resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
March, 2012, Vol. 12, Issue 03
Massage Therapy Research Examines New Possibilities
By Kathryn Feather, Senior Associate Editor
Research is an emerging component in the massage therapy field, all the more since the Massage Therapy Foundation (MTF) came on the scene in 1990.With a $30,000 grant from the MTF last year, Katharina Wiest, PhD, is currently looking at the impact of massage on chronic pain. Research like Wiest's could lead to additional areas of study and bring massage therapy to the forefront for other health care providers, as well as patients, looking for alternative treatment options that don't involve drugs.
The Funding Journey
According to Weist, the journey to the 2011 MTF grant actually began in 2009. Wiest works for CODA, a behavioral health care agency in Portland and she "was looking for grant support to evaluate nonpharmacologic treatments" for those suffering from; opioid dependence when she came across the announcement from the MTF. Wiest said that, "by December 2009, it was clear I needed to partner with experts in the massage field."
Wiest explains that the gravitation to massage and other alternative methods is something her research world is looking toward. "I see an important intersection of massage therapy and addiction treatment. There are many avenues waiting to be explored including massage and PTSD patients with opioid dependence, patients with anhedonia while in methamphetamine recover, etc. What has been especially exiting in this trial, and opens future research doors, has been the acceptance of massage by older male patients."
Research such as this, could lead to additional discoveries in the application of massage therapy in a variety of potential environments where health care professionals are looking for more natural pain relief methods. And that lines up perfectly with the mission of the MTF and their purpose behind awarding these types of grants.
The Massage Therapy Foundation
The MTF has five stated goals: to advance research on therapeutic massage and bodywork, to foster massage therapy initiatives that serve populations in need, to promote research literacy and capacity in the profession, to support the evidence-informed practice of therapeutic massage and bodywork based upon available research, client factors, and practitioner experience and judgment, and finally, to fortify the Foundation's financial resources and organizational effectiveness.
The purpose behind the grants is "to support high quality, independent research which contributes significantly and directly to the basic knowledge of massage therapy and/or its application, including applied research which investigates massage therapy as a health/mental health treatment and/or prevention modality," and Wiest's study falls right in line with this purpose. Another focus of the MTF is research literacy. One way the Foundation accomplishes this is through its online research database, the International Journal of Therapeutic Massage and Bodywork, various research conferences and by providing news articles and, of course, through its grant process.
The 2011 Research Grant Study
The goal of Wiest's study is to "evaluate the efficacy of Swedish massage on chronic pain in opioid dependent patients receiving methadone. The primary aim is to measure the effect of massage on pain intensity. The secondary aim is to measure the impact of massage on other aspects of pain and treatment engagement. Components of the seconding aim are pain quality, physical functioning, emotional functioning, participant rating of improvement and satisfaction with treatment, symptoms and adverse events and decreased substance use and improved engagement and retention in treatment."
She outlined the reasoning behind the study by pointing to the prevalence of chronic pain and the lack of research literature regarding massage therapy as a potential option. According to Wiest, approximately 80% of medication-assisted treatment patients with opioid dependence report chronic pain, so a non-pharmacologic therapy option needed to be investigated. "Chronic pain is a common cause of health care utilization and represents a major health concern. For patients beginning substance abuse treatment, chronic pain is more prevalent among patients with opioid dependence relative to patients with other dependences. Previous scientific research has not connected massage, chronic pain and substance abuse treatment success. Although massage has been demonstrated to alleviate chronic pain symptoms, its use as an adjunctive therapy to modify chronic pain during opioid treatment is absent from the literature. Given the strong biologic basis for the efficacy of massage and the high level of massage acceptance in opioid dependent patients, this trial my provide insight into massage's potential non-pharmacologic chronic pain treatment," said Wiest.
Now midway through the study, the results so far look promising as the lead nurse in the project reports that "what I have found most meaningful is the effect the massage therapy has on some participant's level of engagement in the treatment." After seeing the changes to her patients, this nurse believes "massage therapy has made a difference in the lives of the patients at my CODA clinic. At this point, I would like to study the effects of massage therapy on patients that have been established in recovery through medication assisted treatment."
A female therapist working with these study participants said, "I get to touch their bodies in a compassionate way and listen to their stories through my fingertips. They don't have to talk to me, they don't have to answer to me, and they don't have to fear me and my perception. They just get to exist for one hour with no strings attached."
Teej Ford, the co-investigator and a massage practitioner for the past 18 years, "believes massage therapy research is vital for a wide variety of people with a wide variety of issues. The more research that is done, the more medical and social services professionals will become aware that massage is a valid, low-cost and effective treatment for many physical, mental and emotional problems."
"We are just beginning to understand and grasp the depth of massage efficacy and so it will help to have more hard data and expose as many people as possible to the potential healing effects of massage. Other areas of my particular interest are sports injuries, multiple sclerosis, spinal cord injuries, post-orthopedic surgery rehabilitation, chronic pain issues and TMJ disorders," said Ford. "I am really interested in seeing how this study pans out. My hope and belief, of course, is that we will see a decrease in pain and an increase in patients' ability to self-manage their discomfort. I also think that with a reduction in stress, it will change how each participant can manage their condition in general.
MTF President Ruth Werner sums it up best, "the Massage Therapy Foundation invests in scientific research into massage therapy in order to help build the body of knowledge about our field, and to help distinguish the relative effectiveness of massage therapy strategies. This allows massage therapy consumers to have better outcomes and it creates more opportunities for massage therapists, as massage is found useful in some unexpected settings (for instance in the context of cancer treatment and recover or for mental health issues ranging from depression to eating disorders to anxiety). Ultimately, research leads to an increased demand for high quality massage therapy services."
Studies like Wiest's can open the door to new possibilities for the massage therapy profession, its effect on the health care landscape and how consumers with a variety of conditions can see that massage therapy is a viable, drug-free treatment option. For additional information about this study and the Massage Therapy Foundation, visit www.massagetherapyfoundation.org.
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