resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
April, 2014, Vol. 14, Issue 04
Highlighting the Use of Massage for Children Affected by FASD
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Fetal Alcohol Spectrum Disorder (FASD) refers to the very broad spectrum of health issues infants' encounter from their mother's alcohol use during pregnancy.FASD includes several different health diagnosis; fetal alcohol syndrome (FAS), alcohol-related neurodevelopmental disorders (ARND), alcohol-related birth defects (ARBD), fetal alcohol effects (FAE), and partial fetal alcohol syndrome (PFAS). There is still much debate about a safe level of alcohol use, with many advocates saying any use during pregnancy puts a child at risk for negative physical or behavioral problems.
When a mother drinks alcohol during her pregnancy, it crosses the placental barrier and into the womb. A mother's body may be able to metabolize the alcohol, while the small or underdeveloped infant liver cannot. The alcohol may then stay inside of the infant's system longer. So, even the smallest amount of alcohol can have detrimental effects to a fetus.
The amount, sequence and timing of alcohol to the fetus all directly influence the type of health issues the child may experience once born. This causes a wide range of effects on the spectrum from severe (facial anomalies) to mild (judgment skills compromised.) Even more problematic is that many issues may not arise until the child begins to grow. The child may initially appear typical until there are subtle, and not so subtle, behavioral problems associated with the prenatal injury. Children who display facial anomalies, growth retardation and developmental abnormalities of the center nervous system are associated with the severe end of the spectrum. or simply fetal alcohol syndrome (FAS.)
Diagnosis of full fetal alcohol syndrome is based on three key features, a pre- and post-natal growth deficiency, facial abnormalities, as well as brain and central nervous system dysfunction. Professor Sterling Clarren's primate and mouse research on alcohol and pregnancy found that the lip and philtrum anomaly of (full) FAS happened during a very small development period; the 19th to 20th day after conception in the human – the period called gastrulation. However, it is well documented that children with facial features are only the tip of the iceberg. For every child diagnosed with full FAS, there will be another three to ten with alcohol-related neurodevelopmental disorders.
The brain injury that results from FASD can lead to developmental delays, an information processing deficit, the inability to reason in the way that others do and a distressing inability to fit in with the rules and behaviors required by society (deficits in self-control, hyperactivity and increased rates of ADHD) due to damage of the sensory processing system, nervous system and the brain. Heavy prenatal alcohol exposure can lead to structural abnormalities in the orbitofrontal cortex, anterior singulate, hippocampus, amygdala and corpus callosum.
The corpus callosum is the part of the brain that links the right hemisphere of the brain to the left hemisphere. The right-brain handles creativity, intuition and impulse and the left-brain handles the rules, logic, order and thoughts. When the two cannot link properly, because of prenatal exposure to alcohol or another brain injury, then the person cannot always predict the outcome of his actions even though he knows and can repeat the "rules."
Primary characteristics in children, adolescents and adults affected by FASD, include memory problems, difficulty storing and retrieving information, impulsivity, distractibility, disorganization, cognitive processing deficits (may think more slowly), slow auditory pace (may only understand every third word of normally paced conversation), developmental lags (may act younger than chronological age) and inability to predict outcomes, or understand consequences and inability to show remorse. However they often have strengths such as being highly verbal, artistic, musical, mechanical, athletic, friendly, outgoing, determined and persistent. In addition to cognitive and functioning difficulties, sleeping is also of great concern for children affected by FASD.
How Massage Can Help
Growth and developmental issues are key to the diagnosis of FAS, and in research studies of pediatric and infant massage therapy, it has been demonstrated to assist in both. For infants born prematurely, the use of massage has demonstrated a measurable increase in weight for the infants who received the therapeutic intervention. Additionally, when followed to an infant's one year birthday, researchers found that the massaged infants had a weight advantage, as well as, placing 12 to 15 points higher on the mental and motor tests of the Bayley Scales of Infant Development than the infants who hadn't been massaged. Even better, these results have been replicated by at least two other groups of researchers.
Another study was done with full-term, healthy 1 to 3-month-old infants who were given 15 minutes of either massage or rocking for 12 days over a 6-week period. What the group found was that the massage group gained more weight, displayed better face-to-face interactions, improved on emotionality, sociability and soothability, displayed less stress hormones and increased serotonin levels.
Sleep issues are a common complaint for many children with FASD, massage may not only help the child fall asleep quicker, but can often improve the quality of deep sleep. Having adequate amounts of sleep can assist in the child's mood, their behavior and may even decrease hyperactivity. Attention issues are also another key issue for children and adolescents with FASD and research demonstrates that massage increases mental focus and concentration.
While research is ongoing with both FASD and massage therapy, it is important to best understand the child who may benefit from massage therapy and what those indications may be. As a practitioner, it is important to provide the time to complete a detailed intake. A safe environment benefits all clients, but in the case of children affected by FASD you should also consider an environment which is not over stimulating to other senses. Take your time and proceed slowly when introducing touch therapy, as children may experience sensory processing difficulties and may be hypo or hyper sensitive to touch.
While it is a clear that massage is beneficial for many children, those affected by FASD may see some wonderful improvements following the intervention of pediatric massage therapy.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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