COMPLEMENTARY AND ALTERNATIVE MEDICINE /02 $
|
|
- Moses Conley
- 5 years ago
- Views:
Transcription
1 COMPLEMENTARY AND ALTERNATIVE MEDICINE /02 $ MASSAGE THERAPY Tiffany Field, PhD HISTORICAL BACKGROUND Massage therapy dates to prerecorded time and was epitomized by Hippocrates (the father of modern medicine) in 400 BC as medicine being the art of rubbing. Medicine was essentially touch therapies before the advent of drugs. The laying on of hands was the primary form of healing throughout history in places such as ancient Greece, where Hippocrates wrote that the physician must be experienced in many things, most especially in rubbing. 16 Eastern touch therapies, such as those in China and Ayurvedic medicine in India, have been practiced since before the beginning of recorded time. Touch therapies such as massage therapy have reached the Western world only relatively recently. The beginnings of Western massage date back to Lind, an athlete and educator from nineteenthcentury Sweden. His Swedish massage technique is one of the most popular touch therapies in Western countries. Massage therapy is considered a form of medical treatment in several countries where it is covered by national health insurance, including China, Japan, Russia, and West Germany. In the United States, massage therapy still is considered an alternative therapy. Nonetheless, its popularity seems to be growing. National and international massage therapy associations increased their membership by thousands of therapists during the 1990s. Supported by an NIMH Senior Research Scientist Award to Tiffany Field (#MH00331) and funds from Johnson & Johnson to the Touch Research Institutes. From the Touch Research Institutes, Department of Pediatrics, University of Miami School of Medicine, Miami, Florida MEDICAL CLINICS OF NORTH AMERICA VOLUME 86 NUMBER 1 JANUARY
2 164 FIELD TYPES OF MASSAGE Touch therapies can be classified into three groups: energy methods, manipulative therapies, and amalgams (combinations of both). All of these are considered alternative medical therapies that are becoming increasingly popular. Eisenberg et al 2 reported survey data suggesting that 42% of American people are paying (out of their own pockets because it is not covered by most health care plans) for alternative medicine. The most popular forms of alternative medicine in this survey were relaxation therapy, chiropractics, and massage therapy. Because there are so few data on the relative effectiveness of these therapies, most people tend to try a therapist who has been recommended and by trial and error find a preferred therapy. Massage therapy, in addition to feeling good, theoretically releases muscle tension, facilitates the removal of toxic metabolic waste products (resulting from exercise or inactivity), and allows more oxygen and nutrients to reach body cells and tissues. Massage therapy is accompanied by the release of natural pain killers (e.g., serotonin) and natural killer cells (enhancing immune function). Swedish massage is the most common form of massage in the United States, although it is not a pure form of therapy because most therapists integrate Swedish massage with other forms of touch therapy, such as pressure points. Swedish massage usually is given on a massage table, on the floor, or on a special massage chair and often with oil (baby, vegetable, or some aromatic oil). These oils are stroked and kneaded on all parts of the body. Movements called effleurage (smooth stroking) and petrissage (kneading-type movements) are done up and down the back and across the shoulder muscles and the neck muscles and the backs of the legs, feet, arms, and hands. Stroking on the front is done across the stomach, the front of the legs and arms, and the face and forehead. Among other claims made, Swedish massage reportedly boosts circulation, sending more blood to the muscles and facilitating oxygen consumption and waste elimination in the muscles. 3 The Trager method, similar to many other types of massage therapy, is named after its founder. It involves gentle holding and rocking of different body parts. The arms and legs are held individually in different positions suspended to the side or above the body, then gently rocked back and forth. This is a gentle form of body work, and for people with generalized pain, the Trager method may be the preferred method because no pressure is applied to the painful tissues. Reflexology typically is considered an energy method, although it also could be called a massage therapy because it involves kneading, stroking, rubbing, and other massage procedures. These procedures are centered on particular points of the feet, hands, or ears. According to reflexologists, energy from the point that is touched is transmitted across a network of nerves to other parts of the body, such as the back or the stomach. The feet and hands are considered connected to the rest of the body so that if a point, for example, the heel, is touched, the lower back
3 MASSAGE THERAPY 165 is affected. The middle of the foot is connected to the stomach area; the ball of the foot is connected to the heart and lungs; the toes are connected to the head, eyes, and mouth; and so on. Little is known about the origins of this therapy, and there are no empiric data on the use of this method. RESEARCH ON MASSAGE THERAPY Research in the field of massage therapy dates back many years. The first academic journal publications date occurred in the 1930s, when massage therapy research on humans and animals was fairly popular. Most of the more recent research on massage therapy has been conducted at the Touch Research Institutes. Areas of study have included growth in premature infants, depression and addictive problems, pain syndromes, and immune and autoimmune conditions. Examples of studies from these areas are reviewed briefly. Growth for Infants Tactile and kinesthetic stimulation was given to 20 preterm neonates (mean gestational age, 31 weeks; mean birth weight, 1280 g; mean time in neonatal intensive care unit, 20 days) during transitional (grower) nursery care, and their growth, sleep-wake behavior, and Brazelton scale performance were compared with a group of 20 control neonates. 