2009 SEMINARS spine. Make certain you talk here. Mom needs to know how this whole thing works – so talk! This is not the time to be quiet! But don’t talk about the weather, or sports, or the wonderful weekend you have had. Talk to mom about her daughter! Have mom stand in front of her daughter and have her place her hands on her daughter’s neck. Place your hands over hers and palpate through her fi ngers – it is important mom feels what you feel. This gives your examination a sense of reality. Think about this for a moment: how do you explain what you mean when you say that this child in front of you has a sub- luxation. What exactly does that mean to the average parent? Do they fully understand it? Or do many parents simply agree with you because they do not want to appear “stupid”? Make certain mom feels what you feel and is in agreement To register for any of The Orthotic Group Seminars please contact us at 1-800-551-3008. THE ORTHOTIC GROUP seminars are an excellent way for Healthcare practitioners to gain a deeper understanding of custom orthotic therapy, lower limb biomechanics, gait analysis and medical grade compression therapy. It is our commitment to provide you with educational forums that offer up-to-date information from a clinical and business standpoint. November 13th Advanced Foot Biomechanics & Custom Orthotic Therapy & Gait Analysis -15th with you. MORE AREAS TO EXAMINE – Markham, Ontario Next, have this cute munchkin hold onto her shoulders as you motion-palpate her thoracic area. Make certain mom can see and feel what you are fi nding – that is the key. Remember, we are working with establishing reality here. Have the child lie down on her back. Remind mom that the right side of her daughter’s pelvis is working “overtime” and the left side is not working enough. (Remember?) You may notice that the muscles of the tensor fascia lata (TFL), or the illiotibial band, will be hypertonic on the side of hypermobility – usually the right side. This is a protective mechanism in order to limit the move- ment of the right illium. At the same time though, the TFL will cause a subluxation of the right tib-fi b articulation and a refl ex spasm of the muscles of the anterior compartment of the lower leg. Again, make certain that mom can feel what you feel and compares this to the left side, which should be nice and relaxed. The right medial aspect of the deltoid ligament at the ankle may also be taut and will be very painful on light palpation – mom should agree with you. If there are fi ndings in many of these areas, you are seeing Dr. Kim Ross B. SC., M.Sc., D.C., Ph.D. Biomechanics Dr. Alan Lustig, D.P.M. THERAFIRM Compression Therapy Seminars THERAPEUTIC GRADIENT COMPRESSION HOSIERY September 11th November 20th – Toronto, Ontario – Toronto, Ontario ® the results of the PDSC, a series of cascade events which can slowly erode the health expression of the child in front of you. Your mission is to wipe out this erroneous programming. Palpate the costo-sternal junction and in cases of early spi- nal curvatures,you’ll fi nd this area very tender to touch – one of the fi rst indicators of the beginnings of scoliosis. Have the little girl turn over onto her stomach and do the Suzie Kalman, OT, PT 160 Markland Street Markham ON L6C 0C6 Canada t. 800.551.3008 f. 877.551.3001 www.theorthoticgroup.com 34 • CANADIAN CHIROPRACTOR | JULY/AUGUST 2009 Deerfi eld leg check. Have mom see what you see and have her agree with your fi ndings, if you have any. Again, mom’s agreement is crucial. Palpate the child’s spine and tell mom what you are find- ing. It is important to relate what you fi nd to the child’s com- plaints, if any. Your examination is now complete and you are now ready to perform scans. Parents need to see proof of what you are fi nding and how it is impacting their child’s health. The explanation is simple: “I’m checking to see how her nervous system is controlling her internal functions.” Most parents are totally OK with that explanation – it’s simple.• For article with references, visit www.canadianchiropractor.ca www.canadianchiropractor.ca
Chiropractic + Naturopathic Doctor July/August 2009: Page 34
