resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
December, 2001, Vol. 01, Issue 12
How People Learn
By Keith Eric Grant, PhD, NCTMB
Like those who dress as giant salmon and run the San Francisco Bay-to-Breakers from finish to start, I sometimes find myself going against the accepted flow. The impetus this time was provided by a colleague's statement attributing the growth in the use of massage to a certain "standard of training," and also expressing a fear that all of the "good work" could be undone by a loosening of standards.
While I am a staunch supporter of using marketing and public education to reach out and touch as widely as we can with massage, I believe that both the credit and the fear are unfounded. Even more akin to my symbolic salmon, I believe that much of the current push for "standards of training" is founded on a flawed educational model of how we learn.
The Foundation on which Massage Has Grown
Statistics on sports participation indicate that one of the most important trends to begin in the 1960s was "a new focus on self-fulfillment and a heightened awareness in self-improvement - an outgrowth of which was a budding awareness of personal health and physical fitness."1 This shift in attitude entered the mainstream in the 1970s, resulting in the running boom at the end of that decade with a subsequent spread into other activities. The overall growth of physical activity participation flattened in the 1990s, with activities in health clubs growing at the expense of other venues. In short, during the 1990s there was a shift toward seeking external motivation and facilitation, a shift synergistic with increased utilization of massage. Couple this with the observation that 23% of current health club members are at least 55 years old, a 379% increase since 1987.2
There were two other concurrent cultural themes that I believe changed attitudes in ways that had major positive impacts on massage utilization in the United States. The first was that U.S. athletic organizations were forced to respond, however reactively, to the widespread use of massage by foreign competitors. The second was the dramatic increase in sports participation by girls and women following the 1972 enactment of Title IX.10,11 To a great extent, growth in massage has ridden on the groundswell of the increasing number of women with a positive history of physical activity, and the shift in expectations that they have created.
Teaching for Understanding
There are those who advocate the requirement of a seemingly ever-increasing number of hours of education as a prerequisite to entering the massage profession. If the motivation for this advocacy is to produce corresponding increases in practitioner competency, such requirements are of sadly limited benefit. Educational research over the past 20-30 years compellingly demonstrates that learning in the classroom context often leads not to usable understanding, but only to the ability to successfully answer test questions 3,6,7,8,9. Study after study has found that, by and large, even the best students in the best schools can't take knowledge learned in one setting and apply it appropriately in a different setting.3,4,9
Within the academic setting, students can learn to be successful with short-term memorization and use of "right-answer" cues. In contrast, actual practice requires very limited memorization of facts. The massage practitioner must have the deeper understanding required to find information as needed and then to be able to use it to make therapy decisions in the face of ambiguity. Research indicates that the environment that seems best able to foster the understanding leading to usability has much in common with traditional apprenticeships.7,8 In the modern cognitive apprenticeship, however, it is not just the tasks but the thinking underlying them that must be made "visible" and reflected upon.5
Such apprenticeships can be created within the context of traditional schools. A modular, tiered program can move the student into early practice, while providing resources for the ongoing training and dialog that passes the context of expertise from teacher/mentors to increasingly skillful practitioners. There should be a progression of successively more difficult tasks within the conceptual scaffolding and coaching provided by the mentors. Testing should not be concerned with memorization and regurgitation but with the student's ability, on being presented with the relevant data, to choose between conclusions that can be drawn from it.8 Within the profession of massage, it is time that we base our training requirements on 21st century insights of how people learn.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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