resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
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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