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Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
September, 2006, Vol. 06, Issue 09
Massachusetts Passes Massage Legislation
Legislature overrides governor’s veto; state becomes the 37th to license massage therapists.
By Kathryn Feather, Senior Associate Editor
The legislative process can be an arduous one at best, often taking years to get an agenda advanced beyond committee.On June 27, 2006, the massage community in Massachusetts breathed a sigh of relief and took a victory lap as it became the 37th state to enact massage therapy regulation.
The Massachusetts House and Senate both voted to override Gov. Mitt Romney's veto of S.B.2258 to pass the bill, which creates a new state board to regulate Massachusetts' estimated 5,000 massage therapists. The new legislation requires massage therapists to meet certain educational or "hands on" experience requirements in order to be licensed to practice in the state. As the current law stands, the process of regulation is left up to the local boards of health. As of press time, S.B.2258 is set to become law in 90 days, effective in late September 2006.
In section 98 (a), the bill states, "There shall be within the division of professional licensure, a board of registration of massage therapy. The board shall consist of seven members who shall be appointed by the governor for terms of [three] years. The members appointed shall be residents of the commonwealth, three of whom shall be licensed massage therapists who have been actively engaged in the practice of massage therapy in the commonwealth for at least five years immediately before their appointments; one of whom shall be a health agent, board member or other health professional employed by or elected to a municipal board of health within the commonwealth; one of whom shall be an individual who is actively engaged in the operation of a licensed massage school; and two of whom shall be consumers who are familiar with the massage therapy field."
The duties of the board include adopting "rules and regulations governing the licensure of massage therapists, the practice of massage therapy and the operation of massage schools to promote public health, welfare and safety of citizens of the commonwealth, to establish standards for continuing education reflecting acceptable national standards and to investigate complaints, conduct inspections, review billing and treatment records and set and administer penalties as defined ... for fraudulent, deceptive or professionally incompetent and unsafe practices and for violations of rules and regulations promulgated by the board."
The bill also authorizes the board to make public a list of licensed massage therapists, as well as to publish a code of ethics. The bill spells out several definitions regarding the profession and defines massage as "the systematic treatment of the soft tissues of the body by the use of pressure, friction, stroking, percussion, kneading, vibration by manual or mechanical means, range of motion for purposes of demonstrating muscle excursion or muscle flexibility and nonspecific stretching. Massage therapy may include the use of oil, ice, hot and cold packs, tub, shower, steam, dry heat or cabinet baths, in which the primary intent is to enhance or restore the health and well-being of the client." The bill also defines what massage is not: "Massage therapy shall not include diagnosis, the prescribing of drugs or medicines, spinal or other joint manipulations, nor any services or procedures for which a license to practice medicine, chiropractic, occupational therapy, physical therapy or podiatry is required by law."
A licensed massage school is defined as "a facility which is licensed by the board after meeting minimum standards for training and curriculum." A massage therapist or practitioner is defined as "a person licensed by the board who instructs or administers massage or massage therapy for compensation."
S.B.2258 does make provisions for current practitioners. Therapists currently working in the state, have until approximately April 30, 2008, to qualify for a license under the grandfathering provision established within the bill. Current practitioners will be required to complete an application, pay all necessary licensing fees, provide proof of liability insurance and satisfy one of the following additional requirements:
However, licenses will not be issued until a board is appointed and rules are drafted. New massage therapy practitioners must satisfy the following requirements in order to qualify for licensure:
Other practitioners will be exempt from the regulations spelled out in S.B.2258, as long as they do not hold themselves out to be massage therapists. Exemptions include anyone who uses touch, words or directed movement to deepen awareness of patterns of movement in the body, or the affectation of the human energy system or acupoints or qi meridians of the human body, while engaged within the scope of practice of a profession with established standards and ethics; such services will not be designated or implied to be massage or massage therapy. The practices covered in the above exemption include, but are not limited to, the Feldenkrais method, reflexology, the Trager approach, ayurvedic therapies, Rolf structural integration, polarity or polarity therapy, polarity therapy bodywork, Asian bodywork therapy that does not constitute massage as defined, acupressure, jin shin do, qi gong, tui na, shiatsu, body-mind centering and reiki. Exempt practitioners who fall under the above guidelines may use the terms "bodywork," bodyworker" and "bodywork therapist."
Massachusetts massage therapists interested in applying for an appointment to the Board of Registration of Massage Therapy within the Division of Professional Licensure can send a resume and cover letter specifying the board of interest to:
To view the text of S.B.2258, visit the Web page for the 184th General Court of the Commonwealth of Massachusetts at www.mass.gov/legis/legis.htm.
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