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Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
August, 2006, Vol. 06, Issue 08
Gunfight at the O.K. Corral
By Cliff Korn, BS, LMT, NCTMB
Healthy competition benefits everyone. Our entire system works on competition, capitalism and the free enterprise system. One of the only situations I can think of in our history when competition wasn't healthy was the Old West gunfight! Is the shootout coming in the massage industry? Our profession has several "big guns" that appear to swagger through the countryside.Usually, they are able to "play nice," but if some of the communications I've received recently are any indication, a few of them seem ready to call each other out and swap hot lead!
The "big guns" I am speaking about here are the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB), the American Massage Therapy Association (AMTA) and the fledgling "big gun wannabe," the Federation of State Massage Therapy Boards (FSMTB). Another "big gun," Associated Bodywork and Massage Professionals (ABMP) seems to have elbows on the swinging doors of the saloon peering out at the OK Corral observing the activity.
Most Massage Today readers first heard about the FSMTB in our July (www.massagetoday.com/archives/2005/07/01.html) and November 2005 (www.massagetoday.com/archives/2005/11/05.html) issues. In the November issue, I wrote,
"At its recent meeting, FSMTB also determined that one of the areas of greatest concern expressed by both state massage therapy boards and massage therapy schools is the examination program administered by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB). From the FSMTB perspective, the continued reliance on this exam program is being questioned for a number of reasons, including: 1. Long-standing problems with delivery of basic services, such as exam registration and approval of continuing education providers; 2. The fact that state boards have had no direct input into the design and administration of this examination program, nor any role in the policy making process of NCBTMB; and 3. Inconsistencies between the eligibility requirements set by NCB for this exam and the specific curriculum standards upheld in each state where massage therapy is regulated. FSMTB stated these are not only logistical problems; they also might present issues of legal exposure for the state boards. As a potential solution, the FSMTB has been researching the establishment of its own national licensing examination."
The NCBTMB, of course, has long been known for its certification program and associated entrance-level certification examination, which many states also have chosen to utilize as a licensing examination. In a letter to "Members of the Massage Therapy and Bodywork Community" and to massage therapy state regulatory boards, the NCBTMB expressed dismay that the FSMTB actually went ahead with plans for a licensing exam. (The two organizations had discussed ways to collaborate, but those discussions obviously weren't of sufficient substance to dissuade the FSMTB from its initial idea.) NCBTMB's letter states, "The NCBTMB's experience to date has been a series of mixed messages from FSMTB, which first challenged the validity of NCBTMB's examinations and then sought to transfer ownership of the these examinations to their control." The negativity continues in a recent communiqué from the FSMTB that raises the following questions and concerns:
The AMTA has chosen to insert itself into the FSMTB/NCBTMB squabble by, on several occasions, supporting the NCBTMB position through its own statements. In a letter to its members, AMTA recently wrote, "AMTA supports one set of massage therapy exams for the profession, those created and administered by the NCBTMB."
As the NCBTMB prepares itself to "gun down" the upstart FSMTB, with AMTA handing over extra ammunition, I wonder why. To me, other than the obvious issues of garnering or retaining cash flow, this is a tempest in a teapot. All of the involved organizations make one-sided statements without explanation, assuming readers will just accept the statements as truth. I have yet to hear an explanation from any AMTA source that would explain why one set of exams is better for the profession than two, 12 or 112. The AMTA also has given no reason for choosing why the exams created and administered by NCBTMB are any better than those from any other test developer. One wonders why it would disenfranchise another organization's attempt to develop something "new and improved," and who might actually be able to do the job better! The NCBTMB gives no rationale for how a purposely developed licensing exam would "further divide the profession," any more than it is divided by multiple professional associations or multiple educational accreditation organizations. The board provides no examples of how reciprocity would be adversely affected by multiple entry-level exams any more than it is by multiple massage school diplomas. As I see it, this is just turf protection and spin.
In my world, competition is a good thing. I'm a better massage therapist because there are others in my community also striving to be the best they can be. I think the AMTA and ABMP are better professional associations than they would otherwise be if they were not both there to offer alternative choices. I think the NCBTMB will become a more responsible certification provider if there is another organization offering an alternative entry-level examination. The fact is that standards are the key to effective assimilation of multiple choices in almost any situation. It is accepted accreditation standards that allow a degree from thousands of colleges/universities to be accepted as a prerequisite for graduate education. As long as similar standards are applied to the FSMTB's new exam as to the NCETMB, then there should be no noticeable difference to the entry level therapist - other than it might be easier to schedule an exam after graduation.
But other than giving my opinion on this issue, I'm laying low and keeping my head down in case bullets start to fly!
Thanks for listening.
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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