resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
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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