resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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?
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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 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.
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.
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.
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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