8 The tactile and kinesthetic stimulation consisted of body stroking and passive movements of the limbs for three 15-minute periods per day for 10 days. The stimulated neonates averaged a 47% greater weight gain per day (mean, 25 g versus 17 g); were more active and alert during sleep-wake behavior observations; and showed more mature habituation, orientation, motor, and range of state behavior on the Brazelton scale than control infants. Their hospital stay was 6 days shorter, yielding a cost savings of approximately $3000 per infant. These data suggest that tactile and kinesthetic stimulation may be a cost-effective way of facilitating growth and behavioral organization in small preterm neonates. In a current study, the author s group added growth hormone (insulin-like growth factor I) and oxytocin measurements. These variables are considered important for growth and have been shown to increase with additional stimulation in the rat model. 17 In an earlier study it was speculated that the underlying mechanism for the weight gain in the preterm infants after massage was that their vagal activity (activity of the 10th cranial nerve, the vagus) was increased, and there were more hormones being released for more efficient food absorption because that is the function of the vegetative branch of the vagus nerve. Vagal activity was measured and shown to increase, and plasma samples of insulin increased (one of the more active growth hormones). This may be one of the underlying mechanisms, along with several others,
4 166 FIELD including the fact that gastric motility (which also is stimulated by the vegetative branch of the vagus) also may increase. Increased gastric motility could contribute to more efficient food absorption. Depression and Addictive Problems Depression in Children A 30-minute massage was given daily for 5 days to 52 hospitalized depressed and adjustment disorder children and adolescents. 7 Compared with a control group, who viewed relaxing videotapes, the massaged subjects were less depressed and anxious and had lower saliva cortisol levels after the massage. Nurses rated the subjects as being less anxious and more cooperative on the last day of the study, and nighttime sleep increased over this period. Urinary cortisol and norepinephrine levels decreased but only for the depressed subjects. Anorexia Nervosa Nineteen women (mean age, 25 years) diagnosed with anorexia nervosa were given standard treatment alone or standard treatment plus massage therapy twice weekly for 5 weeks. 9 The massage group reported lower stress and anxiety levels and had lower stress hormone cortisol levels after massage. During the 5-week treatment period, the subjects reported decreases in body dissatisfaction on the Eating Disorder Inventory and showed increased dopamine and norepinephrine levels. Smoking Smoking cessation attempts have been correlated with severe withdrawal symptoms, including intense cigarette cravings, anxiety, and depressed mood. Twenty adult smokers (mean age, 32.6 years) were assigned randomly to a self-massage treatment or a control group. 12 The treatment group was taught to conduct a hand or ear self-massage during three cravings a day for 1 month. Self-reports revealed lower anxiety scores, improved mood, and fewer withdrawal symptoms. The self-massage group smoked fewer cigarettes per day by the last week of the study. The present findings suggest that self-massage may be an effective adjunct treatment for adults attempting smoking cessation to alleviate smoking-related anxiety, reduce cravings and withdrawal symptoms, improve mood, and reduce the number of cigarettes smoked. Invariably in the studies on depression and addictive problems, a decrease in depression was noted after massage therapy. Associated with that decrease was a typical decrease in the stress hormone cortisol and an increase in serotonin levels. These biochemical changes may contribute to the improved clinical condition.
5 MASSAGE THERAPY 167 Pain Syndromes Fibromyalgia In a study on fibromyalgia, 30 adults with fibromyalgia syndrome were assigned randomly to massage therapy, transcutaneous electrical stimulation (TENS), or TENS no-current group for 30-minute treatment sessions two times per week for 5 weeks. 15 The massage therapy subjects reported lower anxiety and depression, and their cortisol levels were lower immediately after the therapy sessions on the first and last days of the study. The massage therapy group improved on the dolorimeter measure of pain. They also reported less pain the last week, less stiffness and fatigue, and fewer nights of difficult sleeping. Massage therapy was the most effective therapy with fibromyalgia patients. Migraine Headaches Twenty-six adults with migraine headaches were assigned randomly to a wait-list control group or to a massage therapy group, who received two 30-minute massages per week for 5 consecutive weeks. 11 The massage therapy subjects reported fewer distress symptoms, less pain, more headache-free days, and fewer sleep disturbances, and they showed an increase in serotonin levels. Origins of Pain Syndromes Because anxiety exacerbates pain syndromes, the author has used anxiety scales (State Trait Anxiety Inventory) to assess the pre and post massage therapy session anxiety levels. 3 Salivary cortisol has been used as the secondary index of anxiety and stress levels before and after massage therapy sessions. Because sleep is considered disturbed in most pain syndromes, either because of the pain or because lack of deep sleep is contributing to the pain (the direction of effects is not certain here), sleep recordings (typically sleep diaries) also have been used. More recently, because it was noticed that in all of the pain syndrome studies sleep improved after massage therapy and pain in turn was reduced, the author s group now are trying to get better measures of sleep, including actometer readings during sleep. One current theory about the origins of pain syndromes is that there is insufficient quiet or restorative sleep, and when that happens, there are increased levels of substance P, which causes pain. Because substance P can be measured in salivary samples, the author s group are assaying substance P at the beginning and end of the massage therapy treatment periods in a replication study. Preliminary analyses of the data suggest that deep sleep increases, and substance P decreases.
