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Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
February, 2005, Vol. 05, Issue 02
Trust and Expectations
By Cliff Korn, BS, LMT, NCTMB
By now, you have probably already read this issue's top story outlining assertions of wrongdoing in the National Certification Board for Therapeutic Massage and Bodywork's (NCBTMB) election process.The news of this possible wrongdoing pains me; the situation is needless and is potentially evidence of a betrayal of trust by one of the most powerful and influential organizations in the massage therapy profession.
I know it also pains the volunteers who serve on the board and committees of the NCBTMB. Their organizational culture is not one that enjoys or allows much airing of dirty laundry; however, initial fact-finding indicates that Elizabeth McIntyre's complaint contains a certain amount of credibility since the NCBTMB's documented bylaws and policies have been vague in defining criteria.
In a nutshell, McIntyre maintains that although she is currently a sitting member on the Board of Directors (BOD), the NCBTMB nomination committee advised her that she does "not meet the current criteria for consideration" to run for a second term. According to McIntyre, this incident suggests that the NCB's nominations process is not fair or equitable, and further asserts that personal differences within the BOD affect the election process and that a "power play to control the BOD and the ballot process is occurring." If McIntyre's assertions ultimately prove accurate, the NCBTMB has exhibited an egregious breach of trust in the community it serves and will have outlived its useful life.
Of all the entities in our profession, the NCBTMB has long touted the highest of ideals and standards. Its statement of organizational purpose - its entire reason for being - is to foster high standards of ethical and professional practice in the delivery of services through a recognized, credible credentialing program that assures the competency of practitioners of therapeutic massage and bodywork. If the NCBTMB is indeed stacking the deck and manipulating the elections process to ensure a skewed result in populating its BOD, then it is the worst violator of its own standards. A grand house on a crumbling foundation cannot be expected to stand for long.
I am pleased that the NCBTMB took McIntyre's complaints seriously and investigated them. To the best of my knowledge, the NCBTMB nominating committee does not have substantial criteria to review for anyone desiring to run for the BOD. NCBTMB Bylaws state only that "Members of the Board of Directors, except for the public member, must: 1) be Nationally Certified in Therapeutic Massage and Bodywork (NCTMB), 2) have a minimum of three (3) years experience in the profession of therapeutic massage and bodywork, and 3) be in good standing with the NCBTMB." Period, exclamation point - that's it.
Unless there is a secret document in a safe somewhere, to my knowledge, the above passage is the sum and substance of qualifications for someone to sit on the BOD. It is also the only criteria mentioned in NCB's Articles of Incorporation, Bylaws, or Policies and Procedures. Without some clearly defined hurdles for prospective board candidates to clear, it is unfathomable to me that a nominating committee would find a sitting board member who has not been censured or sanctioned unqualified for re-election. Is the NCBTMB suggesting that it made grave errors in the past by letting McIntyre "slip through by mistake" and can correct that mistake by pulling her name from the ballot now? Does the NCBTMB think the certificant base is too stupid to realize that there might be better candidates for the position than an incumbent? Either suggestion makes me shudder.
As saddened as I am by this story, I am equally saddened by what has not been affirmed in all of this. I know many of the NCBTMB volunteers personally; I know them to be decent, honorable hardworking people doing their best to do right by the profession and the public. I also know that, contrary to McIntyre's allegations, the NCBTMB Board of Directors has no interfering capabilities in the nominating process or a desire to do so. The committee who reviewed the candidate's applications worked autonomously from the BOD. I know because I "lived in that house!"
I have chaired NCB committees, served as a director, and ultimately served as a chairman of the BOD. I know the culture; I know the effort those individuals expend on our behalf to make our profession the best it can be. I remember the untold hours I spent as chair of that organization dispelling myths about the NCBTMB. It is easy to suspect the NCB of myriad faults. It is a private, nonprofit, tax-exempt, autonomous, voluntary credentialing organization and as such, it doesn't have "members," or need to answer to or provide answers to massage therapists as a whole. I feel that the NCB has frequently accepted poor advice from its advisors and has chosen to use "legalspeak" to avoid real answers to real questions by real massage therapists. Coupled with a history of poor customer service, the NCB became an easy target for distrust. Those who choose to look, however, will find that the intent - if not the results - has always been for the highest good. I have personally never been more proud of any activities than those I did in support of the NCBTMB's goals.
The NCB certainly has not asked for my opinion of what to do about the situation it finds itself in now, but as I understand it, its recent problem-solving actions have gone a long way to ensuring that similar election questions are no longer raised. For one, it is in the process of completely revamping the entire election process from the bottom up. Giving McIntyre another chance to get on the ballot seems like a good first step to problem resolution. Developing real qualifications and criteria in policy that is made public is another step. If McIntyre's name is ultimately put on the ballot, it is then the responsibility of every eligible voter to determine if someone who took an internal matter and made it public while also campaigning for public support (an activity prohibited by NCB policy), can actually serve as an effective member of the team. I think not.
The NCBTMB has well over 80,000 certificants. A large majority of states regulating massage utilize the National Certification Examination (NCE). While it is technically a voluntary credentialing organization, the fact that many states require the NCE makes dealing with the NCBTMB an involuntary requirement. The NCBTMB arguably impacts more massage therapists than any other entity in our history. As such, the expectations are that the high ethics and standards espoused by the NCBTMB are reflections of how it functions internally. If it is it to remain in a position of authority and influence, the NCBTMB must earn the right to do so and accept the needs of the profession - not determine, then dictate them while breaking the rules it has set for itself.
The fact that it has recognized its systematic shortcomings and is actively arranging to revamp its systems to earn public trust, shows that NCBTMB's lofty ideals have not disappeared. McIntyre will get another shot at having her name on the ballot, as will all others who were previously reviewed by the NCBTMB's nominating committee. Hopefully, the form-letter language will be modified so that rejected candidates will understand that there were other, more qualified candidates to choose from, not that they didn't meet ambiguous selection criteria.
One of my favorite "curmudgeons" said recently, "In the absence of sufficient supportive information, the human brain will nevertheless construct meaning." I hope I have not fallen into that trap in my observations here. Scandal is a terrible thing for everyone, and this one certainly gets in the way of much of the good that the NCBTMB has done for the profession. If the NCBTMB satisfactorily exorcises this demon, I feel it deserves our support in fulfilling its ideals. If it chooses not to or fails to do so for other reasons, it will have not regained our trust and will likely wither and die.
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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