NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
April, 2014, Vol. 14, Issue 04
Touch Programs Help Families Bring Cancer Patients Relief
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun, PhD, EdS, LMT, Ruth Werner, Immediate Past President MTF, Beth Barberree, RMT, BA
Effectively addressing the needs of patients with cancer requires a multi-faceted holistic approach in the clinical care and home setting.Innovative approaches to patient care integrate family members as informal caregivers, to help meet patients'; needs. In this month';s Massage Therapy Foundation research review, we share findings and implications from a randomized controlled trial that evaluated a multimedia instructional program for family caregivers in touch-based techniques to provide comfort to cancer patients at home. The manuscript was published by Supportive Care in Cancer in 2013.
The proposal was to teach loved ones how to massage cancer patients. Massage is a popular palliative modality for symptom relief associated with cancer and associated treatment. Research has demonstrated significant effects for patients with cancer on symptoms such as pain, nausea, stress, anxiety, mood disturbance, fatigue and sleep disturbance. Understanding the need for symptom relief and leveraging the role of informal caregivers, Collinge and colleagues developed a touch-based program for at-home caregivers. The program was designed to empower them with the ability to have an impact on patient well-being through the use of partnered massage. These authors suggest a caregiver-based program such as this can benefit the patient, the partner and the quality of their relationship.
Collinge and colleagues developed a multilingual (i.e. English, Spanish, Chinese, Vietnamese) DVD, with an illustrated, spiral bound manual to be used as a home-based instructional tool. (The program is now also available online via streaming video with an ebook manual.) The program, entitled "Touch, Caring and Cancer: Simple Instruction for Family and Friends," addresses, "attitudes and communication about touch in cancer, psychological preparation for giving and receiving touch, safety precautions, massage techniques for comfort and relaxation, acupressure for specific cancer-related symptoms and practice in the home setting." This program offers patients, their family members and loved ones an economical home-based self-paced alternative for symptom relief.
The experiment used was massage for one group and reading aloud for the other. A sample of 97 adult patient and caregiver dyads was randomized to the treatment (DVD massage program) or control groups (reading any literature of the patient';s choice such as poetry, fiction, nonfiction, religious, etc.) for four weeks. Treatment dyads received the program with instructions and were asked to practice at least three times per week. In the control dyads, caregivers were asked to read to their patients for the same frequency. To measure outcomes, self-report instruments assessed change in symptom severity, quality of life, perceived stress and caregiver attitudes.
Results indicate significant reductions in all symptoms for patients in both groups after a 20-minute session of their assigned activity: 12% to 28% reductions after being read to, and 29% to 44% reductions after massage. Though both groups showed improvements, "The average proportion of decreased symptomatology reported from pre- to post-sessions over the four weeks was significantly greater for patients in the massage condition for pain, nausea and other self-reported symptoms (i.e. less common symptoms yet those that were significant to patients)." Significant effects across time were also indicated. Symptom improvement was significantly greater for the treatment group (caregiver massage) than the control group (caregiver reading) for stress and anxiety in weeks two, three and four, pain in weeks three and four and fatigue in weeks one and four.
Massage caregivers in the treatment group reported satisfaction with their ability to help their loved one feel better. They showed significant improvements in confidence, comfort and self-efficacy. There were no significant differences within or between patient groups on the Perceived Stress Scale or the General Functional Assessment of Cancer Therapy-Version 4. However, the authors did note using the specialized statistical method, Classification Tree Analysis, statistically significant associations were found between patients'; diagnostic and massage variables with their Perceived Stress Scale score at follow-up.
No adverse events were reported during the study, which suggests that the massage taught on the DVD appears to be safe for this population.
Collinge and colleagues conclude that, "multimedia instruction in touch and massage methods may offer family members a viable means of enhancing self-efficacy and satisfaction in caregiving while decreasing patient pain, depression and other symptoms. Family members may be able to learn and apply safe and simple methods that increase patient comfort and reduce distress."
This study has several meaningful implications for the field of massage research and practice. First, these findings support previous research suggesting massage is an effective palliative modality for patients with cancer. Further, these findings indicate that massage, which is typically considered a clinical or spa treatment, may be re-conceptualized as a home-based treatment provided informal caregivers are given proper instruction. Practitioners of Complementary and Alternative Medicine, particularly massage therapists, can consider programs such as Touch, Caring and Cancer as an option to complement other clinical treatments, such as formal massage therapy regimens, to provide patients comfort in the home setting between clinical and massage treatments. This program is one of many that can be created for patients with diverse conditions as an alternative. For example, Collinge and colleagues are currently evaluating a similar home-based integrative therapies program called Mission Reconnect, to promote well-being and relationship resilience in veterans and their partners healing the effects of military deployment. Programs such as these will create a new economical, home-based, self-paced option for diverse patient populations to receive symptom relief at the caring hands of their family members and loved ones.
To learn more about touch and caregiving, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for CAM/CIM cost analysis studies.
Click here for more information about Massage Therapy Foundation Contributor.
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