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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
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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