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National Swim Centre: Experience Helps Two Grads Bringing Massage Therapy to the Olympics Parkinson’s and Massage Therapy
President’s Message
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hese past two years have presented challenges for the Massage
Therapy Profession in British Columbia. We have faced the uncertainty and
impact that the Agreement on Internal Trade (AIT) has and will have on the
profession in this province. There is no doubt that there is divergent opinion within BC’s RMT community as to how to deal with the AIT.
Massage Therapists’ Association of British Columbia
The challenge is to ensure that whatever the decision, it is based on sound
Massage Matters
information, transparency, due process and accountability to government, the public and the profession itself. Working together is more important now than ever. We trust that as we move closer to an agreement on “national standards,” all stakeholders, including the professional body, will be engaged in a meaningful way. While the impact of the AIT is certainly a challenge, the future of the profession is bright and full of promise and the acknowledgement that RMTs in BC are recognized as among the best in the world. Recently, our association won the bid to host the 2012 World Fascia Research Congress – an indication of the level of training that BC RMTs hold in the world. We know that this congress will be a great event for our profession in BC and will attract top-notch researchers from all over the world. But, more importantly, it will have a significant impact right here at home; it has already attracted the attention of BC Universities and Colleges as well as other professional health care associations. This congress will be an opportunity to communicate and share groundbreaking research that crosses many health care professions. I am proud that our association is the only massage therapy organization in Canada with a funded research department. We know that a significant part of that work is knowledge transfer. More and more, our members are contacting the office for treatment information and we will continue to produce our research reports and offer the Electronic Health Library (eHLb) to our members so that they have the most current research when treating their patients. I would like to take this opportunity to thank Matt Furlot, RMT for his hard work on the 2010 Olympics. As the Manager of Massage and Hydrotherapy, Matt has made sure that our profession is a part of the Host Medical Team for VANOC. I know Matt and the 43 RMT volunteers for the games will showcase our profession well. I encourage everyone to attend our 2010 Annual General Meeting on April 11, 2010. We have a great line-up of speakers for you, and look forward to seeing you there.
Damon Marchand, President
A Journal for Registered Massage Therapists
Please direct your comments to dave@massagetherapy.bc.ca, subject heading “Letters,” where they will be forwarded to the MTABC Board for review. Editor in Chief David DeWitt Editor Lori Henry Publisher Paul Holden 604-608-5154 pholden@biv.com Sales Victoria Chapman 604-741-4189 vchapman@biv.com Design Don Chin Editorial Board Bodhi Haraldsson Anita Wilson Brenda Locke Linda Thorpe Dee Willock Damon Marchand Mission Statement This publication is intended to provide a voice to BC’s Registered Massage Therapists, a source for the latest research and a vehicle for the general population to understand and respect the valuable work of our RMTs. Massage Matters is published three times a year for Registered Massage Therapists. Funding is provided from the MTABC and advertising revenues. Massage Therapists’ Association – MTABC 180 - 1200 West 73rd Avenue Vancouver, British Columbia V6P 6G5 Tel: 604-873-4467 Fax: 604-873-6211 Toll Free: 1-888-413-4467 Email: mta@massagetherapy.bc.ca www.massagetherapy.bc.ca
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contents in this issue: Science
Olympic Games
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Tax
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Classified
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Reports
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Experience with National Swim Centre Helps Two Recent Grads by karilyn kempton
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Bringing Massage Therapy to the Olympic Games
Parkinson’s and Massage Therapy
by matt furlot
by robbin jeffereys
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Cover photo credit: DT DeWitt
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Christin Sadler and Nathan Skirrow. photo: DT DeWitt
Experience with the National Swim Centre Helps Two Recent Grads Dive into their Careers by karilyn kempton Two recent massage therapy graduates got the opportunity of a lifetime this spring when they worked with the Vancouver National Swim Centre to help elite swimmers prepare for world class events. RMTs Christin Sadler and Nathan Skirrow, now both members of the Massage Therapists’ Association of British Columbia, were chosen out of a field of students because of their passion for sports massage and their history of involvement with competitive swimming. Both Sadler and Skirrow come from competitive swimming backgrounds and have experienced first-hand the benefits of massage therapy for swimmers. Both grads call the opportunity a tremendous learning experience. RMT Eugene Liang is the chief therapist with the National Swim Centre and Liang uses RMT students to assist with the team rather than professional RMTs because “our students and grads are our future. We need to leave this profession better than when we came into it,” he says, and he believes that “[a]s instructors and leaders in this field, we must give our students and recent grads the opportunities to improve on what we have done and not reproduce what we are.” He believes that national level sport is a realm where massage therapists are asked to grow, yet also asks RMTs to be selfcritical in order to progress. Sadler was nominated to go to Leeds, England as part of the support staff for Swim Canada and Skirrow travelled with
