resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
February, 2014, Vol. 14, Issue 02
Massage Helps Children with Cancer
By Massage Therapy Foundation Contributor
Contributed by Elizabeth Barberree, RMT, BA; April Neufeld, BS, LMT; Derek Austin, MS, CMT
The Massage Therapy Foundation shares the love we have for our children. Pediatric cancer cases continue to grow in numbers and managing symptoms of both the illness and its treatment lead health care providers to seek affordable palliative treatment options. In line with that, complementary and alternative modalities, like massage therapy, are also increasing in popularity.
In 2009, the International Journal of Therapeutic Massage and Bodywork published a pilot study conducted at the University of Florida, Gainesville Shands Hospital Cancer Center. Previous research describes positive effects of massage therapy for a variety of pediatric and adult oncology populations. The authors report findings that massage therapy may improve circulation and immune function, dissolve soft adhesions, reduce swelling and relieve the pain and stress associated with many illnesses. However, little research has been done on the effects of massage therapy on pediatric oncology or haematology patients. The purpose of this study was to measure the physical and psychological effects of massage therapy on pediatric oncology and hematology patients, and to determine the feasibility of implementing this care as a palliative treatment option in a cancer clinic setting.
The research design was a randomized, non-blinded prospective study. When recruiting for this project, care was taken to maximize the external validity by seeking gender equality and diversity in age, disease and inpatient or outpatient status. Thirty children, aged six months to 17 years, with cancer or blood diseases were recruited for the study. Their parents provided reporting support as needed. Adverse physical and psychological symptoms associated with cancer and cancer care were measured before, during and after the massage therapy intervention.
In the treatment group, four 20-minute sessions of Swedish massage were delivered once daily for approximately four days for inpatients or once weekly for about four weeks for the outpatients. Treatment was delivered by a nationally certified massage therapist, licensed in the state of Florida, with five years of experience. The massage therapy treatment consisted of effleurage, kneading, percussion, compression and friction. The treatment was applied to the areas most comfortable for the participant, on the hands, feet, arms, neck, back and shoulders. To ensure participant comfort, treatments were delivered while the participants remained in their hospital robes and covers were provided. The control group received no massage.
Before and after each session, the participant’s vital signs, discomfort level, muscle soreness and emotional data were recorded. The general clinical progress scale was also completed after the second, third and fourth sessions. Standardized measures were selected for their validity and applicability for this participant population, the State–Trait Anxiety Inventory for Children (STAIC) and the Child Health Questionnaire–Parent (CHQ-Parent) were used. These were completed by the participants, parents or both before the first and after the final session. The data collection schedules were the same for the treatment and control groups. The control participants were seen in the same environment, for the same period of time for conversation and play with the therapist. For a detailed description of these measures, please access the free full-text article at PubMed Central. Data analysis appropriate to the study design was carried out by the research team with many interesting results.
No significant differences were observed between the treatment and control groups at baseline before the treatment intervention. However, after treatment, a number of the measures yielded significant mean changes for the treatment group versus the control group. After the treatment series, participants who had received massage therapy care showed decreased muscle soreness, discomfort, respiratory rate, state and trait anxiety and Faces "I Feel ..." scores.
On the CHQ-Parent questionnaire, the researchers found no significant differences between the treatment and control groups for physical and psychological health before or after treatments. The same was found for the physiological measures of pulse rate and blood pressure.
The findings of this pilot are consistent with that of related cancer studies and indicate a general improvement in physical (i.e. reduced muscle soreness, discomfort, respiratory rate and improved muscle relaxation), psychological well-being (i.e. reduced state and train anxiety and overall emotional well-being) and, thus, quality of life. Although the current study did not examine this effect directly, the researchers argue that when the effects are considered together, massage therapy could also promote optimal immune system functioning. This assertion is consistent with the work by Dr. Mark Rappaport et al., which was summarized in the MTF Research Column titled, "Massage Benefits Immune and Neuroendocrine Function" in the August edition of Massage Today.
This study suggests that despite the hectic nature of cancer clinics and oncology wards, massage therapy treatment can be successfully added into that environment. Replication of this project with a larger sample would allow for a more detailed analysis of whether different types of patients have similar response to massage therapy. Potential is there to investigate the effects of treatment on a broader range of symptoms and to better generalize the study results.
To learn more about the effects of massage therapy, you can review the archives of the Massage Therapy Foundation Research Column, read accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies. If you find this article of interest, please share it with friends and loved ones, especially those who are touched by kids with cancer.
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