6 168 FIELD Immune Disorders Human Immunodeficency Virus In a study conducted on men with human immunodeficiency virus (HIV), 29 gay men (20 HIV-positive, 9 HIV-negative) received daily massages for 1 month. 14 A subset of 11 of the HIV-positive subjects served as a within-subjects control group (1 month with and 1 month without massage). Major immune findings for the effects of the month of massage included a significant increase in natural killer (NK) cell number and NK cell activity. There were no changes, however, in HIV disease progression markers (CD4 or CD4-to-CD8 ratio). Major neuroendocrine findings, measured by 24-hour urine samples, included a significant decrease in cortisol and nonsignificant trends toward decreased catecholamines. Decreased anxiety and increased relaxation were correlated significantly with increased NK cell number. The implication for HIV-positive men is that they are less likely to experience opportunistic infections such as pneumonia because NK cells kill viral cells. To determine whether HIV disease markers (CD4 cells or CD4-to- CD8 ratio) could be increased, less immune compromised HIV-positive adolescents were recruited for a similar study. 1 Adolescents were assigned randomly to receive massage therapy (n 12) or progressive muscle relaxation (n 12) two times per week for 12 weeks. The participants were assessed for depression, anxiety, and immune changes before and after the 12-week treatment period. Adolescents who received massage therapy versus those who received relaxation therapy reported feeling less anxious, and they were less depressed and showed enhanced immune function by the end of the 12-week study. Immune changes included increased NK cell number and increased disease markers (CD4 number and CD4-to-CD8 ratio). Breast Cancer Because NK cells had increased in two HIV studies and because NK cells also kill cancer cells, a study was conducted on massage therapy with women who had breast cancer. 13 Thirty-four women (mean age, 53 years) diagnosed with stage I or II breast cancer were assigned randomly after surgery to a massage therapy group (to receive 30- minute massages three times per week for 5 weeks) or a standard treatment control group. On the first and last day of the study, the women were assessed on (1) immediate effects measures of anxiety, depressed mood, and vigor and (2) longer term effects on depression, anxiety and hostility, functioning, body image, avoidant versus intrusive coping style, urinary catecholamines (norepinephrine, epinephrine, and dopamine) and serotonin levels, and immune measures. The immediate massage therapy effects included a decrease in anxiety, depressed mood, and anger. The longer term massage therapy effects included reduced depression and hostility, increased urinary dopamine and serotonin lev-
7 MASSAGE THERAPY 169 els, and increased NK cell number and lymphocytes. Avoidance coping was associated with greater NK cell number, and intrusive coping was associated with lower dopamine levels. The immune measure that seemed to be invariably improved after 1, 13, 14 massage therapy across all immune studies was the increased number of NK cells. NK cells not only are considered the front line of the immune system because they ward off viral and cancer cells, but also current theory suggests that they may substitute for the destroyed CD4 cells in HIV. These investigators invariably have assayed NK cell number and NK cell cytotoxicity (activity). In more immune-compromised conditions, such as the study on HIV-positive men, the CD4 cell number was so low that it was not possible to reverse those numbers, whereas in the less immune-compromised adolescent HIV study, not only were NK cells increased but also the CD4 cell number was reversed and the HIV disease markers (CD4 cells and CD4-to-CD8 ratio) were improved. Similar to all the other conditions studied, these immune conditions are highly affected by stress hormones, so cortisol levels (cortisol being known to kill immune cells) also were assayed. Autoimmune Conditions Asthma Thirty-two children with asthma (16, 4- to 8-year-olds and 16, 9- to 14-year-olds) were assigned randomly to receive either massage therapy or relaxation therapy. 6 The children s parents were taught to provide one therapy or the other for 20 minutes before bedtime each night for 30 days. The younger children who received massage therapy showed an immediate decrease in behavioral anxiety and cortisol levels after massage. Also, their attitude toward asthma and their peak air flow and other pulmonary functions improved over the course of the study. The older children who received massage therapy reported lower anxiety after the massage. Their attitude toward asthma also improved over the study, but only one measure of pulmonary function (forced expiratory flow 25% to 75%) improved. The reason for the smaller therapeutic benefit in the older children is unknown; however, it appears that daily massage improved airway caliber and control of asthma in both age groups. Diabetes In a similar study, 24 children with diabetes were assigned randomly to a massage therapy or relaxation therapy group. 5 Half the parents were asked to massage their children for 20 minutes before bedtime for 30 consecutive nights, and the other half were asked to conduct progressive muscle relaxation exercises for the same period. The immediate
8 170 FIELD effects of the massage therapy were decreased parental anxiety and depressed mood and decreased child anxiety, fidgeting, and depressed affect. Over the 30-day period, compliance with insulin and food regulation improved, and mean blood glucose levels decreased from a high of 159 mg/dl to within the normal range (118 mg/dl) for the massage group. Because stress and particularly stress hormones such as cortisol are known to interact and affect autoimmune and immune conditions, cortisol was measured in saliva before and after the massage therapy sessions and in urine at the beginning and end of the study period. In all of the autoimmune diseases studied to date (asthma, diabetes, and dermatitis), children were studied, and the parents were used as the massage therapists. The parents also are likely to benefit from the therapy; grandparent volunteer massage therapists who massaged infants became less depressed and had lower cortisol levels. 6 Parents stress levels affect children s stress levels and in turn may affect their autoimmune condition. Otherwise, the measures for the autoimmune diseases have been as different as the diseases themselves. SUMMARY The author and other investigators have documented improvement in several medical and psychiatric conditions after massage therapy, including growth in preterm infants, depression and addictive problems, pain syndromes, and immune and autoimmune conditions. Although some potential underlying mechanisms have been explored for the massage therapy improved clinical condition relationship, including decreased stress (and decreased cortisol), improved sleep patterns, and enhanced immune function, further research is needed in this area. ACKNOWLEDGMENT The author thanks the children and adults who participated in these studies and the researchers who assisted with data coding. References 1. Diego MA, Hernandez-Reif M, Field T, et al: Massage therapy effects on immune function in adolescents with HIV. Int J Neurosci 106:35 45, Eisenberg DM, Kessler RC, Foster C, et al: Unconventional medicine in the United States: Prevalence, costs, and patterns of use. N Engl J Med 82: , Field T: Massage therapy research methods. In Lewith G, Jones W (eds): Clinical Research in Complementary Therapies. Harcourt Publishers Limited, Field T, Henteleff T, Hernandez-Reif M, et al: Children with asthma have improved pulmonary functions after massage therapy. J Pediatr 132: , Field T, Hernandez-Reif M, LaGreca A, et al: Massage therapy lowers blood glucose levels in children with diabetes. Diabetes Spectrum 10: , 1997
