resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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?
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
February, 2013, Vol. 13, Issue 02
Massage Therapists and the Detection of Skin Cancer in Clients
By Massage Therapy Foundation Contributor
Contributed By April Neufeld, BS, LMT, NCTMB; Sandra K. Anderson, BA, LMT, ABT
Have you ever noticed strange moles or lesions on your patient's back? This is important because skin cancer is the most common cancer in the United States, with more than 3.5 million cases diagnosed annually. Since massage therapists see a great deal of client skin on a daily basis, they have a unique opportunity to recognize potential skin cancers.
This month, we at the Massage Therapy Foundation (MTF) are reporting on a study by lead author Shannon M. Campbell and colleagues called "Skin Cancer Education among Massage Therapists: A Survey at the 2010 Meeting of the American Massage Therapy Association." It was published online on August 23, 2012 by the Journal of Cancer Education, August 23, 2012.
"While non-melanoma skin cancer (NMSC) accounts for the majority of cases, melanoma is responsible for more than 75% of skin cancer deaths. Between 1992 and 2004, melanoma incidence increased 45%. In the United States, one in 52 men and women can expect to be diagnosed with melanoma in his or her lifetime. The back is the most common location of melanoma in men, while the lower legs are the most common location in women. Prognosis of melanomas is related to anatomic location. The 10-year survival rate for melanomas on the back is around 68% while the 10-year survival rate for the lower legs is 82%," write the investigators.
These statistics indicate that early detection of skin cancer is an important public health initiative. While the majority of interventions have been through detection by medical professionals, recently attention has been turned toward the ability of non-medical professionals, such as hair dressers and massage therapists, to assist with skin cancer detection. These professional massage therapists see and palpate large areas of clients' skin, including the back and legs. In addition, massage therapists may also frequently observe areas of the skin not examined by healthcare providers, such as the scalp and soles of the feet, in addition to backs and legs.
The purpose of this study was twofold. The first was to describe the skin cancer education massage therapists receive during training and second, to evaluate massage therapists' comfort levels in identifying suspicious lesions and communication with their clients about them.
The research method involved surveying two separate groups of attendees at the American Massage Therapy Association (AMTA) annual convention in 2010, in Minneapolis. One group of 179 completed the survey at a booth in the exhibit hall; the other group of 114 were participants who attended a skin cancer education workshop at the convention. Thirty-one surveys were excluded because the respondents were either from Canada or had not completed their entry-level training. Therefore, the final sample was 262.
The survey consisted of demographic questions such as gender, age and ethnicity. Participants were also asked the number of years the subject worked as a massage therapist, the state in which they practice, age range of clients, number of clients they treat per year, average number of visits per client annually, how many clients the massage therapists have recommended see a healthcare provider over the past year for a suspicious lesion, and if they ever detected a lesion on a client's skin that was confirmed to be skin cancer.
Participants were also asked to give detailed descriptions of their skin cancer education both during entry-level training and through continuing education. Descriptions included the name of continuing education courses, numbers of hours, textbooks used, academic credentials of the course instructor, types of skin cancer covered, testing and education about how and when to discuss a suspicious lesion with a client. Additionally, participants were asked to describe their comfort level recognizing and discussing a suspicious lesion with a client, as well as recommending a client see a healthcare provider for a suspicious lesion. All comfort level questions were assessed using a scale of "not at all," "a little," "somewhat," "quite" and "extremely." Frequency questions were assessed using a scale of "never," "sometimes," "usually," "often" and "always." The observed frequencies and percentages were calculated using Statistical Analysis System (SAS) version 9.2.
Results of the survey indicated that 60% of massage therapists received skin cancer education during their entry-level training, 25% received it afterwards and 16% received both during and afterwards. The majority of participants stated that melanoma and non-melanoma skin cancers were reviewed during both entry-level and continuing education courses and that when and how to discuss a suspicious lesion was also included.
Whereas 12% of participants reported a personal history of skin cancer, 72% reported knowing a friend or family member with a skin cancer diagnosis. Of those surveyed, 43% reported wearing sunscreen usually or often on sun-exposed skin and 83% reported performing self-skin exams (SSEs) at least every 1 to 2 months. Participants also reported examining their client's skin regularly, with 44% reporting that they always do so. Massage therapists who examine their own skin at least once a year were more likely to examine a client's skin. Most of those surveyed recommended at least one client see a health care provider for a suspicious lesion over the past year.
Most participants reported being quite or somewhat comfortable recognizing a suspicious lesion, being quite comfortable discussing it with the client, and being quite or extremely comfortable sharing medical knowledge and recommending the client see a healthcare provider about the lesion. Additionally, massage therapists who perform SSEs, had detected a lesion on a client that was confirmed to be skin cancer, and who examine their clients' skin on a regular basis, and who referred clients to be seen by a healthcare professional are more likely to be comfortable recognizing a suspicious lesion.
"This study has several limitations," write the researchers. "It is an observational study that does not allow for cause and effect relationships to be identified. The sample population was from a select group at a national convention and the results may not be indicative of all massage therapists. Additionally, 114 of the 293 participants completed the survey prior to participating in a workshop on skin cancer," which means they may have a greater interest in skin cancer prevention and detection. "Further studies on a larger scale with a more representative sample are needed to confirm the data. Because many years may have elapsed between training and completion of the survey, participants may have incorrectly recalled details about their education and practice. However, this study serves as a valuable introduction to skin cancer education efforts within the massage therapy community. Additional studies should focus on improving massage therapists ability to recognize suspicious lesions and collecting data directly from massage therapy schools regarding their skin cancer education."
So what does this mean? It means that massage therapists who are already checking their clients' skin for suspicious lesions are providing a valuable and necessary service, one that can potentially save a client's patient's life. Massage therapists who are unsure of their ability to detect a suspicious change on a client's skin, and are unsure of how to discuss it with the client, would definitely benefit from a course that covers this information. It could make all the difference in the world to someone they know.
Editor's Note: Want to hear more great research all in one place? Attend the International Massage Therapy Research Conference – Presented by the Massage Therapy Foundation April 25-27, 2013, in Boston, Massachusetts. Registration is now open. Learn more at www.imtrc.org.
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