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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
January, 2006, Vol. 06, Issue 01
Spotlight on Research: Massage Effective in Treating Young Children's Skin Conditions
By Michael Devitt
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 projects planned or in progress are reproduced verbatim whenever possible.This month we look at the effectiveness of massage in treating young children's skin conditions.
Burns and eczema are among the most common pediatric skin conditions experienced in the United States. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) estimates that up to 20 percent of all infants and young children suffer from eczema at any given time. While much less common, pediatric burns often are just as painful and, by some accounts, even more stressful; the procedures associated with changing burn dressings can be particularly traumatizing, and might cause anxiety in both children and their parents.
It is well-known that skin conditions such as eczema and burns can be stressful and harmful to children. It's also well-known that while these conditions usually are treated with medications or other standard procedures, a variety of alternative therapies also might be used to treat them, with outcomes similar, if not superior, to traditional care. In a recent issue of Dermatologic Clinics, researchers from Florida examined the use of massage in two studies on pediatric burns and atopic dermatitis. The studies, published as a single article, suggest massage can play a significant role in the treatment of both conditions, and can be a useful complement to standard methods of care.
Massage for Burns
In the first study, 24 children (average age 29.3 months) admitted to a burn unit at a large university hospital were randomized to either a massage therapy group or a control group. All of the children were scheduled to have the dressings on an existing burned changed. Approximately 30 minutes prior to dressing change, 23 of the children were administered an analgesic to help relieve pain.
In the control group, a massage therapist spent 15 minutes with the children prior to dressing change, sitting next to the child's bed and talking with the child. In the massage group, the children received a 15-minute massage from a trained therapist, with strokes applied to areas of the child's body that were not burned, using moderate pressure.
Dressings were changed by nurses unaware of which group each child had been assigned to. To determine incidence of pain between groups, an observer (also unaware of each child's group assignment) recorded a series of six "distress behaviors" in the children just prior to, and during, the dressing change.
Children given a massage before the dressing change "showed only an increase in torso movements" while their dressing was changed. The nurses "also reported less difficulty conducting the procedure" on children who had been massaged prior to dressing change.
In contrast, children who did not receive a massage showed increases in all of the other distress behaviors.
The authors concluded that children who had received a massage prior to dressing change "showed minimal distress behaviors and no increase in movement other than torso movement." They suggested future studies examine the effectiveness of teaching parents to perform massages on their children before burn care procedures, which could help to reduce the stress levels of all involved.
Massage for Atopic Dermatitis
In the second study, scientists recruited 20 children ages 2 to 8, all of whom had been diagnosed with atopic dermatitis, a type of eczema that causes severe itching and a red, raised rash on the skin. The children were randomized into two groups: half received "standard care" (consisting of emollients and topical corticosteroids) from a dermatologist, while the other half received standard care along with a daily massage.
In the massage therapy group, massages were performed by the children's parents. During the first session, a therapist gave the parents a 20-minute massage to familiarize them with massage techniques and how the massage felt. The therapist then demonstrated the same massage techniques on the child. At the end of the first session, the parents were given a videotape and a written description of the massage to take home and review.
The massage consisted of two standardized phases. First, the child was placed in a supine position, with the dermatitis medication applied as a moisturizer to ensure smooth stroking movements. Next, five regions of the child's body (face, chest, stomach, legs and arms) were massaged in sequence, with different techniques performed on different parts of the body. Any severely affected, sensitive areas of the body were avoided. Massages were administered daily for one month, with each massage lasting 20 minutes.
Regions of the Child's Body Massaged in SequenceFace
When compared to the standard care group, children receiving a daily massage showed a "statistically significant improvement" in a variety of symptoms associated with atopic dermatitis over the length of the study period. The only factor both groups showed similar improvements in was scaling.
The daily massage protocol appeared to have a positive affect on both parents and children. Parents who administered massages to their children, for example, showed decreased anxiety levels after the first massage session and by the last day of treatment, and reported their own feelings about their children "improved." Receiving massages had a likewise effect on the children, whose anxiety and activity levels improved throughout the course of care.
While the length of the study was rather brief, the researchers suggested continued massage likely would have improved the children's condition even further, and at worst would have maintained the improvements seen during the initial one-month treatment session.
"Although this study did not assess the long-term effects of the massage intervention, it is hypothesized that the observed improvement in the children's condition would stabilize or continue to improve if the parents continued to administer the massage protocol," they wrote. They added that parental massage "is a very cost-effective adjunct therapy" to standard care for atopic dermatitis, costing an average of $30 for patient.
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