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Promoting Acupuncture with Acupressure Demonstrations
Dan and his wife Marla were admiring the beautiful bouquet of flowers at our booth at the Business Expo when our receptionist asked him if he knew anyone who had tried acupuncture.
German Auricular Acupuncture: Effective For Your Patients
Auricular medicine as developed by Western medical doctors in Europe is a complete modality of diagnosis and treatment. Unlike body acupuncture, auricular acupuncture is treating the central nervous system rather than meridians.
Continuing Education Showdown: Online Learning vs. In-Person Seminars
Many state TCM and acupuncture regulatory bodies and associations are interfering with the success of their members by limiting the number of continuing education credit hours they can earn online.
Advancing the Primary Spine Practitioner
A large New York Blue Cross / Blue Shield plan hosted the formal inaugural training program for primary spine practitioners (PSP) on Sept. 28-29, 2013.
A Tribute to Richard D. Yennie, DC (1928-2013)
It was with sadness that I read the obituary of Dr. Richard Yennie in the Oct. 20, 2013 Kansas City Star. However, reading it also brought reflection and warm memories, as he was a close family friend of my grandparents, Cleveland College founders Drs. Ruth and C.S. Cleveland Sr.; and my parents, Drs. Mildred and Carl Cleveland Jr.
Partnerships Leverage Power for Our Profession
While there are many recognized benefits and advantages to developing partnerships between organizations, the main reason why partnerships are established is relatively simple: There is added value in working together for a common cause or purpose.
Acupuncture In Haiti: Aid that Works
I recently returned from Haiti. So many people ask whether Haiti has recovered since the earthquake of January, 2010. Once you've been to Haiti, you would never ask that question. It doesn't make any sense.
Acupuncture & Substance Abuse Rehabilitation
One of the most rapidly changing areas of healthcare is that of addiction medicine. Advances in brain imaging technology have allowed doctors and scientists to understand addiction, and recovery from addictive disorders, at the level of the individual neuron in the brain.
Electric Qigong: An Ancient Therapy Evolves
Recently in a small, dimly lit treatment room in downtown Taipei, Wesley Chen instructed his patient to lie down. A frayed wire, which he wrapped around a small piece of metal, is now plugged in.
PCOM Symposium Celebrates 25 Years
Acupuncture and Oriental medicine practitioners and students, as well as providers representing various other health care disciplines, flocked to San Diego's Catamaran Resort Hotel to attend the PCOM Annual Symposium on Oct. 24-27.
Facial Rejuvenation: The Key to Exceptional Results
Acupuncturists make the best detectives. I know this first hand because I'm an acupuncturist and a private investigator and in both professions, there is a need to dig deep to solve the mystery.
The Lateral Subsystem and Lower Extremity Pain
Human locomotion is an incredible demonstration of muscle activation, timing, sequencing and patterning. The very idea that we can stand upright and put one foot in front of the other to get from point A to point B without falling down is miraculous.
21st Century Marketing: Five Ways to Use Social Networks as a Customer-Service Tool
As the popularity of social networks grows among businesses and professionals, customers' expectations about how they will be served through these networks continue to evolve.
Breathing Techniques To Resolve Patient Issues
When a patient of mine who has practiced yoga for nearly 30 years, told me that she was experiencing panic attacks, I was surprised. "After so many years of training, can't you turn them off?" I asked. "I do turn them off, but only temporarily," she replied.
Unlocking Secrets of the Pelvis (Pt. 3)
In part 1 of this series [Aug. 15 issue], we began to identify the many asymmetries human beings are all born with and detail how these asymmetries, when they become excessive or unchecked, can create a cascade of imbalance in every system of our body, resulting in dysfunction, pain, degeneration and eventually disease.
Acupuncture: The Key and Future of High Sports Performance
Acupuncture is commonly utilized in the intervention of pain and has also been gaining popularity in sports medicine. Athletes are treated with acupuncture for the relief of soft tissue injuries such as sprains, muscle strains, and tendonitis.
Acupuncture Today Continues To See Unprecedented Growth
For the past decade, the profession has seen steady growth in stature with legislators and the general public. The growing presence of the profession has been directly reflected in the growth of our publication.
Managing a High Protein Diet
One of the most common clinical presentations in today's clinic is patients following a high protein diet. It seems that every year a new version of a high protein diet appears promising weight loss and physical transformation.
50 Million Opportunities
Toca! Tira! Golasso! While you may not recognize these words ("Touch! Shoot! Goal!"), I hear them often.
Sports Media Legend Joins the TIPS Team
The Foundation for Chiropractic Progress developed "Athletic TIPS" (Towards Injury Prevention in Sports) in an effort to address the growing concern of sports injuries.
Peer Points: In The Business of Herbs
When it comes to herbs, acupuncturist Cathy Margolin wants her patients and customers to know she is the expert they need. In order to do this, Margolin has studied the marketplace and incorporated key business lessons to build an herbal company that sells and markets herbs to the masses who may be skeptics.
Studies: Acupuncture Effective For Depression
Many people suffering from depression can find a natural and effective way to treat their symptoms with acupuncture, according to the latest study.
The Newest Public-Health Epidemic: Sitting Too Much, Moving Too Little
In my last column, I wrote about sitting versus standing at work. ("Sit or Stand? Strategies to Improve Workplace Health and Reduce Disease," Oct. 1 DC) I wrote the article from the perspective of an ergonomist.
Leaving a Vision of the Future Behind
Jeff Nelson, president / chief executive officer of Northwestern Health Sciences University since April, died suddenly on Oct. 22 as the result of a gunshot wound.
Patellofemoral Pain: Fascial and Exercise Treatment
I recently had a male high-school senior come in who was having some patellofemoral pain, as well as some distal iliotibial band (ITB) pain. He had just started end-of-summer training to play high-school football.
We Get Letters & E-Mail
Change: Healthy and Inevitable; Our Scope of Practice Needs to Change; Chiropractic Physicians Deserve to Be Accurately Informed.
Educating the Growing Hispanic Population About the Value of Chiropractic Care
Chiropractic was given the spotlight on the largest and highest-rated Hispanic television network in the U.S., Univision.
Does Copper in Your Multivitamin Cause Dementia?
For the past year or more, I have been asked about whether it is safe to take multivitamins with copper because of a fear that is apparently spreading. The fear is that 1-2 mg of copper in multivitamins supposedly causes dementia and/or Alzheimer's disease.
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/.
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