resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
February, 2011, Vol. 11, Issue 02
Time for Change
By Ralph Stephens, BS, LMT, NCTMB
A new year can bring so many changes. Just so you know, my column will only appear four times this year. So many great authors out there, I'm sharing the ink. I have also decided that 2011 will be my "Farewell Teaching Tour" and I will significantly cut back on travels after 2011.So, come study with me when I am near your town as this could be the last time.
I'll still be around; I have lots left to share and do. But after 20 years on the road as an instructor and 13 as a musician, the road has lost most of its charm.
Change is the only constant, so watch for the changes and join in when and where you can. As always, I will be posting regular editorials on my blog: http://ralphstephens.tumblr.com, and others.
Speaking of change, a major change must occur in our profession and soon. That brings me to the feature topic of this column.
The biggest problem with massage is that almost anybody can do it with minimal training to some degree. Friends and lovers can learn to give a very enjoyable massage by reading a short article or watching a video. It takes very little to train someone to give a relaxation massage that feels reasonably good to consumers who have minimal expectations and even less awareness of the true potential of massage as therapy. I am not discounting the benefits of the parasympathetic response. My point here is that turning out thousands of massage school graduates who struggle to pass a very basic licensing exam and can hardly give a decent non-specific massage, then "placing" them in low-pay, high-turnover jobs is not going to gain us acceptance by other healthcare professions and may create a backlash against us by consumers, especially at rates of more than $100/hr.
In the short run, this is a cash cow for schools and associations but it is no way to build a profession.
So, how did we get to this place? Well, to ponder this, we have to go back into the past.
I love this quote: "When the past no longer illuminates the future, the spirit walks in darkness." Alexis de Tocqueville
During the last century, when massage was having its renaissance in the 1970s and 1980s, the vast majority of people entering the profession were in their 30's, had college degrees and/or significant business and life experience. They had discovered alternative health and had a passion to learn how to better help themselves as well as to help others. Most were seeking a more desirable way to earn a living, "outside the box" where they were in control, in a much healthier environment and lower stress situation. It was rare that anyone came to massage school right out of high school, but those who did had a burning passion to learn the profession and to help people.
There were only 50 or so schools in the entire U.S. in the mid-1980s. Massage schools of that time were started by experienced, successful, professional therapists who had a passion for what they did, a knack for teaching and either wanted to share their knowledge and skills with other like-minded individuals or needed to train people to help them in their clinics. This worked rather well, because the instructors were accomplished professionals and the student base was highly motivated, self-funded (for the most part) and possessed the life experience and skills to create an alternative healthcare practice in whatever situation they chose.
These individuals could be turned into massage therapists with six months to a year of training (500 - 1,000 classroom hours) very easily and effectively. They were also acutely aware their school education was insufficient and invested in advanced continuing education at every opportunity. Because they could make a good living doing massage, they could afford this investment in advanced training, which brought huge returns in increased business as they learned how to help more people and conditions.
Today, we have a very different group of people entering the profession. Students are being recruited from the lower income, lower academic strata of high schools with promises of easy work, high pay, and guaranteed loans. These students may or may not have a passion for massage or health, for that matter.
I recently asked a student why she was in massage school. She said her guidance counselor told her she better go to massage school because it was easier than cosmetology - so she did. That is a sad perspective of massage: "It's the easiest school you can go to." The 500-650 hours of education might turn a 30-year-old, degreed professional into a massage therapist, but it will not turn the majority of today's 18-year-old, high school graduates into one.
Times have changed and we must too.
What We Must Do
The time has come to raise educational standards. Hours must increase to include more comprehensive life skills and much better massage skills. Hours in and of themselves are not the answer; curriculum and outcomes must be changed to turn out a healthcare professional that is literate in the language and techniques of the profession. It is time that we not only increase the scope of our training programs, but set significant competency standards for who can teach massage. The "if you can't do it, you can always teach it" philosophy must be abolished. Further, a good therapist does not necessarily make a good teacher, especially to today's students.
I know both these proposals are threats to the cash flow of our current school system, especially in the short run. However, for-profit schools using Title IV funding are coming under increased government pressure to increase placement and lower loan defaults.
A better-trained graduate would help with both those issues, and the only way to do that is to have better trained instructors who actually know how to teach. Most other professions have teacher training/competency standards. It is time we do too. Why? For the primary reason we should do anything: to provide better massage therapy to the public.
Of course, this will have to be a ramp up, not a jump up. Such a change will require the cooperation of all the major "stakeholders" in the profession. A proposal to create standards for instructors has been placed on the table by the Alliance for Massage Therapy Education. It deserves serious consideration and support of all. You can view the proposal at http://www.afmte.org/archives/1419.
We have to start somewhere and the best place to improve education and, thus, the profession is improving the quality and abilities of the instructors teaching the work.
Keep warm. Be Well. See you this spring!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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