resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
July, 2014, Vol. 14, Issue 07
Forced Work Reduction for Massage Therapists
By Massage Therapy Foundation Contributor
Contributed by Derek R. Austin, MS, CMT, BCTMB, CSCS, MK Brennan, MS, RN, LMBT, and April Neufeld, BS, LMP
This month's Massage Therapy Foundation research column looks at the factors that lead to the reduction of work hours for massage therapists and bodyworkers due to injury, referred to as injury-forced work reduction (IFWR).Massage therapy and bodywork are considered to be very physically demanding professions. The authors cite that 80% of people who begin careers as massage therapists and bodywork practitioners drop out after two years. Previous research has shown a high risk for musculoskeletal disorders among massage therapists, including carpal tunnel syndrome and low back pain. There has been little research to date, however, on what demographics, work attitudes or perceptions make a massage practitioner more likely to become injured. This new research from the team at Temple University hopes to illuminate some of these issues.
The article, "Correlates of Injury-forced Work Reduction for Massage Therapists and Bodywork Practitioners," was published in the International Journal of Therapeutic Massage and Bodywork (IJTMB) in 2013. (Free full text is available from IJTMB.) The authors define injury-forced work reduction as a "work-related injury adversely affecting the hours worked or number of clients treated." The authors tested two hypotheses. Their first hypothesis (H1) was that accumulated costs – the amount of time, personal effort, education, money and training that a practitioner has invested in their occupation – would be associated with injury-forced work reduction. The authors further hypothesized (H2) that physical exhaustion – including body fatigue, low energy, tiredness and work exhaustion, mental frustration, feeling overwhelmed and being emotionally strained – would both be associated with injury-forced work reduction.
An online survey was conducted in the fall of 2006 by the Federation of State Massage Therapy Board (FSMTB) about Career Patterns (CP) along with their Job Task Analysis (JTA). The JTA required approximately 45 minutes to complete followed by 15 minutes for the CP survey. There were 2,089 massage therapists and bodyworkers who completed the CP survey, making up approximately 3% of the 75,000 practitioners contacted across the United States. The survey was made up of questions organized into five groups: 1) Control/demographic variable set; 2) Work attitude/perception variables set; 3) Accumulated cost variables set; 4) Exhaustion variables set; and 5) Injury-forced Work Reduction (IFWR). IFWR was measured by two questions: "I can no longer work the hours I previously worked due to occupational injury," and "I can no longer treat as many clients per day due to work injury (e.g., carpal tunnel syndrome, lower back pain)." Most items were measured using a Likert scale, where 1 = strongly disagree, 2 = disagree, 3 = slightly disagree, 4 = slightly agree, 5 = agree, and 6 = strongly agree.
Overall, the researchers found "high levels of job satisfaction (5.47/6) and affective occupation commitment (5.44/6); low levels of accumulated costs (2.76/6), continuing education costs (2.77/6), and physical exhaustion (2.46/6); and very low levels of work exhaustion (1.75/6) and IFWR (1.84/6)." Affective occupation commitment was measured with questions such as, "I strongly identify with the massage/bodywork/somatic therapy occupation." Continuing education costs were measured with questions such as, "It costs too much for me to take required continuing education." In general, massage therapists and bodyworkers, or at least those who responded to the survey, are satisfied with their jobs and identify with their occupations. They also have generally low levels of costs invested, costs associated with continuing education, mental and physical exhaustion and injury.
The authors used a stepwise regression model to evaluate their hypotheses. In other words, they added each variable set to the model one at a time in order to control for demographic and other variables. Among the control/demographics variables set, being female and having more years in practice were significantly associated with IFWR. None of the individual work attitude/perception variables were significant. Having more continuing education costs but not accumulated costs was significantly associated with IFWR, partially supporting the authors' first hypothesis (H1). Physical exhaustion and work exhaustion were both significantly associated with IFWR, supporting the authors' second hypothesis. Overall, 34% of the variance in IFWR was explained by all of the variables that were studied, and physical exhaustion was the single greatest contributor to IFWR.
The authors note that their finding of physical exhaustion relating to IFWR had the strongest support and was consistent with other research on the physically demanding nature of massage therapy and its occupational risks. Work exhaustion had a significant independent positive association with IFWR. Thus, both physical wear and tear and the mental fatigue of work exhaustion appear to increase injury risk for massage therapists and bodyworkers. The authors speculate that such mental fatigue may be related to particular work factors, including isolated work settings, physical concerns and possibly public misconceptions about the nature of massage therapy or bodywork. The authors conclude that taking breaks between patient appointments and varying the techniques used could improve a massage therapist's physical and mental energy and thereby limit these risk factors.
The authors compared this research to their previous research on massage therapists and bodyworkers. They write, "None of the four work attitude and perception variables that each significantly impacted being forced to stay in occupation (i.e., job satisfaction, affective occupation commitment, occupation identification or limited occupation alternatives) had a significant impact on IFWR in this study." IFWR appears to be a separate variable that is highly influenced by certain types of accumulated costs (specifically, the perception of high continuing education costs), physical and work exhaustion, being female and working for more years.
There are several important limitations to this research study. Chief among them is that correlation cannot be separated from causation because this research is a cross-sectional study. In other words, it is possible that higher IFWR causes higher physical exhaustion, and not the other way around. The authors also did not identify specific injuries among the massage therapists and bodywork practitioners surveyed. Finally, the respondents were self-selected, and participants could possibly have different characteristics than the overall population of massage therapists. For example, a massage therapist who has reduced his or her work hours due to carpal tunnel syndrome may not volunteer to complete a one-hour online survey.
For massage therapists and bodyworkers, it is worth further investigation as to the short career span for practitioners and what preventative measures can be taken. Addressing IFWR and any of the contributors to it would be beneficial, especially as the authors also cite an expected growth in massage therapy and bodywork by 20% between 2010 and 2020.
Not sure what to make of a regression analysis, correlation, confidence interval, p-value or t-test? The MTF offers an easy-to-use online course, where you will learn basic research vocabulary and concepts, how to use various databases to look up research, evaluate published research articles for their validity and apply research findings to massage practice to improve outcomes. Basics of Research Literacy is an online, 8-hour, NCBTMB-approved workshop that teaches massage therapists and educators how to incorporate the principles of research literacy into your practice and teaching.
To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
Click here for more information about Massage Therapy Foundation Contributor.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.