resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
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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