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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
August, 2015, Vol. 15, Issue 08
Does Massage Therapy Lower Blood Pressure? A Literature Review
By Massage Therapy Foundation Contributor
Contributed by Derek R. Austin, PT, DPT, MS, BCTMB, CSCS, Renee Stenbjorn, BS, MPA, LMT, April Neufeld BS, LMP
If you did not already have enough reasons to get a stress-busting, mood-lifting, pain-relieving massage, this month's Massage Therapy Foundation research review details another great benefit of massage therapy.Promising research suggests that massage therapy can lower blood pressure. The study of the month explores the following questions: Is massage as effective as antihypertensive drugs to lower blood pressure? Does adding massage to antihypertensive drugs lower blood pressure further? The answer to these questions may be yes.
A rigorous analysis of research articles published on the topic of massage and hypertension was published in the Journal of Human Hypertension during 2014. Dr. Xing Jiang Xiong and his colleagues published the article with the title, "Massage therapy for essential hypertension: a systematic review." A systematic review aims to provide an exhaustive summary of current literature relevant to a research question. The question under study is how effective and safe is massage therapy for essential hypertension, meaning hypertension that has no known cause. The authors note that hypertension is the leading risk factor for mortality worldwide. Preliminary research has shown that complementary medicine approaches such as yoga, qigong, Tai Chi, acupuncture, and moxibustion may lower blood pressure. The researchers performed the first systematic review of randomized clinical trials to determine whether massage can combat hypertension.
The authors searched a large number of databases for randomized controlled trials published in English or Chinese. To be included, a study had to involve massage as an intervention for participants diagnosed with essential hypertension. The massage intervention had to be compared to a control group not receiving massage. Treatment duration of the analyzed studies ranged from a minimum of 10 days up to 1 year. Studies were excluded if the patients involved had a history of heart attack, kidney failure, liver failure, arrhythmia, or heart failure.
A total of 24 articles were selected and then analyzed for their risk of bias. The studies included a total of 1,962 patients with essential hypertension. Treatment groups included either massage alone or massage combined with antihypertensive drugs. Massage interventions were widely variable between studies, ranging from 1 hour per week to 45 minutes each day. Control groups received no intervention or antihypertensive drugs. Most studies were determined to be of generally poor methodological quality; for example, only 3 of the 24 studies included follow-up. The authors developed four categories of research, each compiled and analyzed using the process called meta-analysis. This statistical process comprises contrasting and combining results from different studies in the hope of identifying patterns among study results. Due to the statistical nature of this approach, only trials with quantitative data of blood pressure measurements could be included in the analysis.
The first group, of five studies, compared massage with no intervention. Only three of these studies provided blood pressure data in numerical terms. The researchers combined the results of these three trials and performed a meta-analysis to determine significance. The meta-analysis indicated no significant for massage in lowering blood pressure compared to no intervention.
The second group, of nine trials, compared massage to antihypertensive drugs, and six of these provided figures appropriate for meta-analysis. The meta-analysis showed that massage lowers systolic blood pressure better than antihypertensive drugs by an average of 3.5 mm Hg (p=0.0004). There was no significant effect on lowering diastolic blood pressure (p=0.14).
The third group, of eleven trials, compared antihypertensive drugs to massage combined with antihypertensive drugs, and six provided numerical values appropriate for meta-analysis. The meta-analysis indicated that massage plus antihypertensive drugs was superior compared to the antihypertensive drugs alone. Adding massage to antihypertensive drugs reduced systolic blood pressure by an average of 6.9 mm Hg (p=0.0001) and diastolic blood pressure by an average of 3.6 mm Hg (p=0.005). A meta-analysis of four of the other trials, which summarized the effect of massage based on grades of efficacy, also indicated that massage combined with antihypertensive drugs lowered blood pressure better than antihypertensive drugs alone (p=0.0002).
The final group, of five trials, reported adverse effects, and the authors' analysis showed that massage was potentially safer than antihypertensive drugs. While this conclusion is limited by the small number of trials reporting adverse events, massage may provide an effective alternative for those who suffer serious side effects from antihypertensive drugs.
The authors conclude that combining massage with antihypertensive drugs may be more effective than using just antihypertensive drugs to lower blood pressure. They also conclude that massage alone appears beneficial for reducing systolic blood pressure when compared with antihypertensive drugs.
One of the main strengths of this article is the thoroughness of its search for research articles and its inclusion of research articles published in either Chinese or English. Including Chinese language articles greatly expanded the number of articles included in the review, as massage is frequently studied in China. Other strengths include the rigorous assessment of methodological quality and the use of meta-analysis to combine published research data.
The authors report that the primary weakness of their review is the poor quality of the original studies. They note that many of the included trials did not report randomization procedures, concealment of allocated groups, whether individuals dropped out, pre-trial estimation of sample size. The most important weakness of the included studies was the lack of follow-up; it remains unclear whether massage would continue to have any effects on blood pressure beyond the end of the treatment period.
Due to the wide use and acceptance of massage therapy in general, massage could be an important adjunct therapy for treating hypertension in the primary care setting. Further research can help determine exactly how effective massage is in lowering blood pressure. A cost-efficacy analysis would also be useful, since essential hypertension is tremendously common, and yet many effective antihypertensive drugs are quite expensive. Future research will also help determine the most effective dose of massage and how massage interacts with different classes of antihypertensive drugs.
Not sure you understand the difference between a confidence interval, p-value, t-test, and ANOVA? MTF offers a course on the Basics of Research Literacy that teaches massage therapists and educators how to incorporate principles of research literacy into your practice and teaching. In this online, 8-hour, NCBTMB-approved workshop, you will be introduced to basic research vocabulary and concepts. Once you understand the terminology, you will learn how to use databases to look up research, evaluate the validity of published research articles, and apply research findings to improve massage outcomes. Your massage therapy practice can be improved by becoming more research literate.
To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation review article archives, read accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
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.