resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
August, 2004, Vol. 04, Issue 08
Knowledge and Networks
By Keith Eric Grant, PhD, NCTMB
As an unabashed academic and massage instructor, I've a tendency to look at how we organize and model our accumulated knowledge about the wider context of bodywork. The maps we create have significant effects on how we approach the acquisition and conveyance of knowledge, skills and abilities.
Massage, particularly when defined in an encompassing context of all touch practices, has many different subpractices (see my article, "Swimming Upstream Toward Effective Practice," in the March 2003 issue, www.massagetoday.com/archives/2003/03/13.html.) and many different theories of underlying action.When I periodically hear about someone advocating creation of "massage tiers," I have difficulty understanding how such tiers translate into measurable improvements in our ability to practice across the scope of what we might do. My worry is that such tiers have little to do with improvements, and everything to do with rites of initiation.
The criteria for evaluating the need for training and education, I believe, is that it is objectively needed to produce effective practice, including the technical, business and interpersonal facets. I also believe there is a tendency in our profession to want to use training as a gauntlet to promote commitment, the basis of which is noted by James Atherton in a short review of cognitive dissonance:1 "Ordeal is therefore an effective - if spurious - way of conferring value on an educational (or any other) experience. 'No pain, no gain,'as they say. The more difficult it is to get on a course, the more participants are likely to value it and view it favorably regardless of its real quality." Robert Cialdini makes similar observations in his treatment of social influence.4 Advocating training on such a basis is, I believe, a disservice both to the student and the ultimate consumers. Atherton is correct in noting the often spurious nature of the result.
For a long while, I thought the underlying problem with tiers was simply a factor of inadequate definition and too narrow motivation. Recently, I've realized that the problem is inherent in the broad scope of bodywork - tiers assume that knowledge is structured like a tree, with specialty branches spreading out above a single root. In contrast, massage knowledge forms much more of a web of interconnecting clusters, a shape that looks like a tree only when viewed very close at a single area of entry. In the more interior regions of such a web, the connections branch off to other clusters, eventually reaching other entry points and destroying the illusion of a single tree on which to base the concept of tiers.
Such webs occur throughout knowledge connections, social structures and the structures of life itself. Physicist Mark Newman has organized a gallery of web pictures showing their pervasive occurrence 6 and written an extensive technical review article on research into the structure of networks.5 Barabasi and Bonabeau wrote a recent introductory review,3 and Barabasi has written an excellent lay-oriented book on this research.2
Moving ahead with this idea of networks, consider putting together an online encyclopedia, containing pages for all the pertinent sections of knowledge for everything in massage and bodywork. This shouldn't be too fine-grained: something on the order of the sections in the chapters of a book. Technique sections might have demonstration video clips attached. By looking at the hyperlinks between pages, we would better understand the interconnection between information in different clusters. Areas with a lot of mutual interconnection would be self-defining as a study area. If an area exists that's linked from everywhere, it would pretty much have to be a natural core area.
Things that come to mind are information on touch itself, as Ashley Montagu put it, "The human significance of the skin." Other areas that I see as likely core foundations would be business skills, particularly for those running their own practices, and interpersonal skills. Areas on Western anatomy and physiology would have great emphasis from orthopedic massage but much less direct access from sections on Asian bodywork or energy work.
In summary, our overall knowledge of massage is too diversely connected to be tree-shaped, having a single core and specialty branches. Everything is by some route interconnected, but the density of interconnections varies greatly and creates separate clusters of study. Such a structure captures the paradox of being too diverse to ever appear to have a single root, yet too interconnected to appear totally separate. Massage is thus a totality that thwarts our efforts to compactly define it while greatly rewarding our efforts to pursue its many links.
Editor's Note: Due to the transient nature of the Internet, some links may not be operational.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.