resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
April, 2003, Vol. 03, Issue 04
Half a Mind
By Keith Eric Grant, PhD, NCTMB
In searching to fulfill our kinesthetic and interpersonal selves, some of us have diffused inward through the membrane surrounding the domains of massage, almost as if an osmotic pressure drew us forth. For those conversant with the lymphatic system, consider it a type of Starling's Equilibrium. The permeable nature of entry into part-time massage practice originally drew me to transit back and forth between high-tech and high-touch. Should the membrane surrounding entry into practice be made less permeable by raising entry requirements, the flow of those such as myself will likely divert to other venues.
Cliff Korn's March 2002 editorial [www.massagetoday.com/archives/2002/03/11.html] touched on attitude differences between part-time and full-time massage professionals. I am going to revisit some of the considerations he raised in that article, and touch on an additional consideration: demographics.
Here in California, 193 massage schools are supervised by the Bureau for Private Postsecondary and Vocational Education (BPPVE) under the Department of Consumer Affairs. In contrast, the American Massage Therapy Association (AMTA) Web site lists 28 schools in California, a few of which wouldn't fall under the BPPVE jurisdiction. One conclusion that can be drawn from this discrepancy is that the vast majority of California massage schools are teaching modular programs with initial segments shorter than the 500-hour AMTA entry criterion. At a recent panel discussion at De Anza College in Cupertino, Les Sweeney, executive vice president of the Associated Bodywork & Massage Professionals (ABMP), noted that the average initial module length of ABMP member schools in California is 175 hours. I believe such schools exist in a very particular ecological niche in terms of their economic and social benefits.
On the economic side, these short-term career-training modules are not eligible for federal financial aid. Such aid requires accreditation and a minimum program length of 600 hours. Taking on the extra costs, record-keeping requirements, and job-placement minimums associated with accreditation and financial aid would force most of these small schools to either grow or close. What these schools serve well, and thrive in meeting, are the needs of pay-as-you-go, adult profile learners. Many of these adult learners are seeking career transitions or augmentations, an example of the latter being sports trainers adding massage skills to their toolkits. A characteristic pattern I have seen over more than a decade of teaching in a modular program is for students to use the initial module for immediate-but-limited entry into the massage profession. They then use their practice earnings to continue with further modules over a period of several years, improving their business and marketing skills as the scopes of their practices grow.
A recent report by the National Center for Educational Statistics summarizes a number of the differences between those entering postsecondary training with adult career experiences, and those who might take such training immediately follow secondary schooling.9
An Australian report on lifelong learning also notes the growing reliance on self-employment and balancing the requirements of multiple jobs.1
What emerges from this discussion is that California supports a pattern of modular schools with early entry training that is a near-optimal match for adult learners in career transition or augmentation. I believe such schools are in the forefront of an emerging paradigm for the 21st century; they fulfill a role of facilitating development of meaningful life work for students juggling significant other responsibilities.4 As compared to their larger counterparts with longer single programs, modular schools are more oriented to the attitude profile of adult learners - who have been noted to be more self-directed; bring in more life experiences, be more goal-oriented; demand more immediate relevancy of material; and be more focused on immediate application than younger learners.6,7
There are also synergies between these modular career-training programs and their surrounding communities. The general manager of a southern California school estimated recently that 15 percent of its students are learning skills to support home care of ill or aging family members. Because of the short-term, modular nature of individual training sections, the classes also serve a function for those undertaking self-directed career exploration. Such career exploration is a learning process embedded in a larger context of growth and personal exploration.5 Such exploration is often triggered by life transitions; it forms an essential adaptive response to an era of rapid social and economic change. Entering massage training can be a result of self-reflection and a desire to help others more directly, with the decision still to be made whether a total career change will take place.2,8 While these community functions of modular training are far from sufficient to support a massage school in themselves, they augment and enrich the vocational training environment that can be offered.
In his editorial, Cliff Korn noted that full-time massage practitioners seemingly place more emphasis on networking, and certainly on being more represented at conferences. Overall, I believe this is a difference not in the importance placed on networking, but in the manner in which it is accomplished. For the part-time practitioner, continuing education often is achieved while on vacation from other jobs, partially depleting what remains for family activities. Every training activity must stand on multiple legs. Multiple-day or weeklong workshops often have higher payoff in both usable skills and more in-depth networking than shorter conference interactions. For some of us, massage is a multitasking experience. We give it our all during our segments of participation, but on the average, have only half a mind to give.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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