resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
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.
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.