resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
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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