First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
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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