9 MASSAGE THERAPY Field T, Hernandez-Reif M, Quintino O, et al: Elder retired volunteers benefit from giving massage therapy to infants. J Appl Gerontol 17: , Field T, Morrow C, Valdeon C, et al: Massage reduces anxiety in child and adolescent psychiatric patients. Am Acad Child Adolesc Psychiatry 31: , Field T, Schanberg SM, Scafidi F, et al: Tactile/kinesthetic stimulation effects on preterm neonates. Pediatrics 77: , Hart S, Field T, Hernandez-Reif M, et al: Anorexia nervosa symptoms are reduced by massage therapy. Eating Disorders The Journal of Treatment and Prevention 9: , Hartshorn K, Delage J, Field T, et al: Senior citizens benefit from movement therapy. Journal of Bodywork, Hernandez-Reif M, Dieter J, Field T, et al: Migraine headaches are reduced by massage therapy. Int J Neurosci 96:1 11, Hernandez-Reif M, Field T, Hart S: Smoking cravings are reduced by self-massage. Prev Med 28:28 32, Hernandez-Reif M, Ironson G, Field T, et al: Breast cancer patients have improved immune functions following massage therapy. CA Cancer J Clin (in review) 14. Ironson G, Field T, Scafidi F, et al: Massage therapy is associated with enhancement of the immune system s cytotoxic capacity. Int J Neurosci 84: , Sunshine W, Field T, Quintino O, et al: Fibromyalgia benefits from massage therapy and transcutaneous electrical stimulation. J Clin Rheumatol 2:18 22, Tse SK, Bailey DM: Tai chi and postural control in the well elderly. Am J Occup Ther 46: , Uvnas-Moberg K: Role of efferent and afferent vagal nerve activity during reproduction: Integrating function of oxytocin metabolism and behaviour. Psychoendocrinology 19: , 1994 Address reprint requests to Tiffany Field, PhD Touch Research Institutes University of Miami School of Medicine Department of Pediatrics PO Box Miami, FL tfield@med.miami.edu
Nature s Retreat Holistic Therapy
Nature s Retreat Holistic Therapy We offer a choice of Swedish Massage, Swedish Massage with Aromatherapy oil and Indian Head Massage on site for ladies only. The massage is performed by a fully trained
More informationPROFESSIONAL MASSAGE AND ITS IMPACT ON PSYCHOPHYSIOLOGICAL CORRELATES
2017 HAWAII UNIVERSITY INTERNATIONAL CONFERENCES ARTS, HUMANITIES, SOCIAL SCIENCES & EDUCATION JANUARY 3-6, 2017 ALA MOANA HOTEL, HONOLULU, HAWAII PROFESSIONAL MASSAGE AND ITS IMPACT ON PSYCHOPHYSIOLOGICAL
More informationSPINAL CORD PATIENTS BENEFIT FROM MASSAGE THERAPY
Intern. J. Neuroscience, 112:133 142, 2002 Copyright 2002 Taylor & Francis 0020-7454/02 $12.00 +.00 SPINAL CORD PATIENTS BENEFIT FROM MASSAGE THERAPY MIGUEL A. DIEGO TIFFANY FIELD MARIA HERNANDEZ-REIF
More informationMassage in the Classroom Setting
Originally published in Massage & Bodywork magazine, February/March 2003. Copyright 2003. Associated Bodywork and Massage Professionals. All rights reserved. By Shirley Vanderbilt Autism is on the rise,
More informationA touch of SIAM. Therapies & Treatment. In The Orchid Palace Wellness Spa, we offer so much more than simply a spa vacation.
A touch of SIAM It is no secret that spa therapies are an enhancement to life. We emphasize inner healing and balance of mind, body and soul using a fusion of Eastern and Western philosophies and treatments
More informationJulia Perkins. Clinical Case Report Competition. Utopia Academy. Second Place Winner. Fall 2009
Massage Therapists Association of British Columbia Clinical Case Report Competition Utopia Academy Fall 2009 Second Place Winner Julia Perkins The role of massage therapy in reducing anxiety related to
More informationJuvenile Rheumatoid Arthritis: Benefits from Massage Therapy 1
Journal ofpediatric Psychology, Vol. 22, No. 5, 1997, pp. 607-617 Juvenile Rheumatoid Arthritis: Benefits from Therapy 1 Tiffany Field, 2 aria Hernandez-Reif, Susan Seligman, Josh Krasnegor, and William
More informationUSAG BAVARIA SPORTS & FITNESS. MassageProgram
USAG BAVARIA SPORTS & FITNESS MassageProgram STRESS A remedy proven through the ages, with clinical results for blood pressure, muscle tone and chronic pain. DESK JOB Are you suffering from sitting at
More informationRunning head: INTEGRATIVE HEALING MODALITY EXPERIENCE 1
Running head: INTEGRATIVE HEALING MODALITY EXPERIENCE 1 Integrative Healing Modality Experience: Reflexology Cornelia C. Campbell Washburn University School of Nursing For NU 504 Integrative Healing Modalities
More informationThe Tevis Center for Wellness. Complementary Health. Services
The Tevis Center for Wellness Complementary Health Services Complementary Health Services Acupuncture Acupuncture is based on the natural laws that describe the movement of life energy, or Qi, in nature
More informationComplementary therapies for cancer patients and their carers
Complementary therapies for cancer patients and their carers What are complementary therapies? Complementary therapies are supportive therapies offered alongside medical treatments. Many people with cancer
More informationMedically Beneficial
Medically Beneficial Deep Tissue Massage is used to target knots and release chronic muscle tension. Other benefits include reducing inflammation and helping to eliminate scar tissue. The focus is on the
More informationWhat You Should Know About Body Fat
What You Should Know About Body Fat Studies show being overweight increases our risk of heart disease, hypertension, certain cancers, diabetes, joint disorders the list goes on and on. How can you lose
More informationComplementary & Alternative Medicine. Integrative Therapies:
Complementary & Alternative Medicine Integrative Therapies: By: Melanie Santos RNIII, BSN, OCN, CMSRN Salinas Valley Memorial Healthcare System Five Branches University Student : March 2019 WHAT IS CAM?
More informationWHAT IS STRESS. The result of this can have an effect on your physical health and can also change your behavior in the following ways:
STRESS We live in an increasingly stressful world. Pressures of work, family, finance and relationships can take their toll and it can be hard to find time to destress and unwind. Health guru Tiffiny Hall
More informationCaring For You --- Reducing Stress
Caring For You --- Reducing Stress Are you someone who gets stressed out and overwhelmed with all sorts of planning, family activities, parties, shopping, work and more? What does that do to your life?
