resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
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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