Palpating Circulation Rhythms for Manual Therapists by Kimberly Burnham, PhD (Integrative Medicine)
Integrative Manual Therapy practitioners, Craniosacral therapists, Osteopathic Manual Therapists and many other practitioners use their hands and palpation skills to find areas of dysfunction and treat them. Recently further validation of palpable rhythms in the body, which can be used to assess the circulatory system have been published.
In a 2006 article entitled "Recording the rate of the cranial rhythmic impulse." in the Journal of the America Osteopath Association, Nelson, Sergueef and colleagues noted, "the rate of the cranial rhythmic impulse can be obtained by both palpation and instrumentation."
The cranial rhythmic impulse has been demonstrated to be synchronous with the Traube-Hering oscillation, measured in blood flow velocity. Their study demonstrates that physicians tend to palpate the cranial rhythmic impulse and Traube-Hering oscillation in a 1:2 ratio.
--Palpable Vascular Motilities and Joint Circulation on LinkedIn Pulse https://www.linkedin.com/today/post/article/20140610021752-39038923-palpable-vascular-motilities-and-joint-circulation
Palpating and Improving Circulation with Manual Therapy by Kimberly Burnham, PhD (Integrative Medicine)
Trauma, compression, atherosclerosis can all contribute to decreased abdominal blood flow, which can contribute to back pain, radiating shoulder pain, dysmenorrhea [menstrual dysfunction], cysts, hematomas [pooled blood] and cancers of the abdominal organs. Circulation problems related to trauma are especially common among athletes. (Holt, J. 2004)
Hypovascularized sites or areas of compromised blood flow are particularly common in the celiac artery. Stenosis of the celiac artery, a branch off of the aorta (the main artery leaving the heart), is found in up to 24 percent of the general population. Many of these people have no symptoms. (Park, 2001)
The most common cause of celiac axis stenosis or a narrowing of the celiac artery is external compression on the artery, according to Park, 2001 in "Celiac axis stenosis: incidence and etiologies in asymptomatic individuals." Atherosclerosis is the second most common cause. Often the compression is caused by the median arcuate ligament, a ligament that comes off of the respiratory abdominal diaphragm. Because the ligament is attached to the diaphragm, the tension on the celiac artery can be release on inhalation or breath in. The arcuate ligament starts as a thickening of the connective tissue of the psoas muscle at the lumbar spine and hip. The medial arcuate ligament goes from either side of the first lumbar vertebrae to the respiratory abdominal diaphragm. A compression in this area can lead to decreased blood flow and back pain.
Massage and manual therapy is often used to decrease pain and tension in the area of the low back, spine, hip muscles, including psoas and the respiratory abdominal diaphragm. Breathing exercises can also help decrease tensions in this area. The most common symptoms of decreased blood flow in the abdomen is back pain and abdominal pain right after eating. Vomiting is another common symptom.
Caution is wise when treating the abdomen as the most common reason for find an asymptomatic stenosis or narrowing of the celiac artery is a scan or diagnostic procedure for some kind of abdominal cancer, liver, stomach, gallbladder, or pancreas. The literature is not clear about whether the lack of blood flow proceeded or in any way influenced the development of the cancer.
Manual therapists use palpation to feel for areas of tissue density, temperature changes and rhythms reflective of circulation. They can use this diagnostic information to treat the soft tissue area of dysfunction. Advanced Strain and Counterstrain (Wheeler, L. 2004 in Massage Therapy Journal) and Myofascial Release (Weiselfish-Giammatteo, S., J. B. Kain, et al. 2005. Integrative manual therapy for the connective tissue system : myofascial release) are two ways to decrease tensions and normalize circulation through the tissue.
In 2000, Arutiunian in "Effects of manual therapy on pain reflex syndromes and various hemocoagulation parameters in patients with ischemic heart disease after surgical treatment", recommended manual therapy after coronary artery bypass surgery (CABS). The researchers concluded, "the addition of manual therapy to the complex of rehabilitation measures in coronary patients early after CABS eliminates postoperative anginal attacks in 70% cases." A year earlier, researchers noted, "pressure on acupoints can significantly influence the cardiovascular system" (Sudmeirer, 1999). A placebo controlled study using a color doppler sonograph, found that reflexology, positively influenced blood flow in the kidneys. Researchers found a "significant decrease of the resistive index during foot reflexology in the verum group indicates a decrease of flow resistance in renal vessels and an increase of renal blood flow."
