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Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
January, 2012, Vol. 12, Issue 01
Massage Therapy Reduces Pain for Patients in a Postoperative Thoracic Surgery Care Setting
By Massage Therapy Foundation Contributor
What's new in research? We at the Massage Therapy Foundation always want to know! This month's review sponsored by the Foundation is an informative study examining the efficacy and feasibility of using massage therapy within a postoperative thoracic surgery setting at Mayo Clinic in Rochester, Minnesota.
General thoracic surgery is provided to patients for a spectrum of diseases and conditions, "varying from malignancies of the lungs, esophagus, mediastinum, and chest wall to benign conditions of these same anatomical areas. The surgical procedures encompass either resection-type procedures, such as pulmonary lobectomy or esophagectomy, or reconstructive operations, such as bronchoplasty or antireflux procedures." Patients face considerable challenges with pain and discomfort after undergoing thoracic surgery. This pain is often long-term if it is not managed effectively in the postoperative stage.
Massage therapy has gained support as an effective intervention to improve patient experiences during hospitalization, particularly for pain reduction. While previous studies have identified benefits of massage, none have evaluated its use in reducing pain for thoracic surgery patients. According to Bauer and his colleagues, certain medical strategies have been developed to reduce pain and discomfort for patients undergoing thoracic surgery, however, many patients still suffer from pain and discomfort in the postoperative setting. These authors hypothesized that the patients who received massage therapy would benefit by having their post-surgical pain and discomfort managed. To test this hypothesis, they evaluated patients' reports of pain before and after massage treatments received in a thoracic surgery practice.
Bauer and colleagues used a descriptive pre-post measure evaluation design with a standard numeric pain rating scale. Patients who received massage reported pain scores on a scale of zero to 10; zero being no pain, and 10 being the worst possible pain. These scores were recorded before and after massage and throughout recovery. Descriptive comments provided by patients and staff also were recorded and analyzed.
Two massage therapists provided treatments. Each massage included 20 minutes of hands-on massage on the areas requested by the patient, typically the back, neck and shoulders, and sometimes the hands and feet. Patients were positioned to comfort; positioning depended on patient's comfort level and mobility. Therapists did not massage near surgical wounds. The two therapists in the study used several techniques and modalities including Swedish massage, craniosacral therapy, myofascial release, reflexology and diaphragmatic breathing. Depth and pressure of massage was light to moderate.
This study included a sample of 194 patients, with 160 completing the study. Patient characteristics were similar among the patients who provided responses, with an average age of 61 years and an equal number of males and females. Most patients received one individualized massage during their hospital stay (mean 1.2 massages), but 19 patients had two massages, and eight patients received three massages.
Study findings suggest "patients receiving massage therapy had significantly decreased pain scores after massage (p <= .001), and patients' comments were very favorable. Patients and staff were highly satisfied with having massage therapy available, and no major barriers to implementing massage therapy were identified." Only one patient out of the 160 receiving the massage reported a subjective negative experience. Patient responses after receiving a massage included: "I feel I can breathe again;" "That was wonderful, I can move my neck;" and "Before massage treatment pain was radiating, after treatment pain has completely stopped radiating." Staff comments related to massage therapy included: "The patients love it! They want another one;" "Once they try a massage they can't believe the difference. The pain is still there but they feel they can work with it;" and "Massage calms them."
The compelling findings of this pilot study indicate massage therapy is an effective intervention for helping patients deal with pain. Bauer and colleagues provide both subjective descriptions and objective measures of the benefits of massage therapy for thoracic surgical patients for pain management. Pain scores improved, and patient and staff comments were positive. Further, this study demonstrated the feasibility of integrating massage therapy into a high-volume thoracic surgical practice. Authors suggest, "Massage therapy in the hospital setting needs to be focused on individual patient symptoms, and then the therapy is individualized based on these symptoms, medical status, and positioning tolerance." Bauer and colleagues also suggest their findings warrant further research, particularly to determine optimal frequency, duration, and timing of treatment.
So, what do these findings mean for the massage profession and massage therapists? Postoperative massage therapy might have a significant role in pain management and the healing experience for patients recovering from thoracic surgery. Further, massage treatments can be integrated into hospital settings to facilitate pain symptom management. This research, and the growing knowledge base about the use of massage therapy in the clinical setting, is steadily growing. This work and others like it, published in the International Journal of Therapeutic Massage and Bodywork provide excellent references for the evidence-based practice of massage therapy in clinical and non-clinical settings.
Original research study source: www.ijtmb.org/index.php/ijtmb/article/view/100/168.
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