resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
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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