postural analysis so you can custom-design your clients' therapy sessions.
When a vehicle's alignment is off, it manifests as uneven tread wear and loss of tire life. Likewise, when a car's tires are not balanced properly, ride quality is diminished, tire life is shortened, and bearings and shock-absorber performance suffer. When one's posture is off, the human body also experiences a range of problems: restricted range of motion, pain, organ dysfunction, and joint, tendon, ligament and muscle stress, to name a few.
The body, like tires, has an ideal position. It also must be balanced to run smoothly and last a long time. For a mechanic to assess and adjust the front end of a vehicle, they must first check wheel positioning for deviations from the norm. To do this, they set the wheels in a standard position and conduct an evaluation. In massage terms, this is the equivalent of taking a postural analysis. A mechanic's objective findings also are reported in terms we can relate to the body. For example, what the mechanic refers to as "toe-in or toe-out" is what we call "internal or external rotation." What a mechanic calls "camber," we call "tilt."
When we report to a mechanic that the tire tread on our vehicle is wearing unevenly and the steering wheel is vibrating, we have given our subjective complaints. The mechanic hears this complaint frequently and knows exactly what needs to be done. Before they can conduct their evaluation, however, they need to use the proper equipment to access and design a repair plan according to the car model's specifications.
In the same way, clients often make subjective complaints to us about headaches and neck and back pain. Just like a mechanic, we need to use the proper equipment to access and design a customized therapy session to meet each individual client's needs, focusing on both short- and long-term goals.
The "manufacturer specifications" for the human body include the anatomical planes that show us the ideal positioning of joints and bones. While individuals are not expected to be positioned perfectly, we want to facilitate the best posture possible through massage therapy. According to Muscles: Testing and Function, "Ideal skeletal alignment ... involves a minimal amount of stress and strain and is conducive to maximal efficiency of the body." Moreover, "the intersection of the sagittal and coronal midplanes of the body forms a line that is analogous to the gravity line. Around this line, the body is hypothetically in a position of equilibrium. Such a position implies a balanced distribution of weight, and a stable position of each joint. When viewing a posture in a standing [position], a plumb line is used to represent a line of reference. ... Since the only fixed point in the standing posture is at the base where the feet are in contact with the floor, the point of reference must be at the base," or the foundation of the body.1
Whether you work in spa, clinic, medical office, fitness center or some other venue, there are certain things you must do to conduct an effective postural analysis.
Postural Analysis Checklist
[ ] Hang a plumb bob approximately 3 feet in front of a postural analysis grid chart. The plumb bob should be approximately a quarter inch off the floor.
[ ] The client should be:
[ ] Position the feet in relation to the plumb line:
Now, stand a few feet back from the plumb line. Using a digital camera, move from side to side (right to left) until the plumb line is lined up with the center line of the grid chart. Take a photo of the client and make any necessary notes for your objective findings.
We all know the saying "A picture is worth a thousand words." In images #1 and #3, it's easy to see how the right shoulder is higher then the left. We see the torso and head are to right of the mid-saggital plane. In the image (#4 and #6), it's easy to see the forward head posture and the right shoulder posterior to the coronal plane. These deviations have numerous origins. A muscle-movement chart will help quickly determine which muscles are shortened and which ones are lengthened, helping you design a customized treatment plan.
There are many advantages of taking postural photos including:
When you take the time to administer a precise posture evaluation for your clients and devise a customized treatment plan, you will gain their respect and earn a reputation as a top massage therapist. Your clients also will appreciate how you utilized the information to educate them.
Don't let the idea of conducting a postural analysis intimidate you. There are many things we do every day that we once learned to do for the first time. Once you get comfortable with posture, it will be easier to think about each client as an individual and know how to develop special treatment plans for each person. Over time, posture analysis becomes easy - second nature. You just need to start doing it.
Click here for more information about David Kent, LMT, NCTMB.
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