Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
October, 2015, Vol. 15, Issue 10
Reducing Anxiety for Cardiac Catheterization Patients
By Massage Therapy Foundation Contributor
Contributed by MK Brennan MS, RN, ACM, LMBT; Jolie Haun PhD, EdS, LMT; April Neufeld, BS, LMT
This month's research review focuses on reducing anxiety for patients undergoing cardiac catheterization.Complementary Therapies in Clinical Practice recently published the article, "Anxiety reduction in patients undergoing cardiac catheterization following massage and guided imagery." Armstrong and colleagues published an insightful study in which they suggest massage therapy with or without guided imagery can reduce anxiety for patients preparing for this cardiac procedure.
Anticipating a catheterization can be anxiety producing for patients, as can awaiting the results. With this, there may be changes in blood pressure, an increased need of sedation, and other complications. The authors designed their study using massage therapy with or without guided imagery based on reports that anxiety is one of the top five conditions for which alternative medicine is used as a treatment. Previous studies had mixed results for massage prior to catheterization and good results for guided imagery. The authors chose to use both massage therapy and guided imagery as one arm of the study. The feasibility of providing massage therapy in the pre-catheterization waiting period was also studied.
This pilot study was conducted at a large teaching hospital and was approved by the Institutional Review Board. Subjects were identified from a daily list of patients scheduled for a cardiac catheterization and all were asked if they wanted to participate in the research project. Consent was obtained from those who agreed to participate. Outpatients were seen in a quiet room that was apart from the catheterization center waiting area and inpatients were treated in their hospital rooms.
Four massage therapists from the Integrative Medicine department provided treatments. The subjects were offered one of the following: 15-minute massage, 20-minute guided imagery session, or massage with guided imagery. The massage treatments were performed using a massage chair or an office side chair for the outpatients and the inpatients received massage to the feet or hands while remaining in their hospital beds prior to the catheterization procedure. The chair massage recipients had their backs, scalps and arms massaged. Swedish massage was used for both groups. Guided imagery was provided using a headset with a relaxation CD. If guided imagery was chosen with massage, the patient listened to the CD either prior to or after the massage depending on the catheterization schedule. Sessions were stopped if the subject had to proceed to the catheterization lab.
Physiological measurements were retrospectively reviewed in the charts and included the subjects' blood pressure and heart rate taken prior to the catheterization. A random group of 55 subjects were chosen retrospectively for the matched comparison group. Data were used in a matched comparison between those who received the interventions and patients who had cardiac catheterizations in the same time period but did not receive massage or guided imagery. Age, gender, type of catheterization, and inpatient/outpatient status were used for the matching. Subjects who participated in the study were provided a four-item survey for reporting their anxiety level using a 10-point analog scale. This was completed pre- and post-intervention and the scores were analyzed using a t-test. Participant demographic differences were also examined.
Results indicated that it was feasible to provide massage and/or guided imagery prior to cardiac catheterization without interrupting the patient flow. Over the 2 and a half months of the study period, 57 patients accepted the invitation to receive one of the interventions and participate in the research. Of the 57, two individuals chose to receive only the guided imagery. Given the low participation in this arm of the study, the data for these two was removed which left 55 patients in the intervention groups, either massage only or massage with guided imagery.
Pre-treatment, self-reported anxiety scores showed no significant difference between the two treatment groups. A t-test analysis confirmed this with data that was completed for 52 participants (three participants were excluded due to incomplete data). Additionally, there were significant reductions in self-reported anxiety for both groups post-intervention with the massage therapy and guided imagery combination showing a more pronounced effect. It is noted that to fully analyze the statistical difference between the two groups, more participants would be needed. No significant differences were noted between females and males in the study in the self–reported anxiety scores.
Blood pressure and heart rates of research participants and the retrospectively formed comparative group were reviewed. These were physiological measures taken when the individuals entered the catheterization center and again just prior to the catheterization. While there were significant differences between the treatment groups and the comparative group in the values taken upon entering the catheterization laboratory, this did not last. There was no significant difference between the values taken immediately before the procedure started.
There were a number of limitations in this pilot study. As with all studies that use convenience sampling, the participants were able to choose if they wanted to be in the research group and what intervention they wanted. There was also a difference in the time between the intervention and the measuring of blood pressure and pulse between the outpatients and inpatients. Since the outpatients were already at the catheterization center, it was a shorter period of time between intervention and testing than the inpatients who received the intervention while still in their hospital rooms. The inpatients then had to be transferred to the catheterization center where their vital signs were taken.
As is the case with feasibility studies, this study's value is looking at the viability of implementing integrative healthcare approaches in a hospital setting as well as the implications for patient satisfaction. This study provides preliminary validation to warrant further research to investigate the use of massage therapy and guided imagery, either together or separate, to reduce anxiety associated with medical procedures.
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.
Save the date for the 2016 International Massage Therapy Research Conference. The conference will be held May 12-15 at the Renaissance Seattle Hotel. Stay tuned for registration information and a call for presenters. Check out the Massage Therapy Foundation website for updates.
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.