resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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 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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2005, Vol. 05, Issue 10
The Labors of Legislation
Pennsylvania, New Jersey Bills Raise Different Issues
By Editorial Staff
Pennsylvania and New Jersey are two of several states in which massage therapists are seeing legislation introduced regarding licensure and certification.As we go to press, New Jersey Assembly Bill A4034 has been approved in committee, while Pennsylvania's House Bill 1643 has been sent to the House Committee on Professional Licensure.
New Jersey - A4034
New Jersey State Assemblymen Peter Barnes and Patrick Diegnan (both D-Middlesex) and Assemblyman Gordon Johnson (D-Englewood), proposed the bill, which would require certification for anyone performing "massage, bodywork or somatic therapy services." It is believed that this bill will be amended on the floor of the Assembly and then voted on as early as November 2005, when the New Jersey legislature returns from its recess. If the bill is not voted on by both houses by the end of the year, it will be reintroduced in 2006.
The bill stems from a title act approved by the New Jersey legislature in 1999 for massage, bodywork and somatic therapists. The act provided for optional certification, meaning no one was prohibited from practicing; it was just an issue of whether someone wanted to use a specific professional title affiliated with massage and bodywork, such as "Certified Massage Therapist." The act does prohibit state-certified therapists from providing treatment: "Massage, bodywork and somatic therapies do not include the diagnosis or treatment of illness, disease, impairment or disability."
As with most cases of licensure/regulation, there are potential concerns with A4034. In its current form, the bill would make existing voluntary state certification mandatory. Thus, the limited scope of practice in the title act would become the scope of practice for therapists.
Specifically, in the current draft of the New Jersey bill, anyone practicing bodywork who is not state certified is considered to be guilty of prostitution. The following text is taken directly from A4034: "Proof that any premises, place or resort which holds itself out as rendering massage, bodywork or somatic therapy services employs or utilizes a person who is not certified to render these services as required by section 1 of P.L. c. shall give rise to a permissive inference that the premises, place or resort was conducted or maintained as a house of prostitution."
According to the legislative update on the AMTA-NJ chapter's Web site, members are informed that "it is important for AMTA-NJ Chapter Members to remember the State Certification Law is a Title Protection Law, and therefore Professionals choosing to use any of the Titles identified in the Law are obliged to become State Certified. Consequently, for Practitioners in our profession who offer services which are not becoming State Certified this could potentially create a challenge should the State Examining Committee interpret that they fall under the NJ Title Act for Massage Therapy, Bodywork or Somatic Therapies. It is the hope of the leadership of the AMTA that our members and all Professionals in the State will want to become State Certified and be proud to hold their title as defined by our law."
New Jersey has been accepting applications for state certification since November 2004, and as of August 2005, only 60 therapists have been officially state certified, and 170 applications are pending. The current timeline for completing the certification process is at least three months.
Rena Margulis, NCTMB, Dipl. ABT (NCCAOM), a practitioner in Haddenfield, N.J., notes several potential problems with the latest version of A4034. (Under the current title act, the New Jersey Massage, Bodywork and Somatic Therapy Examining Committee, which is within the N.J. Division of Consumer Affairs, is responsible for certifying massage therapists who wish to utilize titles affiliated with massage and bodywork in a professional capacity.)
According to Margulis, A4034 "allows state-licensed, state-certified or state-registered professionals to perform massage and bodywork if it is within their scope of practice. But no one else. In an obvious error, there is no exception for students performing massage in a clinic or for anyone else receiving training in touch, even medical students. There is no exception for out-of-state continuing education instructors or for bodywork offered without reimbursement. Under A4034, anyone who performs bodywork without state certification faces the 'permissive inference' that he or she is operating a 'house of prostitution.'"
Margulis urges massage therapists in other states to watch this debate carefully, as there are fears other legislative bodies could make similar decisions in other states - making a title act a practice act with very little warning. "Compare the differences between the New Jersey statue and the New Jersey regulations. In many cases, what legislators did not prohibit, the regulations did. Many New Jersey therapists who backed the title act several years ago are now very, very, sorry they did," Margulis said.
For more information about A4034, visit www.njleg.state.nj.us.
Pennsylvania - HB 1643
Meanwhile, in neighboring Pennsylvania, House Bill 1643 finally has been sent to committee and is awaiting a vote by both houses as of press time. Currently, 66 state representatives have signed on in support of this bill and the Pennsylvania chapter of the American Massage Therapy Association (AMTA-PA) has distributed 14,000 cards across the state, requesting that HB 1643 be moved from committee to the House for a vote.
However, as with the New Jersey legislation, this bill has its critics - albeit in this case (as far as we can tell), from outside the massage profession. In its most recent legislative update, the AMTA-PA said physical therapists in Pennsylvania have publicly stated they are against the bill. The attorney for the Pennsylvania Physical Therapists Association, F. Stephenson Matthew, was quoted in the Eastern Pennsylvania Business Journal as saying, "The group believes massage therapists are not qualified to treat disabilities or impairments, that licensure is neither necessary nor appropriate and that it has concerns with the grandfathering of existing massage therapists." However, after repeated requests, the PPTA leadership has yet to contact the Pennsylvania Chapter to discuss their issues with the bill.
Despite this criticism, in the same legislative update, Pennsylvania Chapter President, Nancy Porambo, MS, NCTMB, offered her support of the bill: "[The bill] sets parameters from which we can build higher standards for the future of the profession of massage therapy, a position every profession seeking licensure had to take in the beginning of their growth."
She also said: "We are proud to state that many of our schools have redesigned their massage therapy programs to become an associate degree program. Many other programs across the state are above the proposed 600 hour minimum and our standards in the bill are currently higher than the national average of 500 hours."
To track the status of HB 1643, visit the AMTA Pennsylvania Chapter Web site at www.amtapa.org/gov/updates.php.
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