resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
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.
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.
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?
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.
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.
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.
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).
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.
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.
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.
July, 2006, Vol. 06, Issue 07
Put Your Hands on Your Monitor, Part Two
By Ralph Stephens, BS, LMT, NCTMB
In my last column, I made two errors. I would like to set things straight right up front. I don't bury my mistakes. First, I stated that the Career College Association (CCA) was part of a campaign to reduce classroom hours in massage programs.That is false. I received inaccurate information from a usually reliable source. While individual schools are working to replace some classroom hours and, in some cases, already are providing distance learning programs to all students, the CCA's President, Nicholas J. Glakas, has made it very clear that CCA, as an organization, is not involved in any such campaign. I apologize for my misstatement and for any angst or problems it might have caused.
Second, due to a poorly worded sentence, some people wrongly assumed I was attacking and demeaning the disabled, the handicapped and the Americans with Disabilities Act (ADA). It was never my intention to do so and I am sincerely sorry if it appeared that way to anyone. A longer version of this apology was published in the June We Get Letters & E-mail section of Massage Today (www.massagetoday.com/archives/2006/06/14.html). I support the ADA and the rights of disabled individuals to have full access to society and, in particular, the massage profession and massage education programs.
The classroom hours standard for massage education was established in approximately 1985 to guarantee massage schools actually were providing the amount of training hours advertised. I am not aware of any distance learning technology that was in existence at that time. There were no career colleges with massage programs at that time either. This standard has been consistent for more than 20 years. It has been written into the licensing statutes or administrative rules of most regulated states. In other words, in many states, it's the law that massage schools must provide classroom hours. Nothing has changed recently to inflict classroom hours on massage schools.
Sadly, many schools are breaking the classroom hour laws and providing distance learning programs in states where classroom hours are required and where the NCBTMB test is the licensing exam. One of the classes many schools provide, or want to provide by distance learning technology, is ethics. Teaching an ethics class illegally! This is pitiful. What a great example for new students - if you don't like a law, just ignore it. Why should students or therapists obey the laws and rules of the profession if the schools don't? This is a dangerous example to set. Where does it end? What's wrong with a "happy ending" if it generates more profit?
Can ethics classes be taught effectively with distance learning technologies? It doesn't matter. It's illegal or against the rules to do so. It's the same for any other class at this time. Until the law is changed, schools are obligated to follow it, so the question becomes irrelevant.
Why my passion over education standards? I entered this profession 20 years ago. It was the establishment of education and licensing standards that elevated massage in the public's awareness. If standards are lowered, making it easier and easier to gain entry into the profession of massage, there is a significant threat that the line between ethical and unethical will blur or disappear. Do we, as a profession, want that to occur? Is it worth taking any chance that it might?
What is the future of the massage profession? Here is a quote to me from one of the career college distance learning advocates: "You represent 'the old guard' of massage therapy (Thank you) and many of your associates are either close to retirement or will sell their schools to a corporation. It is obvious to us that revolutionary changes are in motion that will change the massage guild into an allied health career profession."
Allied health is not alternative and it's not independent. It's under the complete control and direction of the existing medical system. Is this where you want the profession to go? Do you want to be under the PT assistants?
I have nothing against career colleges or corporations. I do have a problem with the ones that are breaking the rules established by the profession they are serving not to mention the laws established by many of the states where they operate.
Maybe we are framing this debate incorrectly. Maybe the classroom hours standard is not the best way to insure quality, ethical therapists. How about a new standard that specifies the knowledge and hands-on skills that a graduate should be able to demonstrate, not just the hours of a program and where they are taught? Of course, this would mean changing a lot of laws and administrative rules. So while the profession develops a new meaningful education standard, let's also develop a piece of model legislation that gives us real professional recognition and protection while guaranteeing the public's access to our services.
Here is my compromise suggestion: Career colleges want the laws and rules changed so they can provide distance learning. We need a more uniform series of licensing laws. How about we work together? Let's develop new education standards. I suggest we start with the New York law at 1,200 hours and add the specifications of what a graduate should be able to do in order to graduate. With a program of this length, distance learning could be used for lecture classes. Concurrently, we should develop model legislation. It's time we strive for the highest common denominator instead of the lowest. The career colleges can then use their lobbying funds to enact the law changes. They will get a huge return on this investment from longer programs, uniform standards and distance technology implementation. However, until the laws are changed, through the legislative process not the courts, schools should obey the existing laws and standards. Fair enough? The right minds could bring this about in two to three years. How about it?
This is an editorial column and is thus my opinion or "My View From Here." I speak only for myself and not for any organization. I can see from "here" that any further discussion of massage educational issues on my part is a waste of good ink. I have brought the issue(s) up and offered my suggestions. It's up to the organizations and other stakeholders (that's you, by the way) to determine the future of this profession. If you care at all, get involved. Hold your associations, regulatory boards, schools and fellow therapists accountable and let them know your views and positions. If you don't work to determine your destiny, your opportunities and your profession's standards, a few others will, and they will not have your best interests at heart. Democracy only works with an educated, informed, participating population. Apathy is the food on which tyrants grow. In these times, tyrants seldom are individuals; they are more likely to be organizations, bureaucracies and large businesses. This column will no longer discuss massage education. I have other fish to fry.
See you in September!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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