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the team to Montreal, QC. Both Sadler and Skirrow worked intensively with the team for between one and two weeks, working on chronic musculoskeletal injuries, acute injuries, maintenance of biomechanical ROM, and contributing to Integrated Science Team discussions. How did Liang select Sadler and Skirrow? The process was multilevel: chosen students had to be in their last term of the 3,000-hour program, show academic aptitude and massage proficiency, work well with others, demonstrate an ability to learn on the fly, think critically and problem solve, and take criticism while interacting with other health care professionals. “I have a great opportunity in creating outreach programs for students [through the National Swim Centre],” says Liang, grateful for the opportunity. His outreach programs, which are outside of normal WCCMT hours and sometimes have long or inconvenient hours for students, give him the opportunity to observe “the initiative and work ethic involved in these outreaches [so that] I get a good idea of how ‘badly’ some students want to learn.” The initiative shown by Sadler and Skirrow through Liang’s outreach programs helped to push them over the edge. Liang and his team had confidence in the abilities of Sadler and Skirrow, “and we basically knew that these two students would not ‘drown’ when thrown into the water, no pun intended,” chuckles Liang. Christin Sadler has been involved with competitive swimming for more than ten years, as an athlete, coach and
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therapist. She said that coming from that background helped her anticipate what the athletes need: “As an athlete, I utilized massage therapy as part of my training,” she says, “so I knew what to expect walking back into the swimming world as an RMT. The biggest role we played as support staff was to be there for the athletes. We were available for them all day – first ones on the deck in the morning, last ones off the deck at night – and available for them if they needed a treatment between the sessions at the hotel.” Her experiences working with the National Swim Team were beneficial: “Since I used to be a competitive swimmer, I was able to relate easily to the swimmer’s movement patterns and treatment needs.” Sadler also volunteered for the Canadian Interuniversity Sport Championships held at UBC in both 2008 and 2009, working multiple days and shifts with the team and meeting swimmers. Despite the high-pressure environment, Sadler calls her work “really fun,” adding that, “It was great working with the team. Everyone had great energy, which created a very positive atmosphere.” The RMTs both noted the obvious positives of their experiences (including extensive travelling, working with Olympic athletes, and being involved in record breaking performances), but also indicated
Eugene Liang. photo: DT DeWitt
that while not all learning experiences were pleasant, all were invaluable. Nathan Skirrow admits that his experience in Montreal was very fast-paced, and laughs that he “should’ve slept on the plane” during his red-eye flight from Vancouver, because he worked full days with little time between swimmers: “I learned quickly that you don’t keep hours in this arena,” he jokes, “only moments of completion.” Skirrow says that a lot of the athletic training for his position was covered in class with Liang, but he was given a crash course on Continued on page 6
Structural Myofascial Therapy (SMFT) With course developer BetsyAnn Baron
Course Level 1 coming to the following locations: (Locations and Times TBA) ■ Calgary: May 8, 9, and 10, 2010 ■ Edmonton: May 14, 15, 16, 2010 ■ Kelowna: June 18, 19, 20, 2010 SMFT is a deep, hands on therapeutic technique combined with postural awareness exercises, which treat the body’s myofascial system. With slow, deep and deliberate manoeuvres, this work accesses the myofascial structure with amazing efficiency. BetsyAnn Baron has been a massage therapist since 1991. In 2001 she began studying CORE Myofascial Therapy with George Kousaleos and soon after, through advanced studies, became a therapist specializing in CORE Structural Integration. The fifteen years of experience as soloist with Les Grands Ballets Canadiens de Montreal, prior to studying massage therapy; have given her first hand experience with the body, its movements and its injuries. BetsyAnn is highly regarded and appreciated as both a therapist and a teacher.
In Level 1 you will learn: ■ Full myofascial body treatment protocol including anatomy/physiology to support your understanding of the work. ■ Postural Somatic Awareness (PSA) a fantastic subjective evaluation and educational tool for you the therapist as well as for your clients. ■ How to work with these 3 paradigms, (treatment protocol): ❘ palliative ❘ corrective ❘ integrative ❘
BetsyAnn is a Board certified Structural Integrator and member of the International Association of Structural Integrators (IASI). She also a member of the Fédération Québecoise des Massothérapeutes (FQM).
