resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
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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