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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
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.
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