resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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