resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
May, 2002, Vol. 02, Issue 05
Massage Education Failing, Part III
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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