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Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
February, 2001, Vol. 01, Issue 02
Will Research Prove Our Point?
By Ralph Stephens, BS, LMT, NCTMB
There is a belief in the massage profession that research is needed to validate massage and gain acceptance from the medical industry. Some feel the public will participate in greater numbers if research "proves" the efficacy of massage.These are false assumptions. The number of people paying for massage out of their own pockets has doubled in the last three years (from 8% to 16% of the population), proving that massage works.
Research is a business. Thousands of people make their living doing research. To expand their business, they have promoted the notion that nothing is valid until it is proven with a double-blind study. This is a lie, but it has become accepted as truth. The truth is, double-blind studies are a mechanism to restrict entry into the marketplace. One of the primary places the double-blind research industry has established itself firmly is in the field of human health. This is unfortunate for both humans and health.
The medical/pharmaceutical industry, the third leading cause of death in the U.S., uses double-blind research to control the marketing of products and procedures. According to their agents, nothing is valid without a double-blind study. If something goes wrong, they say, "We did a study that shows this is OK." If some "new" product, like an herb, or a procedure, like massage, is offered to the public, they will attack it and attempt to suppress it by saying, "There is no valid research to prove this." It doesn't matter that the herb has been used for hundreds of years with consistent success. It is irrelevant that massage has been a predominant health care system for thousands of years.
If enough research is done to prove massage is valid, massage will be accepted at last. Maybe those gleaming insurance dollars will come to therapists who are drooling over them. Sorry, you do not understand research.
You can prove almost anything with a double-blind study. Studies can be created to prove almost anything causes cancer. Alter the diet of the subjects, put them in the right environment - and presto - whatever is being tested causes cancer, especially in rats. It can be proven that virtually everyone who has gotten cancer has eaten lettuce sometime in their lives!
Invalid research? No. Under a certain set of circumstances, a certain thing being tested can cause a certain result. Unfortunately, we are seldom told all the circumstances. We are just told the desired outcome.
"Oat bran doesn't lower cholesterol." We were not told that the test subjects had normal cholesterol levels and high blood pressure in that study. Of course oat bran didn't lower cholesterol in people with normal levels. This study was used to counteract the study that proved oat bran did lower cholesterol, in people with high cholesterol and high blood pressure. Confused? Good, that's the idea. What do confused people do? Nothing. They avoid the cheap, nontoxic nutritional remedy and, in this case, go back on the drugs like good patients.
The research industry keeps itself busy by replicating results. If someone proves something that is not desired, the establishment says, "One study doesn't prove something. You have to wait until others have replicated your results." Now another study must be funded, and another, and another. Then someone else will conduct a study and set it up in such a way to disprove the initial study. Research will never bring about the acceptance of something the establishment doesn't want accepted. Research will always bring about the acceptance of anything the establishment wants accepted (i.e., aspartame.)
Massage is particularly difficult to research. It is difficult to control all the possible variables, and there are many different massage techniques to use. A study was done that supposedly disproved the theory that sports massage reduced lactic acid in athletes after competition. The study was done by a college that has no expertise in massage. There were no sports massage therapists in the area. Who did sports massage on the subjects? That didn't seem to matter. The press ran with it. There are lots of great massage techniques that, even if done by experts, would not reduce lactic acid levels. Further, the appropriate techniques, if done incorrectly, would not work either. Double-blind research may be too blind.
The point here is not to argue against the massage profession supporting research. There is much to be learned by double-blind research. Excellent research is being done by Dr. Tiffany Field (of the Touch Research Institute), among others. Their should be commended and supported. However, we need to remember that if the results become threatening to the medical/pharmaceutical industry, they can and will be easily disproved.
Research may be a huge potential danger to the massage profession. If studies done by well-trained massage therapists indicate benefits from massage, the public will go to therapists expecting to receive those benefits. Unfortunately, there are so many poorly trained therapists out there that most of the public will be disappointed. This has the potential to cause a huge backlash against our profession. If capitalized on by opposing forces, it could set massage back years in efforts to legitimize the profession in the eyes of the public.
Let's not pour every available dollar into research, hoping it will legitimize massage. It won't, in and of itself. What will legitimize the profession is the public receiving consistent, high-quality services from well-trained professionals. We must work to establish more consistent levels of education and expertise at the entry level. Continuing education in advanced levels of massage therapy should be encouraged, if not mandated.
Only when the public can receive similar benefits to those proven in studies will research become an effective marketing tool to the public. It will never be an effective means of gaining acceptance from the medical/pharmaceutical industry. The public has already voted positively on the efficacy of massage. If we as a profession work to meet the public's expectations, we will be unstoppable. If we work to prove ourselves to the sickness industry, it may well be our downfall.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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