A 2006 study on vascular surgery concluded, "low back pain was improved by merely performing treatment for the vascular system and might provide support for the presence of vascular backache." (Takeyachi and Yabuki, 2006). Another study recommended manual therapy as part of an intensive rehabilitation program. They concluded, "intensive rehabilitation in combined treatment is shown to improve external respiration function, central hemodynamics, tissue blood flow, sleep, appetite, healing of bedsores, and to enhance cough reflex." (Kachesov, Kartavenko, et al. 2004).
—Originally published at Burnham, K. (2008). "Palpating and Improving Circulation with Manual Therapy." Health and Goodness. healthandgoodness.com/Therapies/imt_circulation.html.
In less than a month I will be attending the 2015 Parliament of Religions. I am especially excited to hear the Dali Lama and Jane Goodall. Recently I received an email from the Parliament of Religions about grant money for increasing social media presence.
"The Parliament is thankful to all those who applied for grants. It was yet another indicator about the vibrancy of the interfaith movement. We learned a great deal. Some organizations which applied actually had larger budgets than the Parliament itself. After reading and evaluating all the applications we settled on 5 organizations which have good plans to grow, were of smaller budget but active. We decided to award them each with the following: 1) A technical consulting grant to train their leadership and volunteers in enhancing their social media outreach. 2) Partial salary for an intern or staff to enhance their social media."
I also get a weekly email from Jewish Jobs and see how many organizations are trying to build their social media presence.
What are things that an interfaith organization or a religious community can do to increase the engagement of the people who are part of their organization, communicate with the larger community, and further peace and understanding in the world around them? Here are some ideas and a check list of questions to get you started.
MISSION and REACH
Determine what your social media goals are and who they want to reach.
What is your message?
Who do you want to talk to?
Do you want to use social media in fundraising?
What are the top 10 keywords that you want to be found for or known for?
BIO—USING WORDS TO PAINT A PICTURE
Once you know what you want to say and how to communicate with people you have to decide where you want to share with them and how you want to engage in the communication process.
Where do you want to send the traffic you get from social media sites like Twitter and Facebook?
What do you want them to do when they get there?
How will you use the bios and profiles to foster community, attract new participants, and engage current families or alumni?
Think about the type of media you want to share and which social media sites feature words, images and videos.
Do you have an article or essays that you want to put on a popular blog?
Do you have images that would bring people to your website from Instagram, Pintrest, WeHeartIt and other primarily visual sites?
Do you have videos of teachings, lectures or conference presentations that would be great on YouTube, Vimeo, attached to LinkedIn, SlideShare, and more?
Do you have multimedia capability on your website?
Are you focused on a certain age group? Is your community more of a Facebook community or a Snapchat community?
Set up bios and profiles on social media. On Twitter you have 140 characters to share your message. Facebook, GooglePlus and Pinterest have several sections with larger word counts of space for you to share your message, mission, and links back to your website. LinkedIn has virtually unlimited space to share your message. If members of your leadership or the organization itself have a book or anthology on Amazon, there is nearly 4000 words worth of space for sharing your message on an Amazon author's page and book page.
Do you have a well edited version of your organizations mission written out in different lengths?
Do you have a book?
BLOGGING and GUEST BLOGS
Blogs, online magazine, and news services of course have 500 to ... words worth of space.
Do you have a blog or can you do guest blogs on related sites?
Who in your organization will write the blogs?
Who will upload, post them and share them on social media?
Are there other institutions, universities, or other organizations that would want to share on your site, while you share on their site?
Will you blog about community events, life cycles events, and local news?
Frequency of posts can also be a consideration.
How often can you post on one site?
Will you post the same or different content on several different sites?
For a monthly $300 plus depending on frequency, the Creating Calm Network will:
1. Do initial set up of social media accounts.
2. Post daily content on six to fifteen different social media sites, including:
3. Create content for blogs and cover events for your organization.
4. Create connections for your organization online as well as in the local community through set up of events at bookstores, food stores and other faith groups.
BOOK PUBLISHING PROJECTS
Is there a Book in your organizations future?
We can also lead a project to create an anthology for your organization including, working with members on their essay, editing, and then talking the completed Word document through the publishing process and making the print book and eBook available on Amazon. Follow up on the published book includes launching it and posting on social media for three months after completion. Start Here
Kimberly Burnham, PhD (Integrative Medicine)
860-221-8510 phone and what's app. Skype: Kimberly Burnham (Spokane, Washington)
4 Month Brain Health Coaching Package $600 includes: 8 one hour session (twice a month) plus ... Details Here
Regular Rate $120 per hour
Free 20-30 minute consultations available.. Call 860-221-8510 PST or email NerveWhisperer@gmail.com for an appointment this week.