resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
August, 2014, Vol. 14, Issue 08
Study Finds Massage Therapy Supports Senior Health
By Massage Therapy Foundation Contributor
Contributed by Beth Barberree, RMT, BA; Jolie Haun, PhD EdS, LMT, April Neufeld, BS, LMP
Do you ever wonder who will help keep your body moving around safely as you get older? According to JoEllen Sefton and fellow researchers, massage therapists could be key players in maintaining health of older persons, particularly postural control.This month's Massage Therapy Foundation article outlines the findings of Sefton's study that explored the effects of therapeutic massage on balance, neurological and cardiovascular outcomes in older adults. The results of this study were published in the International Journal of Therapeutic Massage and Bodywork in 2012, and it is the second of a two-part study conducted collaboratively by researchers at Auburn University and Samford University in Alabama.
The risk of falling is a major health concern for older people. Falls in the elderly population impact personal health, affecting patients physically and psychologically and often result in significant healthcare and rehabilitation costs. Decreased mobility due to falls can lead to loss of vitality and increased morbidity.
Sefton and colleagues wanted to explore whether therapeutic massage could restore muscle balance and function, improve appropriate muscle activation, decrease spasms, correct postural imbalances or improve gait and movement confidence. They hypothesized that therapeutic massage would produce an immediate increase in instability, then improve postural stability and decrease cardiovascular measures over time, and improve long-term stability and cardiovascular functioning. Positive changes in these measures may improve confidence and allow for increased independence in older individuals.
The study was conducted in the lab with 35 adults ranging in age from 50 to 69 years old. Participants were excluded if they reported any chronic diseases or medications that would affect the study's physiological measures. Participants were then randomized to the therapeutic massage treatment group or relaxation control group. The treatment group received six weekly 60-minute full-body massages that followed a standardized protocol, but left some flexibility for the massage therapists to respond to individual patient needs. The relaxation control group rested quietly in the treatment room for 60 minutes.
A number of assessments were conducted on both the therapeutic massage and control groups to test the study hypotheses. Static and functional balance were tested with the participants on one and both feet, and with eyes open and closed. Neurologically, motor neuron pool excitability, activation and modulation at the soleus muscle were assessed. Heart rate and blood pressure were recorded as the cardiovascular measures.
Immediate Treatment Effects
Assessments of postural control and cardiovascular measures were completed before the treatment, and then immediately after, 20 minutes after and 60 minutes post-treatment. Nervous system measures were completed pre-treatment and then 60 minutes post-treatment. The purpose of these tests was to determine whether the therapeutic massage intervention produced increased instability for participants immediately after.
The results replicated the researchers' earlier findings showing that instability did not increase immediately after therapeutic massage. This implies that current cautionary measures implemented for our clients are likely sufficient and should be continued, although some sensitivity with clients who have special circumstances will always occur. Interestingly, the results did not support previous studies that showed therapeutic massage to decrease cardiovascular measures immediately following treatment.
Week Six Short Term Effects
To determine differences that occur during the 60 minutes after a therapeutic massage intervention, balance and cardiovascular measures were assessed immediately post-therapeutic massage to 60 minutes post-therapeutic massage. The results of the balance and postural control measures together suggest an increase in postural stability through the 60-minute period following therapeutic massage when compared to the control group.
Nervous system measures were taken pre- and 60 minutes post-therapeutic massage only. The results again echo the researchers' earlier work, finding that when compared to only one session of therapeutic massage, an additional six weeks of treatment did not produce better performance on the assessments for the nervous system. The researchers speculated this may be due to decreased fatigue that would occur during each therapeutic massage application.
Cardiovascular measures indicated a trend of decreased systolic and diastolic blood pressure from immediate to 60 minutes post-treatment in the treatment group compared to the control. No changes in heart rate were found, and studies thus far have reported conflicting results. This led the researchers to recommend additional research on the mechanisms affecting cardiovascular measures and blood flow.
Long Term Effects
So, what was found one week after the last therapeutic massage session? The long-term treatment effects were assessed by comparing the therapeutic massage and control groups on balance, nervous system and cardiovascular measures pre-treatment at week six with those obtained at the follow-up testing session at week seven. The researchers found some effects to be fairly robust.
Assessment of balance at week six indicated no significant differences between the treatment and control groups. However, by week seven, testing showed significant differences between the therapeutic massage and control groups. This indicates that the treatment group had an improved ability to maintain balance at week seven.
No long term nervous system differences were found between the treatment and control groups, but the authors note there may be some methodological considerations that could be addressed in future work. With respect to cardiovascular effects, although there were no significant differences at week six, there were lower systolic blood pressures in the treatment group by week seven. No differences in diastolic blood pressure were found. Heart rate was higher for the treatment group at week six, but then by week seven, no differences were found when compared to the control group.
The researchers made a couple of observations about the study design that may have impacted research outcomes. First, participants were all healthy older adults who could be considered "young old," rather than "old old." Second, results may differ in individuals experiencing conditions common with aging such as osteoarthritis, high blood pressure or diabetes. The researchers also identified some limitations that should be considered when interpreting the findings, specifically that the participants self-selected to join the study. To account for these potential confounding elements, the team recommended a larger study in the future to include a wider range of participants.
As massage therapists see more clients who are aging, it becomes increasingly important to know how to appropriately care for them, and manage the instability that may occur when they get up off the treatment table. Understanding the physiological changes in the client, both immediately and over time, can equip us with information needed to provide good home care instruction.
The results reported by Sefton and colleagues indicate that therapeutic massage could be a beneficial non-pharmaceutical option to improve blood pressure and postural stability in older adults, short and long-term. These findings have implications for practice and policy, from the treatment room to reimbursement. The true impact of research such as Sefton's will come from replication and dissemination of findings and continued efforts to use research evidence to inform practice guidelines and standards of care.
To learn more about therapeutic massage and associated outcomes, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for massage outcomes studies.
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