resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
February, 2016, Vol. 16, Issue 02
Electile Dysfunction: Setting a Dangerous Precedent
By Ralph Stephens, BS, LMT, NCTMB
With the 2016 Presidential campaigns sucking up all available bandwidth in the media, there were two recent elections in the massage therapy field that passed under the radar that raise deep concerns about fairness, transparency and democratic process.
I'm talking here about the Board of Directors elections for the American Massage Therapy Association (AMTA) and the Federation of State Massage Therapy Boards (FSMTB). Both elections featured dubious changes in voting procedures that were not authorized by the respective memberships of these non-profit, tax-exempt organizations. The changes have resulted in the diminishment of the voice of the members and the further concentration of power in the hands of very few people.
AMTA's annual election for its Board of Directors and Officers have not garnered much attention in recent years, with less than 3% of the 56,000 professional members voting. However, these elections have been run according to an open and fair process, with all AMTA members having equal opportunity to run for seats on the Board. A Commission on Candidacy (itself elected by the membership) was in charge of ensuring that candidates met basic qualifications in the AMTA Bylaws.
This past August, the AMTA Board changed the entire election structure, giving the President the power to select the Commission on Candidacy (COC). The COC, in turn, was empowered to select a slate of candidates from the pool of those who submitted applications, with just one candidate for each Board seat. The entire slate was presented to the membership during a two-week window in November for an "Accept" or "Reject" vote. By the way, the voting instructions gave no information on what would happen if a majority of members rejected the slate. If that wasn't bad enough, the new election structure removed the ability of AMTA members to select the association's President and Vice Presidents. The officers are now chosen by the Board of Directors, after the rubber-stamp election takes place.
AMTA's 2014 Board elections reached a new low in cronyism, as Board members were allowed (for the first time) to publicly endorse their favorite candidates. The 2015 Board election has now enshrined cronyism as the law of the land, as the entire selection process is now controlled by the association's President. And this closed-shop mentality was used effectively to screen out some highly qualified candidates who would have pushed the association in much-needed new directions. Bar the door to change, and order up another round of drinks to celebrate!
The press release sent out by AMTA on the recent election touts its success in doubling the participation – up to a whopping 6%. They claim that 87.7% of the 3,389 members voted to approve the slate. Since there were no other choices or options given, this vote cannot be given any more credence than someone hitting the "Like" button on a Facebook post.
Why does this election process and the AMTA Board even matter? Because the organization is a public trust, and it is sitting on a cash reserve of $15 million that could be used to truly advance the profession and improve the quality of services provided. As it is, much of the association's money is used for the care and feeding of itself, the professional staff, and its state chapters. AMTA is little more than a social welfare club for those who serve in "leadership" positions at the state and national levels – massage therapists who get free travel, lodging and CEU's for conferences and conventions. Fun for them on your dime.
Here's another way to look at what has happened: Imagine that the election process for your local city council was changed by the council without being put to the voters for approval. The new rules allow the mayor to choose a committee to hand-pick candidates, and only one candidate is presented to the voters for each open council seat. And once the election is complete, the council chooses a mayor from within its own group. Conflict of interest? An affront to the principles of representative democracy? You're damn right it is, and it's exactly what AMTA has committed.
Their claim to being a "member driven organization" is now a total lie. They are now driven by the President and Executive Director, supported by a 1% "Ruling Class." No dissent allowed. And yes, I am an AMTA member.
It Gets Worse
Well, it's no prettier over at FSMTB, where its leaders have gradually reduced the power and voice of the state massage regulatory agencies that constitute the membership of this important organization. Just before representatives of the state agencies gathered for their Annual Meeting last October, the process for electing members of the FSMTB Board of Directors was changed without the permission of the Member Boards. Sound familiar? In the new process, candidates (hand-picked by the Nominating Committee) were pitted against each other for specific seats, instead of all candidates running at large for the available seats on the Board. It's a mystery who decided which candidates were to run against whom. And forget about Member Boards being able to nominate candidates from the floor during the meeting – that right was taken away a few years ago.
This last-minute change to the election process did not go over well, and a number of Member Boards abstained from the vote to express their concern with an action that had been taken without their permission. The meeting was further muddied by a vote taken on a resolution introduced by the New Jersey Board to change the exam requirements for the MBLEx. The resolution was passed by the Delegate Assembly, but was later invalidated by FSMTB staff because a page was left out of the materials provided on this resolution. Why even hold these meetings, with the appearance of a representative democratic process, if it can all be changed by the whim of professional staff "behind the curtain?"
FSMTB appears to be emulating some of the worst behavior of NCBTMB when that organization was in its heyday. Over the last several years, the Federation's annual meetings have become vacation junkets ... on the beach in San Juan, the French Quarter in New Orleans, and most recently in Albuquerque for the big international Balloon Fiesta. That one ensured there was plenty of hot air to go around at the meeting.
The success of the MBLEx has taken FSMTB from poverty to poshness in just seven years. With the organization now sitting on a cash reserve of about $8 million, they should be utilizing it for the good of the profession. As I mentioned in my last column, FSMTB can't even make good on its most basic obligation to provide exam preparation materials to students and massage schools. Why should we trust them to handle continuing education approvals?
As the expression goes, "Follow the Money." In the case of these two organizations, it leads to the executive directors of AMTA and FSMTB – each of whom are making more than $300,000 per year in compensation. These individuals are the ones in real control, with the glad-handing Boards of Directors there mostly for show. The problem is that the people in these elected positions have forgotten that they have the power to hire and fire their executive directors if they are not performing up to snuff. It's time for them to wake up and find association management professionals who can bring these organizations into higher levels of service.
If you care, you must put pressure on your State Massage Board to work to reform The FSMTB. If you are an AMTA member, you should let them know how you feel, and soon. The price of freedom is eternal vigilance and involvement. If you don't protect your rights and freedom, they will be taken away. And they are very hard to get back.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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