resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
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.