resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
February, 2003, Vol. 03, Issue 02
Spotlight on Research
By Editorial Staff
Welcome to the world of massage research! This periodic column will keep you abreast of the latest research documenting the benefits of massage and bodywork. Published research will be summarized, with references to the full study text provided; abstracts of research projects planned or in progress will be reproduced verbatim whenever possible.
Developing a massage protocol for research on temporomandibular joint disorders.
Purpose: A massage protocol for temporomandibular joint disorders (TMD) was developed and pretested for use in a TMD research project. Massage therapy has never been incorporated into a TMD research design.
Methods: Four potential TMD protocols were identified, based on a literature search (MEDLINE and Bodywork Knowledge Base) and follow up interviews with massage therapists who reported experience with TMD or experience developing massage protocols for research. Techniques across the protocols were consolidated into a list of TMD-specific massage techniques. Expert review helped generate a core TMD-specific massage protocol that was pretested using eight TMD patients. Feedback from the patients, the licensed massage therapists, and the supervising massage therapists was used to select two massage therapists to deliver the protocol in clinical studies. The protocol specified setting; forms and record keeping; session length; treatment duration; and specific massage techniques. The protocol was evaluated by patients along five dimensions: effectiveness, responsiveness and overall satisfaction (1=worst, 5=best), as well as pressure and communication (3=just right).
Results: TMD patients found the bodywork protocol to be acceptable, including intraoral work. Mean values for the five variables were: effectiveness, 3.9; responsiveness, 4.2; overall satisfaction, 4.3; pressure, 2.7; and communication, 2.8.
Conclusions: A flexible, yet repeatable, TMD-specific massage protocol was developed in accordance with the best practice in the massage profession. The final protocol incorporated Swedish, myofascial, craniosacral, neuromuscular therapy and structural integration styles, and combined intraoral work with external massage focusing on the trunk, neck and face. Although the protocol was developed specifically to study the effect of massage on TMD, the development process could be adapted to generate syndrome- or condition-specific massage protocols for research with other complex, chronic disorders, such as migraines or fibromyalgia.
Massage therapy for chronic low back pain in low-income patients.
This ongoing study examines the effects of whole-body massage therapy in reducing pain and improving health among low-income Hispanic and Caucasian women who suffer from chronic pain. In many cases, chronic pain is part of more complex mental health problems, such as depression and anxiety. Whole-body massage therapy, which is not readily available in poorer communities, offers a complementary approach to standard treatments of chronic pain. Each patient in this study receives eight hour long massage treatments from experienced massage therapists.
The working hypothesis is that massage therapy will be useful in reducing pain, improving functional health, and curbing excess medical utilization in these patients, for at least eight weeks after the program. To test this hypothesis, researchers will compare health care utilization (office visits, urgent care, and emergency care) from three periods: the year before the study; during the six months of the study; and one year after the study.
Dr. Candib has begun massage treatments on 54 patients, and has collected detailed information about them. This information is awaiting analysis by a statistician. Dr. Candib has also secured funding from the Department of Family Medicine and Community Health at the University of Massachusetts Medical School, to hire a translator to conduct interviews with Spanish-speaking participants in the program.
The primary challenge so far has been frequent cancellation of appointments, often due to problems with transportation and child care responsibilities. Another difficulty has been a low rate of participation in follow up testing. Although these obstacles have slowed down the study, it is still in motion.
Editor's note: Both of the above abstracts were funded by the AMTA Foundation (amtafoundation.org) and presented at the 2002 AMTA National Convention; they appear in Massage Today with permission from the respective authors.
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