resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
February, 2012, Vol. 12, Issue 02
Challenging Sacred Cows, Round Two
By Ralph Stephens, BS, LMT, NCTMB
Part I of this column in November 2011, rang a bell with many of you, mostly positive. I sincerely appreciate all the responses. I hope even more of you sent your input to the governing bodies of our profession. They need to hear the roar of the crowd in their boardrooms.
I want to clear up something before I go forward. First, an esteemed colleague and visionary of our profession wrote to me asking if I did not believe in science because of my comment, "While I am not a fan of evidence-based medicine..." Of course I believe in science. In fact, I believe Science is Golden. However, I am a seeker of truth and, quite often, science has become the seeker of political expediency. There is too much pseudo-science going on out there that's being accepted as truth. I am a huge fan of research and science. However, I do not see that evidence-based medicine and the resulting standards of care protocols have improved the health of the public. I do not believe that if we go to evidence-based massage protocols (for this you shall do that), we will serve the individual client better. It is an allopathic paradigm, based on obsolete Newtonian physics, desperately trying to protect allopath's Central Dogma. If we are going to base massage on research, it should be quantum physics-based, a new paradigm that treats the individual holistically. Sometimes I am probably too idealistic.
We have this deep longing to validate our profession through research. Yet, our profession is based on totally arbitrary standards, established out of expediency or consensus with no evidence or research to support them what so ever. Still, we defend them as if they had validity. Where did the 500-hour entry level standard come from? It was chosen in about 1985, primarily for the economic benefit of schools and to create more massage therapists faster. It was a down to a price instead of an up to a standard decision.
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) institutionalized the 500-hour standard with its job task analysis. This was a classic case of "research" stacked to produce a desired outcome. The resulting certification exam degenerated into an entry-level licensing exam because that was where the money was. Yes, it was partly because it was the only "legally defensible exam" available and making it a licensing exam (forcing people to take it) generated the money to launch the organization successfully. However, it was a bastardization of the original vision, which was to elevate the profession with a meaningful certification. Instead, it set the lowest common denominator and institutionalized it.
There has been no scientific competency research to justify any of our various entry-level hour standards, 500, 650, 750, 1000 or whatever. Before we set any more standards based on arbitrary numbers of hours, we need competency-based criteria as to what is a required skill-set to provide excellent massage to the public. Work soon to be published by the Alliance for Massage Therapy Education (AFMTE) will clarify the MTBOK and map its knowledge, skills and attitudes into specific learning objectives. It is time we stopped picking our standards because some number looks or feels good. It is even more important that we stop picking hour numbers because that is how many it takes to get student aid, or maximize school efficiency or other greedy financial reasons. It is time we put the good of the massage consuming public first and focus all our efforts on serving them the best we can, with the highest quality and competency reasonably possible at entry level.
Where did 12 hours of mandated continuing education a year come from? It, too, is a dartboard number with no basis in reality. Is a day and a half a year really going to elevate anyone's skills? Is an unsafe therapist going to be made safe by 12 hours a year of forced attendance at some course or by purchasing a home-study program?
Since we so lust for research to validate what we do, how about validating our own standards with some? What proves that three hours of ethics every four years has any effect on the ethical behavior of our profession? Prove 12 hours (or however many hours) a year of mandated continuing education protects the public or brings about professional development. If you can't prove it, drop the mandate. What proves a provider approval process improves the quality of continuing education? All provider approval does is create cash flow for organizations and state regulatory boards. It does nothing to insure quality. It is another lowest common denominator process because if it is not, lawyers will tear it down. That is the society we live in. (Other times I am a realist.)
I am a continuing education provider. It is in my best economic interest to work for standards that force more people to take more continuing education. However, money is not my motivator. Providing the public with the best possible massage is. I do not think people forced to take continuing education necessarily learn a thing, practice safer, or utilize what they might learn. People should take continuing education because they want to better serve their clients, to become more successful, to grow and lots of other positive reasons.
As our various organizations attempt to improve our status by raising arbitrary standards, the new students, practitioners and providers are being "taxed" to death. As I look over the landscape of our profession, the most glaring inadequacy I see is the lack of standards and qualifications for massage instructors. While I am not a fan of following the allopathic model, in this case, I think it is time we follow the lead of nurses (and primary/secondary schools) in establishing qualification for massage educators. We need more quality in education, not necessarily more quantity. The time has come for this stage of advancement in the massage profession.
A new organization has been created and is working toward this and other improvements in massage education. It is the Alliance for Massage Therapy Education. You need to support this group immediately and help bring about this important plank in the professional development of our profession – the establishment of standards and training programs for massage therapy instructors at all levels.
We need to demand our standards for educational hours and continuing education hours be based on quality, scientific, non-politically or economically influenced research instead of "dart board numbers." If we can't prove it, why do it? Here is a great job for The Massage Therapy Foundation and a good reason to support and donate to them, too.
Membership organizations should be encouraged to contribute and support these efforts, but have little or nothing to say in the process. Their primary interest is more members, which is the main reason we have the mess of regulatory incongruences and arbitrary standards we have today.
As The World Turns
Meanwhile, the FDA is posed to take away food supplements. If you value your access to supplements, check out my previous article at www.massagetoday.com/mpacms/mt/article.php?id=14523. We are in the economic and political mess we are in because of the Ruling Class in Washington, DC. They write the laws, not Wall Street. As we enter this election year, remember it is all the fault of incumbents. Vote against every incumbent, of either party, every election. It is our only hope of breaking the Ruling Class and restoring freedom, which brings prosperity.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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