SMFT enriches the practices of massage therapists, physiotherapists, athletic therapists, osteopaths and other hands on health care professionals.
Structural Myofascial Therapy
Your clients will: ❘ Rejuvenate injured tissue ❘ Increase their range of motion ❘ Breathe deeper and easier ❘ Decrease chronic pain ❘
Course cost: $525.00: $500 + GST payable by cheque, money order, OR credit card For more information on how to register please contact Denise Williams: at denise_massage42@yahoo.ca or call (403) 679-9221 b c
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illustration by: Trevor Bryden
behaviour related to working with the team, including the chain of command, the role of support staff for the athletes, and dos and don’ts of the meet: “Very finite information on protocol for the environment,” says Skirrow. Skirrow also admits that it was incredibly important for him to be in the moment and aware of how each individual athlete was feeling: “[S]ome swimmers would be getting ready for a race, going through their psychological ritual, and others had just finished racing and were decompressing,” says Skirrow. “The environment was always twisting with these polar opposite mindsets. I needed to be continuously mindful of where a swimmer was in that cycle, and treat accordingly.” Eugene Liang speaks frankly about his belief that education for massage therapists is not rigorous or scientific enough as a whole, so he made sure to fully immerse his students in the science of all the other team members. “In working with our national teams, these two students were given carte blanche with our Integrated Science Team (IST). These include our physiotherapists, physiologists, MDs, chiropractors, biomechanists and sport psychologists. They were not limited in their access to the IST members or to athletes. They were fully allowed to contribute to discussions, debriefs, and such.” Skirrow is quite honest about how much he learned from others: “[E]veryday brought a new opportunity for me to watch and learn from a new practitioner. I tried to learn as much as I could through osmosis.” Skirrow admires the support staff, calling them “a well-tuned machine.” However, Liang is quick to point out that athlete performance ultimately depends on the athlete. “Instill trust in their preparation,” he insists, and places the power on the athlete “by creating an environment of accountability, responsibility and durability.” This can be difficult, he admits. “All therapists want to be the enabler,” he says,”“to be the one that treated Mr. World-record-all star-so-and-so… however, what is hard to learn is that you are only a small cog in the machine” (though he admits that it is an equally important cog). “Every staff member plays a role in success OR failure,” says Liang, and while “in these two cases we were very successful,” he’s careful to stress the importance of responsibility and accountability. “I always say to colleagues or students that ‘lay claim’ to a great athletic
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performance: If he lost, would you have been taking responsibility as well?” Similarly, Skirrow admits that “the long hours of training that staff and swimmers themselves put in is what ensured their performance. Treatments at the point of competition were only supportive, involving a lot of stretching, flushing and just maintaining a positive demeanor and atmosphere.” The whole experience, says Skirrow, “left me with a strong understanding of what is required of someone to be able to handle the intensity of that environment and what is required to be able to recognize and adapt to the needs of the athletes,” and both he and Sadler feel honoured to have worked with such an accomplished team at critical competition times. Interestingly, Liang indicated that he felt both RMTs realized “how small a role they play,” but still Sadler called it a “fantastic experience and a huge confidence boost.” Sadler said her experiences have built her confidence as a therapist providing treatment to athletes, and calls her time with the team “motivational.” Liang hopes that the experience will inform the careers of Sadler and Skirrow: “[M]y hope is that students like these two will be better than I ever can be as a therapist or educator or professional. The only way to do this is to give them the tools to be self reflective and self corrective.” Sadler is now working at Total Therapy Rehabilitation & Wellness Center in Burnaby and is focused on sports massage for people of all ability levels: “I love working with all athletes – anyone from weekend warriors to professional level – to help them achieve their individual health goals,” she says. “I believe massage therapy is a great asset to any team/athlete’s individual personal training plan.” Skirrow is currently working at three Lower Mainland clinics – South Granville Chiropractic & Massage Therapy, Mainland Clinic and Mountainview Wellness Centre – so the fast pace of working with the team apparently agreed with him. He admits that he will always jump at the chance to work with the UBC swim team. Skirrow is currently finishing a Bachelor of Health Sciences from Thompson Rivers University and is considering enrolling in a chiropractic program at Simon Fraser University. No matter where his career takes him, he plans to be involved in medical research on the benefits of massage therapy in athlete training cycles. •
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Awaken your Awaken your Healing Potential Healing Potential
Cranial Sacral Therapy Certificate Program Learn how to use gentle touch to support the body’s natural capacity for self repair.
