resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Advancing the Primary Spine Practitioner
A large New York Blue Cross / Blue Shield plan hosted the formal inaugural training program for primary spine practitioners (PSP) on Sept. 28-29, 2013.
Does Copper in Your Multivitamin Cause Dementia?
For the past year or more, I have been asked about whether it is safe to take multivitamins with copper because of a fear that is apparently spreading. The fear is that 1-2 mg of copper in multivitamins supposedly causes dementia and/or Alzheimer's disease.
Breathing Techniques To Resolve Patient Issues
When a patient of mine who has practiced yoga for nearly 30 years, told me that she was experiencing panic attacks, I was surprised. "After so many years of training, can't you turn them off?" I asked. "I do turn them off, but only temporarily," she replied.
Acupuncture & Substance Abuse Rehabilitation
One of the most rapidly changing areas of healthcare is that of addiction medicine. Advances in brain imaging technology have allowed doctors and scientists to understand addiction, and recovery from addictive disorders, at the level of the individual neuron in the brain.
The Newest Public-Health Epidemic: Sitting Too Much, Moving Too Little
In my last column, I wrote about sitting versus standing at work. ("Sit or Stand? Strategies to Improve Workplace Health and Reduce Disease," Oct. 1 DC) I wrote the article from the perspective of an ergonomist.
Studies: Acupuncture Effective For Depression
Many people suffering from depression can find a natural and effective way to treat their symptoms with acupuncture, according to the latest study.
Sports Media Legend Joins the TIPS Team
The Foundation for Chiropractic Progress developed "Athletic TIPS" (Towards Injury Prevention in Sports) in an effort to address the growing concern of sports injuries.
21st Century Marketing: Five Ways to Use Social Networks as a Customer-Service Tool
As the popularity of social networks grows among businesses and professionals, customers' expectations about how they will be served through these networks continue to evolve.
The Lateral Subsystem and Lower Extremity Pain
Human locomotion is an incredible demonstration of muscle activation, timing, sequencing and patterning. The very idea that we can stand upright and put one foot in front of the other to get from point A to point B without falling down is miraculous.
German Auricular Acupuncture: Effective For Your Patients
Auricular medicine as developed by Western medical doctors in Europe is a complete modality of diagnosis and treatment. Unlike body acupuncture, auricular acupuncture is treating the central nervous system rather than meridians.
Continuing Education Showdown: Online Learning vs. In-Person Seminars
Many state TCM and acupuncture regulatory bodies and associations are interfering with the success of their members by limiting the number of continuing education credit hours they can earn online.
Facial Rejuvenation: The Key to Exceptional Results
Acupuncturists make the best detectives. I know this first hand because I'm an acupuncturist and a private investigator and in both professions, there is a need to dig deep to solve the mystery.
Electric Qigong: An Ancient Therapy Evolves
Recently in a small, dimly lit treatment room in downtown Taipei, Wesley Chen instructed his patient to lie down. A frayed wire, which he wrapped around a small piece of metal, is now plugged in.
We Get Letters & E-Mail
Change: Healthy and Inevitable; Our Scope of Practice Needs to Change; Chiropractic Physicians Deserve to Be Accurately Informed.
A Tribute to Richard D. Yennie, DC (1928-2013)
It was with sadness that I read the obituary of Dr. Richard Yennie in the Oct. 20, 2013 Kansas City Star. However, reading it also brought reflection and warm memories, as he was a close family friend of my grandparents, Cleveland College founders Drs. Ruth and C.S. Cleveland Sr.; and my parents, Drs. Mildred and Carl Cleveland Jr.
Acupuncture Today Continues To See Unprecedented Growth
For the past decade, the profession has seen steady growth in stature with legislators and the general public. The growing presence of the profession has been directly reflected in the growth of our publication.
Managing a High Protein Diet
One of the most common clinical presentations in today's clinic is patients following a high protein diet. It seems that every year a new version of a high protein diet appears promising weight loss and physical transformation.
Acupuncture In Haiti: Aid that Works
I recently returned from Haiti. So many people ask whether Haiti has recovered since the earthquake of January, 2010. Once you've been to Haiti, you would never ask that question. It doesn't make any sense.
PCOM Symposium Celebrates 25 Years
Acupuncture and Oriental medicine practitioners and students, as well as providers representing various other health care disciplines, flocked to San Diego's Catamaran Resort Hotel to attend the PCOM Annual Symposium on Oct. 24-27.
Promoting Acupuncture with Acupressure Demonstrations
Dan and his wife Marla were admiring the beautiful bouquet of flowers at our booth at the Business Expo when our receptionist asked him if he knew anyone who had tried acupuncture.
Educating the Growing Hispanic Population About the Value of Chiropractic Care
Chiropractic was given the spotlight on the largest and highest-rated Hispanic television network in the U.S., Univision.
Patellofemoral Pain: Fascial and Exercise Treatment
I recently had a male high-school senior come in who was having some patellofemoral pain, as well as some distal iliotibial band (ITB) pain. He had just started end-of-summer training to play high-school football.
50 Million Opportunities
Toca! Tira! Golasso! While you may not recognize these words ("Touch! Shoot! Goal!"), I hear them often.
Partnerships Leverage Power for Our Profession
While there are many recognized benefits and advantages to developing partnerships between organizations, the main reason why partnerships are established is relatively simple: There is added value in working together for a common cause or purpose.
Unlocking Secrets of the Pelvis (Pt. 3)
In part 1 of this series [Aug. 15 issue], we began to identify the many asymmetries human beings are all born with and detail how these asymmetries, when they become excessive or unchecked, can create a cascade of imbalance in every system of our body, resulting in dysfunction, pain, degeneration and eventually disease.
Leaving a Vision of the Future Behind
Jeff Nelson, president / chief executive officer of Northwestern Health Sciences University since April, died suddenly on Oct. 22 as the result of a gunshot wound.
Acupuncture: The Key and Future of High Sports Performance
Acupuncture is commonly utilized in the intervention of pain and has also been gaining popularity in sports medicine. Athletes are treated with acupuncture for the relief of soft tissue injuries such as sprains, muscle strains, and tendonitis.
Peer Points: In The Business of Herbs
When it comes to herbs, acupuncturist Cathy Margolin wants her patients and customers to know she is the expert they need. In order to do this, Margolin has studied the marketplace and incorporated key business lessons to build an herbal company that sells and markets herbs to the masses who may be skeptics.
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.
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