During summer holidays, I visited a chiropractor in Delaware, U.S.A who uses various modalities independently or in combination in rehabilitation. To achieve a desired outcome, he employs a single modality or combines them to address non-responsive conditions, hasten wellness and maintain health.
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In diagnostic approaches, he uses x-rays, magnetic resonance imaging (M.R.I), comprehensive history of clients and chiropractic analysis to determine the client’s need of chiropractic adjustment (Huslig, 1986). For example, incase of failed chiropractic adjustments (using manual thrusts and hands-on approaches to correct distorted spine), he employs the Thompson drop technique by analyzing subluxation, turning the head at desired angles, applying the Thompson table (Terminal Point) as used in Derifield technique before giving a thrust. He also employs massage therapy to promote muscle relaxation. In most of his cases, nutrition, health education and weight approaches are necessary to correct stress on the spine and other body parts. In other methods e.g. the activator method, he uses body mechanics and balance of forces to correct subluxation (Family, Back and Neck Center, para. 2-5)
He uses chiropractic adjustment for non-musculoskeletal complains like those of visceral origin. Other techniques he employs include electrotherapy by electrically stimulating muscle at a certain frequency and intensity to attain a physiological response (Leach, 1986).
Since musculoskeletal problems may worsen with movement due to stress on other structures, he combines the above methods with orthotic (gadget) modalities. For example, he may prescribe foot orthotics which may be put in shoes to prevent pelvic and spinal distortion and enhance feet to achieve balance during motion. He uses holistic modalities (environmental, psychosocial, physical, spiritual, lifestyle and emotional) to foster a good relationship with his clients (Fitness Wellness Center, para. 1-4).
As a personal trainer, I can be incorporated in his rehabilitation practice in the activator method which uses body mechanics and balance of forces to correct subluxation. I will also fit in other methods such as orthotic use, Thompson-drop technique, flexion distraction and derifield technique. I will also be concerned with weight and dietary modalities to give desired results e.g. increased total body weight due to fat loss and muscle gain, reduced total body weight due to fat loss and muscle gain, constant body weight with fat loss and muscle gain. The above issues will be of concern because of the need to ascertain the frequency, duration, and intensity of the exercises given during rehabilitation exercises (Hatfield, 2005).
As a personal trainer, I learned that it is vital to employ various techniques either in combination or independently to meet my client’s needs. Comprehensive case history of clients is important prior to training as it identifies the risks to which the client is predisposed. Client examination determines the need for training, unlike my previous perception that fitness can only exist in the presence of exercise (Hatfield, 2005). Moreover, risks such as musculoskeletal strains can be minimized by using orthotic modalities in combination with other methods as learned from the visit.
After the visit, I learned that it was crucial for me to employ nutrition, weight and health education modalities to enhance well being of my clients who may be my friends or family. A holistic approach to my family and clients in my practice was a key lesson to foster a good relationship for optimum health. Analysis of various factors (environmental, psychosocial, physical, spiritual, lifestyle and emotional) and handling clients with respect contributes to the well being of the clients.
Family, Back and Neck Center. Web.
Fitness Wellness Center. Web.
Hatfield, F. (2005). Fitness: The complete guide to dumbbell training. International Sports and Sciences Association.
Huslig, E.L. (1986).Hyperflexion sprain of cervical spine. Journal of manipulative physiology, 9, 143-145.
Leach, R.A. (1986). The chiropractic theories: A synopsis of scientific research (2nd ed.). Wilkins and Wilkins.