resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
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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