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.
May, 2016, Vol. 16, Issue 05
Massage Therapists Can be Key Players in Research
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun PhD, EdS, LMT; MK Brennan MS, RN, LMBT; S. Pualani Gillespie LMT, MSN, RN, BCTMB
Historically, few funded studies have given massage therapists opportunity to be involved in massage therapy research as study personnel.However this month's Massage Therapy Foundation review focuses on a recent publication authored by Munk and colleagues, in which a recent NIH/NCCAM funded study investigating chronic low back pain (CLBP) also investigated the use of community massage practitioners (CMPs) as study personnel following recruitment and training. The authors' main study aim was to determine whether health-related outcomes for CLBP improve when patients are referred from primary care to select CAM modalities including massage therapy in their own communities.
As indicated by the authors, this study also had three massage practice-driven study objectives, which were to: identify challenges and solutions to recruiting and retaining ample CMPs, develop a practice-informed protocol reflecting real-world massage therapy, and determine the extent to which community massage practitioners comply with rigorous research methodology in their clinical practices as study personnel.
CMPs in urban and rural counties were identified through licensure board records, professional organizations, and personal contact opportunities for eligibility. Interested CMPs completed six continuing education hours of research and Human Subjects Protection training. They then agreed to comply with a study protocol reflecting massage therapy as practiced in the community. Once training was completed, the CMPs were matched with study participants who lived in their communities to provide and document up to 10 massage therapy sessions per participant over a 12-week intervention treatment period.
At the completion of their study, Munk and colleagues found challenges for recruitment and retention of MTs included mixed interest, low number of rural community massage practitioners conveniently located near study participants, busy clinic schedules, and compensation for the massage sessions. However, these challenges were overcome with solutions such as:
These solutions indicate investment in including community massage practitioners in research as personnel and can inform the inclusion of these professionals in future research studies. Maybe most important, CMPs were also compensated $25 per treatment and received six continuing education hours for massage licensure renewal. These benefits for participating practitioners reflect the needs of professionals and support a standard for including CMPs as study personnel.
Another important contribution this research made to the field was in completing its second objective, developing a practice-informed protocol reflecting real-world massage therapy. In contrast to using controlled environments and strict inclusion and exclusion criteria for study participants, this study employed limited exclusion criteria for the patient participants who were referred from primary care providers. As such, patients with complex medical histories and comorbidities were able to participate as part of a physician-directed treatment plan including medications. The CMPs scheduled the patients, provided the massage sessions, communicated treatment with the patients, and documented on the study forms which were similar to typical intake and SOAP-style ones. This approach reflects the practice of providing massage to a diverse and complex client population. Pragmatic participant criteria allowed this study to mirror massage therapy practice which is critical to translating real-world practice into understanding massage therapy outcomes.
The third objective of the study was to determine the extent to which CMPs comply with rigorous research methodology in their clinical practices as study personnel. Munk and colleagues reported that a total of 28 licensed massage therapists with five to 32 years of experience completed study training. A total of 127 chronic low back pain patients consented to participate (n = 104 for massage therapy). Twenty-five community massage practitioners were assigned CLBP patients and provided one to 10 treatments for 94 study participants. Treatment documentation was provided by community massage practitioners for 97% of treatments provided.
The authors concluded CMPs are valuable study personnel for practice-based research which reflects real-world massage therapy practice. Though the findings of this research are compelling, the authors identify limitations which should be noted. The study design does not reflect the advances in massage research methodology and evidence base since 2008; in pragmatic research, variability is expected; and results cannot specifically point to what aspect(s) of the treatment provided the effects. Despite these limitations, the implications of this research are very exciting for research, the field of massage therapy, and massage therapists in particular. Including massage therapy professionals as research personnel is an important advancement in conducting studies. It supports providing a real-world perspective in research findings that is not only relevant but warranted. Including massage therapists as research personnel also creates a new professional experience for therapists that have been limited to providing defined treatments as part of research protocols. Including massage therapists as research personnel is central to supporting the profession and advancing the science of massage therapy.
There is still time to register for the International Massage Therapy Research Conference in Seattle May 12-15, 2016. Visit www.massagetherapyfoundation.org for more updates and registration information.
Case reports play an important role in scientific and professional literature. Writing a case report helps develop communication skills, critical thinking skills, and could contribute to future research and clinical practice. The Massage Therapy Foundation offers students the opportunity to advance their research skills with the Student Case Report Contest. Submissions are due by June 1st, 2016. Find out more here: www.massagetherapyfoundation.org/student-practitioner-case-report-contests.
To read other studies regarding massage, please view the Massage Therapy Foundation review article archives, browse accepted MTF Research Grant abstracts, or search PubMed for massage therapy research.
Click here for more information about Massage Therapy Foundation Contributor.
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