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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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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?
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
March, 2004, Vol. 04, Issue 03
A Trade or Profession?
By Ralph Stephens, BS, LMT, NCTMB
There it was: a CBS MarketWatch story raving about how the stock of trade schools (career colleges) rose dramatically in 2003. The article listed the "10 hottest fields," and guess what? Massage therapy is the top training program being added to trade schools.Hey colleagues, we're number one - in trade schools - which brings us to the question: "Is the practice of massage therapy a trade or a profession?"
While many of us have always considered it a profession, massage is being increasingly taught as a trade. Let's look at what the dictionary* has to say about this:
The practice of massage involves skill and it can be an occupation, so it clearly meets the definition of a trade. A profession requires extensive education or specialized training. Massage education involves specialized training, but is it extensive? Certainly not at the entry level, and therein lies the problem.
Extensive education is available for those who desire it. There are schools out there that offer more than the minimum requirements to get licensed or pass the National Certification Exam; however, they are few and far between. In most areas, extensive training is only available through advanced continuing-education programs.
Currently, a group of school owners in Florida feels there is no need to increase the educational requirements, so long as the massage therapists cause no harm to the public. It is sad that this group believes our standards of professional training involve teaching students just enough to not harm the public. While that's better than what can be said about many allopathic practitioners (who inflict a lot of harm and bury their mistakes), it sells massage-therapy education short. Why can't we set standards high enough to teach students to do more than not harm the public?
I agree with the argument that more hours for the sake of more hours is not an improvement; 1,000 hours of lousy education is worse than 500 hours of lousy education. Merely raising the entry-level hour requirement will not improve the quality of massage education or the competency of graduates. The root of the problem lies with the low quality of the hours offered. How can we improve massage education and shut down poor-quality schools? (Not necessarily small schools - there are many excellent small schools.)
Massage therapy and bodywork is spiraling down from the fastest emerging new health care profession to a trade because of a lack of enforceable educational standards. What stands in the way? MONEY. Massage schools are a huge part of the massage industry and sit on a raging river of money. School owners and associations need the continuous flow of new students and members. They both see financial disincentives if the entry-level bar is raised, so they resist such attempts. Short, inadequate programs ensure a high dropout rate from the expanding profession, which maintains the demand for new students and graduates.
The low-entry bar, unenforceable educational standards, high dropout rates, and the way massage is currently taught as a trade from "school-in-a-box-curriculums" will slowly drag our profession down from first-door health care providers to tradespeople in relaxation spas and physical therapy departments, working for slightly above minimum wage. While some schools lead by example with excellent programs and superb instructors, others prey on students - often on many levels. What can be done at this point? It is difficult to get in the way of a river of money. It will usually sweep you away or drown you. It is this cash flow that chains us to the status quo of lousy schools. Many of us have searched in vain for effective solutions, and the only organization that has tried to place high standards on massage schools didn't cover its bases and may be sued out of existence.
In the February issue, Cliff Korn talked about "Appreciative Inquiry" - a system of finding the positive and then working to create more of it (www.massagetoday.com/archives/2004/02/11.html). Now, I really like that! I have written previously in this column that you get what you concentrate on. It should be obvious that if you concentrate on eliminating sickness, poverty, cancer, drugs, or anything else, the results are always more of what you don't want. The mind is the creator, and you manifest what you concentrate on. Look around. How successful have the "wars" on poverty, cancer and drugs been? There is more poverty, cancer and drugs than ever. How well has the allopathic medical system - with its entire focus on sickness - done at reducing sickness? It has failed miserably. There is more sickness than ever. (Sorry, but sanitation and hygiene have reduced sickness - not allopathic procedures!)
Those of us who care about education have to change our focus. If we keep focusing on the lousy, "just-do-no-harm" mindset, all we will get is more of the lousy. We need to stop concentrating on lousy schools and the problems they cause. We have to find and focus on the positive and the excellent in massage education. We have to hold up the great schools as models, and steer potential therapists toward them. We have to find the greatness, and work to make it the norm. We cannot fight the current cash-flow-based education system in the trade of massage, but we can begin to create a new channel for cash to flow toward professional excellence. This will build the profession toward being the premier wellness modality in health care.
It is a bold, daring concept to work toward excellence in a culture that holds the likes of Homer and Bart Simpson as its role models, and works to suppress excellence and achievement in the name of "fairness." Remember, life is not fair. Fair is for underachievers; Fair is somewhere between average and poor, and that is not good enough for the health care of our fellow man.
To my colleagues who care about what's left of the massage therapy profession, let's begin thinking about what is excellent in massage education. Let's focus on making high standards the rule, not the exception. We will not fail to bring about what we concentrate on. It's time to start working to implement this concept of Appreciative Inquiry. As one of my teachers told me, "Keep your eye on the donut, not the hole."
*MicroSoft Word 2001 Dictionary
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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