resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
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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