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The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
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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