resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
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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