resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
July, 2012, Vol. 12, Issue 07
Moving Massage Therapy Toward a Brighter Future
By Ralph Stephens, BS, LMT, NCTMB
Exciting things are happening in our profession of massage. I am more positive about the profession's future than I have been in many years. We are being included in the development of the new Integrative Healthcare Paradigm largely through the work of the Academic Consortium for Complementary and Alternative Healthcare (ACCAHC – "The Consortium").The Massage Therapy Foundation is representing massage at international research conferences and promoting massage research. Both of these organizations deserve our support. Many of our stakeholder organizations are stepping up and moving us toward being accepted as a real profession. I want to share more of the good things that are happening with you and point out some problems that will hold us back from reaching our potential, while making some constructive suggestions. In the spirit of full disclosure, while I am on the Board of Directors of the Alliance for Massage Therapy Education, I am not speaking for the Board. All opinions in this column are my own.
So, let's start about a year ago when the youngest stakeholder organization in our profession, the Alliance for Massage Therapy Education (Alliance) published a position paper recommending a change in focus for the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). The paper proposed that NCBTMB let go of its entry-level certification and testing program and replace it with a voluntary post-graduate certification credential that would follow mandatory state licensure. This new and upgraded program was suggested as an alternative to the so-called "advanced" certification program that NCBTMB was promoting. For its part, the Alliance took a lot of heat for having the audacity to "tell other organizations what to do."
Then, in mid-March, NCBTMB took us all by surprise by announcing that lo and behold, it will sunset the National Certification program in 2013, and replace it with a new post-graduate credential called Board Certification (with specialty certifications to follow). Kudos to NCB's leadership for finally being able to break out of an operating model that was heading off the cliff, but also kudos to the Alliance for planting the seeds and advocating a bold position for the future welfare of the whole profession.
Time for Teacher Standards
Separate from all of that, the Alliance has proposed the single most important step needed in the advancement of our profession – the development of standards for massage teachers. The National Teacher Education Standards Project (TESP) is a five-phase plan that will establish core competencies for massage therapy teachers, along with model teacher-training curricula, training resources and ultimately, certification programs. Phase one of the TESP, The Core Competencies for Massage Therapy Teachers, has just been released for public comment and input.
Once again, the Alliance is ahead of the curve in putting forth a project of this nature. It is an ambitious, long-term effort, estimated to take five to ten years. The goal of this effort is to create a culture of teaching excellence in our field with the downstream result of therapists being able to deliver a better massage to the public.
The nursing profession went through a similar process many years ago and there are additional excellent model(s) to draw from. The massage profession must begin the training of our teacher corps, turning them into true educators, rather than simply therapists with a textbook publisher's lesson plan in hand. Just because a therapist can give a good massage does not mean they have the knowledge, skills and attitudes (KSA's) to effectively teach beginning massage therapists. It will take time, but it will be worth it. If you are a massage educator and want to be on the cutting edge of massage education, check out the Alliance website www.afmte.org to become involved in this process. In a national survey conducted by the Alliance, 80.4% of respondents agreed that competency-based teacher training standards are needed in the massage profession. Only 6.8% disagreed. The time has come.
Massage students are only as good as the quality of instruction they receive. Better instructors make better therapists. The only way to elevate our profession to the status it deserves, and that most of you desire it to have, is to improve the knowledge and skill level of our teachers. If you are a massage instructor, view this as an opportunity to improve your teaching skills. We can all get even better than we are now – right? The standards will be phased in over time in a supportive way. Our entire industry needs to support this endeavor, as nothing else can do more to get the public higher quality massage than developing and implementing a teacher standards program. Just as we are what we eat, a profession is what its practitioners have been taught.
The Storm Clouds
However, the two largest stakeholders – our major membership organizations – have set out on a wayward mission to standardize the hours required for licensure and to come up with a learning objectives map for entry-level massage programs, the "ELAP." PLEASE – don't just do something!
The number of hours required for licensure are currently completely meaningless quantities. They are dartboard numbers that have been picked out of convenience to school operators or for accessing Federal Student Aid. Standardizing the country on an arbitrary number of clock hours will not magically improve competency or portability. There is simply no data that shows the public is getting a safer massage from graduates of a 1000-hour program as opposed to a 500-hour program. One thousand poorly taught hours will not produce a better therapist than 500 poorly taught hours. In fact, it may produce a worse therapist with more substandard habits and lack of awareness, burned out and broke. The number of clock hours that will eventually be nailed to the wall by the ELAP, if it is allowed to proceed, as the "evidence-based" standard will be completely meaningless if we cannot assure that at least 90% of entry-level program graduates can give a massage of satisfactory scope and quality. What we need are curricula with academic integrity, not just some arbitrary number of hours and a few learning objectives.
Further, clock hours are an unsound way to specify an educational program. We need to move to an academic credit-hour system, like every other healthcare profession. We must move to an educational system based on competencies, which includes assessment of student performance at each level of their training. COMTA has had a competency-based curriculum standard for more than a decade, yet our major stakeholders are off to re-invent the wheel. Why not use COMTA's existing program, updated with the MTBOK, now with its re-mapped KSAs? (More brilliant work done by the Alliance.)
Besides, job task analyses (JTA's) (the ELAP is to be based on a new JTA being done for the MBLEx), while psychometrically valid and legally defensible, measure what people who are not necessarily successful and who do not know what they do not know, think others should know to be successful. They primarily serve to dumb a profession down, especially as its level of competency decreases. New JTA's only lower the floor. It is time our profession comes up to a competency standard developed by successful experts, not down to a price or worse, to a continually lower common denominator.
The "license portability" promised by this ELAP project will likely not happen, as there are many other factors besides hours in laws and rules that affect portability. Supporting model legislation by the Federation of State Massage Therapy Boards (FSMTB) is the best way to achieve portability. Besides, portability is not the burning issue nor essential for the development and improvement of a profession.
A "Kneaded" Idea
Come-on stakeholder leaders, don't waste our dues dollars on another ivory tower task force whose report will be thrown on the pile with all the others. It is time to support:
If you really want to do something constructive, help us dramatically modify or put the ineffective modular program format out to pasture for good. And for extra credit, how about developing and implementing reasonable admissions standards instituted in every school that offers a massage program? We should not be throwing our doors open to the academically inept, and/or ethically challenged (like felons) guaranteeing failures, loan defaults, and future ethics complaints.
This approach is the most efficient way for massage therapy to achieve its potential with both the public and the arising integrative medicine-healthcare community – both of whom are waiting for us to elevate ourselves to a true alternative healthcare profession. Will we step-up and meet their expectations? More importantly, will we decide to live up to the potential our profession has to offer the public?
Think about it. If you care, get involved.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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