Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
July, 2004, Vol. 04, Issue 07
Spotlight on Research
By Michael Devitt
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 are reproduced with minimal edits.
If you would like your research abstract or summary published in Spotlight on Research, please contact us at .
New Study Reviews Effectiveness of Massage Therapy: Researchers Draw Interesting Parallels Between Massage and Psychotherapy
Massage therapy is one of the fastest growing forms of alternative medicine in the country.A 1998 study found that visits to massage therapists increased 36 percent between 1990 and 1997.1 More recently, a study published by the National Center for Complementary and Alternative Medicine this May2 found that massage was the ninth most popular form of alternative medicine in the country, with an estimated 5 percent of the adult American population using massage therapy at least once in the past 12 months.
While the use of massage continues to rise, so has interest in massage research. While several meta-analyses of massage studies have been conducted in the past, each of them has been limited in scope, preferring to look at specific patient groups or types of massage. A new meta-analysis, published in a peer-reviewed scientific journal earlier this year,3 has taken a fresh look at the effectiveness of massage therapy in the adult population, and has concluded that it offers a wide range of physical and psychological benefits similar to those seen using other forms of care.
In the analysis, researchers began with 144 studies that fit their definition of massage, which was defined as "the manual manipulation of soft tissue intended to promote health and well-being." To qualify for inclusion, each study had to have been conducted on adults; studies on infants, or those employing therapeutic touch, ice massage, self-massage or massage with mechanical devices were eliminated. In addition, each study had to (a) compare a massage therapy group with at least one non-massage therapy control group; (b) randomly assign subjects to groups; and (c) report data sufficient enough for a between-groups effect to be generated on at least one variable being studied.
Thirty-seven studies met the above criteria and were used in the meta-analysis. The studies involved a total of 1,802 participants, including 795 who received massage therapy. The average number of participants per study was 48.7; the average age of a participant was 40.6. In some studies, massage was delivered only once; in others, it was performed multiple times. On average, participants received 21.7 minutes of massage therapy per treatment application. Sixty-five percent of the studies reported using a trained massage therapist (or therapists) to provide care; 22 percent reported using a "minimally trained" person or persons; and 14 percent did not indicate the level of training by the person (or persons) administering massage.
Nine specific effects were measured in the studies. In studies in which patients received a single application of massage therapy, anxiety state, blood-pressure levels, heart rate, negative mood, and immediate assessment of pain and cortisol levels were examined. In multiple-application studies, trait anxiety, depression and delayed assessment of pain were investigated. In the single-application studies, massage therapy (MT) produced "statistically significant" positive results for three effects compared to patients receiving a placebo or a different therapy.
According to the researchers: "... the average participant receiving MT experienced a reduction of state anxiety that was greater than 64 percent of participants receiving a comparison treatment. MT was also more effective than comparison treatments in reducing blood pressure and heart rate. The average MT participant experienced a reduction in blood pressure that was greater than 60 percent of comparison group participants, whereas for heart rate, the reduction resulting from MT was greater than 66 percent of comparison group participants."
In a surprise finding, massage did not reduce cortisol levels significantly, a result that differed from conclusions obtained in previous studies. In addition, massage therapy did not exhibit any effect on the immediate assessment of pain or a patient's negative mood. Despite these contrasting results, the scientists noted that "the significant finding for the cardiovascular variables suggests that future research should examine whether MT might have an enduring effect on blood pressure such that it could be used in treating hypertension."
In the multiple-application studies, "some of MT's largest and most interesting effects" were observed. While massage didn't appear to affect one's immediate assessment of pain, "a significant effect" was found for delayed assessment of pain. Specifically, patients who received a course of massage therapy and were assessed several days or weeks after the last treatment session "exhibited levels of pain that were lower, on average, than 62 percent of comparison group participants," a finding that lends credence to the theory that massage may promote the reduction of pain by allowing restorative sleep to take place more easily.
The most significant effects of massage therapy were seen when measuring anxiety and depression levels. According to the researchers, "The average MT participant experienced a reduction of trait anxiety that was greater than 77 percent of comparison group participants, and a reduction of depression that was greater than 73 percent of comparison group participants." So great were these reductions that the scientists considered massage therapy almost as effective as traditional psychotherapy in the treatment of anxiety and depression.
Massage: The Psychotherapy of the 21st Century?
The results of the meta-analysis dealt a blow to some commonly held beliefs about the effectiveness of massage therapy. For instance, the failure of massage to provide a significant effect on the immediate assessment of pain "contradicts the theory that MT provides stimuli that interfere with pain consistent with gate control theory." In addition, while the reductions in blood pressure and heart rate supported existing beliefs that massage promotes a response in the parasympathetic nervous system, the authors noted that "if this theory is true, it would also be expected that a significant reduction in cortisol levels would have occurred, which did not."
One new theory the researchers put forth was that massage therapy "may provide benefit in a way that parallels the common-factors model of psychotherapy." In this model, the specific mode of psychotherapy delivered is secondary to other factors, such as a client's positive expectation for treatment, a therapist who is warm and has a positive regard for the client, and the relationship between the therapies and the client.
"The same model can be extended to MT, given the possibility that benefits arising from it may come about more from factors such as the recipient's attitude toward MT, the therapist's personal characteristics and expectations, and the interpersonal contact and communication that take place during treatment, as opposed to the specific form of MT used or the site to which it is applied," the authors suggested.
Given the proposed similarities between massage therapy and psychotherapy, one might think that the benefits derived from massage are, in layman's terms, "all in your head." As the researchers asserted in their conclusion, this is hardly the case, but it does lead to intriguing possibilities for future massage research.
"The idea that MT has significant parallels with psychotherapy, and that perspectives gained from psychotherapeutic research should be applied to future research, is not meant to suggest that MT delivers effects entirely by psychological means," the scientists explained. "Clearly MT is at least partially a physical therapy, and some of its benefits almost certainly occur through physiological mechanisms. In fact, one of the most interesting aspects of MT is that it may deliver benefit in multiple ways."
"... However, whether researchers wish to study MT as a physical therapy, as a psychological one, or as both, new research should examine not merely the effects resulting from MT, but also the way in which these effects come about," they advised. "It is only by testing MT theories that a better understanding of this ancient practice will result."
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