resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
March, 2006, Vol. 06, Issue 03
Education Where Does Advanced Begin?
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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