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Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
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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