resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
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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