resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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 It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
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.
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 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.
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.
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.
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.
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.
March, 2016, Vol. 16, Issue 03
Hand Massage in the ICU for Post-Op Cardiac Patients
By Massage Therapy Foundation Contributor
Contributed by MK Brennan MS, RN, LMBT, BCTMB; Derek R. Austin PT, DPT, MS, BCTMB, CSCS; S. Pualani Gillespie BCMT, MSN, RN
Massage therapy may be an effective non-pharmaceutical approach to pain management. This month, the Massage Therapy Foundation research review presents a study that considers massage for post-operative pain relief. As non-pharmaceutical approaches for pain relief are increasingly considered, massage could potentially decrease pain perception based on the Gate Control Theory. This theory is the idea that the stimulation of large diameter nerve fibers by massage contributes to inhibiting nociceptive stimuli transmitted by smaller nerve fibers in the spinal cord. The study, "Feasibility and acceptability of hand massage therapy for pain management of postoperative cardiac surgery patients in the intensive care unit," by Géraldine Martorella, RN, PhD, Madalina Boitor, RN, BSN, Cécile Michaud, RN, PhD, Céline Gélinas, RN, PhD, was published in Heart & Lung in 2014.
The main purpose of this study was to examine the acceptability and feasibility of providing hand massage for surgical intensive care unit (ICU) patients. Acceptability is described based on appropriateness, convenience, effectiveness, risks/adverse reactions, and adherence. This was determined through interviews with both the treatment group and the control group participants. Feasibility relates to the ability to provide the treatment and considers challenges to do so.
Field notes entered by the one trained research nurse who provided both treatments as well as video recordings of the treatments were used when looking at the feasibility of the massage treatments. The nurse documented environmental items such as lighting, noise, and alarms as well as any interruptions or concomitant interventions (medications, lab blood draws, and physical examinations, for example) in her field notes. The patients' responses were also noted. The video analysis focused on the patient's awake/asleep status and activity around the patient. Experimental Hand Massage (EHM) and Control Hand Holding (CHH) were established as the treatment groups. The authors reviewed previous studies done in ICU settings but found a wide range of massage treatments, dosing, areas of the body massaged, and timing of the massage as well as patient conditions. They based this study on a previously conducted pilot study of postoperative pain in cardiac surgery patients that indicated a decrease in pain intensity for the massage treatment group.
Inclusion criteria for this qualitative study were patients 18 years of age and older, able to speak English or French, elective surgery that required a sternal incision, an ejection fraction of 35% or more, and able to answer questions and report pain levels. Exclusion criteria included those with cognitive or psychological disorders, pulmonary artery pressure >50mm Hg, right ventricular failure, body mass index >30 or abnormalities to one or both hands. A total of 40 patients participated in the study from a pool of 70 who were approached. Sixteen of the 70 did not meet the inclusion criteria and another 14 chose not to participate in the study.
In the EHM, the research nurse held the patient's right hand for five seconds and applied five to 10 ml of lavender massage cream to the hand and wrist. Massage was then performed for 5 minutes on the palm and back of the hand and procedure was repeated on the other hand. The total duration of the massage was 15 minutes and was followed by a 30-minute rest period. In the control group (CHH), the treatment consisted of holding the hand for five seconds and applying the lavender cream. The research nurse then held each of the patient's hand in her hands for 5 minutes per hand without performing massage therapy. The goal was to deliver two to three treatments per participant in both groups in the 24 hours following their admission to the ICU. All of the 40 individuals in the study received the first two treatments, but 28 did not receive the third one. The lack of a third treatment was most commonly due to discharge of the patient from the ICU.
The results on acceptability indicate that the criteria used were met based on comments by the participants. The comments included themes of feeling calmness or relaxation, wanting the session to last longer, wanting the treatment to occur at the moment the patient went to the ICU, and appreciation for the human touch. The majority of patient quotes used in the table indicate a relief from pain, even if only temporarily, and were more prevalent in the EHM group. There were eight participants who did not feel that it was beneficial. Six of those were from the control group. Feasibility was more challenging due to the ICU environment with open rooms that contributed to ambient noise, especially during the rest period. Support of the medical team was beneficial in being able to provide the treatment without interference but did not completely eliminate it. Some interruptions, however, were related to needs of the patient due to shortness of breath, thirst, and nausea for example. Staff acceptance and the length of the treatment need to be considered when developing a massage plan for patients in the ICU to help minimize interruptions.
Limitations of the study included acceptability being determined based on only the patients' perspectives. Three sessions were rarely done which impacted feasibility. Scheduling was challenging since there was only one research nurse providing the EHM and CHH and the participants may have also have commented in appreciation of the therapist and not necessarily the treatment. Finally, using lavender cream may have confounded the perceived benefit of the treatments due to its relaxing properties.
Future studies are warranted to examine the support and opportunities for implementation of massage therapy in the ICU. These can include the use of more than one person providing the massage sessions and possibly comparing having a family member or friend providing the hand holding. Identifying the times for the treatment in order to achieve the greatest therapeutic effect is another consideration for future research.
To read other studies regarding massage, please view the Massage Therapy Foundation review article archives, browse accepted MTF Research Grant abstracts, or search PubMed for massage therapy research.
Registration is now open for the International Massage Therapy Research Conference in Seattle May 12-15, 2016. Visit www.massagetherapyfoundation.org for more updates and registration information.
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.