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Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
November, 2003, Vol. 03, Issue 11
No Danger Here?
By Ralph Stephens, BS, LMT, NCTMB
Massage education is still failing. There are, of course, great massage schools and continuing education programs out there; they are not the subjects of this article. Unfortunately, the number of poor programs and providers overshadows the good ones.While every profession has its outstanding and average schools, nowhere is the spectrum from best to worst as wide as in the massage profession. It's embarrassing and disgraceful. Why do we tolerate it? This profession has backed away from educational standards many times. It seems, for the most part, we educate "down" to a price, never "up" to a standard. It is amazing that when higher educational standards are proposed, the greatest outcry comes from school owners. Their complaints are understandable when the standards would penalize good schools with bureaucracy and paperwork (without effectively weeding out or improving poor schools). Proposals of this nature should be rejected; however, the profession and its best educators should embrace standards that would weed out poor programs and allow good programs to do a better job. Unfortunately, they often do not.
At one time, the AMTA had a 1,000-hour standard, but hardly any of its approved schools (at the time) actually provided 1,000 hours of education. When this was discovered, rather than enforce the 1,000-hour standard, AMTA deferred to school owners and lowered the standard to 500 hours. A huge opportunity was lost. More recently, COMTA, the only massage accreditation agency that has, in my opinion, any credibility, conducted a survey of educators and schools. The survey results established guidelines that would provide quality, competency-based massage education programs. Still, the very schools that submitted survey data later protested the results, claiming the new proposed program was too long. To prevent mutiny, the proposed hours were scaled back. Another huge opportunity was lost.
Last month, Massage Today ran a story that the "mean ole' Florida Board of Massage Therapy (FBMT)" tried to raise the required hours for massage education programs in Florida (www.massagetoday.com/archives/2003/10/02.html). But FLAME, a group of massage schools, fought it. What was FLAME's argument? "The purpose of the FBMT is to protect the public. The FDOE [Florida Department of Education] could not show that massage therapists graduating from a 500-hour program were a danger to the public." Is this what our standards, or lack thereof, should be based on? Some influential school owners evidently believe that their programs are successful if they train future massage therapists just enough that they are not a danger to the public. It doesn't matter if students are taught to do any good or help the public; competency or having skills to be a successful health care provider are not important. What is important is to simply not be a danger to the public. Is this something to be proud of?
Things could be worse. We're ahead of the allopaths (MDs, hospitals, pharmacies, etc.). In the U.S., they get away with killing over 250,000 people a year (by their own figures), and no one seems to care. That is really dangerous - more dangerous than drunk drivers or wars, which people seem to care about. Allopaths go to school for a long time. Maybe the massage school owners are on to something: just provide enough training to not be dangerous. Perhaps running students through programs that leave them unable to succeed (thus` ensuring a huge dropout rate from the profession) is the way to go. The market will never become saturated with therapists, and the schools will always have a demand to fulfill. The few students with drive and motivation will acquire post-school training and do well. The public will not be in any danger. It's nirvana. I guess we should be proud. NOT!
The latest insult to massage education is a group of school owners who have decided that going through a real accreditation process is too much of a hassle. After all, who knows what a school should have to do or teach other than its owner? This group claims to have created an accreditation process that virtually any school can complete over the phone in 30 to 45 days. Great! Another for-profit organization selling accreditations! Do you know of a profession, especially a health care profession other than massage therapy where this happens? Their name will not be mentioned, as I do not want to give them the free publicity. Shame on you all who participate in this or other mail-order accreditation. It is nothing to be proud of - it is just short of being consumer fraud.
Some time ago a Texas therapist wrote to me. At the time I thought it was a bit extreme, but now I am beginning to believe he is onto something: "We must recognize that schools are part of the massage industry, but not part of the massage profession. It is up to practicing professionals to demand educational standards and not leave educational quality up to the schools. It is up to the schools to meet the demands of the profession, not dictate where the profession should go."
The danger is, if we do not clean up our educational act pretty soon, there may be a backlash against our profession that will greatly impede our ability to help people. Research is proving the benefits of massage, but the typical therapist can't understand a research study, much less duplicate the technique. The public expects the results proven in studies, but seldom finds it. Physicians refer to massage therapists based on research results, and the patient comes back with stories of shamanism and incense - probably not harmed, but probably not helped, either. It is time to end the idea that just "not being dangerous" is good enough. Let's continue to do no harm, while putting emphasis on higher educational standards that better train therapists to maximize the potential benefits massage therapy can provide for the good of humanity.
The holiday season begins this month. Get out and shop until you drop; the economy needs your help. I hope you sell more gift certificates than you printed; however, try to keep in mind that the real reason for these holidays is not material but spiritual.
May your holidays be joyous, healthy and filled with the true spirit of the season.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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