resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
June, 2013, Vol. 13, Issue 06
Massage Helps Hospital Patients Manage Pain
By Massage Therapy Foundation Contributor
Contributed By Sandra K. Anderson, BA LMT ABT; MK Brennan, MS RN LMBT; Jolie Haun, PhD EdS LMT
The Massage Therapy Foundation is always looking for new research that is helpful for massage therapists.This month we are reporting on "The Effects of Massage Therapy on Pain Management in the Acute Care Setting," published in the March 2010 issue of the International Journal of Therapeutic Massage and Bodywork.
The authors of this publication, Adams and colleagues, suggest pain management within the acute care setting is a focus of empirical study by researchers, healthcare facilities and accreditation organizations throughout the United States. Previous studies have shown that high levels of stress and anxiety increase pain, and delay hospital patients' recovery by limiting movement and self-care activities, while also reducing quality of sleep. In the hospital setting, stress is due to factors such as excessive noise, social isolation and pain from procedures. In fact, in the acute care setting, clinical procedures are often the only time patients receive touch.
Literature indicates massage therapy is the complementary and integrative medicine (CIM) treatment most often prescribed by physicians that is beneficial without adverse effects. Because massage therapy may be effective in reducing pain through the gate control theory, as well as the relaxation response, it may also play a role in psychological healing along with physical healing. Adams and colleagues conducted this study in the acute healthcare setting to examine the impact of massage therapy on pain and well-being. To account for both psychological and physical effects, the authors included quantitative and qualitative methods.
The study recruited 65 inpatients in various hospital units, admitted between October 1, 2006 and March 31, 2007, at a hospital in a large rural area in the southwest United States. Study inclusion requirements included a physician order for massage, as well as the ability of the patient or a family member to provide consent. Additionally, feedback about the massage and return of a qualitative survey after hospital discharge were collected.
Three licensed massage therapists employed by the hospital provided massage. Each was trained in working with hospitalized or medically frail patients. The massage sessions were 15 to 45 minute sessions given to patients at bedside. The session length varied depending on the patient's energy level and availability. Techniques used included effleurage, petrissage, acupressure, craniosacral therapy, cross-fiber friction and pressure point therapy. The head, neck, shoulders, back and feet were areas most commonly massaged depending on the patient's needs, with patients either supine or in side-lying position. Contraindication for massage sites included areas of injury, surgery or intravenous lines.
Patients indicated their levels of pain before and after receiving massage using a visual analog scale (VAS). The VAS consists of a horizontal line with "0" at 1 end and "10" at the other, with 0 indicating no pain and 10 indicating severe pain. At the completion of the patient's last session, a survey was given asking about length of hospital stay, number of massages received and the impact of the massage on overall pain levels, emotional well-being, ability to move, ability to participate in therapies, relaxation, ability to sleep and recovery. Additionally, participants were asked if they thought massage therapy had an effect on their need for pain medication, how long the effects of the massage had lasted and whether they planned to continue using massage therapy as part of their healing process. An open-ended inquiry at the end of the survey encouraged participants to comment freely about massage. These results, along with demographic data, number of massage sessions and nursing comments were also analyzed.
Of the initial 65 participants, 53 completed the research project. Most participants received one massage, many received two to three massages, and a few received more than three massages. Sessions lasted between 15 and 45 minutes with most being about 30 minutes. The pre-massage pain levels had a mean score of 5.18 on the VAS and the post-massage mean score was 2.33, indicating that the pain level decreased by more than half. The effects of the massage lasted one to four hours for most participants. Some felt they lasted four to eight hours and a few felt they lasted anywhere from eight to over 24 hours. No negative effects from the massage were reported by the participants. The results of the survey included significant reduction in overall pain and need for pain medication as well as an increase in emotional well-being, relaxation and ability to sleep. Over two-thirds of the participants said they planned to continue using massage therapy as part of their healing process.
The results of the study are promising. According to the article, "The fact that patients throughout the various hospital units, with a wide variety of pre-massage pain levels, experienced relaxation through massage therapy indicates the true potential for massage to support healing for hospitalized patients." Additionally, massage therapy relieved the sense of isolation the patients felt. Because so many participants reported increased emotional well-being, the authors suggest it is possible it could be due to the need for compassionate human touch.
Study limitations included only participation by those adults with health status that allowed them to receive massage and to complete the study paperwork. Patients whose energy or pain levels prevented them from participating may have provided information indicating other results. Another limitation is that physiological indicators of pain such as heart rate, blood pressure and oxygen levels were not collected. Finally, a minimal sample size was used with no control group; mainly due to the additional cost this would have incurred.
As researchers in the field continue to pursue understanding the role of massage in pain management, massage therapists can leverage these research findings to promote the need for skilled touch in hospitals to help patients heal. Adams and colleagues suggest, "The further integration of CIM therapies such as massage into the hospital offers the possibility to improve the experience for patients who face physical, psychological, and social challenges in an unfamiliar environment."
As health care systems continue to transform, it is possible that massage therapy will be more widely recognized as essential for patients in the acute care setting. Moving forward massage therapists can reference this work and other research on pain management in the healthcare setting to support the use of massage in the clinical care environment. To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant summaries, or search PubMed for massage therapy studies.
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