Cranial Sacral Therapy Certificate Program
Gain a basic understanding of Cranial Sacral Therapy and the therapeutic manual skills needed Learn how to use gentleThis touch to support the body’s natural for self repair. to heal based on anatomy and physiology. part-time program is designed tocapacity fit into your schedule and is approved for education credits by the College of Massage Therapists of BC. Gain a basic understanding of Cranial Sacral Therapy and the therapeutic manual skills needed to heal based on anatomy and physiology. This part-time program is designed to fit into your schedule and is approved for education credits by the College of Massage Therapists of BC.
Spa Therapy & Holistic Massage Certificate Program
This full-time program gives you 1000 hours of training in Thai Massage, Swedish Massage, and Aromatherapy.
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Thisafull-time gives 1000inhours training in Thai Massage, Swedish Massage, and Students will complete 2-monthprogram practicum (320you hours) a spaof setting prior to the conclusion Aromatherapy. of the program. Earn credit for further study to become a Registered Massage Therapist and obtain eligibility to write the Registered Aromatherapist licensure exam. Students will complete a 2-month practicum (320 hours) in a spa setting prior to the conclusio of the program. Earn credit for further study to become a Registered Massage Therapist and obtain eligibility to write the Registered Aromatherapist licensure exam.
Learn more. Call 604.323.5918 or visit www.langara.bc.ca
Learn more.
Call 604.323.5918 or visit www.langara.bc.ca
A Isolated Stretching ( A ctive3-Day Seminar
AIS)
ctive Isolated Stretching (AIS): the Mattes Method is a cutting edge method of stretching used by today’s massage therapists, personal trainers, athletic therapists and fitness professionals. Working with the body’s natural physiological makeup, this method of stretching improves circulation and increases fascial elasticity which helps eliminate physical pain and improve human performance. AIS is an outstanding modality for improving posture, eliminating abnormal curvatures such as scoliosis and kyphosis as well as restoring proper body alignment and helping eliminate physical pain. AIS plays a crucial role in the treatment of diseases or injuries such as Spinal Cord Injuries, MS, Sciatica, Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Neck and Back pain as well as Shoulder and Rotator Cuff conditions.
This 3 day course will empower you with stretching and myofascial protocols that will compliment your current techniques and strategies. Instructor: Paul John Elliott, LMT, Certified AIS Instructor, Advanced AIS Practitioner ■ ■
With national level AIS instructor Paul John Elliott
Calgary, AB AIS seminars – March 19, 20, 21; Foothills College of Massage British Columbia AIS seminars – Date and location TBA ■ Victoria, BC AIS seminars– April 17, 18, 19; James Bay Community Centre, 140 Oswego Street ■ Vancouver, BC AIS seminars– April 23, 24, 25; Sandman Hotel, Vancouver City Centre, 180 Georgia Street ■ Kelowna, BC AIS seminars – Location TBA; June 18, 19, 20
Please check www.stretchingcanada.com for further details Course Cost: $500.00
NHPC – 15 Continue Competency Credits MTAA – 24 Primary Continuing Education Credits CATA – 9.0 credits for 24 hour course
For registration information contact: Denise Williams (403) 679-9221 ❙ denise_massage42@yahoo.ca Visit: www.stretchingcanada.com to fill out registration form See website for details and dates and locations of other future seminars
SOMATIC EXPLORATIONS IS A FIRST OF ITS KIND FACILITY IN CANADA, PROVIDING ACCESS TO THE HUMAN BODY FOR ANATOMY DISSECTION / PRO-SECTION. Some of the offerings in the Lab: Pro-section: The viewing and study of anatomy utilizing a pre-dissected form. • Upper Extremity (7 credits CMTBC)
• Posterior Thorax (7 credits CMTBC)
• Anterior Thorax and Viscera (14 credits CMTBC)
• Head, Neck & Brain (7 credits CMTBC)
Complete Dissection: Participant driven & performed dissection of a human form over six days of Lab time. (42 credits CMTBC)
www.somaticexplorations.com • 604.519.0555 b c
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Science
The mechanisms of massage and effects on performance, muscle recovery and injury prevention by weerapong p, Hume PA, Kolt GS ABSTRACT: Many coaches, athletes and sports medicine personnel hold the belief, based on observations and experiences, that massage can provide several benefits to the body such as increased blood flow, reduced muscle tension and neurological excitability, and an increased sense of well-being. Massage can produce mechanical pressure, which is expected to increase muscle compliance resulting in increased range of joint motion, decreased passive stiffness and decreased active stiffness (biomechanical mechanisms). Mechanical pressure might help to increase blood flow by increasing the arteriolar pressure, as well as increasing muscle temperature from rubbing. Depending on the massage technique, mechanical
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pressure on the muscle is expected to increase or decrease neural excitability as measured by the Hoffman reflex (neurological mechanisms). Changes in parasympathetic activity (as measured by heart rate, blood pressure and heart rate variability) and hormonal levels (as measured by cortisol levels) following massage result in a relaxation response (physiological mechanisms). A reduction in anxiety and an improvement in mood state also cause relaxation (psychological mechanisms) after massage. Therefore, these benefits of massage are expected to help athletes by enhancing performance and reducing injury risk. • Sports Medicine – 2005;35(3):235-56 – abstract Full text available through MTABC member only website (link) under the research tab and then library.
