resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
March, 2006, Vol. 06, Issue 03
Education Where Does Advanced Begin?
By Ralph Stephens, BS, LMT, NCTMB
I primarily spend my time as a continuing education provider for the profession of "Therapeutic Massage and Bodywork." To be approved by our national certification board (NCBTMB), a continuing education course must be "based on continued competence and enables the certificant to build on their knowledge, skills and abilities." That sounds great.However, there is a problem. What knowledge, skills and abilities do all massage therapists have? Too broad of a question? OK then what knowledge, skills and abilities do all massage therapists certified by the National Certification Board for Therapeutic Massage and Bodywork have?
How can a course be developed to continue the education of a therapist when there is no definition or standard of what entry-level education is? What techniques, muscles and bony landmarks do all schools teach? What can you count on every massage therapist to know? Where does advanced training begin? Sadly, as much as I love to teach advanced techniques, I continually must teach the difference between effleurage and deep friction; that deep friction is a technique, not how hard you press, because it can be done quite lightly. The majority of therapists don't know correct body mechanics, such as how to stand and how to align the thumbs to prevent injury. Not one therapist in a recent class I presented could accurately palpate the quadratus lumborum. Three participants were instructors at the host school. Everyone in the class was a licensed therapist, a graduate from a COMTA accredited school, and had passed the NCETMB.
It's not that I mind teaching these things. I am delighted to teach whatever is needed to help therapists more effectively help more people. However, it would be nice to get beyond thumb alignment being continuing education someday. Until then, I will, of course, continue to bring therapists up to speed on body mechanics and palpatory skills that should be taught in massage school as I teach the advanced techniques.
It might be said that NCBTMB has defined entry-level education from the results of their job task analysis surveys. However, those definitions include many techniques peripheral to massage. A therapist can pass the exam by getting all the esoteric questions correct and not know much anatomy. The body of knowledge covered by the NCE is so vast and varied it can only be tested superficially. Further, it can only be taught superficially. No massage school can teach it all, in any depth, in 500 hours.
When the national certification program was expanded (during its creation) to include everything for everyone, it became nothing for anyone. But, it's legally defensible. So, we are back to the question: What can you reasonably assume all massage therapists know when you are creating a continuing education course? Sadly, the answer is nothing. You cannot assume everyone knows deep friction from effleurage (basic massage strokes). You have no idea what muscles a particular therapist knows how to palpate accurately. There is no common working posture taught universally, and some schools teach none at all. Some entry-level programs get all jacked up and teach NMT or other advanced techniques without teaching the foundational basics like strokes, body mechanics, anatomy and palpatory skills. As a result, they grind out undertrained, overconfident graduates, most of which flounder until failure in one to three years. Schools have created a perpetual motion machine because a rapidly expanding profession can never be staffed when there is this high of a dropout rate. Students typically model the values, awareness and vision of their instructors. Until we can find a way to improve the level of the typical instructor in the typical massage school, it will be difficult to improve the quality and longevity of the entry-level therapist. Of course, there are great instructors and great schools, but they are the exception, not the norm. This is true in any profession, but in our case the norm is very low. The norm has to be raised.
The massage school community needs to let go of, among other things, the vague anatomy standard based on hours, and agree that an entry-level therapist will know a defined list of terminology, contraindications, muscles (O.I.A.), bones, bony landmarks, working postures and massage techniques. Everyone must know the list to graduate and to become licensed or join a professional membership organization and get the beloved insurance policy. We don't have to go overboard. The list doesn't have to be that long - after all, it's entry-level - but it needs to be established and enforced. Of course, a school could teach more depending on its program. The public needs to be able to count on the fact that all massage therapists at least know a common body of knowledge and terminology. So do physicians, those Gods of Allopathy we so desperately seek referrals from. This might help us get more.
I am not about to propose the list myself. It's not the place of one person to do so. It should be the assignment for a group like the Council of Schools or some other body of professional massage educators to hammer it out. Does this mean I am advocating standardized education? Yes, but only to the degree that all students learn a core body of knowledge. Beyond that, every school could do its own thing. Think there is any chance this might happen?
Sadly, I do not see any chance in the current system, but I have high hopes for the new Federation of State Massage Therapy Boards and the licensing exam they are considering helping to bring a better-defined entry level. As a great spiritual teacher once said regarding a seemingly impossible situation, "There is always hope."
In my last column, I shared some information on aspartame and its potential relationship to cancer. Now there is more. It seems mixing aspartame with monosodium glutamate (MSG) causes nerve cell damage, especially in developing nervous systems. The dosage a child might get in a drink or junk food snack can interfere with nerve signaling systems and can actually stop nerve cell growth. Learn more at www.organicconsumers.org/toxic/msg010306.cfm.
The organic food system is under attack and is being co-opted by petrochemical-based agri-business. Your help is needed. This same site can fill you in if you care to know. Quality food is the necessary foundation for physical health, just as quality thought is basic for energetic health. Our access to quality organic food must be defended for the sake of our children and the eco-system of the world. Don't wait - it may soon be too late.
Stubborn sternocleidomastoid muscles can sometimes be convinced to relax by working the sternalis and the upper half of rectus abdominis. Want more? Let me know. Oh, and please send me your favorite therapy tip or trick so I can share it with others so we can all help more people. Send it to .
See you about May Day with another basket of goodies.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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