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Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Reducing Anxiety for Cardiac Catheterization Patients
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.