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Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
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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