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Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
April, 2011, Vol. 11, Issue 04
Announcing the Massage Therapy Foundation's Research Column
Massage Benefits Brain Cancer Patients
By Massage Therapy Foundation Contributor
The Massage Therapy Foundation (MTF) is committed to advancing the knowledge and practice of massage therapy by supporting scientific research, education and community service.As part of its continuing goal and commitment to the industry, MTF is pleased to announce that it will publish a new research project synopsis, with a reference to the original article, right here at MassageToday.com. This month, we are pleased to report on an exciting MTF-funded study that examined the potential effectiveness of massage on stress levels and quality of life in brain tumor patients.
Anyone who has ever experienced a traumatic illness such as cancer knows all too well the toll such a diagnosis can take on one's physical and emotional states of being. In addition to apprehensions over treatment and subsequent outcomes, there are many other concerns that can affect a patient's stress level and quality of life, including worries over health insurance, financial security, and various other issues. Moreover, previous research has shown that patients who have been diagnosed with a brain tumor tend to exhibit higher levels of stress, anxiety, and depression than those suffering from other forms of cancer.
Research has demonstrated that massage therapy has a variety of positive effects on people suffering from various forms of cancer, most notably reductions in pain, anxiety, and depression.1 However, little is known about the efficacy of massage on patients specifically diagnosed with brain tumors.
Researchers at the Preston Robert Tisch Brain Tumor Center at Duke University conducted a pilot study to ascertain the effectiveness of massage therapy treatment on stress levels and quality of life in newly diagnosed brain tumor patients.
Twenty-five patients (ages 18+) received two weekly 45-minute massage therapy sessions for four weeks for eight total sessions by two licensed massage therapists, each of whom had more than 600 hours of training. The therapists employed techniques consisting of classic Swedish massage: long strokes, kneading, friction, tapping, percussion, vibration, effleurage and shaking. As part of the study, participants completed questionnaires at baseline, at the end of weeks one through four, and one week after the conclusion of the final massage session.
Keir employed the Perceived Stress Scale-10 (PSS-10) to assess stress and the Functional Assessment of Cancer Therapy-Brain (FACT-Br) to assess quality of life. According to the Keir, "The PSS-10 is the most widely used psychological instrument for measuring the perception of stress" and scores range from 0 to 40 points, with "the mean threshold for stress in the general population [being] 12.1 and 13.7 for men and women, respectively." The FACT-Br includes two components: the Functional Assessment of Cancer Therapy-General version (FACT-G), which consists of 33 questions that assess well-being in physical, social/family, emotional, and functional domains, as well as an additional brain subscale that assesses key components of the quality of life of brain tumor patients.
Keir found a significant drop in the group's stress levels between weeks two and three and a continued reduction in stress through week four. At the end of week four, all of the study's participants "were below the threshold for being considered stressed." One week after receiving the final massage, participants' PSS-10 scores had increased but had not climbed above the participants' baseline score.
Regarding quality of life, participants also reported significant improvements in emotional well-being, social/family well-being, and brain tumor-specific concerns, as well as nearly significant improvements in physical well-being. Improvements in the areas of emotional and physical well-being continued one week after receiving the final massage.
Keir concluded, "The results of this study suggest that the effect of massage therapy [on] stress may be additive or cumulative and that once massage therapy is discontinued, stress returns but not to original levels." He added that he believed the massage intervention played a role in reduction of stress for study participants as the health of brain tumor patients typically declines over time. The topic of massage frequency's role on stress and other symptoms in patients with brain tumors begs for additional research.
Commenting on quality of life issues, Keir noted that other studies have demonstrated that massage has a positive effect on one's well-being, continuing, "This study validates those findings in a brain tumor population, as participants in this study reported experiencing improvements in emotional, social, and physical well-being, [and areas of additional concern] specific to brain tumor patients."
Among the study's limitations were the small study group, the lack of a control group, and the participants' limited geography, which was a 60-mile radius. Because of a lack of a non-massage group or "sham treatment" group, it is impossible to differentiate the effects of the massage from other effects, such as patients educating themselves about their treatment, thereby reducing their own stress levels. Keir recommended that future similar studies could benefit from being longer, using a control group, tracking outcomes at the conclusion of the intervention, and incorporating physiological and biological markers into the objective assessment. Adding a qualitative component to future studies would also help us to understand any other benefits that were experienced by participants but were not measured directly.
Source: Keir ST. Effect of massage therapy on stress levels and quality of life in brain tumor patients—observations from a pilot study. Supportive Care in Cancer, 2010 Nov 3 [Epub ahead of print]. doi:10.1007/s00520-010-1032-5
For more information about the Massage Therapy Foundation, visit www.massagetherapyfoundation.org.
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