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Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
September, 2004, Vol. 04, Issue 09
Spotlight on Research
By Editorial Staff
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 .
Breast Cancer Patients' Immunity Improves With Massage
Breast cancer is the most common form of cancer among American women. The National Cancer Institute estimates that today, one in every eight women will develop breast cancer in her lifetime - a threefold increase from 1964.1
Although it is highly curable if detected early enough, breast cancer is also the second-leading cause of cancer death in women after lung cancer, and is the leading cause of cancer death among women ages 15 to 54.2
Previous studies have shown that women with breast cancer are more depressed than women without breast cancer, and are more likely to suffer from stress and anxiety. Stress has been linked with lowered rates of an immune cell called the "natural killer" (NK) cell in women with breast cancer, an important finding since NK cells help prevent the development of tumors, and destroy new and abnormal growths before they can proliferate.
A new study* conducted by a team of researchers at the Touch Research Institutes (TRI) examined the role massage therapy could play in strengthening the immune system, particularly in increasing the number of NK cells in the blood. The study, published in the July 2004 issue of the Journal of Psychosomatic Research, found that massage not only generated profound changes in the women's blood chemistry, it also reduced their stress and anxiety levels dramatically.3
A total of 34 women diagnosed with stage 1 or stage 2 breast cancer were included in the study and assigned randomly to either a massage group or a control group. Women in the massage therapy group received a total of 15 massages over a five-week period. The massages were conducted in a private room on a massage table by a trained massage therapist.
The sessions consisted of three 30-minute massages per week, and employed Swedish massage, the Trager® method, and acupressure techniques over various body parts. Women in the control group received standard medical care alone, but were provided with massages at the end of the study period. Along with the massages, the researchers administered various psychological tests to the women at the beginning and end of the study session to determine changes in anxiety and mood.
In addition, all of the women provided urine samples to assess changes in hormone levels, and 27 women (15 in the massage group, 12 in the control group) gave blood samples to determine levels of NK cells and lymphocytes in the blood.
Massage was associated with a significant reduction in anxiety levels and depression, and an overall increase in the number of immune cells in the blood. In the massage group, women reported a 46 percent reduction in depression levels from the first day of the study to the last day, along with a 25 percent reduction in anxiety.
In the control group, anxiety levels remained unchanged, while the depression scores actually increased 22 percent. The improvements in mood and depression in the massage group appeared to be the result of increases in certain hormone levels. Women who received massages experienced significant increases in the levels of a number of stress-fighting hormones, including dopamine and serotonin.
"These increases complement the massage group's self-reports of improved mood and decreased depression, as both serotonin and dopamine have been noted to increase in depressed individuals following massage therapy," the scientists noted. "These and other massage findings support that massage therapy is effective in reducing psychological distress, enhancing mood biochemicals, and boosting the immune system."3
In examining the blood samples, the researchers found higher amounts of NK cells and lymphocytes in the women given massage. Comparing blood samples taken on the first and last days of the study period, the researchers noted a 12 percent increase in NK cells and a 10 percent increase in lymphocytes in the blood. In the control group, the lymphocyte level remained the same, while the NK cell count decreased 7 percent.
"NK cells spontaneously destroy a wide variety of cancer and virus-infected cells and are involved in eliminating metastases," the authors wrote. "A boost in NK cell number would be beneficial given that some cancer patients have reduced NK cell numbers."3
The use of complementary and alternative medicine (CAM), and therapies like massage by the general population, has increased tremendously in the past decade. This is particularly true of cancer patients; by some estimates, up to 60 percent of all people with cancer use at least some form of CAM.4-6
The authors of the study acknowledged the need for more research on massage therapy and cancer, and recommended that future studies examine the cost of care, the use of massage to treat other conditions in addition to breast cancer, and the long-term effects of massage therapy on reducing the incidence of death and disease.
"In summary, the self-reports of reduced stress, anxiety/anger/hostility, and improved mood, and the corroborating findings of increased dopamine and serotonin levels and increased NK cell number (the primary outcome measure) and lymphocytes suggest that massage therapy has positive applications for breast cancer survivors. That women with breast cancer have lower NK cell number and that they might have higher stress hormone levels, which have been associated with tumor growth and metastases, suggest the need for further research on interventions like massage therapy that impact the neuroendocrine and immune systems while attenuating psychological stress symptoms."3
For more information on other TRI studies, visit www.miami.edu/touch-research.
*Funding for the study provided by the following: USARMMC DAMD Grant 17-99-1-9292; Sylvester Comprehensive Cancer Center; and Johnson & Johnson.
Editor's note: The following abstract originally appeared in the Spring 2004 issue of the Massage Therapy Journal and was presented at the poster session during the 2003 AMTA National Convention in Richmond, Va. It appears here with permission from the authors.
The Effect of Chair Massage on Stress Perception of Hospital Bedside Nurses
Context: Studies have shown that hospital bedside nursing is a stress-loaded occupation. Massage therapy has been shown to be an effective intervention in stress management.
Objective: The goal of this study was to determine if a 10-minute onsite chair massage was more effective at reducing stress perception of hospital bedside nurses than a 10-minute break.
Design: Randomized trial with a control group, who took a 10-minute break, and a study group, who received a 10-minute chair massage.
Setting: A small suburban hospital on the maternity, medical-surgical, telemetry, and critical care nursing units.
Participants: 82 bedside nurses.
Main Outcome Measure: Stress perception was assessed using the Perceived Stress Scale (PSS) in an experimental pretest/posttest design and analyzed using t-tests for independent samples.
Results: Stress perception was significantly lower in the study group after the chair massage (P<.05) and not significantly changed in the control group.
Conclusion: The results of this study support the effectiveness of chair massage in the reduction of stress perception for this population. Further research is warranted to study the feasibility of providing chair massage on a regularly scheduled basis on a nursing unit, as well as its impact on other aspects of a nursing position, such as job satisfaction, retention, absenteeism, injury and workers' compensation claims.
Additionally, it would be beneficial to study the effects of chair massage with individuals in other occupations that are identified as being high stress and burnout occupations.
For more information about this study, contact M.K. Brennan at 704-536-3446.
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