resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
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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