More informationSLEEP LIKE A BABY. MELATONIN by Allergy Research Group. MELATONIN by Douglas Labs
SLEEP LIKE A BABY For many of us, sound sleep is a thing of the past. Being able to fall asleep and stay asleep is increasingly difficult as we age. Yet, a good night s sleep is the foundation of good
More informationPolio Overview. Bulbar Polio
Polio Overview with an emphasis on Bulbar Polio Prepared by: Richard Daggett President, Polio Survivors Association Member, American Academy of Home Care Medicine Poliomyelitis, often called polio or infantile
More informationNational Hospital for Neurology and Neurosurgery. Migraine Associated Dizziness. Department of Neuro-otology
National Hospital for Neurology and Neurosurgery Migraine Associated Dizziness Department of Neuro-otology If you would like this document in another language or format or if you require the services of
More informationRock Spa. By Rosyth. Spa Menu
Rock Spa By Rosyth Spa Menu Rock Spa by Rosyth Sri Lanka enjoys the distinct privilege of drawing from millennia of ancient healing techniques, transforming this very same wisdom into a selection of time-tested
More information9/13/2018. Staying Active at Every Age. Where does the Health Promotions Program travel? Evidence Based Health Programs
Staying Active at Every Age Mare Simpler Health Promotions Specialist Catholic Charities Community Services Where does the Health Promotions Program travel? Evidence Based Health Programs What are they?
More informationSai s Visiting Thai Massage
Sai s Visiting Thai Massage Covering Leeds and Surrounding Area s www.saithaimassage.co.uk Page 1 Contents What is Thai Massage The Benefits of Thai Massage My Visit explained Disclaimer www.saithaimassage.co.uk
More informationTobacco Cessation Toolkit
You notice physical s, like moments of dizziness, sweating, hands trembling or a mild headache. When using tobacco, nicotine increases your heart rate (by about 10 20 beats per minute) and blood pressure.
More informationNPM INTAKE FORM: ADULT INFORMATION: Name: Age: Date:
NPM INTAKE FORM: ADULT INFORMATION: Name: Age: Date: Address: City/State/Zip: Home Phone No.: Work Phone No: Cell Phone: Email Address: Gender: Date of Birth: Occupation: Best Time to Contact: Number of
More informationPOSITION STATEMENT PROPOSAL ON MASSAGE AND FIBROMYALGIA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 POSITION STATEMENT PROPOSAL ON MASSAGE AND FIBROMYALGIA CONTACT INFORMATION Name:
More informationSTRESS RECOGNITION & STRESS MANAGEMENT TECHNIQUES
STRESS RECOGNITION & STRESS MANAGEMENT TECHNIQUES By Teresa A. Hughes, D.D.S. IMPORTANCE OF STRESS MANAGEMENT Stress is an automatic response for our body to protect itself from threats. This fight or
More informationPostpartum Massage: Birth & Beyond. Featured Article on by Steven Metzger, RN-CMT
Postpartum Massage: Birth & Beyond Featured Article on www.americanpregnancy.org by Steven Metzger, RN-CMT Last Revision: 05/2013 Postpartum Massage: Birth & Beyond 2 Postpartum massage can be as important
More informationHRSA Grant: D54HP Project Investigator: Carol Monson, DO, MS, FACOFP
Michigan State University College of Osteopathic Medicine Family and Community Medicine and Internal Medicine Division of Geriatrics www.com.msu.edu/fcm HRSA Grant: D54HP23284-05-00 Project Investigator:
More informationOSTEOPATHIC MASSAGE: COMBINING MASSAGE THERAPY AND OSTEOPATHY IN A TREATMENT. By Angele Boyle
OSTEOPATHIC MASSAGE: COMBINING MASSAGE THERAPY AND OSTEOPATHY IN A TREATMENT By Angele Boyle Since the beginning of March 2011, I have had the opportunity while attending the National Academy of Osteopathy,
More informationUnderstanding Early Childhood Brain Development
Understanding Early Childhood Brain Development 201 Understanding Early Childhood Brain Development Why should caregivers know about brain development? The brain is the part of the body that allows us
More informationFREE CPE OPPORTUNITY
FREE CPE OPPORTUNITY Knowledge of Classical Massage Movements CHALLENGE Complete all Questions In the workbook exam paper attached Send in your Answers office@maa.org.au Collect 20 CPE Points for 90% -
More informationElements for a Public Summary
VI.2 Elements for a Public Summary VI.2.1 Overview of disease epidemiology Generalised anxiety disorder Generalised anxiety disorder (GAD) is an umbrella term that covers a wide range of anxiety disorders
More informationDoes Reflexology Improve the Quality of Life for Lung Cancer Patients?
Does Reflexology Improve the Quality of Life for Lung Cancer Patients? Subject's Age: 70 Subject's Occupation: retired bank executive Therapist: Carol Mulvihill Credentials: certified reflexologist, licensed
More informationBrisbin Family Chiropractic
Information reviewed with patient: Dr. Initials Today s Date Brisbin Family Chiropractic Name: Sex: Male Female Address: City: Postal Code: Home Ph# Work# Ext# Cell# Preferred number (circle one) Home
More informationPlease fill out the following form in as much detail as possible. Please Print. Name. Address. City State Zip. Home Phone Office Phone.
CASE NO. Please fill out the following form in as much detail as possible. Please Print Date Name Address City State Zip Home Phone Office Phone E-mail Address Age Date of Birth Occupation Sex (M) (F)
More informationGentle Nighttime Routine
Gentle Nighttime Routine Whether it s breathing to slow the heart rate or a yoga pose to calm the mind, a simple routine can be effective for a better night s sleep. Your Timing: Institute a regular bedtime
More informationTHE COMPLETE GUIDE TO SELF-MASSAGE
THE COMPLETE GUIDE TO SELF-MASSAGE By Beenax Healthy living. Healthy you. INTRODUCTION Your new self-massage tools by Beenax have been designed and suited for soft-tissue to deep tissue work. The crafted
More informationReflexology. A true therapy?