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Bringing Massage Therapy to the Olympic Games by matt furlot, RMT, ATRI, SMT,
Vancouver 2010 Olympic and Paralympic Massage Manager When Jack Taunton, Chief Medical Officer for VANOC, called me four years ago and asked me to be the Massage Manager for the 2010 Olympics and Paralympics, I had no idea what an enormous responsibility this would become. I did, however, immediately recognize the opportunity it presented for furthering the profession of massage therapy and the attention RMTs would receive on a world scale. Never before in Olympic or Paralympic history has massage therapy been accredited as a vital part of host medical services, working along-side physicians, physiotherapists, chiropractors, and allied professionals as one integrated team. The process was not straight forward and there were many constraints related to budget, time commitment, and even accommodation that factored into placement of therapists. In the end, however, I am very satisfied with the team that was selected and I share a great sense of pride that the profession of massage therapy is being represented in such great numbers at the Games. Along with the MTABC, I would like to recognize and commend all the RMTs volunteering at the Olympics and Paralympics. These therapists have greatly extended themselves, adjusting to a loss of income during their placement, and committing anywhere between 9-15, eight-hour shifts. For every shift they will fight traffic, go through security screenings, start as early as 6 a.m. or end as late as 11 p.m., and always give their best effort to the athletes they treat from around the world. As these therapists represent the profession of massage therapy, the world will be watching! An event like this will undoubtedly excel the awareness and recognition of massage therapy as a viable choice of treatment and focus attention on the vital role we play in BC health care. Congratulations to the following therapists who are being placed during the Games: Olympics Vancouver Team: Leah Startup, Rod Cheston, Sukh Mann, Joel Knox, Vincent Lam, Heather Locke, Tyler Godding, Erin Maxymchuk, Kip Petch, Ken Scheel, Murray Schwabe. Whistler Team: Carolyn Daubeny, Denise England, Jennifer Free, Sarah Hammerton, Paula Kent, Nancy Laythorpe, Nicholas Lee, Jennifer Moss, Renee Sheldon, Mairin Viol, Patrick Legge. Paralympics Vancouver Team: Rod Cheston, Angela Yip, Murray Schwabe, Anita Wilson, Phil Letts, Kristy Wiltshire, Kim Mark-Goldsworthy, Murray Schwabe. Whistler Team: Sukh Mann, Chantal Black, Carolyn Daubeny, Kathrine Farnell, Jennifer Free, Matthew Halverson, Brad McLelland, Renee Sheldon, Mairin Viol, David Oakie. Thank you to the MTABC and the CMTBC for their continued support and efforts over the past four years. •
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Taxation
Employment Benefits and the Self-Employed by pat newton, accountant New Federal legislation, Bill C-56, extends special Employment Insurance benefits to the self-employed: maternity benefits (maximum 15 weeks), parental benefits (35 weeks for either parent), sickness benefits (15 weeks), and compassionate care (6 weeks). You may be eligible to claim special EI benefits from January 2011 if you are self employed, a Canadian citizen or a permanent resident, and you have entered into an agreement with Service Canada before April 1, 2010. If you enter into an agreement after April 1, 2010 there is a twelve-month wait before being eligible to claim special benefits. Before applying for EI coverage, you need a personal access code from Service Canada, which can take up to 10 business days. To ensure that you become eligible at the earliest possible time, you need to apply for the access code before March 17 or 18, 2010. You can apply for an access code on the Service Canada website www.servicecanada.gc.ca (My
