resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
December, 2011, Vol. 11, Issue 12
Effects of Healing Touch in Clinical Practice: A Systematic Review of Randomized Clinical Trials
By Massage Therapy Foundation Contributor
Energy-based healing practices have been part of various cultures throughout history. Use of these complementary therapies, referred to as biofield therapies, is gaining popularity in the U.S.The theory behind energy-based healing practices is that humans have an energetic dimension necessary for sustaining life. A healthy person's energy field is symmetrical and balanced, allowing optimal energy flow. Imbalances in the energy field might result in pathological physical and psychological symptoms.
Scientific study of the biological mechanisms, effectiveness and safety of biofield therapists is limited. However, this month's Massage Therapy Foundation research column reviews an interesting, systematic, evidence-based approach study of the biofield therapy Healing Touch that was conducted at the University of Virginia, Charlottesville, and recently published in the Journal of Holistic Nursing.
Healing Touch is a "hand-mediated" therapy involving the practitioner using his or her hands, either on or above the client's body, to restore, energize and equilibrate imbalances in the client's energy field, with the goal of health, well-being or to alleviate specific conditions. Healing Touch originated in the nursing field in the late 1980s as a patient-centered modality in which the practitioner and client both participate in the healing process. Reported benefits include reducing stress, anxiety, pain and depression symptoms, while increasing relaxation and an overall sense of well-being.
This published systematic review evaluated data from randomized clinical trials (RCTs). The systematic review examined the clinical effectiveness of Healing Touch as supportive care for medical conditions. Electronic databases (MEDLINE, CINAHL, and ClinicalTrials.gov) were searched for peer-reviewed articles about Healing Touch. Of the 332 potentially relevant articles, five were included in the review (327 articles were excluded). The five articles selected, involved studies which used random assignment to the treatment condition. Some of the five articles were selected because they employed a blinded study design, which means the studies had data collectors or participants who did not know what type of treatment the participants received (e.g. treatment or control).
The five selected studies involve the use of imagery, stress-relaxation therapy, prayer, therapeutic massage, Healing Touch, mock Healing Touch and presence (as in the presence of someone with the participant, but who did not perform any type of treatment). The sample sizes ranged from 62 to 237 participants. The participants included both men and women who had a mean age between 50 and 65 years old. The studies included multiple conditions including cancer, coronary artery bypass surgery or surgery to enlarge coronary arteries blocked by plaque (percutaneous coronary intervention).
While one study had no significant results with Healing Touch alone, the other four studies show significant findings. One study showed that recipients had significant improvements in respiratory rate, heart rate, blood pressure, pain and mood disturbance after receiving Healing Touch. Two of the studies showed that recipients who received Healing Touch had a significant increase in overall functioning, satisfaction, emotional role functioning, mental health and health transition and a decrease in worry. And the fifth study showed that Healing Touch recipients had a significant decrease in anxiety and the length of their hospital stay.
More studies about the clinical effectiveness of Healing Touch for improving health-related quality of life are required, given the inconclusive findings and limitations of the studies reviewed. Limitations included one study which did not include a "usual care alone" group, i.e. a control group, which is a group of participants that received only the usual medical care and no biofield therapy or other type of therapies. Usual care alone groups are essential when making comparisons with the standard of care. One study used a standardized Healing Touch method involving a "modified" chakra connection, but the modification was not explained. This makes replicating the study difficult. In another study, music was played during Healing Touch treatments; in this case, theoretically the music could have been the reason recipients felt more relaxed. Also, a standard Healing Touch protocol was not used and recipients had different types of cancer. Both of these factors could have potentially contributed to some of the variability in the results. Further, one of the studies used Healing Touch involving different lengths of treatment without the use of a standard protocol, again making replication of the study difficult.
None of the studies justified the protocol or length of time chosen for the Healing Touch treatments. Additionally, because there are several levels of training, the experience of the Healing Touch practitioners should have been described.
Additionally, a limitation of systematic reviews is that studies with positive results are more often published than those with negative results which can lead to a bias toward the publication of studies that are more positive rather than representing all RCT findings.
Research in biofield therapies is difficult because there is a question about whether it can be analyzed using conventional scientific approaches, such as RCTs. Few clinical trials use adequate research methods, including the use of blinding and control treatments; which can result in exaggerated treatment effects. Sometimes trials do not have large enough sample sizes. Another issue is that biofield therapy practitioners are not always involved in developing research protocols and researchers might be unfamiliar with the language used in complementary therapies. Yet another potential problem is that many different types of subjective assessments can be used to determine treatment outcomes; this makes it difficult to compare studies. An approach using mixed-methods including both quantitative and qualitative data, might prove vital to understanding the effects of Healing Touch.
How exactly Healing Touch has an effect is currently unclear. The biofield has only recently begun to be measured. Future research in biofield therapies such as Healing Touch should continue to improve in rigor and detail, as well as investigate whether the effects of these therapies are comparable to the effects of other complementary modalities such as massage therapy.
In closing, though inconclusive, the results of the effects of Healing Touch are promising. It is encouraging that research is increasingly being done to address the effectiveness of therapies based on ancient healing practices involving the human energy field. The current challenge in this field of inquiry is to develop rigorous and replicable scientific research protocols that will demonstrate both the effectiveness and therapeutic capabilities of biofield therapies such as Healing Touch.
Source: Anderson, Joel G., Taylor, Ann Gill. Effects of Healing Touch in Clinical Practice: A Systematic Review of Randomized Clinical Trials. Journal of Holistic Nursing. Published online 12 January 2011; DOI: 10.1177/0898010110393353
Click here for more information about Massage Therapy Foundation Contributor.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.