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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
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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