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TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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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