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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
July, 2011, Vol. 11, Issue 07
Massage Therapists Team With Pediatric Cardiology Professionals to Examine the Effects of Massage on Exercise Performance and Heart/Lung Function in a Sample of Children With and Without Heart Disease.
By Massage Therapy Foundation Contributor
This month's Massage Therapy Foundation research summary reviews a study that evaluated the effects of massage therapy in a pediatric population with and without congenital heart disease (CHD).This research was a collaborative effort between massage therapists, a pediatric cardiologist and other staff at the UCLA Medical Center in California. It is a stellar example of how massage therapists can collaborate with other medical professionals and researchers to conduct meaningful research. With a common interest in improving the quality of life for children with CHD, this research was conducted to determine if massage therapy could improve exercise performance and heart and lung function.
The research team had three main questions: Is it safe to perform massage on children with CHD? How will providing massage to children affect their performance on an exercise test? Does massage affect healthy children and children with CHD in the same way?
With minimal budget resources and no previous studies involving children to guide them, a pilot study was deemed most appropriate for collecting preliminary data to determine feasibility and potential effects.
The cardiologist recruited children aged 6-13 from clinical practice to participate in the study. Of the 16 children that participated, 6 were healthy and 10 had CHD; 10 were boys and 6 were girls. All children had to be able to ride an exercise bike; healthy children had to be free of any systemic disease. Using the same protocol, each child had two exercise tests: one test with pre-exercise massage and one without massage. Tests were spaced 2-3 months apart to avoid learning and/or treatment effects.
The exercise tests were conducted in a pediatric exercise lab with the cardiologist, parent, and research assistant present. Each child wore a mouthpiece and electrocardiograph leads. At rest, measures included heart rate, blood pressure, and oxygen uptake. After a brief warm-up, children were encouraged to pedal the bike for 8-10 minutes. During this exercise, peak measures of heart rate, blood pressure, oxygen uptake, anaerobic threshold, work rate, oxygen pulse, and minute ventilation were recorded. Each participant received a 30-minute massage from a certified therapist trained in pediatric massage. None of the children reported adverse experiences related to their participation or dropped out of the study.
Findings indicate there were no differences in the measures at rest, with or without pre-exercise massage. In other words, having a massage did not seem to impact heart rate, blood pressures or oxygen uptake before exercise.
However, when children received a massage before exercise testing, they had significantly higher peak heart rate, peak minute ventilation, and peak oxygen uptake during exercise. This was true for both groups, healthy children and children with CHD. Statistical tests confirmed that the effects were not likely due to order (whether the children had the massage before the first test or the second test).
Authors hypothesized that the mechanism for the beneficial effect of massage on oxygen uptake was related to decreased anxiety opposed to a change in underlying heart or lung function. This hypothesis is consistent with other research findings that demonstrate that massage therapy reduces anxiety in children.
Although not systematically examined in this study, the massage therapist shared observations during the study. For example, the authors reported that parents were supportive during the study and became interested in massage for themselves or their other children. In addition, the massage therapist reported that although she was not told which children were healthy and which had CHD, she could guess by the way the children with CHD guarded their chests and had increased muscular tension in their chest and shoulder areas.
Although cardiac birth defects are relatively uncommon, the effects on children with CHD can be a lifelong challenge. Many of these children have several surgeries over the course of their childhood, are not able to exercise as intensely as their peers, and are at risk for obesity and psychological conditions. The results of this study suggest massage for children with CHD is feasible, but also warrant larger more rigorous research to confirm that massage therapy can improve quality of life and function for children with CHD.
This publication also supports the central role of massage therapists in collaborative research with other health professionals and researchers. Ideally, massage therapists need to have input in the development and implementation of research to test and demonstrate the effects of massage with diverse populations. With this research paradigm, therapists can ensure that research reflects and informs massage therapy practice.
Source: Beider, S, Boulanger, KT, Joshi, M, Ping Pan, Y, Chang, RKR. Measuring the effects of massage on exercise performance and cardiopulmonary response in children with and without heart disease: a pilot study. International Journal of Therapeutic Massage and Bodywork 2010, 3(3). www.ijtmb.org/index.php/ijtmb/article/view/86/127.
For more information about the Massage Therapy Foundation, visit www.massagetherapyfoundation.org.
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