resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
May, 2006, Vol. 06, Issue 05
Put Your Hands on Your Monitor Part 1
By Ralph Stephens, BS, LMT, NCTMB
It's time to set things straight. Schools are a part of the massage industry, but they are not part of the massage profession. The profession is comprised of the hard-working therapists treating the public.Those therapists band together and form associations and organizations to represent themselves. It's the responsibility of practicing therapists, through their organizations, to determine and define the standards of the profession - in particular, the entry-level standards and requirements for the profession.
The primary entry-level requirement is education. Once the profession determines what the educational requirement for entry is, it becomes the opportunity, the job - the duty, no less - of massage schools to provide training programs that meet those requirements, whatever the requirements might be. This is the place of massage schools today; no more, no less. Massage schools are part of the industry of massage. They are no different than table manufacturers or other suppliers, just a bit more regulated. If schools don't want to provide the education defined as necessary by the profession, then they should find some other profession to provide for - maybe truck driving. There is no "right" to be able to run a massage school. Furthermore, massage schools have no right to challenge the decisions of the profession as to how it wants its practitioners trained.
It is a blatant and unethical conflict of interest for schools to get involved with the determination of educational standards. Their primary motive is profit. Our profession is providing schools a golden opportunity to make significant profits as it is. Schools should be grateful for this opportunity and do their job. The profession should rigorously monitor schools. Those schools not meeting the profession's standards should be publicly exposed and their privilege to profit from this profession should be revoked, permanently.
The nature of massage education is rapidly changing. Massage schools used to be started and then run by successful, ethical, practicing, accomplished therapists. Some still are. I bow to them as they struggle to keep the flame burning. This article is not about them. However, the rapidly growing trend is that corporate entities, mostly for-profit career colleges, are buying up or opening massage schools. Often, they are existing career colleges just adding a massage program to their other offerings, like truck driving, accounting, modeling, cosmetology, etc. While they have the right to do business like anyone else, it does not appear they have the interests of our profession or of quality education for our practitioners at heart. Their heart is elsewhere.
The Career College Association, which has more than 250 schools that offer massage programs, has become a huge lobbying force in Washington, D.C., where we have the best politicians money can buy. Through its network, it pumped over 1.8 million into the pockets of members of Congress, especially those on the education committees. The federal government had a standard that all schools receiving federal aid for students had to provide at least 50 percent of their programs in face-to-face classroom settings (classroom hours). This is way too much hassle for career colleges, so against the objections of traditional universities and the inspector general of the Department of Education, they got their bought-off politicians to attach an amendment to the budget bill which dropped the 50 percent rule. Now, any school can legally provide 100 percent of any program without any in-classroom hours. Just like the FDA, the Department of Education has become nothing more than an industry advocate group. Sally L. Stroup, the assistant secretary of education, is the top regulator overseeing higher education and is a former lobbyist for the University of Phoenix, the nation's largest for-profit college, with some 300,000 students. Yes, Phoenix has its own lobbyist.
So, here it comes: The Career College Association and the large corporate chains of massage schools are starting a very well-organized campaign to eliminate the "classroom hours" in massage programs. Since they no longer must provide any classroom hours, why should massage programs? Our profession's classroom hour standard is now in the way of their profit. First, they want to eliminate the "health science and business" classes. Why should we believe they will stop there? They don't care or do not realize that no other health care profession relies so completely on skilled touch as its methodology of delivery. Palpatory literacy cannot be taught effectively at the entry level by telling students to "put your hands on your monitor, touch the red area, that's soleus."
They have developed two strategies to eliminate our classroom hour standard. First, they will claim that a bunch of their schools already are providing massage training by distance learning methods. So, instead of enforcing the profession's standards, the profession should just drop the standards and let schools do whatever they want, in particular, what they already are doing. They are being quite arrogant about this, whining that the profession has no right to tell the educational community how to train therapists, particularly to require classroom hours instead of whatever is most convenient for school operators. They are even bragging about how many of their schools are getting away with not providing classroom hours. Sure, they are getting away with it. State boards and the NCBTMB do not have the personnel to provide adequate enforcement, and the schools know this. The only way schools will get caught is if honest therapists and students file complaints. So, hey out there, start filing complaints! It's easy. Are all hours being provided "in class?" If not, file a complaint. Students, do not let them bully you or threaten you with not graduating if you file a complaint. Document their threats and call a lawyer and a policeman. You might be able to retire before you go to work.
Their second strategy is to use the Americans With Disabilities Act, claiming that requiring classroom hours discriminates against the handicapped, single parents, the poor, drunks, drug abusers, and whomever else they can think of. This will mean court battles with state boards, the AMTA and NCBTMB. Through our corrupted legal system, one case in some state will become precedent and the classroom hours standard might be thrown out everywhere. This campaign will be coming to your state soon if you have a "classroom hours" standard in your licensing law. Watch for it. We will see soon how "legally defensible" the NCBTMB standards actually are.
The massage profession has indeed emerged. Can we protect the profession from its own industry? Will the profession be able to maintain control of its entry-level standards? Are the corporate educators to become our rulers? Do you care? If not, sit back and watch the show. If you do care, you better get involved, and soon. There will be more next time on why losing classroom hours is such a bad idea, and also a compromise idea that might actually elevate the profession. Stay tuned.
Harry Waranch, BA, LMT, CNMT, from Palm Coast, Fla., shares this "hot tip" he calls "The Fire Starter." Stand at the side of the patient's hips, in the tai chi "horse stance" position. Place the ulnar edge of both your hands on the patient's sacrum, just inferior to the PSIS. Move the hands back and forth across the tissue rapidly to generate warmth in the tissues. Use light to moderate pressure, adjusted to the patient's sensitivity. This can be done directly on the skin, or through draping or light clothing.
Harry uses this with both deep-tissue and energy techniques for either relaxation or therapeutic treatments. He says it combines well with a myofascial rebound maneuver. Harry suggests you try this with your treatments for lower back, sciatica, psoas and hip complaints, or as a prone-position completion technique.
If you have a favorite technique you would like to share, send it to: . Thanks for reading my column. I'll be back in July.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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