resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
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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