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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Fish Oil: A Key Component to 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?
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
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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