Reflexology A true therapy? What is Zone Therapy? It is based off of an ancient Chinese system of Acupuncture Energy Meridians There are 10 zones in the body Manipulation of reflex points could enhance
More informationThe Stress Response & The Relaxation Response. Living (Well!) with Gastroparesis Program Class 4
The Stress Response & The Relaxation Response Living (Well!) with Gastroparesis Program Class 4 Why is stress so important? How we think about, react to, and handle stress effects: digestive symptoms/gastroparesis
More informationAttention Deficit Disorder Abstract: Autism Abstract: Back Pain Cancer Abstract:
Attention Deficit Disorder Field, T., Quintino, O., Hernandez-Reif, M. & Koslovsky, G. (1998). Adolescents with attention deficit hyperactivity disorder benefit from massage therapy. Adolescence, 33, 103-108.
More informationAMAZING VISION 3 WEEK PROGRAM CLASS ONE Holly Tse,
3 WEEK PROGRAM CLASS ONE Today s Agenda Exercises to Relax Your Eyes and Retrain Your Brain to See Qi Gong for Powerful Energy Healing Chinese Reflexology for Healthy Eyes Hear Your Body Exercise What
More informationNPM INTAKE FORM INFORMATION: Name: Age: Date:
NPM INTAKE FORM INFORMATION: Name: Age: Date: Address: City/State/Zip: Home Phone No.: Work Phone No: Cell Phone: Email Address:: Gender: Date of Birth: Occupation: Best Time to Contact: Number of Children
More informationNPM INTAKE FORM. INFORMATION: Name: Age: Date: Home Phone No.: Work Phone No: Cell Phone: Address:: Gender: Date of Birth:
NPM INTAKE FORM INFORMATION: Name: Age: Date: Address: City/State/Zip: Home Phone No.: Work Phone No: Cell Phone: Email Address:: Gender: Date of Birth: Occupation: Best Time to Contact: Number of Children
More informationHealth & Balance. The Health Benefits of Yoga. Article Link:
Article Link: http://www.webmd.com/balance/the-health-benefits-of-yoga Health & Balance The Health Benefits of Yoga Yoga has been practiced for more than 5,000 years, and currently, close to 11 million
More informationTherapeutic Massage. delivered by a trusted name
Therapeutic Massage delivered by a trusted name About Us Family owned and operated as the most trusted resource for in-home care services since 1968, Family & Nursing Care is also the nation s expert
More informationAlternative Health. A New Look at an Old Way. A free report by:
Alternative Health A New Look at an Old Way of Life A free report by: http://natural-remediesinfo.com Table of Contents Introduction... 2 Concepts of Eastern Medicine... 2 Combining Alternative Methods
More informationThis module includes informational handouts. and instructional exercise handouts on abdominal breathing, grounding, relaxation, mindfulness,
Relaxation Module The Relaxation Module has been organized so that materials can be handed out sequentially. More advanced skills are built on the preceding foundation. This module includes informational
More informationSweet Dreams: The Relationship between Sleep Health and Your Weight
Sweet Dreams: The Relationship between Sleep Health and Your Weight Jason C. Ong, PhD Associate Professor Department of Neurology Center for Circadian and Sleep Medicine Northwestern University Feinberg
More information10 Best Yoga Poses For Diabetics
10 Best Yoga Poses For Diabetics Along with well balanced diet and nature cure treatment, Yoga should be done for good control of blood sugar level. Asana, specifically useful to improve functions of the
More informationThe Benefits of Mindfulness Meditation for the Elderly
'Mindfulness' is a popular catchword these days. We are inundated with books, shows, movies, articles and even unsolicited emails celebrating the benefits of mindfulness and inviting people to try it.
More informationWelcome to MedWell. Patient Information. Name: Address: City: State: Zip Code: !Other. Name: Address: City: State:
1 Welcome to MedWell Patient Information Date: Name: Date of Birth: / / Address: City: State: Zip Code: Home Phone: ( ) - Cell Phone: ( ) - Email: Gender:! Male! Female Last 4 of Social Security Number
More informationMASSAGE FEEL THE DIFFERENCE REMEDIAL, SPORTS, RELAXATION, INJURY PROFESSIONAL CHINESE MASSAGE
MASSAGE PROFESSIONAL CHINESE MASSAGE FEEL THE DIFFERENCE REMEDIAL, SPORTS, RELAXATION, INJURY ZHONG S UNIQUE MASSAGE EXPERIENCE Dr Jason Zhong Dr Jason Zhong is a western-trained medical doctor and anaesthetist
More informationHemoglobin. What is it? Why is iron important? What food sources contain iron?
Hemoglobin What is it? Why is iron important? What food sources contain iron? Poor Diet Lack of Iron and B12 vitamins in the diet Blood Loss Pregnancy Genetics Fatigue due to cells and tissues not being
More informationGila Lindsley, Ph.D. SleepWell. Please bring this with you to the first appointment.
Gila Lindsley, Ph.D. SleepWell 7 White Pine Lane Lexington, MA 02421-6321 781.862.7331 Please bring this with you to the first appointment. SYMPTOM CHECKLIST FOR PEDIATRIC AND ADOLESCENT SLEEP-WAKE DISORDERS
More informationCoach on Call. Thank you for your interest in Lifestyle Changes as a Treatment Option. I hope you find this tip sheet helpful.
It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your UPMC Health Plan
More informationChapter 7 Physical Disorders and Health Psychology
Page 1 Chapter 7 Physical Disorders and Health Psychology Psychological and Social Factors that Influence Health Psychological, Behavioral, and Social Factors Are major contributors to medical illness
More informationDEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.
DEPRESSION OBJECTIVES: At the end of this class, you will be able to: 1.list and describe several kinds of depression, 2.discuss the signs of depression, and 3.relate the treatment of depression. INTRODUCTION
More informationPublished Research into Indian Head Massage An abridged collection of published research.
