resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
October, 2013, Vol. 13, Issue 10
Qualitative Research Furthers the Study of Massage Therapy
By Massage Therapy Foundation Contributor
Contributed by April V. Neufeld, BS, LMP, Beth Barberree, BA, LMT, and Sandra K. Anderson, BA, LMT, ABT
Have you heard the terms "quantitative" and "qualitative" associated with research? Have you wondered what they meant? More importantly, have you ever wondered how they apply to your work as a massage therapist? This month's column is a review of an article written by a research team from the Department of Community Health Sciences at the University of Calgary for the International Journal of Therapeutic Massage and Bodywork, 2008; 1(2): 6-10.
Generally, research methods are split into two categories. Quantitative methods are highly controlled research studies requiring precise measurement to prevent unwanted influence on the outcome measures and any bias would invalidate the studies findings. Bias means a systematic error introduced into sampling or testing by selecting or encouraging one outcome or answer over others. To this end, these studies may be surveys or randomized, controlled trials. In randomized, controlled trials, the research subjects are randomly allocated to receive treatments, sort of like tossing a coin. After randomization, the groups of subjects are followed in exactly the same way and the only differences between the care they receive should be within the treatments being compared.
According to the article, "Quantitative research . . . often has the goal to describe and predict outcomes in a larger population of interest [by examining] the strength of relationships between variables of interest." In quantitative research, the context of the study is not considered in examining the data, only the methods being used. The researcher is an objective observer.
The other category, qualitative, is "used to understand and describe the subjective world of human experience." (Massage therapists are certainly exposed to the subjective world of human experience as they work with their clients.) The researcher is part of the context and intrinsically linked to the findings with the understanding that the research environment is socially and experientially constructed. The phenomenon being examined is only truly understood when studied as part of the whole, where the research context is taken into consideration. Bias does not invalidate the study. Instead, it informs the researchers.
The choice between a quantitative or qualitative approach depends on the design of the specific research study. The specific method is chosen "to answer different types of research questions and produce different types of information." For example, a qualitative researcher may ask, "What is the experience of massage therapists working in a hospital-based practice?" On the other hand, a quantitative researcher may ask, "Does massage therapy reduce pain in hospitalized motor vehicle accident patients?"
Kania, et al., explain how the qualitative side of research can "provide insights into the outcomes, process and context of massage therapy that cannot be fully achieved through quantification alone." In other words, qualitative research plays a major role in scientifically validating aspects of massage therapy that are not measurable, but are equally important. This helps researchers better understand relevant outcomes based on the participants' experiences. It also allows for the opportunity to examine various factors including the process of the treatment intervention, non-specific effects of the overall experience, the patient-practitioner relationship, the subjects' feelings about their experiences, the environment of the treatment, the culture or beliefs that the subject and massage therapist bring to the treatment and any expectations the subject has of the effects of massage.
Although much of standardized research uses quantitative methods, the article's authors make the case that this approach has limitations. The authors suggest that using a mixed-methods study design, combining qualitative and quantitative methods, is a reasonable option in massage therapy research. By using this combined approach, researchers may gain valuable insight and a more complete understanding of the effectiveness of a specific intervention, while at the same time collecting hard quantitative data.
According to Kania et al.,"Qualitative research findings . . . will not only help massage therapists practice more effectively, but also differently, with greater awareness and mindfulness," which are key skills in a patient-centered practice. This means that researchers are discovering what most massage therapists already know to be true – it is not just the measurable results of treatment that matter; the subjective parts of therapeutic relationship are also important.
For example, the authors describe a research study involving massage therapy for breast cancer patients undergoing chemotherapy treatment. As previous articles have discussed, much of the research on the effects of massage therapy on cancer patients focuses on outcomes such as anxiety and pain associated with chemotherapy and radiation treatments. By examining the "lived experience of the participants" the researchers were able to identify "massage as a distraction from frightening experiences" and "the psychological support that was experienced through massage." By focusing not only on quantifiable pain and anxiety scales, but also the patients' experiences while receiving the massage therapy, the researchers achieved a greater understanding of outcomes that are highly relevant to the patient's physical and emotional well-being.
These kinds of insights are especially important in studies where the participants felt there was change, but there was no statistically significant data to support their claim. In these cases, qualitative research provides the opportunity to examine the context of the intervention, since the context may influence the outcome(s) of the intervention.
Examining the lived experience helps researchers and practitioners alike better understand the impact of massage therapy, as well as all complementary medicine, intervention methods. "Qualitative research has great potential to inform massage therapy practice. Outcomes, context, and process factors enable the development and provision of more effective and appropriate treatment plans," write Kania, et al.
If you found this article interesting and would like to read more about qualitative research, check out the Massage Therapy Foundation's article archive. You can find the article in full at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3091453/.
Click here for more information about Massage Therapy Foundation Contributor.
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