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Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
February, 2016, Vol. 16, Issue 02
Evaluating the Use of Gas Discharge Visualization to Measure Massage Therapy Outcomes
By Massage Therapy Foundation Contributor
Contributed by Renee Stenbjorn MPA, LMT; April Neufeld LMT; Jolie Haun PhD, EdS, LMT
Massage therapy outcomes research is commonly conducted on individual systems of the body, such as the nervous, immune and cardiovascular systems.However, therapists often observe and report an observable effect of massage that impacts the whole person, represented by a general sense of relaxation or rejuvenation that recipients present after a massage. Research in a recent publication of the Journal of Complementary and Integrative Medicine, published by one of our contributing reviewers, Jolie Haun and her colleagues, examined a potential method of evaluating massage therapy outcomes to capture these whole person outcomes using an innovative measure.
The physiological benefits of massage are well documented and, at this time, widely accepted by the public as well as the medical community. Some benefits of massage can be easily measured, such as effects on immune function and sleep patterns. These findings can be measured physiologically or with biomarkers such as immune cell counts, serotonin levels and electrocardiograms. The validity of these findings is considered valid as the measures have been reproduced across studies.
Subjective self-reporting measures are used to demonstrate outcomes such as decreases in stress and anxiety. While many massage studies rely on self-reporting questionnaires for these outcomes, some researchers in the field are seeking a more objectively measurable tool for evaluating changes in subjects receiving massage. This research study had several objectives: evaluating a specific tool to assess the energetic changes a client undergoes during a massage session; evaluating the physical, psychological and emotional effects of massage using standard self-reporting methods; and determining the correlation of gas discharge visualization (GDV) parameters with traditional self-reporting outcome measures. The researchers use the term "bioenergetics effects" to describe this change many experience as a result of the massage.
The researchers describe GDV measurement as a means of "electrophoton capture" (EPC) suggesting, "The GDV uses modern optics, electronics and computer processing for analyzing photon emissions stimulated by a pulsed electromagnetic field." The authors theorize that the energy emitted from a person can indicate the individual's bioenergetic field. Thus, it should be able to be measured and quantified. The theory is that the energy photons represent the dynamic bioenergy of the person and the image represents their energy field. The image is capturing the displacement of gas particles emitting from the subject, either from fingertips or a full body projection. It is theorized that the emissions represent the level and balance of energy flow in the meridians, but it is important to note that the authors state, "GDV measures are not very well defined regarding their meaning." Although this device is widely known to measure these discharge levels, the mechanism remains unclear.
The research question explored by these authors is whether or not the GDV imaging pre- and post-massage correlates with self-reported changes of the client's physical, emotional and energetic experience as a result of the massage to examine the feasibility of using such an innovative measure to evaluate whole person outcomes associated with massage. There were 23 research subjects and inclusion criteria focused on healthy subjects who had received massage in the past. Four massage therapists provided massage to participants, each with at least five years of professional experience and each therapist was trained in the Swedish protocol used in this study.
The GDV measurements were used as a dependent variable, i.e., did the measurements change in response to the massage the subjects received. The GDV measurements were taken from the fingertips of the subjects. Therefore, the massage did not include the hand to avoid the measurements being effected by application of lotion used in the treatment. GDV electrophotography was used to assess the bioenergetics whole person effects of massage therapy. The authors explain the 16 parameter measurements of the full-body assessment used in the study. Briefly, there are 16 areas of the body emitting photons and these are captured by the device then analyzed for strength and symmetry of signals.
Each subject was given one 50-minute full-body Swedish massage according to the protocol. The questionnaires and GDV measurements were taken before and after the massage. The subjects were asked to self-report items on Visual Analog Scales, including pain, muscle tension and stress at several time points, two before the massage and two after the massage. The data shows a statistically significant change in self-reported levels of pain, stress and muscle tensions and some quantitative changes in the bioenergetics field.
It is important to remember that the study was designed to assess the correlation between changes in the GDV measurements and the self-reported outcomes. It is widely accepted that massage changes self-reported levels of stress, pain and muscle tensions. As seen in many other studies, this is true in this study. This study aimed to see if an objective bio-marker measure correlated with the self-reported changes. Findings indicated the GDV bio-marker measures were significantly correlated with the self-reported change in measures.
The study examined 16 GDV measurements on each subject, looking at projections of energy from the right side of the body, left side of the body, etc. They also measured the symmetry of the projects between the right and left side of the body. Of these 16 measurements, the most significant finding was an increase in symmetry on the front of the body – theoretically representing a whole person measure of energetic symmetry. Some subjects showed an increase in energy on one side of the body, contributing to a more balanced field. Other subjects showed a decrease in energy on one side, also achieving more balance in the field. They suggest the increase in balance of the field demonstrates that some people need to relax during a massage while others need to experience rejuvenation. The authors state that this change in symmetry shows a positive finding for the potential use of GDV in future massage studies. The frontal symmetry measurement is one of 16 GDV measurements that were not significantly correlated. The measurements on this one field variable were mixed between increasing and decreasing energy projections.
The authors state the pilot study findings warrant further study of the use of GDV to measure massage outcomes and report common limitations with massage therapy studies, recommending future studies with larger randomized controlled trials to further explore the potential use of the GDV. If we can identify a valid method for evaluating the energetic changes people feel with massage, we can advance the science of massage research.
This research, though a small pilot study, has implications for research and practice. The validation of non-traditional biomarkers to evaluate the whole person effects of massage is not only needed, but can advance the science of massage therapy outcomes research. Although these findings warrant further investigation, much larger randomized controlled trials will be necessary to determine the role of GDV in measuring massage outcomes. This research also speaks to the observations that massage recipients often experience: individualized effects of massage that may result in relaxation or rejuvenation, depending on the person's need; and changes that impact not just individual bodily systems but the whole person.
If you are interested in learning more about the topic of research in massage, consider attending the International Massage Therapy Research Conference. It will be held in Seattle May 12-15, 2016. For more information, visit www.massagetherapyfoundation.org/research-conference/.
Case reports also play an important part in advancing the skills of massage therapy practitioners. The Massage Therapy Foundation Practitioner Case Report Contest is now open. The deadline to submit is October 3, 2016. For more information, visit www.massagetherapyfoundation.org/student-practitioner-case-report-contests/.
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