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Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
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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