resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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