resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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 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.
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).
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.
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.
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.
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.
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%.
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.
April, 2009, Vol. 09, Issue 04
NCBTMB Responds to AMTA
Calls decision based on "passion."
By Christie Bondurant
The top story in the March issue of MT reported on the American Massage Therapy Association's (AMTA) recent support of the Massage and Bodywork Licensing Examination(MBLEx). Responding to the AMTA's endorsement of the MBLEx as the premier entry-level licensure exam, the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) issued a statement contending that the AMTA's decision was "driven by passion" and alleging that parties advocating use of the exam have financial interests in mind, not the profession's long-term goals.
The AMTA stated in late January that, after thorough research and two months of open discussions with both the NCBTMB and the Federation of State Massage Therapy Boards (FSMTB), "all issues were examined regarding support for the MBLEx exam, as well as its impact on massage therapists and the [NCBTMB]" itself. Even so, the NCBTMB's response to the AMTA's support of the exam stated that the decision lacked judgement and added that the existence of the MBLEx is "redundant" and will threaten the profession at large as any national health program will not likely back a profession that has "abandoned its status as a credible and credentialed profession."
The AMTA gave its reasoning for the support of the MBLEx, also in the January statement: "For many years, the [AMTA] has supported an envisioned future of portability of massage practice, fair and consistent licensing in all states, and uniform standards for the profession. AMTA continues to believe acceptance of one exam for state regulation of massage therapy will give a consistent message to legislators and regulators that can best facilitate the achievement of these goals. ... AMTA believes the [MBLEx], developed by the [FSMTB], is the best choice for a licensing exam that can lead to portability of massage practice." (To read AMTA's full statement visit: www.amtamassage.org/news/012609release.html.)
The following is the NCBTMB's full response, sent to Massage Today on March 6, titled "NCBTMB's Position Regarding AMTA's Endorsement of MBLEx": "NCBTMB feels, respectfully, that AMTA's decision to endorse the MBLEx was driven by passion rather than reason, and does not promote the long-term interests of the profession. The parties that have advocated the MBLEx have economic interests favoring entry into the profession of a higher number of practitioners content to adhere to lower standards.
"Perhaps the most telling evidence of this intent was the decision to produce a redundant examination rather than jointly create a national practitioner data bank to protect the public. These interests are in direct conflict with the interests of over 91,000 nationally certified massage therapists, who benefit from a field comprised of knowledgeable, highly skilled and committed professionals who can best guarantee quality massage experiences for consumers.
"Introduction of the MBLEx threatens the viability of national certification and the profession at large. If massage therapy becomes the first allied health profession to abandon certification, we can only imagine what kind of message that would send to consumers, patients, hospices, workers compensation bureaus, referring health professionals, and to the Medicare program. Congress stands ready to appropriate over $1 billion for comparative effectiveness research, which has potential to demonstrate the ability of massage therapists to produce good outcomes for patients. It seems unlikely to us that any national health program will be inclined to study, let alone decide to cover, treatment in a field that has abandoned its status as a credible and credentialed profession."
The NCB feels that the "most telling evidence" of the parties' (advocating the MBLEx) economic interests is the lack of collaboration to "jointly create a national practitioner databank." However the FSMTB (creator of the MBLEx) initiated collaboration in 2005, when the federation was established because of their interest in creating a new exam. As reported in Massage Today [November 2005;5(11)], "the FSMTB states that they recognize the scope and potential impact of such a choice and have initiated a dialogue with NCBTMB to explore the possibility of the two organizations working in collaboration to improve NCB's existing exam program."
Collaboration did not take place, and thus the MBLEx, created in October 2007, was developed. According to the FSMTB, at the request of state boards, the exam was "created from a job task analysis survey of more than 7,500 professionals in massage, bodywork and somatic practices."
Why Create the MBLEx?
NCB's role in regulation has been questioned due to "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," (also reported in MT, November 2005). According to the FSMTB, the MBLEx was created in part to solve this problem. "By having one licensing exam, the states can assist in the process of portability of licensure for massage therapists. With the MBLEx now in place, it is no longer necessary for state regulatory boards to be at the mercy of, or beholden to any party that can dictate or jeopardize the regulatory boards' function, decision making or integrity."
The NCB, in a second statement released to Massage Today on March 6, explained "NCBTMB's Position Regarding Use of its Certification Tests as the National Standard for Entry-Level Licensure Exams": "NCBTMB whole-heartedly supports licensure through our certification program as the best licensing path for the massage professional. Over 30 years of national policy and precedent in the healthcare field, as well as 16 years of successful implementation by the NCBTMB favoring licensure through certification, supports this successful inter-relationship. NCBTMB's exam program has successfully raised the standards for massage therapy and thereby protected the public health, safety and welfare since 1992. Today, in 33 of 39 states that regulate massage, our licensure through certification programs have successfully helped transform massage into the acknowledged, respected profession it has become. NCBTMB's licensing through certification programs have demonstrated their value to students, schools, regulators and businesses, with consumers as the current, and perhaps the most vital, audience. We believe NCBTMB's licensure programs are inextricably tied to the future growth and credibility of the profession in the United States."
The growing acceptance of the MBLEx may cause alarm for the NCB, however the Federation believes there is a place for both certification and licensure. "The [FSMTB] does not wish to compete with NCBTMB over its certification exams or to engage in a 'turf battle' as some observers have described recent events. The FSMTB maintains the factually-based position that licensure is the function of the licensing boards - not the function of certification boards."
In related news, Massage Today conducted a poll asking readers whether or not they preferred one entry-level exam nationwide. The overwhelming response was "yes;" however, the question still remains which exam is or will be preferred. (See the results of the poll on page 22.) Massage Today will continue to follow this story and update as necessary.
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