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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
December, 2012, Vol. 12, Issue 12
Bringing Relief to First-Time Mothers During Labor
By Massage Therapy Foundation Contributor
Contributed By Jolie Haun, PhD, LMT; Sandy Anderson, BA, LMT, ABT; April Neufeld, BS, LMT, NCTMB
The Massage Therapy Foundation is always looking for ways to expand its borders. This month's review reaches internationally to a study conducted at Baharlou University Hospital in Tehran, Iran. This recent publication in the Archives of Gynecology and Obstetrics examined the "effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor" in first time mothers.
Since the beginning of time, the majority of women of childbearing age have reported experiencing intense pain and anxiety during labor, particularly first time mothers. Mortazavi and colleagues collected important data for women seeking relief during labor. The study included 120 women pregnant for the first time. Participants were between 16 and 36 years of age, with an average age of 23. Participants had normal term pregnancies (gestational age between 37 and 42 weeks) without complications at the time of admission to the hospital; and had cervical dilatation of no more than 4cm. Potential participants were not included in the study if a cesarean procedure was needed or if Oxytocin infusion was needed to accelerate or augment the progression of labor.
Participants were randomized into three groups of 40 participants: those receiving massage, those with an attendant, and a control group (no massage and no attendant). Participants in the massage group received firm rhythmic massage for 30 minutes during labor in three phases: latent phase (3–4 cm cervical dilation), active phase (5–7 cm cervical dilation), and deceleration phase (8–10 cm cervical dilation). These women were encouraged to close their eyes and breathe deeply while receiving massage. The massage protocol included shoulder and back massage, abdominal effleurage, and/or sacral pressure, depending on the participant's preference. After a 30-minute massage at each stage, pain, anxiety and satisfaction levels were evaluated. Satisfaction was also measured 30 minutes after delivery (considered phase 4). A self-reported pain intensity scale was used to measure the labor pain. Anxiety and satisfaction were measured with a standard visual analog scale.
In the attendant group, an attendant who provided emotional support stayed with the mother throughout the entire labor. Participants in the control group received standard care, with no additional intervention. Outcomes regarding pain, anxiety, and satisfaction were also assessed in both the attendant and control groups.
Results indicated that participants in the massage group had lower pain scores in the second and third phases, compared to the attendant group. However, levels of reported anxiety were lower in the attendant group in second and third phases. Overall, satisfaction was higher in the massage group in all four phases. The massage group had lower pain and anxiety scores compared to the control group and higher satisfaction scores in the massage group compared to the control group. Participants in the attendant group also showed higher satisfaction when compared to the control group. Data findings also indicated that the duration of active phase was lower in the massage group compared to the other groups.
Mortazavi and colleagues conclude that the presence of an attendant can reduce anxiety and improve satisfaction. Additionally, massage is a safe and effective alternative for reducing pain and anxiety during labor and increases satisfaction. Notably, the active phase length was reduced by massage therapy and the presence of an attendant when compared to the control group.
However, before conclusions about the data can be made, study limitations should be noted. The small sample size in this study limits the power of the findings. Studies with larger sample sizes, representing diverse ethnic and cultural populations, as well as geographical locations are needed. In addition, objective outcomes, beyond those that are self-reports in nature, are needed to avoid participant response bias. For example, future studies can evaluate the effects of massage to reduce labor pain by evaluating bio-factors associated with pain and anxiety such as heart rate variability, cortisol levels and the use of pain medication.
Although these study limitations represent some concern for confounding effects (i.e. factors that influence outcomes that are not being measured), the research findings are compelling and warrant further investigation. These preliminary findings reveal massage and attendant presence provide a significant benefit for women during labor, which should be explored in obstetrics practice. Obstetricians serving women in need of perinatal care can provide enhanced support by providing patients with options to integrate complementary modalities into birthing plans.
As massage therapists continue to diversify their practice to meet clients' needs and clients look for new ways to integrate massage therapy into their approach to healthcare, Mortazavi and colleagues present compelling evidence that the approach to birthing plans can be significantly improved through the presence and practice of massage therapists, and offer a pleasant complementary treatment during labor.
These findings also contribute to the wide field of massage therapy research. These data support the evidence-based practice of massage to treat anxiety and pain during labor; consistent with previous findings supporting the use of massage to reduce anxiety and pain associated with chronic pain, lower back pain, muscle pain in general, and cancer pain that is often associated with treatment. This study also illustrates the beneficial effects of massage therapy are experienced across different cultural and ethnic groups and geographic locations.
Source: Mortazavi SH, Khaki S, Moradi R, Heidari K, Vasegh Rahimparvar, SF. Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor. Arch Gynecol Obstet (2012) 286:19–23.
To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for massage therapy studies.
Click here for more information about Massage Therapy Foundation Contributor.
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