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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.
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.
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.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
June, 2008, Vol. 08, Issue 06
The Importance of Research
As massage continues its trend of mainstream integration, the importance of "homegrown" research can't be overlooked.
By Kathryn Feather, Senior Associate Editor
The massage and bodywork profession has experienced tremendous growth in recent years.Qualified therapists truly are making their presence known in hospitals, rehabilitation centers, retirement communities, spas and the world of professional sports and theater. Therapeutic and noninvasive in nature, more and more individuals - both men and women - are looking to massage to relieve a variety of health issues from back and neck pain to headaches and stress relief. No longer just a luxury, consumers are making massage a part of their health care regimen.
According to the most recent AMTA consumer survey, almost one in five adult Americans (19 percent) report discussing massage therapy with their doctors or health care providers; of those 19 percent, more than half (58 percent) said their doctor strongly recommended or encouraged it; and more than half of massage therapists (63 percent) receive referrals from other health care professionals.
This could prove to be an important trend. As the baby boomer population looks to extend their active lifestyles, massage has the opportunity to become a major component in the health care of aging America. However, this also leads to some interesting questions regarding the future of the profession. How do consumers know when to use massage therapy as an option? More importantly, when do health care professionals know to recommend massage to a patient? The answer to both of these questions lies in research. More research into the effectiveness of massage can educate both the public and mainstream medicine, which can then lead to more referrals and more business for individual therapists.
The Massage Therapy Foundation recognizes the value of massage research and has provided support for such projects through conferences, funding and educational resources. Recently, the foundation announced the launch of a peer-reviewed journal, the International Journal of Therapeutic Massage and Bodywork: Research Education & Practice. The journal has the potential to open up several doors for the profession in terms of providing a forum for the discussion and presentation of valuable research.
Several organizations also have provided financial assistance to the foundation's efforts for more research. In the fall of 2007, ABMP presented the foundation with a $10,000 grant in support of research, as well as making the lead grant of $15,000 to help gain medical recognition of massage therapy as a treatment for low back pain. The latter gift represented one-fourth of the funds needed to advance a review under the auspices of the National Institutes of Health (NIH) Office of Medical Applications of Research. The NCBTMB recently donated $50,000 to the foundation's research efforts.
The AMTA has been providing financial support to the foundation since its inception in 1990. In fiscal year 2007-2008, the AMTA donated a total of $383,809 and in fiscal year 2008-2009, it donated a total of $494,229 in both cash grants and in-kind donated services.
"AMTA remains committed to supporting scientific research on the use, safety and efficacy of therapeutic massage. We look forward to massage therapy practice being informed by an expanding body of quality research. The Massage Therapy Foundation is a valuable source for research information and AMTA is proud of its financial support of the Foundation's work," says AMTA President M.K. Brennan.
"The AMTA and the Massage Therapy Foundation share an interest in advancing the massage therapy profession through evidence-informed scientific research, research literacy and research capacity. As a core funder of the Foundation, AMTA is acting on its mission to serve our members while advancing the art, science and practice of massage therapy," adds Glenath Moyle, AMTA representative to the Massage Therapy Foundation and member of the foundation board of trustees.
An argument certainly can be made that research has helped advance the profession. Evidence of this can be found in the increase in therapists hired at hospitals utilizing massage for both inpatient and outpatient services. According to the AMTA consumer survey, the number of hospitals offering massage therapy has increased by 30 percent in two years (from 2004 to 2006); of the hospitals that have massage therapy programs, 71 percent indicate they offer massage for patient stress management and comfort, while more than two-thirds (67 percent) utilize massage for pain management; and 67 percent of hospitals with massage therapy programs offer massage to their staff for stress management. The consumer survey also found that more than half of adult Americans (59 percent) would like to see their insurance cover massage therapy.
The Touch Research Institute also provides relevant research to the public and the massage profession. Director Tiffany Field, PhD, shared the two most current projects TRI is working on: massage therapy to prevent prematurity, and massage therapy to increase bone density and growth in preterm infants. "We need to continue conducting underlying mechanism studies to persuade the medical community and the insurance companies that every pregnant woman needs massage and every preemie needs massage," said Dr. Field.
The current trend in research these days is that findings must be evidence-based. This can sometimes cause conflict within the profession, as many see massage as a fluid process that changes as the needs of the client change during a session. Those in allopathic medicine might not understand this argument, as they generally look only at the hard data to determine their opinions and recommendations.
It's important to recognize that massage therapy is not the only profession to experience this gap in clinical understanding. Chiropractic was in this same position in the 1970s and, to some degree, acupuncture and traditional Chinese medicine faces this dilemma as well. So, how does the massage profession bridge this communication gap?
With the forward momentum of this research trend, it might be time to take a page out of the chiropractic playbook and learn to speak the clinical language so popular with allopathic medicine. With more and more consumers finding their research on the Internet, it might be the right time for a digital repository for massage research. As more consumers become armed with this relevant, research-backed information, it will become increasingly difficult for their general practitioners to discount the relevance of massage therapy to a patient's health and well-being. Therapists already know massage is much safer and less invasive than prescription drugs or surgery.
What would the profession look like if MDs, public health officials, biologists and chemists became certified massage therapists and began incorporating massage modalities into their research on cancer, heart disease, stroke and chronic pain? What if more and more therapists advanced their education and incorporated massage and bodywork into their postsecondary educational goals? Could working with the NIH and receiving sought-after grant money be far behind?
As more "homegrown," evidence-based research becomes available to the general public and to the mainstream medical community, consumers are going to demand the best health care they can get their hands on. Wouldn't it be great if massage therapy was near the top of the list?
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