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TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
December, 2013, Vol. 13, Issue 12
Why Do Clients Keep Coming Back for Massage?
By Massage Therapy Foundation Contributor
Contributed by Sandra K. Anderson, BA, LMT, ABT; Beth; MK Brennan MS, RN, LMBT; Jolie Haun PhD EdS LMT
In this month's Massage Therapy Foundation (MTF) research review, we are reporting on a focus group study that explored the reasons clients continue to use massage therapy. The article was written for Complementary Therapies in Medicine in 2009, by a research team from New Zealand associated with the Southern Institute of Technology and the Centre for Physiotherapy Research.
As professional massage therapists and bodywork practitioners, we rely on a stable client base for income. We know that by providing client-centered treatments, a welcoming therapeutic atmosphere, as well as conducting ourselves professionally and ethically, clients are more likely to return. However, unless we explore clients' reasons for continued use, we may not know why they come back for massage.
Over the past few years, research supporting the psychological and physiological benefits of massage therapy has been on the rise. The authors thought it would be useful to gain clarity about the contributing factors for the popularity of massage from the clients' perspective. The goal of this research was to explore the reasons why (or "drivers") clients use, value and continue to seek massage therapy services.
Determining the reasons for repeated use of massage requires listening to the clients about their needs, insights and activities. Therefore, Smith et al chose to use the focus group methodology, which is a qualitative approach for studying participants' attitudes and perceptions. Telephone focus groups were conducted with current and repeat massage therapy clients throughout New Zealand.
Participants were male and female, 16 years of age or older. Participants were included if they had at least one massage within the previous three months or at least two massages within the previous six months. Participants were excluded if they received student massages, or if the massage was provided by another practitioner (e.g. physiotherapy, beauty therapist, or other CAM practitioner) since these types of massage were considered an adjunct to another therapy. No more than two clients from any one therapist were recruited and massage therapists as clients were excluded.
Three telephone focus groups were conducted in August, 2007. Groups included five to seven participants and lasted approximately an hour. A moderator with previous focus group experience facilitated the telephone focus groups, which followed a semi-structured format. All sessions were recorded, observed by another study author and then transcribed.
According to the article, during the focus groups, "Initially, each person was asked for their individual input; at other times, the line was open for anyone to answer first. The moderator provided opportunities for inclusion of all participants using a range of approaches including: probing questions, group discussion strategies and different points of view and experiences were sought. A speaker grid was used to record responses, and to cue and monitor participation. The moderator and assistant held a debriefing discussion after each session."
Results of the study showed four driving forces for continued use of massage:
These results are in line with other studies that show massage therapy is considered part of wellness maintenance, placing value on the client's physical, psychological and emotional needs to achieve mental and physical balance.
Limitations to the study include possible bias resulting from the therapists selecting their own clients to participate, small sample size and low number of male participants. It should be noted qualitative research is not qualified by large sample sizes, but rather the depth and breadth of information gathered. The goal of qualitative research is to reach saturation, which can be achieved given the reported sample size of this research. However, since 95% of participants in this study were female, there is little information regarding what drives male clients to receive massage. In addition, the sample may not reflect individuals who had a negative experience with massage. Consecutive sampling to minimize therapist bias and including more male participants could improve methodology in future studies. It would also be interesting to replicate this study in North America to see if reasons for continued massage therapy use are consistent cross-culturally. Further, qualitative findings such as these, can inform a subsequent quantitative study to investigate how commonly these views and experiences are reported in a larger representative sample of massage therapy clients.
Overall, massage therapy is a client-centered wellness practice where clients desire results. However, clients report that they continue to seek treatment because of the beneficial experiential aspect of receiving massage therapy. This suggests that as massage therapy and bodywork practitioners, it is not only our skilled touch, but also our ability to provide a professional and hospitable environment that draws clients in and brings them back. Our professionalism sets the tone for our career longevity.
To learn more about the economic impact of CAM, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for CAM/CIM cost analysis studies.
Click here for more information about Massage Therapy Foundation Contributor.
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