resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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.
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.
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.
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).
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
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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