Service Canada Account) or in person at a Service Canada office. If you need help navigating the Service Canada website or would like more information about this new legislation, telephone 1-866-274-1962. If you wish to cancel coverage, you may do so without penalty within 60 days of first applying. If you cancel after 60 days you will have to pay EI premiums for that year. The cost of EI coverage is 1.73% on insurable net income up to a maximum of $43,200 in 2010 (the rate and maximum insurable earnings changes slightly from year to year). The maximum premium for 2010 is $747.36 and is payable along with income tax and CPP premiums on or before April 30 of the following year as calculated in your income tax return. Under separate legislation, besides the special EI benefit taxpayers may also be eligible for CPP disability benefits if unable to work at any job for an extended time due to illness or accident. •
E-mail : robert@massageessentials.ca
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Parkinson’s and Massage Therapy by robbin jeffereys Parkinson’s disease is the second most common degenerative neurological disorder after Alzheimer’s. Parkinson’s is caused by a loss of dopamine in the area of the brain called the substantia nigra with symptoms including tremor, rigidity, slowness of movement, impaired walking, difficulty with balance, sleep disturbance and mood disorders. The progression of the disease and accompanying symptoms vary with each individual. There is currently no cure for Parkinson’s. How Prevalent is Parkinson’s Disease? There are an estimated 11,000 individuals living with Parkinson’s disease (PD) in British Columbia and 100,000 in Canada. The average age of onset is 60 but it also affects people as young as 25 to 40. How is Parkinson’s Diagnosed? There are no specific brain scans or laboratory tests to confirm the diagnosis of Parkinson’s. Neurologists diagnose it with a thorough study of a person’s medical history and careful physical examinations. Tests may be done to rule out other conditions that may resemble Parkinson’s. What are the Primary Symptoms? • Resting tremor in the hands, feet or jaw • Rigidity • Bradykinesia (slowness of all movements) • Postural instability
What are the Secondary Symptoms? • Depression and/or anxiety (affecting up to 50% of people with PD) • Loss of impulse control (leading to behaviours such as compulsive gambling or sexuality) • Cognitive disturbance (including memory and problem solving deterioration) • Dementia • Hypomimia (reduced facial expression) • Hypophonia (softening voice with deterioration in voice rhythm and quality) • Micrographia (handwriting becoming small and cramped) • Sleep disorders • Gait difficulties (such as freezing and shuffling) • Pain, tingling or numbness • Orthostatic hypotension • Drooling • Constipation (affecting up to 50% of people with PD) How is Parkinson’s Treated? The primary treatment for Parkinson’s is medication and, in some cases, deep brain stimulation surgery. The drugs either replace the lost dopamine or mimic the action of dopamine in the brain. The medications can alleviate the symptoms but they do not slow the progression of the disease and, as the symptoms worsen, more medication is needed. Massage Therapy and Parkinson’s
Parkinson’s affects each individual in a different way and
Continued on page 16
Kutenai Institute of Integral Therapies presents: Kutenai Institute of Integral Therapies presents:
The Breath of Life: An Introduction The Breath of Life: An Introduction to Biodynamic Craniosacral Therapy to Biodynamic Craniosacral Therapy April 29-May 3 OR September 9-13, 9 am - 5:30 pm. 5-Day Seminar $650.
