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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
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.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
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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