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Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
August, 2003, Vol. 03, Issue 08
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.
PICC and mid-arm line insertions with massage in a community hospital.
As the public begins to focus on integrative medicine, many health care systems are seeking to incorporate more holistic ways to deliver care.After incorporating massage therapy into the ICU, staff observed increased relaxation in patients and restoration of a degree of tranquility. Patients often encounter many invasive and frightening experiences while in the hospital, including the placement of PICC (Percutaneously Inserted Central Catheters) and Mid-Arm catheters. The goal of this study was to determine the impact of using massage on improving the patient's physical comfort, and reducing stress and anxiety levels during PICC and Mid-Arm catheter insertion. A Likert-scale survey was administered pre-procedure and post-procedure to 21 patients who required PICC/Mid-Arm catheter insertion at McKenzie-Willamette Hospital over a 15-month period of time. Results indicate a 39% improvement in anxiety levels and 23% improvement in physical comfort levels in the group who received massage during the catheter insertion. Those patients who experienced massage as a relaxation technique were also generally easier to cannulate for line placement.
Methodology: Patients were surveyed pre- and post-procedure using a Likert scale. Twenty-one adult patients were surveyed; 9 of the patients received massage during the procedure; 12 patients did not receive massage. Massage was offered according to the patient's comfort level. The massage therapist and the patient determined where the patient would feel most comfortable receiving touch during the procedure. Generally, massage (light effleurage) was provided to the hand; arm (not receiving the catheter); feet; neck; or scalp. The focus of massage was to redirect the attention of the patient and provide soothing, calming, comforting touch during the procedure.
Findings: Those patients receiving massage indicated: 23% improvement in physical comfort levels post-procedure; 39% improvement in anxiety levels post-procedure. Those patients not receiving massage indicated: 8% improvement in physical comfort levels post-procedure; 29% improvement in anxiety levels post-procedure. Patients receiving massage demonstrated significant improvement in physical comfort and anxiety levels over those that did not receive massage. It was also observed that there was less vascular constriction and a more peaceful recovery among those patients receiving massage during the procedures. 77% of patients, when asked if massage affected their physical comfort level, indicated, "very much" (the highest score they could give); 67% of patients, when asked if massage affected their anxiety levels, indicated "very much."
Patient Comments: "I think the massage caused a definite improvement in my comfort level. It kept me from focusing on the procedure and relaxed me"; "I'm glad that the massage was given. I have had this done three times before without massage. This was the lowest level of anxiety"; "Very good to me. Kept my mind off what you're doing"; and "Having had two PICC installs without massage, I can say it helped to have it. Thanks!"
Recommendations: Highly recommend using massage to reduce anxiety and improve patient comfort during PICC/Mid-Arm catheter placements. Highly recommend trying massage to complement other potential anxiety or pain-producing procedures such as thorocentesis; pre-cardioversion; or with nasogastric or naso-duodenal feeding tube placement.
Our plan is to modify our survey to include demographics such as gender and age to see of there is any correlation regarding perception of massage or its benefits. We also plan to gather data regarding massage as it affects physical comfort levels and anxiety levels during other invasive procedures, in addition to the PICC/Mid-Arm catheter placements.
Effects of massage for older adults.
(Editor's note: This study appeared in the Fall issue of the Massage Therapy Journal.)
Objective: The objective was to test the effects of massage therapy on physical function; stress perception; sleep; and general well-being among older adults, compared to a guided relaxation control condition.
Design: After screening for eligibility and contraindications, physical clearance for participation was obtained. Eligible participants were randomly assigned to massage or guided relaxation. Sessions were provided twice weekly for four consecutive weeks. Functional assessments and interviews were conducted before the first session and after the last session.
Setting: Participants came to the university for all sessions where a massage room had been reserved for the study.
Participants: Forty-nine participants, aged 60+ completed the study (25 massage and 24 guided relaxation). Three-fourths of the participants were female; 88% white; 10% African American; and 2% Asian. Participants were independently living, relatively "well" older adults, rather than a clinically defined group of patients.
Main Outcome Measures: The main outcome measures were range of motion at shoulder, hip and ankle by goniometer measurement; flexibility (chair sit-and-reach); tandem balance; agility (timed up-and-go test); general well-being (General Well-Being Scale, with subscales for anxiety; depression; positive well-being; self-control; vitality; and general health); Perceived Stress Scale; and Sleep (two items from the Philadelphia Sleep Quality Index).
Results: The massage group improved significantly more than the guided relaxation group on anxiety; depression; vitality; general health; positive well-being; timed up-and-go test; chair sit-and-reach test; shoulder abduction; and hip flexion.
Conclusion: Massage therapy has positive effects on psychosocial and functional health of older adults.
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.
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