Published Research into Indian Head Massage An abridged collection of published research. Sue Bennett MICHT IIHHT Indian Head Massage practitioner Page 1 of 8 Massage Eases Alcohol Withdrawal Syndrome
More informationBenefits of Mindfulness
Benefits of Mindfulness Practices for Improving Emotional and Physical Well-Being It s a busy world. You fold the laundry while keeping one eye on the kids and another on the television. You plan your
More information- copyright
Relaxation Exercises Let s start with breathing! Your breathing is often the first thing to be affected by stress. When we are anxious we tend to hunch up the shoulders and breathe in a more rapid and
More informationStress. Chapter Ten McGraw-Hill Higher Education. All rights reserved.
Stress Chapter Ten What Is Stress? } Stress is the collective physiological and emotional responses to any stimulus that disturbs an individual s homeostasis } A stressor is any physical or psychological
More informationHOW TO SPA. RESERVATIONS: Advanced bookings are recommended to secure your preferred date and time of treatment.
ABOUT COOL SPA Extraordinary sensory experiences for your mind, body and soul have been replicated at Baba Beach Club. Leave your stresses at the door because the spa delivers modern treatments infused
More informationComplementary Therapy. For Relaxation and Stress Management Caroline Pearson
Complementary Therapy For Relaxation and Stress Management Caroline Pearson Complementary Therapies Received alongside any treatment and medication to complement them Help manage symptoms Help manage side
More informationThis Progressive Relaxation Procedure is yours to use and to distribute as you see fit.
This Progressive Relaxation Procedure is yours to use and to distribute as you see fit. Jacobson s Progressive Relaxation Procedure Progressive Muscle Relaxation (PMR) Edmund Jacobson created the progressive
More informationTaking Care of Your Back
Taking Care of Your Back Most people will feel back pain at some point in their lives, but not all back pain is the same for everyone. The good news is, most low back pain improves without any treatment
More informationStress Management. Presented by: Jennifer Yuen. Campus Wellness Counselling Services. Strategies and Resources
Stress Management Strategies and Resources Presented by: Jennifer Yuen Campus Wellness Counselling Services Reflection Take a few moments now to reflect on and write down: 1. Which situations do you find
More informationThe MELT Method Longevity Fitness, Inc.
174: The MELT Method Restore Series Time Block E - Friday, 2:00-3:50pm Presented by: Sue Hitzmann, MS, CST, NMT, Creator of MELT Session Format: Workshop Chronic aches, pains and inflammation are not an
More informationCANNABIS LEGALIZATION: SUPPORT MATERIAL FOR MANITOBA PHYSICIANS
CANNABIS LEGALIZATION: SUPPORT MATERIAL FOR MANITOBA PHYSICIANS 1. GENERAL INFORMATION Cannabis 101 What is cannabis? Cannabis is a product derived from the Cannabis sativa plant. Cannabis contains hundreds
More informationApplication of tactile/kinesthetic stimulation in preterm infants: a systematic review
Application of tactile/kinesthetic stimulation in preterm infants: a systematic review Euro Health Care and Fitness Summit 2015 Valencia, Spain Vanessa Pepino J Pediatr (Rio J). 2015; 91(3):213-223 About
More informationHOW TO SPA RESERVATIONS:
ABO UT CO O L S PA Cool Spa by Sri panwa has become known for its extraordinary sensory experiences for both your mind, body, and soul. Now replicated at Baba Beach Club Hua Hin, Cool Spa is designed to
More informationChronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis/Encephalopathy (ME)
Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis/Encephalopathy (ME) This intervention (and hence this listing of competences) assumes that practitioners are familiar with, and able to deploy,
More informationAustin Quan Yin Newsletter
December, 2014 Volume 5, Issue 12 Austin Quan Yin Newsletter Special Interest Articles: glucose tolerance Nutrition in pregnancy headaches Time for a better paradigm in health care Asthma Probiotics and
More informationThe In Bed Workout or the Getting Up Routine
The In Bed Workout or the Getting Up Routine This is a great way to wake up and make good use of time. Just think, instead of lying there wasting 10 minutes thinking about getting up, you can complete
More informationVermeulen, Liebenberg, Dippenaar en Louw Fisioterapeute
Vermeulen, Liebenberg, Dippenaar en Louw Fisioterapeute In the Office Relaxation? Relaxation at work? Why doesn t my pain go away? Acute pain = Short term pain (Sprained ankle) Persistent/ Chronic
More informationMIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE
MIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE Landrew Sevel, PhD Osher Center for Integrative Medicine at Vanderbilt Department of Psychiatry
More informationHOW TO DEAL WITH SLEEP PROBLEMS
The Handbook on Successful Ageing HOW TO DEAL WITH SLEEP PROBLEMS Up to 50% of the elderly complain of insomnia, but although such complaints are prevalent and are often accompanied by higher rates of
More informationWhat You Will Learn to Do. Linked Core Abilities
Courtesy of Army JROTC U4C1L3 Components of Whole Health Key Words: Balance Behavior Calories Decision Fitness Metabolism Self-discipline What You Will Learn to Do Develop a plan for life-long health Linked
More informationCounter Control Instructions University of North Carolina Hospitals Sleep Disorders Center
Counter Control Instructions 1. Stay in bed during the appropriated time period whether you are able to fall asleep or not. From to 2. Spend thirty minutes each day in the bed performing work, reading
More informationRecovering at home. How will I feel when I get home? How should I look after my wound?
How will I feel when I get home? Following your operation it is normal to have feelings of stress, anxiety or depression. Being affected emotionally is normal. It may help to talk about how you feel with
More informationHealth Promotion Research: Smoking Cessation. Paula Sawyer
Running Header: Smoking Cessation Health Promotion Research: Smoking Cessation Paula Sawyer Smoking Cessation 2 Abstract A review of the negative effects of smoking is provided, as well as brief description
More informationCoach on Call. Letting Go of Stress. A healthier life is on the line for you! How Does Stress Affect Me?
