resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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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