resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
November, 2012, Vol. 12, Issue 11
Another Look at Massage and Substance Abuse Treatment
By Massage Therapy Foundation Contributor
Contributed By April Neufeld, BS, LMT, NCTMB and Derek R. Austin, MS, CMT, LMT
As readers will recall from reading the previous research review article, "A Mind-Body Intervention that Includes Massage Helps in Treatment of Substance Abuse," (Massage Today, October 2012) Sandy Anderson described the details in Cynthia Price and colleagues' research study on the use of Mindful Awareness in Body-oriented Therapy (MABT) in treatment of women's substance use disorders (SUD)."MABT combines massage and mind-body approaches to develop introception.and self-emotional care tools," wrote Anderson. In this second publication of the study, Cynthia Price and colleagues reported in the Journal of Alternative and Complementary Medicine (2012) the issues around acceptability and implementation of MABT within a women's substance use disorder clinic.
The article "highlights a number of issues, including negotiating perceived conflicts between the most internally valid study design and patient treatment needs, the importance of clinical staff perspectives and buy-in, changes in program structure or organization that are necessitated by a particular research design, and the importance of participant satisfaction with treatment," wrote Price and colleagues in the introduction. But what may be of greatest interest to Massage Today readers, the study authors emphasize that "massage is one of the primary MABT elements and is thought to be clinically useful for increasing awareness of tension, cueing individuals to physical symptoms of stress and habitual patterns of responding to stress that may be important for relapse prevention." To gauge the individual effectiveness of the MABT treatment, the study participants filled out a written questionnaire that specifically asked about the helpfulness of MABT components (including check-in, massage body awareness exercises, mindful practice, session review, and homework).
I had the pleasure of interviewing Dr. Price and she said, "[This article] highlights how [the participants] felt about their experience, and in their own words were able to describe how the intervention was helpful for them." She went on in great detail about her experience with the women's clinic where the study took place. (This clinic was independent from the University of Washington, which sponsored the researchers). Although future studies should include men, the women's only clinic was chosen because it had been involved with previous research studies and, therefore, the staff was very comfortable accommodating the researchers, could help with setup, and could facilitate the study.
The clinic studied already offered alternative medicine options for the inpatients including yoga and massage therapy. Dr. Price emphasized that it was important for a clinic to already have a holistic focus integrated into the treatment protocol. "The success of a holistic study has more to do with the staff values and willingness to work with outsiders," Dr. Price said, "and [touch based therapies are] less common among community substance abuse clinics." Substance abuse clinics that include alternative medicine options typically are only available at high-end clinics, but Dr. Price indicated that directors of low-income clinics are aware and interested in including these types of treatments. However, funding is limited for all treatment options, so the cost-effectiveness of MABT should be included in future studies.
Dr. Price's article outlines the treatment satisfaction of the participants. A general satisfaction survey was part of the research methods. "Participants were asked to indicate level of satisfaction with the number of sessions received; 21 (84%) of the respondents were satisfied with the total number of sessions. The four participants who were dissatisfied (16% of respondents) indicated that this was due to wanting more sessions (three ended early due to early discharge from outpatient treatment and one due to time conflicts)," wrote Price and colleagues. Participants also indicated how helpful they found the primary MABT elements (check-in, massage with body literacy, inner body awareness exercises, Mindful Body Awareness Practice, session review, and homework), and the majority (84%) indicated that all components were very helpful. The participants were also able to leave comments. When asked about the most important MABT experience, one participant said, "Connecting emotions with sensations – It is difficult for me to identify emotions sometimes but I can now look to my body for cues." Dr. Price told me that the participants' responses gave a clear picture about why paying attention and body therapy were so important in preventing relapse and how it changed the lives of the women involved.
When looking at the implementation feasibility, the researchers wrote, "it was possible to effectively deliver MABT as an adjunct to SUD treatment in the community-based treatment program." The clinic staff gave positive reviews for the study inclusion, which was indicated in their "willingness to suggest alternatives to help accommodate the implementation of MABT and its participants."
LMTs sometimes ask how they can get involved in working with special populations such as people with substance use or addiction issues. When I asked Dr. Price about the massage therapists who participated in her study, she said that the LMTs involved had a background in mental health disorder training or had practices that involved addiction and bodywork.
For additional education, Dr. Price recommended, "LMTs interested in further training specific to body awareness to promote emotional well-being might consider training in the Hakomi method: www.hakomiinstitute.com. MABT protocol training is available for individual therapists, and for treatment facilities interested in implementing MABT as part of their patient's recovery (substance use, eating disorders and trauma) program: www.mindfulbodyawareness.org."
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.
Click here for more information about Massage Therapy Foundation Contributor.
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