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TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
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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