resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
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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