resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Treating Our Veterans with PTSD
As July 4th, Memorial Day and Veterans Day continue to pass year in and year out, we honor our veterans from past wars with parades, BBQs and a day off from work, but our veterans live daily with the spiritual scars of war.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
Hon Lee: Scholar, Warrior, Spy, Teacher and Healer
It was fun. Growing up in New York's Chinatown was like living in a Chinese village that had been transplanted to a five square block area in southern Manhattan. The thing I liked most about the city, and still do, is it's rich cultural diversity.
Yo San University Celebrates, Supports Community Clinic
Yo San University of Traditional Chinese Medicine recently celebrated 25 years of teaching excellence and serving its community by awarding actor Pierce Brosnan the Robert Graham Visionary Award and raising money for its popular community clinic.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
The Power of Vitamin K
You may have heard rumblings in recent years that vitamin K helps reduce the risk of osteoporosis and cardiovascular disease, and is administered intravenously by some integrative medical doctors who combine it with high-dose vitamin C in cancer treatment.
Cultivating Our National Strength
The time has come to seriously look at the state of this profession and its influence in the U.S. Where are we? What has happened? Where do we go from here?
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Ancient Chinese Medicine Meets Modern Anatomy Dissection
Have you ever thought it would be beneficial to explore under the skin and examine qi deficiencies in every system of the body? Would you like to see traditional Chinese medicine diagnosis patterns as they relate to western biomedical symptoms and conditions?
Behavior as Symptoms of Energetic Imbalance
Karen and Josh said they wanted me to help them fix their marriage. That is why they were sitting on the couch in front of me, complaining about each other. She was too domineering, he said, overly controlling and bossy.
What TCM Never Had to Deal With
You probably started getting a sense of it when you were in school. The professors would talk about diabetes as "wasting-and-thirsting disease" and you had a thought that you didn't know anyone who was wasting away in any way, shape or form.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Eight Ways to Help Manage Your Content
You have just completed your last session for the day, checked your voice mail and emailed a new patient about their appointment, but something it gnawing at you, something you just can't quite put your finger it on.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
The Power of Positioning
During the evening, I like to relax while either reading a book or watching television. One of my shows, NCIS, has the main character always drinking coffee. Everyone knows it is a Venti from Starbucks because of its distinctive color and style.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
The Art of Observation
How many of us spend time just watching our clients walk, climb in and out of cars, rise from a chair or navigate a flight of stairs? Spontaneity is the key. Along with a subtle ability to observe without the client knowing or being made to feel like a lab rat.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
MUIH Launches Doctoral Degree Programs
Maryland University of Integrative Health recently announce it will now offer doctoral degrees.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
October, 2012, Vol. 12, Issue 10
A Mind-Body Intervention with Massage Helps Treat Substance Abuse
By Massage Therapy Foundation Contributor
Contributed By Sandra K. Anderson, BA, LMT, ABT, Jolie Haun, PhD EdS LMT, April Neufeld, BS, LMT
Massage therapists are aware of the mind-body connection and its important role in maintaining health and wellness.This mind-body connection can be particularly influential when a client is recovering from substance abuse. In 2011, Price and colleagues published study results in the Journal of Substance Abuse Treatment, documenting the impact of the mind-body connection in a sample of adult females. Their work examined the effects of mindful awareness in body-oriented therapy (MABT) for women enrolled in a substance use disorder (SUD) treatment facility. MABT combines massage and mind–body approaches to develop interoception (the processing of internal sensations to create awareness integral to sense of self) and emotional self-care skills.
Massage is thought to be clinically useful for increasing self-awareness about tension, stress and habitual response patterns that may help prevent relapse. However, Price and colleagues were unique in their examination of mind–body therapy using massage as part of treatment.
Women in addiction treatment often report experiencing sexual and physical abuse in both childhood and adulthood. Further, the rate of eating disorders in women with SUD are nearly double that of those without a SUD. Having a trauma history and/or an eating disorder can increase vulnerability to relapse post-treatment. However, mind–body therapies, such as MABT, may provide women with self-care skills to prevent relapse. In particular, MABT can provide women with the ability to identify and cope with emotions without using drugs.
