resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
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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