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Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
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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