resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
April, 2014, Vol. 14, Issue 04
Touch Programs Help Families Bring Cancer Patients Relief
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun, PhD, EdS, LMT, Ruth Werner, Immediate Past President MTF, Beth Barberree, RMT, BA
Effectively addressing the needs of patients with cancer requires a multi-faceted holistic approach in the clinical care and home setting.Innovative approaches to patient care integrate family members as informal caregivers, to help meet patients'; needs. In this month';s Massage Therapy Foundation research review, we share findings and implications from a randomized controlled trial that evaluated a multimedia instructional program for family caregivers in touch-based techniques to provide comfort to cancer patients at home. The manuscript was published by Supportive Care in Cancer in 2013.
The proposal was to teach loved ones how to massage cancer patients. Massage is a popular palliative modality for symptom relief associated with cancer and associated treatment. Research has demonstrated significant effects for patients with cancer on symptoms such as pain, nausea, stress, anxiety, mood disturbance, fatigue and sleep disturbance. Understanding the need for symptom relief and leveraging the role of informal caregivers, Collinge and colleagues developed a touch-based program for at-home caregivers. The program was designed to empower them with the ability to have an impact on patient well-being through the use of partnered massage. These authors suggest a caregiver-based program such as this can benefit the patient, the partner and the quality of their relationship.
Collinge and colleagues developed a multilingual (i.e. English, Spanish, Chinese, Vietnamese) DVD, with an illustrated, spiral bound manual to be used as a home-based instructional tool. (The program is now also available online via streaming video with an ebook manual.) The program, entitled "Touch, Caring and Cancer: Simple Instruction for Family and Friends," addresses, "attitudes and communication about touch in cancer, psychological preparation for giving and receiving touch, safety precautions, massage techniques for comfort and relaxation, acupressure for specific cancer-related symptoms and practice in the home setting." This program offers patients, their family members and loved ones an economical home-based self-paced alternative for symptom relief.
The experiment used was massage for one group and reading aloud for the other. A sample of 97 adult patient and caregiver dyads was randomized to the treatment (DVD massage program) or control groups (reading any literature of the patient';s choice such as poetry, fiction, nonfiction, religious, etc.) for four weeks. Treatment dyads received the program with instructions and were asked to practice at least three times per week. In the control dyads, caregivers were asked to read to their patients for the same frequency. To measure outcomes, self-report instruments assessed change in symptom severity, quality of life, perceived stress and caregiver attitudes.
Results indicate significant reductions in all symptoms for patients in both groups after a 20-minute session of their assigned activity: 12% to 28% reductions after being read to, and 29% to 44% reductions after massage. Though both groups showed improvements, "The average proportion of decreased symptomatology reported from pre- to post-sessions over the four weeks was significantly greater for patients in the massage condition for pain, nausea and other self-reported symptoms (i.e. less common symptoms yet those that were significant to patients)." Significant effects across time were also indicated. Symptom improvement was significantly greater for the treatment group (caregiver massage) than the control group (caregiver reading) for stress and anxiety in weeks two, three and four, pain in weeks three and four and fatigue in weeks one and four.
Massage caregivers in the treatment group reported satisfaction with their ability to help their loved one feel better. They showed significant improvements in confidence, comfort and self-efficacy. There were no significant differences within or between patient groups on the Perceived Stress Scale or the General Functional Assessment of Cancer Therapy-Version 4. However, the authors did note using the specialized statistical method, Classification Tree Analysis, statistically significant associations were found between patients'; diagnostic and massage variables with their Perceived Stress Scale score at follow-up.
No adverse events were reported during the study, which suggests that the massage taught on the DVD appears to be safe for this population.
Collinge and colleagues conclude that, "multimedia instruction in touch and massage methods may offer family members a viable means of enhancing self-efficacy and satisfaction in caregiving while decreasing patient pain, depression and other symptoms. Family members may be able to learn and apply safe and simple methods that increase patient comfort and reduce distress."
This study has several meaningful implications for the field of massage research and practice. First, these findings support previous research suggesting massage is an effective palliative modality for patients with cancer. Further, these findings indicate that massage, which is typically considered a clinical or spa treatment, may be re-conceptualized as a home-based treatment provided informal caregivers are given proper instruction. Practitioners of Complementary and Alternative Medicine, particularly massage therapists, can consider programs such as Touch, Caring and Cancer as an option to complement other clinical treatments, such as formal massage therapy regimens, to provide patients comfort in the home setting between clinical and massage treatments. This program is one of many that can be created for patients with diverse conditions as an alternative. For example, Collinge and colleagues are currently evaluating a similar home-based integrative therapies program called Mission Reconnect, to promote well-being and relationship resilience in veterans and their partners healing the effects of military deployment. Programs such as these will create a new economical, home-based, self-paced option for diverse patient populations to receive symptom relief at the caring hands of their family members and loved ones.
To learn more about touch and caregiving, 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.
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