April 29-May 3 ORof September 9-13, 9 amNelson, - 5:30 pm. at Kutenai Institute Integral Therapies, BC 5-Day Seminar $650. at Kutenai Institute of Integral Therapies, Nelson, BC
More information and application forms available at www.kutenaiinstitute.com More information and application available at www.kutenaiinstitute.com or www.cherionna.com. Contact: forms info@kutenaiinstitute.com or 250-352-1665 or www.cherionna.com. Contact: info@kutenaiinstitute.com or 250-352-1665 b c
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the symptoms can vary from day to day. The adage of treating the individual, not the condition is well worth remembering. However, for most PD patients stress management is an essential component of treatment, as well as addressing the signs and symptoms of pain, stiffness, cramping, tremors, forward flexion and other postural concerns. Use of techniques such as Swedish massage, Rood techniques, muscle energy, hydrotherapy and passive photo: Parkinson Society of B.C. stretching has proven effective in helping PD patients manage their stress and temporarily alleviate some physical symptoms. Receiving regular massage treatments can help reduce tremors, correct posture and improve overall daily functioning, making a significant difference for someone with PD. Medication scheduling and side effects can present challenges to the massage therapist, though, so he or she may need to alter certain aspects of the treatment to better accommodate the patient. The following is a list of possible treatment-related complications you may encounter: On-Off Fluctuations
Medication effectiveness and dosage schedules are different for each person and medication on-off fluctuations are both common and unpredictable. In an off period, PD symptoms will worsen so it may be appropriate to enquire about the need for medication. Your client will need to sit quietly for at least 15 minutes after taking medication. Orthostatic Hypotension
Orthostatic hypotension is defined as a fall in blood pressure within three minutes of standing which may cause dizziness or fainting. This is a common problem for people with PD and clients should be cautioned to remain seated for several minutes before attempting to stand. Orthostatic hypotension, combined with the balance problems associated with PD, result in increased risk of falls and subsequent fractures. Close observation is required. Dyskinesia
Dyskinesia is a side effect of certain PD medications and is characterized by uncontrollable movement. Sometimes it is limited to an ankle or foot, while at other times it involves the entire upper body in jerky involuntary motion. Dyskinesia can occur when medication has been recently taken and blood levels are at their peak. Many people time their medication in order to have the best PD symptom control at certain times, such as appointments. Peak blood levels of certain medications
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do, however, increase the likelihood of dyskinesia, making treatment potentially difficult. Hypomimia
Do not mistake lack of facial expression for depression or lack of interest. It may be as a result of the illness. Balancing and Falling
If these symptoms seem to be worsening during the appointment, do not hesitate to ask if the next dose of medication is required. Freezing
If your client is having gait difficulties such as freezing, it can be helpful to stand next to them, put your own foot forward for a step, and encourage the person to follow your stepping action. Swallowing
If you client takes medication while in your office and has difficulty swallowing, offering them iced soft drinks or ice-cold water to sip on can be helpful. Swallowing problems can be dangerous and careful observation is necessary. Other Options for Parkinson’s Symptoms Management Physiotherapy
Physiotherapy is very useful in identifying and treating balance problems as well as for relieving pain, regaining range of movement, restoring muscle strength and enhancing the ability to cope with activities of daily living. A physiotherapist can identify areas of weakness or stiffness and recommend exercises to address specific concerns Exercise
Exercise can maintain flexibility of joints, muscle strength, improve circulation to the heart and lungs, and aid digestion. It also has a positive psychological effect. Stretching exercises, aerobic exercise and strengthening exercises are important. Yoga, Tai Chi or Qui Gong (gentle form of Tai Chi), walking and swimming can be helpful. Safety, joint protection and balance are important considerations. Strongly encourage your clients to start slowly and consult their physician before starting a new activity. Parkinson Society British Columbia exists to address the personal and social consequences of Parkinson’s disease through education, community outreach, scientific research, advocacy and public awareness. • For information on Parkinson Society British Columbia and Parkinson’s disease, please visit www.parkinson.bc.ca or contact Robbin Jeffereys, Information and Programs Manager, 604 662 3200, 1 800 668 3330, rjefferey@parkinson.bc.ca
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Ask An Expert!
Do you have any burning massage therapy questions that you would like to ask us? We may have some answers for you. Here, for example, is the first question: “I am currently training for a marathon with no major aches or pains. I was told I should get regular massage as my distance increases to prevent injuries from arising. Do you think this is necessary?” We will select a question like this from the choices you provide us and ask an “expert” for an answer. The answer may come from an RMT with a considerable amount of knowledge in a particular area or perhaps an applicable professor. Walter Ament is an experienced RMT and a marathon runner. Here’s his answer: “It is unnecessary to get regular massage to complete a marathon, but those who do usually avoid major injury, heal more quickly from minor niggles while training, recover quicker after the event and can end up with a long running career. Massage therapists not only massage muscles they can provide exercises, help with nutritional
education, training schedules and when to see other necessary health care providers. It is fortunate that the individual asking the question has no major aches or pain as it is easier to keep muscles healthy than to rehab. As far as treatment scheduling goes, most patients do best if they schedule a treatment once every two – three weeks in the six months or so before the event. Then treatment should be weekly, the three weeks before the race and then be sure to get one very shortly afterwards.” Walter Ament, has been running full and half marathons since 1991 and completed ten official full and eight halves. He has managed a running program for the North Vancouver Recreation Commission since 1996 and helped many achieve their goal of completing either a half or full marathon. Additionally, as an RMT he has trained and provided massage therapy to several athletes who went on to complete several long distances and the Ironman Triathlon. • Email your question to dave@massagetherapy.bc.ca. Subject heading should be “Ask an Expert.”
classified Winter 2010 Robert Hackwood RMT CRANIAL THERAPY
Front of the Head: March 27, 28, 29; April 10, 11, and 12, 2010 Back of the Head: May and June 2010
TMJ VISUAL ASSESSMENT
Fall 2010 www.dynamictherapies.com • 604-418-8071
NEW COURSE~14CECS Assessment and Documentation of Dysfunction Richard Hoglund, BSc. RMT. ❘ John Zandvliet, RMT.
