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Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
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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