resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
April, 2008, Vol. 08, Issue 04
A History of Russian Medical Massage
By Zhenya K. Wine
Russian massage virtually was unknown in the U.S. until the 1980s. Upon my immigration to the U.S. in 1980 and during my occupational therapy internship at Riverside Hospital in Columbus, Ohio, I found out firsthand how little "hands-on" therapy was used by physical medicine in this country. It was a great surprise to me since massage has been a part of almost every treatment Russian patients receive during their inpatient or outpatient rehabilitation..
It took me a few years to realize, however, that Russian massage has been in the forefront of physical rehabilitation due to the extensive research that has been done in Russia and the Soviet countries for more than 130 years. To this day, Russian massage is still a virtual unknown in this country.
The main distinction of Russian massage is its 100 percent use by the Russian medical community since its inception in the late 1700s. Until the 1990s (perestroika), Russian massage was taught in medical and athletic establishments only. The only two ways someone could receive massage in Russia were to have a physician's prescription or to be a member of an athletic team. Massage for pampering and relaxation was only available as a part of a facial cleaning or for the super rich. Although practices and education have changed since that time, massage still is one of the most requested forms of physical rehabilitation in Russia to this day.
Russian massage has a long history, having been used by medicine women along with herbal preparations for centuries. The first recorded form of manual therapy done by the ancient Slovaks (later called Russians) at a bania (sauna) was called "twigging." It was done with branches of birch (Slovaks believed the birch had the best medicinal effects and properties). The leafed birch twigs were gathered in the late spring when the properties of the birch were supposed to be superior. They were then dried and used throughout the year. Russians, after bathing, would go to a very hot steam room (70 percent humidity - not quite as humid as the Turkish sauna), where a specially trained man or woman would hit the body with softened leaf-covered birch twigs and would follow by rubbing the body with the branches. After this part of the therapy was completed, the masseur would pour water - hot first, followed by cold - on the body.
This process of twigging, as some suggest, is nothing more than very deep friction. In fact, we do see a great amount of hyperemia in the skin due to both the twigging and the heat of the sauna. This process was repeated several times during bathing (followed by rest), and concluded with the bather going for a dip in the snow or in a stream of running water. The severe amount of friction the bather received prevented the body from serious overcooling and helped them to adapt to the cold temperatures of Russian winters and strengthen their immune system. The bania still is in use today, and many Russians have their own outside saunas where they go to detoxify, usually once a week.
Although used as a part of folk medicine for centuries, manual therapy or massage was not studied or used scientifically in Russia until 1860. The catalyst came from the interest of French physicians in hands-on treatment protocols. Russian society, which was heavily influenced by the French at the time, found it easy to adapt new French practices which included physical rehabilitation. The massage done in Russia today is called classical massage, and it was first formulated in the middle of the 18th century. An internal medicine physician, Dr. M. Y. Mudrov, is responsible for bringing this classical form of massage to Russian medicine. He believed that in treatment of any illness, manual therapy and movement are necessary for getting well. At the end of the 19th century, pediatricians Drs. S. G. Zibelin and N.M. Ambodik thought it absolutely necessary to use manual therapy for the proper development of infants, so Russian infant massage was born.
Unlike other infant massages I have observed being done slowly and deliberately, Russian infant massage is very quick and light, involving fast and superficial brushing strokes over the skin using the fingers and no pressure. This is followed by swift and gentle spiral rubbing with the pads of the fingers. Each body part is massaged for one to two minutes, and the full procedure does not exceed 10 minutes. The goal of Russian infant massage is to increase blood circulation to the periphery, which in turn is believed to promote better physical and mental development of the child.
The main contention of Russian massage is that when the rest of the world started studying more "advanced" forms of rehabilitation therapy (electrical stimulation, ultrasound, infrasound and many others), Russian physical medicine did not stop its use of massage therapy in the treatment of patients or its research into the effects of massage. The research history of Russian massage begins with Russian internal medicine specialists Drs. S.P. Bodkin, A.A. Ostroumov and G. A. Zaharyin. These physicians saw manual therapy as one of the best clinical modalities for the treatment of many internal problems.
One of the most prominent Russian physiologists, V.A. Monassein, along with his students, conducted several studies to scientifically show how massage influences functions of the body. In 1886, Gopadze studied manual therapy influence on nitrogen metabolism in the body after the use of massage. I. Stabrovsky (1887) researched performance of the lungs after manual therapy and B.I. Kiyanovsky (1889) analyzed the influence of massage therapy on the metabolism of fats and nitrogen in healthy people.
At the end of the 19th century, centers for studies of massage were founded all over Russia and the Ukraine. These centers were located in a variety of medical schools - medical military academies taught massage and gymnastics (Dr. V.A. Monassein in 1876); obstetric centers taught their delivery nurses gynecological massage (Dr. D.O. Ott in St. Petersburg in 1888); and medical schools taught massage after surgical intervention (Dr. V.P. Dobrolubov in 1893). More than 20 different centers that taught, treated and researched the use of massage therapy were opened in Moscow and St. Petersburg alone from the 1860s - 1920s. Based on the research during this time, classical massage techniques were created, their performance was explained from the physiological perspective, and indications and contraindications in the use of massage were discussed.
Manual therapy was used extensively during World War II as a part of complex rehabilitation treatment of the wounded. After the war, such prominent Russian physicians as A.F. Verbov, V.N. Moshkov and L.A. Kunichev developed special methodology for manual therapy use in all dysfunctions.
In the 1960s, both major universities in Russia and specially formed Institutes of Resortology and Physiotherapy conducted in-depth research of manual therapy and its uses. Today there are hundreds of massage schools open all over Russia, but the fact still remains: Massage therapy is alive and well in the medical schools, hospitals, clinics, and sanatoriums (inpatient medical spas). Massage therapy continues to be heavily supported by the medical community and plays an important part in almost every physiotherapy treatment protocol for musculoskeletal, neurological, internal, cardiovascular and many other dysfunctions. Russia continues to be at the forefront of massage therapy research. Russian athletes still acknowledge the instrumental role massage plays in their performance and recovery, and most of them will tell you massage has prolonged their athletic ability. As massage assumes a more prominent place in the U.S., my hope is that it will gain the same prestige here that it has held in the Russian medical community. It definitely deserves it.
Zhenya Wine has practiced and taught Russian medical and sports massage and physiotherapy for 31 years, and runs the Kurashova Institute in Rock Island, Ill.
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