resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
January, 2005, Vol. 05, Issue 01
Massage Therapist Densitites
By John Fred Spack, LMT
Editor's note: The following data is based on the author's nonscientific research methods; caution should be used in generalizing the results.
In 2003, Massage Today published my review of data that suggested that massage therapists are more available to the public in licensing states (www.massagetoday.com/archives/2003/10/03.html).As of July 2004, the trend continued with some diminishment.
In 2003 and 2004, 26 states and the District of Columbia mandated massage therapy regulation. Three states (Connecticut, Wisconsin and Virginia) offered voluntary certification. Regulation was pending in four states as of July 31, 2004: New Jersey (certification), Illinois, Arizona and Kentucky. Aside from everything else in this article, it will be interesting to follow the numbers as these states build their registration lists.
The July 2004 edition of Massage Today was distributed to 72,245 massage therapists in all 50 states and the District of Columbia, according to its published circulation data. Using the July 2003 U.S. census data (the 2004 estimates were not available at this writing), the subscribers of Massage Today represent a density of about 25 massage therapists per 100,000 people in the United States. One way of looking at that is to figure that there are 4,000 potential clients per massage therapist, without discounting infants, prisoners and troops abroad.
About half the U.S. population lives in the 26 licensing states and Washington, D.C. The density of massage therapists is approximately 35 therapists per 100,000 in licensing states - above the national average. Nonlicensing states have an average density of only 15 massage therapists. To the extent that these numbers represent availability of massage services, availability is over twice as much in licensing states.
The numbers change a bit when the three certification states, Connecticut, Wisconsin and Virginia, are shifted into the credentialing column, joining the licensing jurisdictions. Credentialing states average 34 therapists per 100,000 people and non-credentialing states average 14 therapists. Measured this way, availability in credentialing states is still more than double other states, but in 2003 it was nearly triple.
This year, the state with the largest number of massage therapists per capita is Utah, with 82 per 100,000 (down from 101 a year ago). The 14 highest state densities occur in credentialing states, and these are the same states as last year. Montana, ranked 15th overall, is the nonlicensing state with the highest density, at 30 massage therapists per 100,000. The trend favoring licensing is mitigated by the three states with the lowest densities, which are all licensing states: North Carolina (7.5), Mississippi (6.4) and at the bottom, Maryland (5.5).
Individual state numbers must be viewed with caution. North Carolina, for example, has far more therapists than the 633 recipients of Massage Today in that state; the number of recipients in Ohio is 3,902, about half of the 7,820 reported by the state medical board in June 2004. Massage Magazine's online listing showed 7,334 Ohio licensees. There is no authoritative count in any nonlicensing state.
Expanding this report, I investigated numbers from the U.S. Department of Labor for the year 2000 of employed massage therapists only, excluding massage therapists who are self-employed, including independent contractors. (The data on average wages is interesting but not my focus.) Numbers are not available from seven states and Washington, D.C. Of the remaining 44 states, 20 were licensing states and 23 were nonlicensing states (Mississippi did not yet license in 2000.) A total of 25,890 massage therapists were reported as employed in the 44 states. According to an AMTA membership survey, 16 percent of therapists are employed. A calculation with that percentage gives a 44 state total of about 155,000 massage therapists where Massage Today lists 66,152, suggesting that the massage densities I have shown might be about 60 percent short of the actual numbers.
Using just the Department of Labor numbers, the average density for employed therapists is 10 per 100,000 people over all states and is also 10 in either the licensing states or nonlicensing states taken as groups. This data shows near equality between licensing and nonlicensing states as to the density of massage therapists working for employers.
Economists conjecture that licensing deters employment, but these figures do not support that. This Department of Labor data would be an excellent source of information for a massage school student researching a well-balanced approach to the theoretical economic effects of licensing.
We may conclude, as we did a year ago, that these data do not document that state licensing depresses the availability of professional touch to the public. One explanation may be that the very negative affects of local regulation are overcome by state licensing. In theory, state licensing imposed on a free market should dampen entry to the profession. When compared to local patchworks of regulation in the nonlicensing states, massage therapy licensing at the state level uniquely liberates the massage market and affords better opportunities for clients and practitioners.
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