resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
February, 2014, Vol. 14, Issue 02
Is Hours and Hours of Education Really the Answer?
By Ralph Stephens, BS, LMT, NCTMB
A small but influential group of people in our field have wrapped their brains around the idea that we must increase the number of entry-level education hours to elevate our standing with the public and get massage therapy incorporated into mainstream healthcare. This is only a theory and one that is not substantiated by evidence.
Improving working conditions and opportunities for massage therapists is an important goal for our stakeholder organizations to pursue. However, this single-minded focus on jacking up the number of training hours while ignoring the quality of instructional design and delivery is not only foolish – it is dangerous.
It is time to take a good look at the ramifications of such a decision. A curriculum with more clock hours is going to cost all parties involved more money. Tuitions will have to be raised if schools are to provide longer programs. That will make it more difficult for prospective students to afford massage school. Those receiving Federal student loans and other financial assistance will graduate with more debt. Is more debt a good thing? Usually not, except in the case of politicians and government.
The operative question is: will the graduate of a longer program, burdened with more debt, be able to go out into the field and make significantly more money than a graduate of today's programs? This is where the theory breaks down. Are the massage franchises going to automatically start paying more to graduates who have more hours on their school transcripts? Massage Envy currently has a corporate policy that does not allow individual franchises to pay a newly-hired therapist more – even if they have years of professional practice experience. It's doubtful more training would convert to better wages.
Are hospitals, chiropractors, clinics, spas and cruise ships going to raise the compensation paid to massage therapists because they have more hours of training? Will the public pay 50% more for massage because the therapist has, say 750 hours instead of 500? Will the marketplace support increased prices for massage? The real-world perspective is a resounding "NO."
Consumers are already backing away from massage according to AMTA surveys. So, who will be served by raising hours? New students will have to deal with the logistics and greater expense of being in school for a longer span of time. Facing an already shrinking pool of new applicants, schools will be further challenged as they are forced to provide more classroom space, develop new curricula and pay for more faculty and administrative staff hours. This kind of mandate could push another group of small proprietary massage schools off the cliff. The only institutions that can afford to absorb these expenses are the for-profit career colleges and the publicly-funded community colleges. If this were to occur, it would put more of the true lineage-holders of massage education out of business. That would be a tragic loss to the future of massage therapy.
Who wins here? One might think the public would benefit from a better, more consistent massage delivered, but more training hours in and of themselves do not a better therapist make. I can attest to that as I have received massage from the 2,000-hour wonders in Canada. My most disappointing massage experiences have been in Canada. I am sure there are great therapists north of the border but they are no more common than here in the U.S.
Will more hours taught by today's untrained or under-qualified instructors produce a better therapist? More poorly-taught hours could actually make a worse therapist by exposing students to poor role models over a longer period. Hours are not the answer to providing more consistent and effective massage services to the public.
And what about the much-touted "safety" issue? Aren't these laws in place to protect people from being injured? Well yes, but the fact is the incidence of actual harm from massage therapy is miniscule. But wouldn't more hours create a safer therapist? Anecdotal information from one of our major membership associations shows it may be just the opposite: the higher the number of education hours, the more insurance claims against practitioners. Armed with more tools in their utility belts, it appears that "advanced" therapists may be more likely to get themselves into trouble.
Some are just positive that if we raise our hours, then we will be accepted by mainstream healthcare. If history is any indication of how that works, there is clear evidence that an increase of few hundred hours is not going to open any doors. The medical establishment is not about to let in any practitioner group that does not have a rigorous college-level training requirements.
Case in point: the nursing field is on track to eliminate traditional diploma-level programs in hospitals and community colleges and require a bachelor's degree for all registered nurses. By 2015, the entry-level credential required to become a physical therapist will be a doctoral degree! If they won't hire nurses without a bachelor's, are they going to hire high school grads who finish massage school with even 900 or 1200 hours? Maybe – but only at a level comparable to CNA's or physical therapy assistants. Is working at the lowest levels of the medical pecking order an upgrade? Is that the recognition so many people's egos seek? Oh, that's right, there will be "benefits." Right, maybe if you are full time.
Anything we do hours-wise to gain acceptance by the allopathic medical community will mostly punish ourselves. The only real hope of gaining acceptance by the powers that be is to deliver consistently high-quality, professional massage services to the public. It is public demand that will bring us acceptance and that public trust must be earned.
Saddling entry-level therapists with more debt to work for no more money will prevent them from taking the ongoing continuing education that creates a successful therapists in our system. Remember, we are first-door providers with full autonomy. No gatekeeper sits on our heads. The public has direct access to us. We should be teaching entrepreneurship, professionalism and competency – not just a relaxation routine, enhanced with "deep tissue technique" which seems to have become a way to charge by the pound for pressure, usually un-artfully applied. It is time we provide a solid foundational education for all therapists and honestly advise that post-graduate specialization should be part of their career plan.
We do not have a chance of being accepted by the medical profession in general until we can deliver the goods. Unfortunately, our current system of massage education cannot reliably produce that at any hour level. Until we have a competency-based education with a standardized skill base, taught by properly trained teachers, we are going to continue to contract as a field. We're never going to be taken seriously as long as we keep producing self-congratulating projects like the MTBOK and ELAP that amount to "Bridges to Nowhere."
Fortunately, the solution is not only within our grasp, we have already created it. Sadly, it is being left twisting in the wind by our major stakeholder organizations. Tune in to the March issue for a new proposal to solve this problem. And bring your kites!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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