resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
December, 2009, Vol. 9, Issue 12
Massage Therapy and Translational Research
By Leon Chaitow, ND, DO
In recent years, there has been an explosion of interest in translational research.1,3-5 This research looks at ways in which the evidence that emerges from basic research in laboratory settings can become more clinically usable.In other words, how scientific evidence translates into what you and I do with our hands, assessments, treatments and re-education of patients towards better posture, breathing and ergonomics.
Translational research has become a priority for major organizations such as the National Institutes of Health (NIH), which initiated the Clinical and Translational Science Award (CTSA) program in 2006, as well as forming a number of academic centers to promote these ideas. For more on NIH's translational research initiatives, go to http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp.
A number of peer-review journals (several of them open access) have emerged on the topic, although none so far has focused primarily on biomechanical/manual health enhancement methods.
What therapists actually do is being translated into research, but not always in ways that will delight everyone. For example, a recent translational research study looked the effects of massage after eccentric exercise.2 The basic manual effects of Swedish massage were analyzed, and mechanical methods was developed that could apply intermittent loading to the muscles of rabbits that had been artificially exercised. This bizarre research was meant to mimic the effects of Swedish massage in order to evaluate the effects this had in preventing damage to muscles that had been eccentrically exercised.
The study reported: "The tibialis anterior muscles of six New Zealand White rabbits were subjected to one bout of damaging, eccentric contractions. One muscle was immediately subjected to cyclic compressive loads, and the contralateral served as the exercised control." These researchers concluded that subjecting muscle to such compressive loads (i.e., "massage") immediately after exercise leads to an enhanced recovery of muscle function and reduction of the damaging effects of inflammation in the rabbits.
A bout of primitive thinking suggests to me that this same information could possibly have been obtained by having volunteers exercise their legs eccentrically. This would be followed by Swedish massage on one of the legs, with a subsequent evaluation of the outcomes using perhaps real-time ultrasound, functional MRI or a simple visual analogue scale to measure pain thresholds. This could all be accomplished without bothering the rabbits.
Despite the relative craziness of this particular study (in my personal opinion), there can be very real value to ourselves, and those we treat, when translational research takes original scientific studies and applies them to our ability to better use manual therapy.
This trend will become even more valuable when scientists learn to address practitioner needs more clearly when they publish their results; for example, if they can more adequately ensure that they explain to readers, as far as possible, the clinical relevance of their research. After all, wouldn't we all benefit from knowing which methods of assessment are most clinically accurate and useful; which methods are safest and most effective in particular settings; and which mechanisms are involved when different modalities are used in different ways?
Upcoming Translational Research Events
It's possible to see that both the scientific and the clinical aspects of translational research are important. Both aspects will be discussed next spring, when the University of Ulm in Germany will be hosting a unique event in which researchers and clinicians will gather for an interdisciplinary fascia research course. The aim of this workshop (restricted to 48 participants) is to help to train clinicians in basic principles of fascia-directed research.
Participants will include physiotherapists, bodyworkers, medical doctors, sports coaches and movement instructors. The classes will include hands-on fascia explorations on human cadavers and animal tissue dissections, as well as clinical examination and palpation. For details visit www.uni-ulm.de/einrichtungen/akademie-wwt/kursprogramm/medizin-und-biowissenschaften/interdisciplinary-fascia-research.html.
Another 2010 event that has translational research as a major focus will be the Massage Therapy Foundation's second "Highlighting Massage Therapy in CIM Research" conference, to be held in Seattle May 13-15. For more information about this, visit www.massagetherapyfoundation.org/researchconference2010.html.
The future for bodywork looks bright, with translational concepts emerging as a catalyst for enhanced dialogue between scientists and clinicians to the ultimate benefit of patients - if not rabbits.
Click here for more information about Leon Chaitow, ND, DO.
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