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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.
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?
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2002, Vol. 02, Issue 05
Massage Education Failing, Part III
By Ralph Stephens, BS, LMT, NCTMB
Editor's note: Part I of this article appeared in the March 2002 issue; part II appeared in the April 2002 issue.
In my last two columns, I have pointed out the downward spiral occurring in the education side of our profession.This discussion was inspired by the results of a poll that showed over 50% of practicing therapists felt they had received substandard education, ranking their education as "fair to poor." In the first column, I discussed the overall problem of incompetent schools. Last month, I explained how the National Certification Exam for Therapeutic Massage and Bodywork is part of the problem and is incapable of being part of the solution in its current form. This is based on the fact that the knowledge base it tests is determined by a survey of the profession. As the profession expands with more and more poorly trained therapists, the survey will bring back data from a "dumbed-down" profession. This will continually reduce the level of material covered on the exam to the lowest common denominator of an ever-less-educated profession.
I have also explained that research will not help elevate a profession that is incapable of reproducing the results found by the research.
It was brought to my attention that we need to offer suggestions when pointing out problems. Those suggestions will come in future columns. Before a solution can be created, the problem must be clearly understood. The options for a solution must also be understood. It should be clear that the current national certification process is part of the problem and offers no way out. Research will not help at this point, either.
The problem is bigger than just the education of our profession. The massage/bodywork community has become the landing site for every new-age idea to come down the pike. Esoteric and fringe massage techniques seem to be a safe port of harbor for poorly trained instructors and practitioners who lack a solid educational foundation in the basic sciences and manual therapies. In its attempt to accept everyone, every theory, every technique and every practice, the massage community and it's "mis-leaders" have failed to clearly define itself and set clear standards for education and licensure for massage therapy. Due to this failure, the profession has been unable to achieve the recognition and credibility massage/bodywork deserves as a health care profession. By lacking boundaries and by trying to be the campground for every group, cult, mystic, shaman and personality whose ego requires a special name for their version of the same strokes, we have reached a point where we have no idea what we do or who we are, and neither does the public or the health care profession.
The blame for this can be placed squarely at the feet of the associations and pseudo-associations of this profession. The pseudo-associations are not associations at all, but for-profit corporations who are nothing more than mail-order vendors of insurance and meaningless credentials. The only significant, valid professional association has repeatedly backed away from setting meaningful standards, definitions and legislation because it might exclude someone and lose some checkbook members.
Both types have been largely controlled by a few individuals who have recognized and taken advantage of the extremely high level of practice failure in new massage graduates especially, among the twenty something generation. This failure rate has created an opportunity for schools and associations that prey on the constant influx of new students -- about 50,000 per year. With this constant turnover, the "leaders" pretty much run the show the way they want. Any standard that would in any way restrict entry into the profession, even if it improved the quality of the profession and the care received by the public, is a threat to the "leaders" cash flow. Naturally, they resist standardized licensing and the setting of any other meaningful standards. There will be no help from the insurance vendors. In fact, they will fight every effort to improve the situation. The only hope for help from the true association is that it is possible for concerned, "new blood" to become actively involved and change the direction currently being followed.
So, what about government regulation? Is it a solution, or another part of the problem? Think about it. The only excellence you'll find in our government is in its military and propaganda systems. The rest of the time, government is inept, inefficient, and another lowest-common-denominator system. The departments of education do little regarding enforcement of standards at postsecondary schools, especially "trade schools." They do not have the staff to monitor the hundreds of schools in each state for compliance. They respond only to complaints, and then usually are unable to do much. Why? Because it usually becomes the school's word against the student's. Our regulatory boards (licensing boards) are in the same position. They are not set up to monitor schools and often do not have any authority over schools other than to approve a submitted curriculum. As I mentioned in the March column, anyone can get a curriculum approved, because even if they are totally incompetent, the state board must help them until they get the forms right, and then must approve them. If standards were set higher, regulatory/licensing boards would just have to help more.
Regulation will have to be part of the solution eventually. However, it will have to be done skillfully, so as not to burden the good schools to the point of extinction. That result would leave only community colleges and general business schools, whose primary concern is their automechanic and cosmetology programs.
To the people that I now have hopping mad, remember: Our profession's education system is failing, and you know it. Do not direct your anger at me for being the one to say so. Don't shoot the messenger. Direct your energies toward a constructive solution that will do the most to help humanity. Change is often painful and growth is often difficult. However, if we as a profession do not do something soon to rescue our failing education system, we may be faced with the possible loss of the ability to practice that which we love.
Next month, I will share more massage education horror stories and begin presenting suggestions for change.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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