resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
March, 2011, Vol. 11, Issue 03
Writing a Case Report: Where to Start
By Jerrilyn Cambron, LMT, DC, MPH, PhD
Over the past few years, many massage therapists have asked me how to write a case report. There is such a great need for more research in this profession, I wish I could meet their expectations and rattle off a simple answer, as though I am giving directions to my Aunt Diane's house.Unfortunately, it is not that easy. However, there are certainly many therapists who have written and published case reports, showing all of us that it is possible - with the right directions.
Case reports can have a tremendous impact on our profession: recognition in the public sector, acceptance in the medical community, and advancement in our treatments and client outcomes, to name a few.
Published case reports have the potential to improve nearly every aspect in the massage profession. This is the first article in a series on writing case reports for the massage therapy profession. Generally, case reports describe the diagnosis, treatment and follow-up of an individual patient, which we will cover in proceeding articles. However, to get you started on your path to authorship, here are five important steps to follow before you ever begin writing.
Five Steps Before You Write
First and foremost, you need to choose a case to report. While this may seem obvious, it can be somewhat daunting to narrow down. Consider what interests you. Think about which clients you enjoy discussing with your colleagues, such as the client who was not expecting improvement but who now considers massage therapy the "miracle cure". Perhaps you want to discuss the client who had a negative reaction with one form of health care, but then greatly improved after bodywork sessions.
There are also plenty of unusual cases that would be of interest. Perhaps a gunshot victim for whom you increased the mobility of some of his scar tissue; or the person with an amputation who felt "whole" again after massage. Or, perhaps you want to discuss the typical clients you treat so that there is more evidence in the literature on massage therapy for back pain, headaches, stress disorders, and such. You will be spending time with this case, so it is a good idea to choose one you enjoy discussing.
Second, you need to consider why you want to write about a case. Is it because the case was so unique that you want to tell your fellow massage therapists about it? Do you want to write because you want to inform other health care professionals about the improvements that occurred due to massage therapy? Are you hoping to increase your credibility by publishing a case report in a peer-reviewed journal? Were you looking for evidence on massage for a particular condition and could not find anything, so you want to help add to the evidence base? Do you want to win the Massage Therapy Foundation's case report contest? Or do you want to accomplish all of these?
Understanding why you want to publish will help your motivation levels as you work towards your goal, and you can use that energy to keep yourself moving through the process. Understanding what is motivating you to write a case report will also help you better define your audience.
Knowing your audience is the third major hurdle you need to consider before you start writing. For example, let's say you had a pregnant client with low back pain, and you were able to help manage her back pain throughout her pregnancy. Would you want to tell your fellow massage therapists about your treatment protocol so that they might be able to utilize your methods? Or would you want to tell obstetricians about the benefits of our non-pharmaceutical approach to pain reduction, such as in this case of a pregnant women with back pain?
Both aspects might be important, but they would be written very differently and, most likely, they would be written for different journals. In a journal that is focused on the massage profession such as the International Journal of Therapeutic Massage and Bodywork or the Journal of Bodywork and Movement Therapy, we would expect the article to include a more specific description of the therapy so that fellow massage therapists would be able to replicate the treatment. However, if the case was written for submission to an obstetrics journal, you might need to include a bit more background information, describing massage therapy for the pregnant woman because obstetricians may not know what their patients should expect from a pregnancy massage. Try to imagine who might be reading the journal, and write as though you are speaking directly to them.
Choosing the journal to which you want to submit your case report is the fourth issue to consider before you start writing. There are many ways to find the best journal for your case report. One way is to go to a medical library and look at the different journals. Another way is to search online.
There is a great online resource from the University of Toledo, Mulford Health Science Library (http://mulford.utoledo.edu/instr/.) This resource allows you to type in a keyword and find journals that include that topic. For example, using our case report on a pregnant woman with back pain, we could go to this Web site and type in the word "obstetrics." According to the Web site of more than 6,000 journals, 18 have a focus on obstetrics and the list is provided. If we type in the word "pregnancy" we get only two journals. The word "massage" doesn't produce any journals, but the keywords "alternative medicine" produces three journals.
The real beauty of this site is that you can click on the name of any of these journals and you will be taken to that journal's "Instructions to Authors" section. Instructions to authors can be considered the "rules of writing" for that journal. Every journal has different instructions for authors, and it is your job to make sure you know what the expectations are before you start writing. For example, one journal might allow a case report to be 3,000 words but another only allows 1,000 words. You will increase your chances of acceptance if you know the rules before you start.
Finally, I strongly suggest you read several case reports from the journal to which you intend to submit your case report. I suggest this because it gives you a flavor of how the article should be written. Try to pay attention to the article's style and formatting: section headings, the length, the number of figures or tables, and the style of writing. Published case reports went through the peer-review process and were found to be good enough to be published. If you want your case to be published in the same journal, your report needs to be of the same quality.
These five steps to take before you start writing your case report (choose the case, determine why you are writing it, know your audience, choose the journal, and read previous examples) might make the difference between getting your case accepted for publication and having it rejected.
In the next article, we will begin our discussion on how to write a case report.
Jerrilyn Cambron is a professor in the Department of Research at the National University of Health Sciences and an adjunct faculty member in the Epidemiology and Biostatistics Division of the School of Public Health, University of Illinois. She has taught numerous research-related courses and post-graduate seminars. She has also served as a principal investigator on research studies focused on massage therapy and chiropractic care for more than 20 years. Jerrilyn is on the board of trustees for the Massage Therapy Foundation and is the founder and principal investigator of MassageNet, a practice-based research network for massage therapists. For more, go to www.massagenet.org.
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