resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
May, 2003, Vol. 03, Issue 05
Spotlight on Research
By Editorial Staff
Editor's note: This periodic column keeps you abreast of the latest research documenting the benefits of massage and bodywork. Published research is summarized, with references to the full study text provided; abstracts of research projects planned or in progress are reproduced verbatim whenever possible.
Factors associated with choice of massage therapy in a trial of treatments of acute low-back pain.
Purpose: The majority of patients in a randomized clinical trial (RCT) of conventional allopathic care ("usual care") versus a choice of therapies for acute low-back pain expressed a preference for massage therapy (MT) over acupuncture (Acu), chiropractic (Chiro) or usual care. We sought to understand whether those choosing MT differed in demographic characteristics or self-reported pain severity scores from those choosing any of the other three subjects.
Methods: Eligible subjects were adult members of a multispecialty medical practice who had uncomplicated acute low- back pain for less than three weeks with no co-morbid explanation for symptoms. Baseline data were obtained by face-to-face interview at enrollment. Enrollees were randomized to either usual care or to a choice of Acu, Chiro, MT or usual care. Prior to randomization, all enrollees were asked which treatment they would select if randomized to the choice group. Since most enrollees chose MT, we used MT versus all other choices as a dichotomous dependent variable in a logistic regression. Demographic and pain factors were included in this model to examine whether they were associated with massage choice.
Results: Of 2,262 subjects screened for enrollment, 477 were eligible; of those, 293 enrolled. Fifty-one percent were women; 63% were white; 57% were college graduates; and 33% earned >$75,000/year. The average age was 43 years, and the mean self-reported pain scale (0-10) was 7.23 (SD=2.13). The majority (52%) expressed a preference for MT; 18% preferred Acu; 24% preferred Chiro; and 6% preferred usual care. Other than age, (subjects aged 40-49 were less likely than other age groups to select MT; odds ratio = 1.78, 95% CI=[1.08, 2.92]), neither pain scores nor any other demographic variable were associated with the choice of MT. For those subjects randomized to the choice group, 86% of those who expressed a preference for MT select it as their treatment, indicating a high reliability of expressed preference for treatment with actual selection.
Conclusions: Prior research has shown gender, education and income to be associated with higher utilization of complementary and alternative medicine (CAM); however, none of these variables predicted preference for massage therapy in our study. It appears the appeal of massage therapy is not restricted to any particular socioeconomic group, and therefore might be broadly accepted as a treatment option for back pain. Beyond demographics and baseline pain scales, further exploration of variables driving patient choices and examination of effectiveness and economics, will be important to evaluate massage therapy in the management of acute low back pain.
Massage therapy as a technique for coping with stress.
This study assessed the effectiveness of massage therapy as an intervention for coping with stress in 34 healthy university students approaching final examinations. Participants were randomly assigned to an attention control condition (watching three different television programs) or to a massage therapy group in which each participant received one 45-minute massage per week for three consecutive weeks.
Measures of blood pressure, heart rate and state anxiety (State Trait Anxiety Inventory - short form) were taken before and after each session. Stress (Perceived Stress Scale) and coping (Coping Efficacy) were measured three times at baseline (T1), immediately after the three sessions (T2) and at one-week follow-up (T3).
Both groups reported lower anxiety after each of the sessions; however, the massage group experienced a greater reduction, compared to the television group (p<.05). Participants in the massage group also experienced reduced heart rate after each of the massages, whereas the television group showed no change (p<.05). There were no significant differences in systolic and diastolic blood pressure between groups. At T2, the massage group reported a significant decrease in perceived stress and an increase in coping efficacy (p>.05); however, by T3 these effects were no longer evident. Implications for stress and coping from a self-regulatory perspective will be discussed using Leventhal's Parallel Response Model (1997).
Editor's note: Both of the above abstracts were presented at the 2002 AMTA National Convention; they appear in Massage Today with permission from the respective authors.
Correction: In the first installment of this column (Feb. 2003), we referenced Marian Wolfe Dixon's abstract, "Developing a Massage Protocol for research of temporomandibular Joint Disorders," as funded by the AMTA Foundation. Ms. Dixon's research and resulting abstract were actually funded by a developmental grant from the National Center for Complementary and Alternative Medicine (NCCAM), a branch of the National Institutes of Health (NIH).
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