resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
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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