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News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
June, 2012, Vol. 12, Issue 06
Recent Research Provides Evidence of How Massage Therapy Heals
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun and Derek Austin
Why does massage make sore muscles feel better? How does massage promote healing? What are the biological mechanisms of massage therapy? These are questions that clients, patients, practitioners and researchers ask all around the world and have been considered since the days of Hippocrates.Massage is a therapeutic modality commonly used to reduce muscular pain and promote rehabilitation. However exactly how massage affects cellular function remains unknown. Yet, still today, as massage therapy continues to remain a popular healing method and a clinically therapeutic modality, science seeks to understand the biological mechanisms by which massage therapy creates therapeutic effects.
The Massage Therapy Foundation is always on the hunt for new research to provide evidence about the bio-mechanisms of massage – inspiring the review of a study by Crane and colleagues published in Science Translational Medicine.
Musculoskeletal problems impact daily function and quality of life, so it is important to validate treatments such as massage therapy, to demonstrate the bio-mechanisms of massage therapy in promoting recovery, while reducing inflammation and muscular pain. The increase in physician and chiropractic referrals for massage for musculoskeletal injuries indicates a shift in practice toward the use of massage therapy as a complementary modality to conventional care. As massage gains popularity as an adjunctive therapy, it must be validated as a clinically effective treatment that can be medically billed for and reimbursed in the healthcare setting. Validation of the biological mechanisms of massage is the fundamental basis for advancing the science and practice of massage therapy.
Crane and colleagues seek to contribute to the field of science through innovative research which used methods that provide data, at a bio-molecular level, that describes the effects massage therapy has on muscular-skeletal tissue. The aim of this study was to investigate the pain relieving effects of massage therapy with a sample of 11 men. Each participant was asked to exercise to the point of exhaustion to create exercise-induced muscle damage to their thighs. Immediately following the exercise, participants recovered for 10 minutes. Massage oil was lightly applied by a registered massage therapist to both quadriceps while the participant lay in the supine position. To assess the effects of massage, the research team administered either massage treatment or no treatment to the quadriceps of each participant; such that, one leg was randomized to receive the massage treatment for 10 minutes. The treatment included the use of three types of soft tissue manipulations: (1) two minutes of effleurage, using moderate pressure at the beginning and end of the treatment; (2) three minutes of petrissage; and (3) three minutes of slow muscle stripping. After massage, the subjects rested for 10 minutes. Unique to this study, muscle biopsies were acquired from the participants’ quadriceps (vastus lateralis) at three time-points: before treatment (also known as baseline), right after massage treatment, and after a 2.5-hour recovery period.
Findings indicated massage therapy reduced inflammation through production of inflammatory cytokines; and promoted mitochondrial biogenesis, promoting enhanced recovery. However, findings did not support the popular notion that massage therapy clears lactic acid from muscle tissue; nor did glycogen levels change. In scientific terms, Crane and colleagues suggest the massage treatment.
Activated the mechanotransduction signaling pathways focal adhesion kinase (FAK) and extracellular signal–regulated kinase 1/2 (ERK1/2), potentiated mitochondrial biogenesis signaling [nuclear peroxisome proliferator–activated receptor g coactivator 1a (PGC-1a)], and mitigated the rise in nuclear factor kB (NFkB) (p65) nuclear accumulation…despite having no effect on muscle metabolites (glycogen, lactate), massage attenuated the production of the inflammatory cytokines tumor necrosis factor–a (TNF-a) and interleukin-6 (IL-6) and reduced heat shock protein 27 (HSP27) phosphorylation, thereby mitigating cellular stress resulting from myofiber injury.
These study findings provide evidence that manipulative therapies may be justifiable in medical practice. According to Crane and colleagues, the effects of massage are akin to the same mechanism as conventional drugs, such as non-steroidal anti-inflammatory drugs (NSAIDs). Findings such as these, are the basis for providing patients and clients the option of massage therapy opposed to conventional drug-based therapies (e.g. NSAIDS).
Though these study findings provide much promise for advancing the science and practice of massage therapy, some study limitations that should be noted. The study sample size was small, involving only 11 males. A larger sample size using females and males would provide more power and rigor to data findings. Another limitation of this design is that it was impossible to blind the therapists and the patients to the treatments, however the research team was blinded to which leg received treatment; this was known only to the massage therapists. Though these study limitations cannot be denied, the strengths of this study outweigh limitations. The use of biopsied tissue data is a rare case in massage therapy research, but has proven critical in gaining insights to the biological mechanisms of this muscular-skeletal based adjunctive therapy. It is recommended that future research investigate additional post-translational signaling pathways influenced by massage therapy.
Crane and colleagues have provided much needed data about the biological mechanisms of how massage therapy promotes healing. If you practice massage to treat sore, tired muscles you can refer patients and clients to resources such as this article to support massage therapy as an evidence-based practice. The next time someone asks how massage therapy works, you can highlight these findings which suggest massage therapy effects inflammation and enhanced mitochondrial biogenesis; and dispel beliefs about milking muscles of lactic acid.
If you are interested in learning more about the evidence supporting the use of massage therapy in clinical practice with different populations, you can review the Massage Therapy Foundation article archives, read accepted abstracts or search Pub Med for massage therapy studies.
For more information about the Massage Therapy Foundation, visit www.massagetherapyfoundation.org.
Click here for more information about Massage Therapy Foundation Contributor.
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