resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Inconsistencies & Deficits: In Massage and Bodywork Case Reports
Contributed By Jolie Haun, PhD, EdS, LMT, Derek R. Austin, PT, DPT, MS, BCTMB, CSCS, Natalie Lorick, LMT
Editor's Note: This is a review by the Massage Therapy Foundation writing group of a recent publication in the International Journal of Therapeutic Massage and Bodywork (IJTMB) by Munk and colleagues, who used the therapeutic massage and bodywork (TMB) adapted CAse REport (CARE) guidelines to review the reporting quality of TMB case reports in the literature.
The descriptive nature of case reports make them a fundamental tool for practitioners to inform research and impact the field by detailing the presentation, treatment, and follow-up of a single individual treated in practice. Inconsistencies in case reporting can limit their impact as clinical evidence resources.
Guidelines serve to facilitate reporting various types of research to help readers critically appraise the methodology and accurately interpret findings. Reporting guidelines have been developed and published for randomized controlled trials (CONSORT), observational studies (STROBE), and systematic reviews and meta-analyses (PRISMA).
Guidelines help one assess the extent to which publications comply with reporting standards. However to date, even with published reporting guidelines, authors' compliance with the reporting criteria varies.
To complete their review process, the authors identified articles, conducted audit development and implementation, and then analyzed audit scores. They identified articles and developed the audit process simultaneously. The authors systematically identified published, peer-reviewed TMB case reports authored by TMB practitioners.
Following PRISMA recommendations, the authors identified 977 articles, of which 35 met study inclusion criteria. The authors report, "On average, reports included approximately 58 percent of the total items identified as necessary by the TMB adapted CARE guidelines. Introduction sections of case reports had the best item reporting (80 percent on average), while the case presentation (54 percent) and results (52 percent) sections scored moderately overall, with only 20 percent of necessary practitioner description items included on average. Audit scores revealed inconsistent abstract reporting and few audited case reports including client race (20 percent), perspective (26 percent), and occupation/activities (40 percent); practitioner practice setting (12 percent), training (12 percent), scope-of-practice (29 percent), and credentialing (20 percent); adverse events or lack thereof (17 percent); and some aspect of informed consent (34 percent). Treatment descriptor item reporting varied from high to low. Various implications of concern are discussed."
Although not included in the audit, the authors proposed that discussion of a case's outcomes and implications for TMB research, practice, and education would provide a meaningful contribution and elevate impact on the TMB field.
Case reports are considered a weak form of scientific evidence, the majority (less than 90 percent) of articles discuss their implications on future research; however, only 32 percent of audited articles address implications for TMB practice. Only a single audited case discussed implications for TMB education.
As with all studies, this review has its limitations. The authors did not consider individual article audit scores compared to the case report author guidelines in place for the publishing journal at the time of article publication.
Their methods and consideration did not allow speculation on the extent to which inconsistent reporting of necessary TMB-related case report items prior to 2015 may have been influenced by journal editorial policy, such as word limits and/or other limiting specifications.
The authors also suggest that case report authors will do well to refer to the pioneering TMB case reports audited in this study, along with the TMB-adapted CARE guidelines, to inform their work for journal submission.
In general, the publication findings suggest case reports should follow guidelines and thoroughly include abstract and introduction details, case presentation and results sections. As with most forms of reporting, more details are needed such as practitioner training, scope-of-practice, and credentialing as well as the client's occupation and perspective on the case.
Reports need to thoroughly address practice setting details and client characteristics; reports should also mention adverse events or lack thereof, and informed consent. Further, descriptions of TMB treatments need to be fully developed.
The implications of these findings on research, practice, and the field are paramount. Case reporting guidelines set standards for addressing the potential impact of TMB case reports; however, this audit and analysis highlight several reporting inconsistencies in existing TMB case reports to date.
Adherence to reporting specifications outlined by the TMB-adapted CARE guidelines could improve the impact and usability of TMB case reports to bridge the research-education-practice gap.
Standardizing case reporting in TMB among practitioners is a worthwhile effort, as it will inform best practices and future research, provide case scenarios for education purposes, and in general advance the field.