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Don't Forget About the Performers
Donald Petersen Jr.'s recent article, "Your Chance to Go Back to High School" [May 1, 2014 DC], focused on the injuries incurred by high-school athletes and the subsequent opportunities for the chiropractic profession.
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.
Building the DC-MD Bridge
From MDs practicing integrative holistic medicine to the family internist, many DCs are enjoying unprecedented attention from their allopathic colleagues.
The Life & Legacy of James Sigafoose, DC (1933-2014)
Surrounded by his family and closest friends, Dr. James M. Sigafoose passed away quietly on Thursday, July 3, 2014. With his wife of 60 years, Patsy, along with his children, Tina, Daun, Kieth, Selina and Carey – all chiropractors – at his side.
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.
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.
Your Patients' Best Health Resource
There is nothing as powerful as information. The right information has won wars, saved lives and changed hearts; lack of information has led to hesitation, poor decisions and unintended consequences.
Ringing in a Fiscal New Year With a Recommitment to Cost-Effectiveness
Back when the Foundation for Chiropractic Education and Research was in its heyday, I used to send out New Year's greetings and virtual noisemakers to some close friends on July 1 – the beginning of our new fiscal year – wishing for prosperity in the year ahead.
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.
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!
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.
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?
Watch Out for Red Herrings
In clinical practice, when one condition mimics another, it makes it difficult to obtain an accurate and timely diagnosis.
Decompression-Traction: A Core Treatment Method in Chiropractic's Future
We're all competing for new patients. We're competing for new patients with physical therapists, massage therapists, medical specialists and hospital fitness centers. We're even competing with side-effect-ridden medications that quit working every four hours.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
From the Other Side of the Table
People come to us to gain freedom from pain, to feel better, to live better. As D.D. Palmer stated, "We Chiropractors work with the subtle substance of the soul." Therein also lies the rub.
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.
News in Brief
Oregon Gov. John Kitzhaber (a medical doctor, no less) proclaimed October 2014 "Oregon Chiropractic Health and Wellness Month" in an official proclamation signed Aug. 25, 2014.
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.
Take Care of Your Skin: Tips to Pass on to Your Patients
Many of our patients are not aware that the largest organ in the human body is actually the skin. Accounting for 16 percent of total body weight and covering up to 22 square feet of surface area, the skin is more than just a "covering," as originally thought.
Detoxification for Athletes: The Key to Winning Performance
One of the most dangerous culprits that affects an athlete's ability to perform at an optimum level also happens to be one of the most elusive.
How to Find Your Ideal Patient – and Help Your Ideal Patient Find You
Just imagine: You're at the front desk looking at the scheduler and a smile creeps across your face. Row after row, name after name, hour after hour; you're blessed with an entire day of ideal patients. Every day should be like this, you whisper. Exactly!
August, 2013, Vol. 13, Issue 08
Massage Benefits Immune and Neuroendocrine Function
By Massage Therapy Foundation Contributor
Contributed by Beth Barberree, RMT, BA; Derek R. Austin, BS, MS, CMT; Sandra K. Anderson, BA, LMT, ABT
In April 2013, the Massage Therapy Foundation hosted the International Massage Therapy Research Conference in Boston.The author of this month's MTF article review, Dr. Mark Rapaport, was one of the keynote speakers and presented material further to this work, "A Preliminary Study of the Effects of a Single Session of Swedish Massage on Hypothalamic Pituitary–Adrenal and Immune Function in Normal Individual."1
This initial study was achieved through collaboration between Dr. Rapaport and team members Pamela Schettler, PhD, and Catherine Bresee, MS. They investigated the response of various biomarkers to a single dose Swedish massage therapy session versus a light touch control group. What they found is that a single session of Swedish massage therapy had measurable effects on both the immune system and hypothalamic–pituitary–adrenal (HPA) connection. Eventually, these may have implications for care of patients with inflammatory and autoimmune conditions. An understanding of the biological effects that massage therapy has on the body can help us, as massage therapists, make the best treatment choices for our clients who experience inflammation or live with autoimmune disorders.
Despite it being popular with Americans, little is known about the effect of massage therapy on human physiology.2 Of the work that has been done, recent reviews have shown there to be challenges with some of the methodology. There is some lack of confidence in the validity of many of the past claims about the effect of massage therapy on stress response and immune function, along with an inability to generalize results of those studies.
The authors set out to tackle this gap. Based on what they had found leading up to the project, they theorized that Swedish massage therapy would increase oxytocin levels, mediating a decrease in activity of various hormones involved with the HPA connection and improve immune function.
Licensed massage therapists performed both the massage and the control light touch interventions on 53 healthy men and women. The subjects were randomized into one of the two groups and neither the participants nor the therapists were aware of the hypothesis that was being explored in the study. Efforts were made to maintain consistency wherever possible in delivering the 45-minute sessions, with a standardized protocol outlined for both groups. The massage consisted of effleurage, petrissage, kneading, tapotement and friction applied with the thumb. Light touch was performed with the back of the hand only.
Blood and saliva samples were collected before and at varying times after the treatments. Plasma and salivary cortisol levels were analyzed, as were plasma adrenal corticotropin hormone (ACTH), oxytocin, vasopressin, lymphocyte markers and cytokine levels. (The free full text article contains full detail of the process of collection and analysis of the biological samples.) The participants also completed three psychological self-report statements before and following the intervention in effort to exclude shift in emotional state as a contributing factor to the results.
So, what did the researchers discover? When compared to light touch, Swedish massage therapy caused a decrease in vasopressin and a lesser decrease in cortisol levels. Contrary to their hypothesis however, these findings were not mediated by changes in oxytocin levels. The massage group also showed improvement in the biomarkers for immune function.
Interestingly, none of the results varied by age, gender or self-reported race for the two study groups. Another remarkable point is the unique, repeated assessment of neuroendocrine hormones that was utilized in the study. Samples were taken 1, 5, 10, 15, 30 and 60 minutes after the end of the intervention session. This information may be helpful in design of other studies when determining optimum times to draw samples. With consistency in collection and analysis of biomarkers, there is potential to use those methods in comparative studies and as outlined by the study authors, individuals of differing ages and those presenting with various pathologies.
While this is a well-designed study that lays the groundwork for future research in this area, there are still some limitations to drawing inferences from these results. A single session of massage therapy seems to have depressant effects on vasopressin and cortisol for as long as 60-minutes after the intervention. It would be interesting to see future research vary the interventions and collect samples at longer time frames after the interventions occur. In particular, a longitudinal study to find the optimal dose of massage therapy could be done using the protocol of repeated assessment of neuroendocrine hormones seen here.
It would seem that the research on massage therapy and the endocrine system could be on its way to full circle. At one point, there was excitement over studies reporting that massage therapy decreases cortisol, but recent systematic reviews looking at the basic science of those studies questioned the validity of the results. Now, Dr. Rapaport and his colleagues have data to support the notion that a single session Swedish massage therapy may have fairly pronounced acute effects on the immune system.
New evidence has begun to show that massage therapy has positive effects on management of stress hormones and immune function. This is occurring despite the need for more exploration of the potential mechanisms involved. So, even if you only treat a client once, be assured that science is backing up what you likely already know – that massage therapy can have a profound effect for our clients.
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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