resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
December, 2015, Vol. 15, Issue 12
Pediatric Massage: A Collaborative Approach with Occupational, Physical and Speech Therapy
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Pediatric massage therapists often work as part of a comprehensive multidisciplinary and integrative health care team alongside other health professionals such as occupational therapists, physical therapists and speech therapists.In order to best collaborate, it is important to know what each professional does and how massage therapy can aid in their treatment of pediatric patients.
The role of an occupational therapist tends to focus more on evaluating and improving a child's functional abilities. An occupational therapist often does not directly treat a child's injury using techniques such as manual therapy, but more commonly helps a child optimize their independence and their ability to accomplish their daily activities following an injury or in situations of physical impairment.
Under their scope of practice, occupational therapists (OTs) do use some simple tactile therapy techniques to warm and soften tissues prior to their interventions, but not to the extent of the pediatric massage therapist. Having a child receive a massage prior to their occupational therapy session can often help with decreasing anxiety, sensory integration, body awareness, calming and focus, which can improve the outcome of the occupational therapy session.
The physical therapy profession (also called physiotherapy in many parts of the world) tends to be more focused on evaluating and diagnosing movement dysfunctions, as well as treating a child's injury. This type of therapy is used as treatment to help a child move his or her body. Often times, physical therapy helps children who have been injured or who have a physical difference or particular diagnoses, such as cerebral palsy. The physical therapist will be more likely to diagnose and treat the physical source of the problem; the injured tissues and structures.
When a physical therapist works with a child, they often use gentle stroking to warm the muscle group they intend to treat with range of motion, stretching and exercise protocols. When a pediatric massage therapist is co-treating with physical therapy, they often treat the child prior to the physical therapy session. This is a good approach, as it can help prepare the child's muscles and soft tissues to be softened and warmed, while relaxing and calming the nervous system. When muscles are softened prior to stretching and exercise protocols, they are often more effective. After a child has received a pediatric massage session, they are often in a good state of mind, and body readiness to best receive their other therapies.
Speech and language therapists work closely with infants and children who may have various levels of speech, language and communication problems, and also with those who have swallowing, drinking or eating difficulties. Many times, speech therapists and speech language pathologists use touch therapy as a method of waking up the nervous system, aiding in oral-motor function and opening the airways to create clear pathways.
Massage therapy can play a large and significant role in helping children in preparation for speech therapy by warming the soft tissues, relaxing tense areas in the body and facilitating deep breathing patterns and improvements in respiratory function.
Additionally, not all speech language pathologists have training in the use of manual therapy techniques. Preparation of the muscle and fascia tissues prior to initiating feeding and speech activities can require a significant amount of the therapy session time. Massage therapy provided before a therapy session could significantly reduce the amount of time the speech language pathologists may need to achieve release of tight or restricted tissue and spend more of the allotted treatment time focusing on functional activity.
Overlap Between Professions
As each healthcare professional working with pediatric clients and patients uses some form of tactile intervention or touch therapy under their scope of practice, there are often concerns of overlap between therapeutic roles. Having a better understanding of knowledge base and your professional scope of practice can help facilitate a conversation of collaboration between these professionals. Each healthcare professional has unique strengths and abilities to help each other, so children benefit from the most comprehensive and integrative care. When we collaborate together we participate in a comprehensive and well rounded treatment plan for the pediatric clients under our care.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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