resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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?
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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?
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.
July, 2013, Vol. 13, Issue 07
It's Time to Start Bursting the Education Bubbles
By Ralph Stephens, BS, LMT, NCTMB
Changes are upon the education community in the U.S.A. Massage education is no exception. In the mid-1980's, we had relatively few massage schools, best guesses are around 100 total. Massage schools peaked in 2009 at about 1,600.Now, the number is down to about 1,300. We have gone from about 74,000 students enrolled in massage therapy programs in 2005, to just over 40,000 in 2013. Talk about a bubble bursting - the trend is down with only 26.2% of massage schools reporting growth in enrollment since 2010. It is still amazing how we train more than 40,000 people a year, yet our profession has only grown 181,600 therapists in the past 14 years.
Something is very wrong with our educational system to produce that degree of dropout and failure. Are we as a profession in decline? (These numbers are from the recently released ABMP biennial massage therapy school enrollment census for 2013 and previous therapist surveys. Thanks to ABMP for this incredible work and for permission to share it here.)
There is also a lawyer bubble. Law schools became huge profit centers for colleges and the number of law schools increased from 175 in the 1980's, to 201 in 2013; however, the number of law school applicants is down 38% in three years. Reasons given are interesting. Seems law school deans are less than honest about the legal profession when recruiting. Seems most law students arrive at school misguided about the nature of legal practice. There are twice the graduates as there are jobs. Anything here look familiar? Both professions need a bit more honesty in advertising and recruiting.
The higher education bubble has also burst. The Wall Street Journal reported in May that the average "tuition discount rate" offered incoming freshmen last fall by private colleges and universities has reached an all-time high of 45%. At the same time, the "sticker price" tuitions at both private and public colleges increased by the smallest amount in 2012-13 than any of the last dozen years. Is higher education a worthwhile investment if it entails five, even six-figure college loan debt that cannot be discharged in bankruptcy?
Educational institutions have been awash with federal cash for decades. Federal Title IV funding has driven massage school expansion and enrollment, especially in for-profit corporate and chain schools. Now Americans owe more in student loan debt than we collectively owe on credit cards. What have students been getting for the money they owe, as well as the money the Feds are paying their schools on students' behalf? More administrators and more bureaucracy. "The scariest number I've seen is that in the Cal State system between 1970 and 2008 ... the number of faculty only went up 3%, but the number of administrators went up 237%," said Sean Flynn, a Scripps Economics professor. "The entire educational system has had massive amounts of money thrown at it and most of it has gone to things that have not improved the actual educational outcomes."
If the profession of massage is going to thrive and be an active participant in the healthcare community, either allopathic/traditional, alternative or hopefully both, some serious changes must be made in our educational system and they must be things that improve educational outcomes. Otherwise, we will be in a continuous down trending decline.
We need better screening of students, more honesty in marketing and trained, professional educators in the classrooms. This must start with the adoption into state laws or rules of teacher training standards for massage school instructors, phased in of course, but as quickly as possible. We need comprehensive teacher training programs and to bring them about we need the commitment and financial support of the major membership associations.
The beginnings of such programs have been created and published by the Alliance for Massage Therapy Education (AFMTE) as the Teacher Education Standards Project (TESP). Phase One of the TESP is now published and the development of the other phases is beginning.
Educators – Get Involved
The Alliance is the only stakeholder organization in the massage/bodywork profession that represents and advocates for our educators – schools, school instructors and CE Providers. If you care about the future of massage education, you need to belong to and participate in The Alliance. There is so much to be done. It needs to be done by our own educators.
The Alliance is hosting its annual conference this month, July 18 – 20, 2013, in St, Charles, Mo. (St. Louis). It is not too late to register and attend. If you want to join and be part of the greatest "brain trust" in massage education, if you care about the future of this profession, if you care about the direction of massage education and if you want to help raise the quality and abilities of massage teachers, you need to attend. Register now at www.afmte.org and help create a "Culture of Teaching Excellence."
The Bigger Picture
Setting standards is a great first step. Next we have to develop curriculum to train teachers to teach the lineage of our profession with both heart and mind. The dirty little secret here is that we need to develop the standards to create a group of teacher trainers – a group qualified to teach teachers how to teach. So it is a three-tiered process: training trainers, who train teachers, who teach students.
It is time our massage educators become active, yes vocal, in supporting The Alliance, creating the TESP and implementing changes in our massage educational system that brings about improved educational outcomes.
Until we can consistently turn out well-trained, skilled therapists, we will never be able to deliver the full potential of massage to the public. If we want to take our rightful place in the forthcoming integrative medicine system or even be accepted by the public as a reliable therapy for relaxation (or more), we must expedite the development of teacher standards. To my fellow educators at all levels - get involved and be a part of bringing our profession to its next level. It is educators that must lead the way.
Background Checks? Just say "NO!"
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is trying to impose background checks on therapists and even on continuing education providers. Somebody over there own an interest in a background check company? The problem with continuing education in the massage profession is not that criminals have become CE providers and are perpetrating crimes on CE course attendees. It is insulting and degrading that one of our stakeholder organizations thinks so little of us. Many of us fought for years to get out from under discriminative, degrading local ordinances requiring police inspections, STD tests, chest X-rays and generally treating us like prostitutes until proven otherwise. Now our own stakeholder is throwing us back into that era. Shame on you NCBTMB. I support your Board Certification Program, but not if it requires us being treated as criminal suspects. Background checks have no place in an advanced credential for a healthcare/wellness profession.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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