resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
April, 2002, Vol. 02, Issue 04
Massage Education Failing, Part II
By Ralph Stephens, BS, LMT, NCTMB
Editor's note: Part I of this article appeared in the March 2002 issue. The article is available on line at www.massagetoday.com/archives/2002/03/13.html.
Since last month's column, hundreds more poorly trained massage therapists and bodyworkers have graduated from lousy schools and are struggling to create a practice.Thousands of people seeking help from massage therapy and bodywork will not find it because of the ever-increasing number of incompetent, inadequately trained practitioners.
More horror stories about sub-standard schools are pouring in: programs issuing 1,000-hour certificates but only providing 350 hours of training; continuing education providers reporting appallingly poor basic skills and vocabulary in practicing therapists. It is embarrassing when I am confronted by an individual like the shuttle driver who took me to the airport recently. She grew up getting massage from osteopaths (now a lost art). She has been trying to find a decent massage therapist for years. Of the last two she tried, one just rubbed some oil around, and the other made her sore for three days. Both were working in chiropractic offices. She said she has given up finding a decent massage and now just gets chiropractic. This is the backlash that is going to sweep over our profession if something isn't done soon about the state of our training system.
But what about the National Certification Exam for Therapeutic Massage and Bodywork (NCETMB)? Doesn't it guarantee competency, at least in the states in which it is administered? I live in one of those states. No! The NCETMB does not weed out incompetent therapists. It is a lowest-common-denominator system. It promotes mediocrity. It surveys the profession to get the basis for the exam. So, 50% or more of the people it surveys received lousy education and know little about massage. How do they fill in the surveys regarding what entry-level knowledge is essential? Most of them do not even know what they don't know The exam will continue to sink to the lowest common denominator and allow those with substandard education to become the norm. Its pass rate (over 90%) indicates that it is not a substantial filter.
Schools teach the test to make sure their graduates pass. Lousy schools do nothing but teach the test. No hands-on skills are required to pass the exam. No patient skills are required. All that is required are some short-term memorization of intellectual knowledge. This does not guarantee competency, and it most certainly does not set any standard of excellence.
Unfortunately, the NCETMB is the only "legally defensible" exam we have. State boards are almost forced to use it. I have supported and defended the exam over the years. I am sad to say I do not see any alternative available at this time, so I continue to support it. It is probably better than having no exam at all. However, as part of this discussion, I must point out the nature of the beast. The NCETMB is part of the problem of substandard education in our profession. It must be changed in some way, or it will be part of the downfall of our profession.
But what about research? If we can just validate our procedures and prove that massage is effective, won't that bring respect and creditability to the profession? Of course not -- it will just create further backlash, in that the majority of massage therapists and bodyworkers are incapable of reading a study and duplicating its results.
All those who promote research to validate massage should realize that if they prove something that the majority of the therapists cannot accomplish, their beloved research effectively becomes invalid and a waste of time and money. Further, instead of promoting massage and bodywork, it will cause a huge backlash against it. For example, if someone proves that massage therapy reduces acute low back pain, the public will go in search of such relief.
How many therapists will they have to visit before finding one competent enough to get the result predicted? Probably a dozen or so. How many will the public try? Probably one. What are the odds of them getting help? Less than 50%. What will they tell their friends about massage? They'll tell them that massage doesn't work. Will their friends try massage, after hearing that rave review? Probably not. How many people will a physician refer based on a study that claims to prove that massage will help with carpal tunnel syndrome? One, maybe two. If they do not get the reported results, not only will the physician not refer to massage therapists for carpal tunnel, he/she will probably will not refer to massage for anything. Research results cannot be duplicated in the hands of inadequately trained practioners.
Those who cry for research the loudest (who usually just happen to be researchers), should redirect their efforts toward improving the quality of education in this profession before they destroy it with their good intentions.
I want to emphasize that there are many great schools turning out well-trained, highly competent practitioners. These school operators see the degradation that is occurring in the education area of our profession. I know they are very concerned about substandard schools. We must find a way to eliminate substandard training programs without punishing excellent schools in the process.
Our profession fell into its darkest age in the 1940s because of incompetent schools. This dark age lasted for almost 40 years, during which time the majority of the public associated most massage with prostitution. Will history repeat itself? It usually does. So, shall we be relegated to the bath houses of an increasingly sexual society? Shall we again split into two groups, some of us becoming medical practitioners under the thumb of the allopaths as slave labor in the PT rooms, and the rest labeled as "sensuality workers"?
Let me guess - you don't like these options, do you? Neither do I. We will have to put on our thinking caps and figure a way out of this, and very soon. It will have to be done by the profession, that's you and me and thousands like us working together. Let the dialogue begin. Let it swell to a thunderous roar!
Tune in next month to learn how government and regulation are another part of the problem, not the solution.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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