This study was a pilot project at a women's only treatment clinic in the Pacific North West. Forty-six women enrolled in the study; the median age was 39 years. Participants reported using alcohol, opiates and multiple addictive substances before treatment. Most participants were Caucasian; one was Asian American, and two identified as mixed ethnicity. More than half the participants reported experiencing sexual or physical trauma in either childhood or adulthood and PTSD, while 30 percent had an eating disorder. Most participants had previously sought substance abuse treatment and had minimal exposure to massage.
Participants were randomized to receive the 8-week MABT intervention plus treatment as usual (TAU) or to TAU alone. TAU was a 12-step abstinence-based approach involving group sessions using psycho-education and cognitive–behavioral therapy. All participants completed a 3-week inpatient program and then continued in an outpatient, 12-to-24 week program that met 2 to 3 times per week for three hours.
MABT sessions were offered weekly during the outpatient program, each lasting 1.5 hours. Each participant randomized to MABT was assigned to one of four licensed massage therapists who had clinical experience addressing mental health concerns. The MABT protocol involved asking participants about their emotional and physical well-being to guide the session. Particular attention was given to body awareness in relation to experiences associated with substance use and treatment. The hands-on component of the session was 45-minutes and included massage over clothes. Touch was also used to teach interoception and body-based self-care skills such as learning to feel the sensation of breath, bring conscious attention to specific areas of the body, attend to physical and emotional tension and develop mindful body awareness. To integrate the skills they were learning, participants had individualized inner body awareness homework to do each week.
Data collection time points included baseline, post-intervention (three months from baseline), and six and nine month follow-up. The data included assessments that measured substance use, psychological and physical indicators of distress, perceived stress and other mind-body indicators such as ability regulate emotions, body awareness and bodily dissociation. A satisfaction survey and written questionnaire about participant perception of the MABT experience was administered at post-test. A questionnaire about use of any practice focused on connection to the body, such as daily or weekly yoga classes or bodywork treatments, during the follow-up period was administered to both groups at six and nine months. In addition, MABT participants were asked if the practice involved skills learned in MABT sessions.
Findings indicated moderate to large effects including significantly fewer days of substance use at post-test for participants in MABT, compared to those in TAU. Other outcomes showed improved eating disorder symptoms, depression, anxiety, dissociation, perceived stress, physical symptom frequency and bodily dissociation for MABT compared with TAU at the 9-month follow-up. The high level of continued use of MABT skills after the study was considerable, suggesting that participants perceived much benefit from MABT.
Though findings are significant and compelling, Price et al. indicate study limitations for consideration when interpreting outcomes. One limitation is that MABT participants were given a greater amount of time and attention than those in TAU. However, the high level MABT skills used during follow-up shows this was not the only reason for the effects of the study. Another limitation was the small sample size, and allocation of subjects to TAU and MABT differed. Also, only part of the assessment for emotion regulation was used; the findings or interpretation may not be valid without the use of the entire measure. The study sample was likely to have higher socioeconomic status and functional abilities than those found in community clinics. Finally, the sample was restricted to women. The effect of MABT with samples representing both men and women, with individuals in methadone-assisted treatment warrants further study.
Overall, this study demonstrates a mind-body oriented intervention with massage therapy can have positive effects on people in SUD treatment. The authors suggest MABT may be particularly relevant to women, given the high rates of eating disorders, depression, anxiety and trauma found among those with SUDs. It also appears that the self-care and other coping skills acquired during the study carried over beyond treatment and were incorporated into daily life.
Massage therapists who work with individuals recovering from substance abuse have confirmation that what they experience and know intuitively is being proven scientifically – compassionate, therapeutic touch facilitates the mind-body connection and can help in substance use recovery.
Editor's Note: If you are interested in learning more about the evidence supporting the use and integration of massage therapy in clinical and medical practice with different patient populations, visit The Massage Therapy Foundation at: www.massagetherapyfoundation.org/ and tap into the Foundation's Research Resources.
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