resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
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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