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Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
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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