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Research kids on massage due to stress on school works

Instructions

Please read and answer the following questions and scenarios. Answers should be clearly typed and printed for submission.

Please give 2 examples of why you would undertake research..

  • The research is based on my experience of seeing some parent will take their kids on massage due to stress on school works;
  • Another example, my nephew is quite overactive, so his mother always try to do some simple massage when put him to sleep.

2.Scenario:

In class in a group of 3 or 4

Conduct research to ensure the best practice for your client.

Tell your supervisor how you:

  • Source information
  • Evaluate the validity of the information
  • Recognise the use research processes
  • And any cultural and ethical consideration for research

A client calls your clinic and tells you they have Temporo-Mandibular Joint Dysfunction. You are unsure about the details of this condition and whether you are able to safely and effectively treat this client.

Satisfactory

Unsatisfactory

Comment

Given multiple options for sourcing information and research with in the massage industry e.g. industry journals/publications, clinical journals, research papers, google scholar, peer discussion.

Explained how they can validate the information and or research

e.g. writer having clear reputable references, sources of information, sound research process.

Explained research processes

e.g. Establish a need/ problem, Define your terms, determine research design, Make a hypothesis, Choose your research method, Collect your data, Interpret your data, present data

Given examples of cultural and ethical considerations.

E.g. Adaptation. Changing existing materials to make the resulting materials more suitable for another socio-cultural context or a particular population.

Anonymity. Recording or storing information without name or identifier, so the respondent cannot be identified in any way by anyone.

Consent (informed consent) A process by which a sample member voluntarily confirms his or her willingness to participate in a study, after having been informed of all aspects of the study that are relevant to the decision to participate.

Cultural sensitivity. considering the cultural background of participates and adapting or accommodating for differing believes, requirements. In massage context, dressing, undressing, photos, presents of opposite gender present.

3.Provide a brief description of the following when referring to evidence based practice


  1. Rules/levels of evidence

Randomised controlled studies: This is a study type that randomly assigns participants into experimental group andcontrolgroup. The only difference between both of them is the result ofstudied.

Controlled longitudinal studies: It is done with control group that includes repeated observations of the same variables over long periods of time, often many decades.

Uncontrolled longitudinal studies: Alongitudinalstudy is done with varying groups of people In the uncontrolled context.

Cross sectional studies: This study defined population at a point in time or over a short period of time to examines the relationship between disease or health condition and other variables.

Case studies: This is about record of a person or group of people to progress over a period of time.

Expert opinion: The opinion or hypothesis of a field from an expert with no current or relevant research to prove.

  1. Duty of care requirements in regards to using information you obtain when researching with clients

Massage therapists have a duty of responsibility to ensure the all safety of our client visit and treatment at the clinic and evidence based practice is the best way to ensure the treatment provided is safe as it can be, it is the latest information, studies and evidence within the massage industry.

  1. The difference between evidence based practice, continuous quality improvement and research.

Evidence-based practice is about employing the latest evidence into the massage industry practice.

Continuous quality improvement is use the latest and best practices from all the members to ensure the industries safety, legitimacy.

Research is the process of getting information to ensure ongoing knowledge, learning and best practice.

Here are two research articles regarding the same issue of massage for Low Back Pain. Please read and answer the questions that follow

Massage for Low-back Pain: A Systematic Review within the Framework of the Cochrane Collaboration Back

Review Group

Furlan, Andrea D. MD*†; Brosseau, Lucie PhD‡; Imamura, Marta MD, PhD§; Irvin, Emma*

Abstract

Background. Low back pain (LBP) is one of the most common and costly musculoskeletal problems in modern society. Proponents of massage therapy claim it can minimize pain and disability and speed return-to-normal function.

Objectives. To assess the effects of massage therapy for nonspecific LBP.

Search Strategy. We searched MEDLINE, Embase,Cochrane Controlled Trials Register, HealthSTAR, CINAHL, and dissertation abstracts through May 2001 with no language restrictions. References in the included studies and in reviews of the literature were screened. Contact with content experts and massage associations was also made.

Selection Criteria. The studies had to be randomized or quasirandomized trials investigating the use of any type of massage (using the hands or a mechanical device) as a treatment for nonspecific LBP.

Data Collection and Analysis. Two reviewers blinded to authors, journals, and institutions selected the studies, assessed the methodologic quality using the criteria recommended by the Cochrane Collaboration Back Review Group, and extracted the data using standardized forms. The studies were analyzed in a qualitative way because of heterogeneity of population, massage technique, comparison groups, timing, and type of outcome measured.

Results. Nine publications reporting on eight randomized trials were included. Three had low and five had high methodologic quality scores. One study was published in German, and the rest, in English. Massage was compared with an inert treatment (sham laser) in one study that showed that massage was superior, especially if given in combination with exercises and education. In the other seven studies, massage was compared with different active treatments. They showed that massage was inferior to manipulation and transcutaneous electrical nerve stimulation; massage was equal to corsets and exercises; and massage was superior to relaxation therapy, acupuncture, and self-care education. The beneficial effects of massage in patients with chronic LBP lasted at least 1 year after the end of the treatment. One study comparing two different techniques of massage concluded in favor of acupuncture massage over classic (Swedish) massage.

