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End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
July, 2012, Vol. 12, Issue 07
Massage Therapy Reduces Hand Pain
By Massage Therapy Foundation Contributor
Contributed by April Neufeld, BS, LMT; Sandra K. Anderson, BA, LMT, ABT; Karen T. Boulanger, PhD, CMT
Research on the effects of massage therapy for various conditions is increasing. The Massage Therapy Foundation is invested in reviewing research on how massage therapy affects these conditions, especially those that are musculoskeletal.As noted in the June article, "Recent Research Provides Evidence of How Massage Therapy Heals" by Jolie Haun, "musculoskeletal problems impact daily function and quality of life, so it is important to validate..." massage therapy treatments. Complementary Therapies in Clinical Practice has published a study conducted at the University of Miami School of Medicine in which Tiffany Field and colleagues examined how massage therapy affects hand pain.
The researchers recruited 46 participants from the medical school who complained of hand pain regardless of the cause, such as arthritis or carpal tunnel syndrome. Most noted that their hand pain was related to computer use. The participants averaged 50 years of age, were of middle socioeconomic status, and were Hispanic, Caucasian and African-American. They were randomly assigned to the massage therapy group or the control group.
The massage therapy group received 15 minutes of hand massage from a massage therapist once a week for four weeks. The hand massage procedure included four techniques: stroking, milking, friction and skin rolling. They were also taught home massage, although this procedure was not described. Both massage and control participants completed assessments before and after their first and last sessions. Assessments included pain (0-10 Visual Analog Scale), grip strength, the State Anxiety Inventory, depression (the Profile of Mood States) and the Sleep Disturbances Scale. The control group received no massage but was given the hand massage instructions after the final assessment.
After four weeks of treatment, Field and colleagues reported that the massage group had decreased pain, increased grip strength, decreased anxiety and decreased depression. The researchers concluded, "These findings are consistent with data on massage therapy with pain syndromes and especially with results from our carpal tunnel syndrome study in which pain was also decreased and grip strength increased by massage therapy. The psychological changes following hand massage in the present study, including the reduction in depressed mood and anxiety are indications of relaxation effects."
This is excellent news for massage therapy practitioners because it helps us understand that patients may feel significant benefits even after treatments as short as 15 minutes in length. Nonetheless, this paper had its limitations, mostly focused on the lack of detail provided. Field and colleagues reported, "Moderate pressure appears to be critical for these effects," and "Other studies on hand massage also suggest the importance of pressure." However, there are no indications in this study as to if and how pressure was measured. Methods for measuring pressure should have been included or reasons should have been given for not measuring the moderate pressure outlined in the procedures description.
The researchers listed the use of four different techniques: stroking, milking, friction and skin rolling. But in order for a practitioner to duplicate the results in clinical practice, the details of the massage procedure should have included: how many times each technique is repeated, amount of pressure used, duration of each technique and order of technique application. However, Field and colleagues did make a point to describe the hand position of the practitioner and the position of the subject's arm for each technique; this detail is missing from many research studies on massage therapy. Another example of poor procedural description involves the control group. What did the participants in control group do for the 15 minutes between the before and after assessments? We need to be able to evaluate exactly to what massage therapy is being compared.
A third example of needed detail involves the explanation of the procedure of home hand massage that was taught to the participants. The study only states, "They [the participants] were also taught the hand massage." Specificity regarding the method of instruction, including detailed descriptions of the self-massage and recommended duration, are needed to evaluate the internal validity of the study. Additionally, the authors stated, "The participants were asked to keep a record of their massaging themselves daily and were called on a weekly basis to check on their ability to schedule daily sessions." However, whether the self-massage was performed correctly and consistently was not reported. A future study comparing the effects of massage vs. massage plus home self-massage, would help us to understand any added benefit of having our clients perform self-care.
We agree with the research implication that, "Further research is needed to explore [the] potential mechanisms [of massage therapy]." Studies like these do help support the work that individual massage therapists perform daily with their clients. Practitioners who want more information on the mechanisms of massage therapy and successful treatment methods can go to the list of commonly used PubMed search terms on the Massage Therapy Foundation website.
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