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If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
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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