Conclusions. Massage might be beneficial for patients with subacute and chronic nonspecific LBP, especially when combined with exercises and education. The evidence suggests that acupuncture massage is more effective than classic massage, but this needs confirmation. More studies are needed to confirm these conclusions, to assess the effect of massage on return-to-work, and to measure longer term effects to determine cost-effectiveness of massage as an intervention for LBP.

Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial

Michele Preyde

+Author Affiliations

  1. Michele Preyde is a PhD student in the Faculty of Social Work, University of Toronto, and a member of the College of Massage Therapists of Ontario, Toronto, Ont.

Abstract

Background:The effectiveness of massage therapy for low-back pain has not been documented. This randomized controlled trial compared comprehensive massage therapy (soft-tissue manipulation, remedial exercise and posture education), 2 components of massage therapy and placebo in the treatment of subacute (between 1 week and 8 months) low-back pain.

Methods:Subjects with subacute low-back pain were randomly assigned to 1 of 4 groups: comprehensive massage therapy (n= 25), soft-tissue manipulation only (n= 25), remedial exercise with posture education only (n= 22) or a placebo of sham laser therapy (n= 26). Each subject received 6 treatments within approximately 1 month. Outcome measures obtained at baseline, after treatment and at 1-month follow-up consisted of the Roland Disability Questionnaire (RDQ), the McGill Pain Questionnaire (PPI and PRI), the State Anxiety Index and the Modified Schober test (lumbar range of motion).

Results:Of the 107 subjects who passed screening, 98 (92%) completed post-treatment tests and 91 (85%) completed follow-up tests. Statistically significant differences were noted after treatment and at follow-up. The comprehensive massage therapy group had improved function (mean RDQ score 1.54 v. 2.86-6.5,p< 0.001), less intense pain (mean PPI score 0.42 v. 1.18-1.75,p< 0.001) and a decrease in the quality of pain (mean PRI score 2.29 v. 4.55-7.71,p= 0.006) compared with the other 3 groups. Clinical significance was evident for the comprehensive massage therapy group and the soft-tissue manipulation group on the measure of function. At 1-month follow-up 63% of subjects in the comprehensive massage therapy group reported no pain as compared with 27% of the soft-tissue manipulation group, 14% of the remedial exercise group and 0% of the sham laser therapy group.

Interpretation:Patients with subacute low-back pain were shown to benefit from massage therapy, as regulated by the College of Massage Therapists of Ontario and delivered by experienced massage therapists.

5 .

a) Give one similarity and one difference between these two studies.

Similarity -- massage therapy of low-back pain effect

Difference -- trials methods different, first one is Qualitative Study, the other one is Quantitative Study.

b) Is there anything within either of these studies that you dispute or think they couldhave done better? Explain.

Increase the number of participating and time in the experiment to make the results more reliable.

c) Is there any other professionals that could benefit from either of these two studies?

Physiotherapist

Please highlight the most relevant parts of the second study.

  1. Think about how you might treat a client with generalised Lower Back Pain and explain what you could include or improve on with your practice based on the outcomes of these studies.

Can do some gentle myofascial release and Friction also improve my practice experience from both studies.

Research the following conditions and record two current ideas on how to treat them. One massage based and one medical based: (only record relevant information)

Conduct research on the following 2 health issues and current practice for treating them

-Include your research methods and sources

-Symptoms

-Causes

  1. Fibromyalgia:

Description of condition

Fibromyalgia (FM) is heightened pain response to pressure, tiredness, sleep problems, and troubles with memory. it is also frequently associated with depression, anxiety, and posttraumatic stress disorder.

Cause

The cause of fibromyalgia is unknown.

  • Medical Treatment

Psychological consultation, Medication, Nutrition supplement

  • Source of information

Wikipedia.

American Academy of Orthopaedic Surgeons (AAOS).

  • Massage Treatment

Myofascial release techniques with relaxation techniques.

  • Source of information

American massage therapy association (AMTA)

  1. Depression:

Description of condition

Life events and changes that may precipitate depressed mood such as bullying, natural disasters, rape, relationship troubles, jealousy...etc.

Cause

Unproven.

  • Medical Treatment

Psychotherapy, change life style…etc

  • Source of information

Wikipedia

American Psychiatric Association

  • Massage Treatment

Relaxing massage

Swedish massage

  • Source of information

American Massage Therapy Ass0ciation

  1. Name different sources of current information in the massage industry

The Massage Therapists Society (TMTS)

Holistic Massage Therapists Association of Canada (HMTAC)

The International Federation of Aromatherapists (IFA)

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