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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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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."
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.
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.
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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