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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the 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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