resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
January, 2012, Vol. 12, Issue 01
Nurturing Touch in the NICU
By Tina Allen, LMT, CPMMT, CPMT, CIMT
When a baby is born prematurely, parents and caregivers of babies in the Neonatal Intensive Care Unit (NICU) may face some serious challenges. One of the main challenges is likely providing appropriate tactile stimulation.This can be difficult given the number of doctors rounds, medical equipment and requirements for medical interventions. Not only are there the physical limitations, but also consider the emotional component of seeing your baby covered in medical tubes, much smaller in size than you imagined, and the insecurity of not knowing what would be appropriate or might cause harm. When baby does become stable enough for touch, what can a parent or caregiver do to provide comfort to their child? One of the best approaches can be infant massage.
Touch therapy research has demonstrated that nurturing touch for an infant is critical in establishing the foundation of their psychological well-being. When it comes to babies born prematurely, this can become even more important. Evidence has shown that massage therapy provided for neonates:
These recent research findings show there are significant benefits to infant massage that out weigh over-stimulation. Even a simple intervention of massaging a baby's leg prior to a heel stick might decrease pain responses. A nurse I trained at the Sutton's Children's Hospital used this very technique. With the parent's permission, she provided a gentle massage to a neonates lower extremities prior to rounds for blood draw. When the healthcare provider "poked" baby's heels and began to take the sample, he commented about how quickly it worked, and the need to only "poke" once. The nurse shared with me, how she smiled and let the healthcare provider in on her secret. A little massage goes a long way! Now, the healthcare provider plans to massage each baby's legs before administering a heel stick. Not only did it make his job easier, the baby cried less. Sounds like a win-win for all involved. Properly applied techniques produce increased benefits and should be used safely to ensure effectiveness.
Due to the baby's immaturity at birth, it is not appropriate to immediately begin providing massage therapy, but rather to implement nurturing techniques employed by parents and healthcare providers. Once the infant is stable enough, skin-to-skin contact should be utilized to provide appropriate stimulation and encourage bonding between parent and child. This skin-to-skin contact might be in the form of placing the baby securely on the parent's chest as is done with the technique of Kangaroo Care. Kangaroo Care can be a very simple, but powerful intervention providing the infant with stability in regulating heart rate, respiration and body temperature.
There are specific guidelines and protocols to follow prior to introducing infant massage in the neonatal intensive care unit. In addition to providing regular attentive care such as cuddling, holding and comforting, massage should be introduced slowly and with extra care. The baby must meet minimal weight and neurological requirements prior to introducing infant massage. However, as the baby shows stability in response to Kangaroo Care, nurturing touch and containment holds are the next steps to safely progress towards the introduction of infant massage therapy.
Containment holds are performed while always being mindful of the baby's states, cues and all verbal and non-verbal communication. Caregivers are encouraged to watch the baby closely for physiological cues (color changes, tremors, startles), motor state (tone, reflexes), behavioral state (alertness) and skin state (response to stimulation) responses. Whenever the baby exhibits any stress cues or overstimulation cues, it is time for the baby to have a break from tactile stimulation.
The best way to perform containment holds is to first ask the caregiver to relax and then proceed slowly. It is always optional for parents and caregivers to provide nurturing touch, as opposed to outside healthcare providers. This is due to the fact that the caregivers need to feel competent caring for their baby, as well as to encourage bonding to take place between parent and child.
The caregiver should always ask the baby's permission prior to beginning, by speaking gently, warming their hands and asking if it is okay to continue. Throughout the hands-on session, caregivers must watch baby's cues and follow their lead. Mindful of any medical apparatus, hands placed in two safe locations on baby's body. Common places to begin include head and feet, both arms/shoulders, and back/abdomen.
First, caregivers consider each baby's individual touch history and medical intervention history, and caution is used in areas where we believe the baby may have experienced discomfort. Especially on the heels, time must be taken before ever touching the heels. Due to the repetitive heel sticks these infants receive, touching this area might not immediately be well received.
It is imperative that any and all monitors are watched for changes, and that direct placement over medical apparatus is avoided. No lubricant is used on the hands while performing containment holds, as doing so may cause hands to slip, increase possibilities of infection or possible dislodgement of medical lines.
Parents are reminded to always watch baby's cues and make eye contact. Due to an infant's compact sensory receptors and their developmental immaturity, a little touch goes a long way. It can be very easy to cause over stimulation. This is never our goal. Sometimes, just placing your hands on two areas, then pausing and starting again another time, is the best route to safely introduce nurturing touch and containment holds without overstimulation.
Safety and precaution is always the best way to introduce touch in the NICU. Due to their baby's compromised health, many families with babies in the NICU have some delays in bonding. Delays in the bonding process might occur for a variety of reasons, and nurturing touch, along with infant massage, can be very beneficial in contributing to establishing the bond between parent and child.
Nurturing touch and massage contain all of the elements necessary to begin the process of bonding, introduce appropriate tactile stimulation and encourage healthy development. When provided safely, infant massage might be just the nurturing intervention an infant needs to cope with medical interventions and encourage optimum development.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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