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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).
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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
August, 2012, Vol. 12, Issue 08
How To Write a Case Report: The Introduction Section
By Jerrilyn Cambron, LMT, DC, MPH, PhD
As a massage therapist, you are on the front lines of client care. Aside from caring for clients, many practitioners would like to get involved in the research efforts, but they just aren't sure how.But you can shape the research that is being conducted in the scientific community by writing a case report based on a client within your own practice. You do not have to be a scientist or researcher to contribute to the body of knowledge within your profession. Case reports are the perfect way for you to get involved.
A case report is an article in a scientific publication that describes a practitioner's experience with a particular case. At times, researchers read such cases and become inspired to pursue bigger studies on the topic. But to get a case report published in a journal, these reports must be written based on the journal's instructions to authors. We have previously discussed this and several other important preliminary steps in "Writing a Case Report: Where to Start" in the March 2011 issue of Massage Today.
Research articles are usually divided into sections (introduction, methods, results, discussion and conclusions). Case reports have a similar structure, except instead of methods and results sections, a case report has a "presentation of the case" section instead. Each section of a research article has a specific purpose and certain elements are expected to be present. The introduction section is the initial section that "introduces" the reader to the topic of the case. This section usually includes three parts: a brief discussion on previous research on this topic (if there is any), the significance of this case to the health care field and the objective of the case report.
The first part of the introduction is an overview of the previous research conducted on this topic. It is important to be aware of any previously published studies that might have been written, including other case reports. If other studies are published, you might need to consider whether or not your case adds to the literature so I recommended that a thorough literature search is done before you begin writing. There are many resources for finding additional literature on the topic of your case. PubMed.gov is one of the best resources because this site is run by the National Library of Medicine and includes abstracts from thousands of scientific journals from around the world. If you haven't used PubMed before, there are wonderful tutorials on their site that will help you find your way around. You could also ask your local or university librarian for help.
The best research citations to use in your introduction would be relatively new (within the past five years), from a scientific journal such as the International Journal of Therapeutic Massage and Bodywork (www.IJTMB.org) or the Journal of Bodywork and Movement Therapies (www.bodyworkmovementtherapies.com), and covering the same or a similar topic. Typically journals do not allow you to include citations that are from a magazine, website, course or interview. Sometimes there are topics that do not have any published information on massage as a treatment option for the condition you intend to write about. In these situations, you might want to include references on the standard of care for that condition. Or you might want to include references on massage therapy for a similar condition, even if it is not the exact same condition. Ultimately, the introduction is written for the reader to get a better understanding of what is already in the literature about the condition of interest, how this condition is usually treated and perhaps why massage would be a possible alternative.
Along with some background information, the introduction should also include the significance of the case. You need to make sure the readers understand why this case is important. Actually, the significance may differ based on who your readers are. If you are writing a case report for a massage therapy journal, the case may be significant because you are describing treatment for a condition commonly seen in a massage practice. If you are writing a case report for a medical journal, the case may be significant because massage is a conservative treatment option not usually considered. Other possible reasons why the case report might be significant could be based on number of people who suffer with the condition on an annual basis or the amount of money that is spent each year on the condition. There are many different reasons why an article would be significant and it is your job to make sure the readers understand even if you think it's obvious.
The final part of the introduction should be the objective of your case report. This is usually the last sentence of the introduction, right before the start of the case description. The objective is a statement that clearly states the reason for writing your case. For example, a case report objective might read, "The purpose of this case report is to describe the decrease of pain and numbness in a client with bilateral carpal tunnel syndrome after six weeks of massage therapy."
There are several things that should NOT be included in an introduction to a case report. First, you want to introduce the topic not discuss the actual case. Therefore, you should not include details about your client until the case description section. The introduction should only give the background on why this case report was written and some background on the condition of interest. Second, be sure that you do not overstate the importance of this case or the findings. You want to remain neutral and not make sweeping statements such as, "This case will prove that massage therapy is beneficial for all patients with low back pain." Finally, to repeat a very important previous point, be sure that the references cited are scientific publications. Other sources of information are usually not acceptable.
Overall, writing case reports is a great way for massage therapists to get involved in the research efforts. The next article in this series will discuss what you should write in the case description section of the report.
Jerrilyn Cambron is a professor in the Department of Research at the National University of Health Sciences and an adjunct faculty member in the Epidemiology and Biostatistics Division of the School of Public Health, University of Illinois. She has taught numerous research-related courses and post-graduate seminars. She has also served as a principal investigator on research studies focused on massage therapy and chiropractic care for more than 20 years. Jerrilyn is on the board of trustees for the Massage Therapy Foundation and is the founder and principal investigator of MassageNet, a practice-based research network for massage therapists. For more, go to www.massagenet.org.
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