Coach on Call How Does Stress Affect Me? Over time, stress can affect the way you feel, think, and act. You need some time when you are free of stress. You need ways to get relief from stress. Without
More informationLatent Phase of Labour
www.mcht.nhs.uk Latent Phase of Labour Congratulations! You are in the latent phase of labour! The length of time that this phase can take can be difficult to judge, but it can become a long and exhausting
More informationSleep disturbances in depressed pregnant women and their newborns
Infant Behavior & Development 30 (2007) 127 133 Sleep disturbances in depressed pregnant women and their newborns Tiffany Field a,b,, Miguel Diego a, Maria Hernandez-Reif a, Barbara Figueiredo c, Saul
More informationSession 16: Manage Your Stress
Session 16: Manage Your Stress Stress is part of life. However, you can learn better ways to take care of yourself when faced with stress. Stress is not always bad. Some stress can make life interesting
More informationSWEDISH MASSAGE POSTERIOR LEG
WWW.MASSAGETUTOR.COM SWEDISH MASSAGE POSTERIOR LEG 2 SWEDISH MASSAGE POSTERIOR LEG INTRODUCTION Swedish massage is the fundamental and the most popular massage technique for relaxation. However, it goes
More informationMASSAGE. It s an excellent no, AWESOME nondrug strategy for pain control! 8/31/2012. Massage & Healing Touch Therapy. Evidence for Massage and Pain
Massage & Healing Touch Therapy Enhancing Pain Control for Infants & Children Barb Symalla, RN, CNS Jill Maltrud, BS, NCMBT, HTIP-A, CIMT Barb Cant, RN, NCMBT,CHTP, CPMT MASSAGE It s an excellent no, AWESOME
More informationFeatured Topic: Alzheimer s (5 slides)
Featured Topic: Alzheimer s (5 slides) The Rise of Alzheimer s Disease Mild memory problem: where did I put my car keys? Alzheimer s: what am I supposed to do with these keys? Scary Statistics: Between
More informationScrip Companies 1
By: Kray Kibler, Chief Operating Officer and Chief Financial Officer, Scrip Companies www.scripcompanies.com 2014 - Scrip Companies 1 Responding to cost trends in the U.S. healthcare system and the influence
More informationProgesterone. What is progesterone? Important information. Before taking this medicine
Progesterone Generic Name: progesterone (proe JESS te rone) Brand Names: First Progesterone MC10, Menopause Formula Progesterone, Prometrium What is progesterone? Progesterone is a female hormone important
More informationComplementary Therapies
Complementary Therapies August 7, 2018 Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject Complementary Therapies Complementary/alternative/integrative
More informationFirst Name Middle Last Today s Date / / Age Male/Female Date of Birth / / SS# - - Address City State ZIP Phone: Home Cell Phone Provider Address
First Name Middle Last Today s Date / / Age Male/Female Date of Birth / / SS# - - Address City State ZIP Phone: Home Cell Phone Provider Email Address Do you have Medicaid? Y / N (present your card to
More informationNEW PATIENT QUESTIONNAIRE For Dr Benoy Benny. Section 1: Today s Date: Date of Birth: Age:
Baylor Physical Medicine and Rehabilitation NEW PATIENT QUESTIONNAIRE For Dr Benoy Benny Dear Patient: Please complete this questionnaire before you come for your appointment. Be sure to call us as soon
More informationYOUR GUIDE ABOUT. Fat & Weight Loss ALL YOU EVER WANTED TO KNOW
YOUR GUIDE ABOUT Fat & Weight Loss ALL YOU EVER WANTED TO KNOW INTRODUCTION What is fat? Types of fat CHAPTER 01 Belly and Upper body Fat Causes and what to do 3 tips on how to manage stress CHAPTER 02
More informationZONING FILE Attachments: 1. Staff Report. 2. Notice of Public Hearing
ZONING FILE 15-32 Attachments: 1. Staff Report 2. Notice of Public Hearing X:\Zoning\Zoning Cases\2015\ZF 15-32 Massage-Foot Spa CZO Text Amendment\2016-01-19 CPC Packet Info\ZF 15-32 Attachment List.docxe
More informationSMOKING CAUSES PERIPHERAL VASCULAR DISEASE SMOKING CAUSES PERIPHERAL VASCULAR DISEASE SMOKING CAUSES PERIPHERAL VASCULAR DISEASE
PERIPHERAL VASCULAR DISEASE PERIPHERAL VASCULAR DISEASE GANGRENE Smoking damages your blood vessels, which can prevent blood circulation, particularly to your legs or feet. This can result in blood clots,
More informationA new website is underconstruction with the latesest updated information. Please us ethe below as a general guide only.
Important Note A new website is underconstruction with the latesest updated information. Please us ethe below as a general guide only. The Below has become of historical interest only. Reproduced verbatim
More informationREFLEXOLOGY By INGE DOUGANS READ ONLINE
REFLEXOLOGY By INGE DOUGANS READ ONLINE 1/24/2014 This programme has been designed to give you an insight into this very valuable health care option, not only explaining how it works, but also We take
More information16 May/June 2014 Energy Magazine
16 Healing Touch An Integrative Therapy in Outpatient Oncology Debra Reis, MSN, RN, CNP, Program Coordinator - Healing Care, ProMedica Cancer Institute Tisha Jones, MSW, ProMedica Hickman Cancer Center
More informationCONTENTS. Preface. Introduction. The Gem Sticks. Working with the Hand Rod or Pendulum. Types of Therapy. Gemstone Reflexology By Nora Kircher
Gemstone Reflexology By Nora Kircher CONTENTS Preface Introduction The Gem Sticks Amethyst Aventurine Fluorite Heliotrope Rock Crystal Rose Quartz Rutile Quartz Sodalite Working with the Hand Rod or Pendulum
More informationHELPFUL THOUGHTS ABOUT STRESS... How to think about what makes us stressed: Be forgiving of yourself and others. Every day is a gift!
HELPFUL THOUGHTS ABOUT STRESS... How to think about what makes us stressed: Live in the present. Be forgiving of yourself and others. Every day is a gift! Positive thinking doesn't mean always being happy-go-lucky.
More information