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e-establish and refine your ability to apply fundamental assessment techniques quickly and effectively. The Glenohumeral joint will be used to show how proficient testing, and easy, detailed documentation will improve the outcome of your treatments.
Vernon, March 27th, 28th ❘ Vancouver, May 1st, 2nd Vernon –2010 TBA ❘ Vancouver –2010 TBA MTA $325. One month early $300. Non-MTA $375. One month early $350
Register online at: rhoglund@shaw.ca Or phone: 250-545-9111
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Fusion Works/Thai Massage 24 ceu,s
“Fusion Works” a combination of Yogic Breathing, Hot Stones, Thai & Balinese Massage all in One class. “Thai Massage” learn the traditional Thai massage with pressure points and yogic stretches “Thai Massage on the Table” 12-ceu,s March 12-14 “Fusion Works” New Westminster April 16 &17 “Thai Massage on the Table” Saltspring Island May 14-16 “Fusion Works” Saltspring Island June 11-13 “Thai Massage” Saltspring Island September 24-26 “Thai Massage “ New Westminister October 1-3 “Fusion Works” Vernon October 4-5 “Thai on the Table” Vernon November “Fusion Works” Saltspring Island
Kristie Straarup r.m.t. www.academyofmassage.ca • toll free 1-866-537-1219 t h e r a p i s t s ’
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Advertisement only. No endorsement by the MTABC intended or implied.
Adam DreamHealer 5 CECs Intention Heals Workshop Vancouver, May 30th
14 CECs
Work Smarter not Harder ! Sharpen your Tools !
“Adam is becoming one of the world’s most in-demand healers.” - Rolling Stone Magazine EXPERIENCE SELF-EMPOWERMENT as Adam orchestrates 2 unique group healing sessions at this full day workshop.
Vernon, March 27th, 28th:
Course: Cervical, Upper Thoracic and Clavicular Balancing
ADAM, Molecular Biologist, BSc.(Hon) international speaker, author, and gifted Native American energy healer teaches techniques to focus intentions, embracing your healing powers.
Victoria, May 1st, 2nd:
Course: Lumbar and Thoracic Balancing
New Westminster, Oct 16th, 17th: Course: Lumbar and Sacral Balancing
Has presented with world renown speakers at: - The Living Matrix movie - Edgar Cayce’s ARE - “What the Bleep do We Know?” conferences - World Qigong - Recipient of Young Visionary Award - First Nations Healing Gatherings
• 100% Money Back Guarantee • Save $100 for 30 day advanced registration Don’t miss out join Mike Dixon & Steve Anderson for a fun & educational weekend
Register online: arthrokinetic.com or by phone: 604.802.9322
Register online at: www.dreamhealer.com
Applied SomAticS
clinicAl SomAtic educAtion
2010 Workshop Schedule
Learn a system of assessment and hands-on techniques that quickly and easily release the myofascial system without strain to your body • Assess and correct three primary stress reflexes that distort and imbalance the spinal pelvic centrum • Achieve lasting therapeutic results with less effort • Blend somatic techniques into your massage treatment • Reduce fatigue and burnout
Continuing EduCation on LinE 2 hours per course for 2 CEU’s Courses are $45 (incl g.S.t). Easy and efficient way to accrue your CEU’s. ~ no traveling, no time away from work ~ www.cepd.ca • call 1-866-733-9017 for details
A Yogic Approach to Visceral Manipulation 14 C.E.C.s • May 1 & May 2 Kingfisher Resort (Courtenay, B.C.) $375.00 Review V.M. theory and enhance remedial exercise with Yoga and Hydrotherapy Contact Yvonne Poulin, RMT
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HYDRAULIC MASSAGE TABLE $1000 OBO. Metal & wood frame, hydraulic dentist base with swivel option & tilt headrest. Height 18” to 32”, Length 75”, Width 26.5”– Pictures available. Contact by email: christinepierce@shaw.ca Phone: 250-658-2470
When the Body tiltS 18 CMt CeUs Duncan, May 28 – 30, 2010 When the Body ArCheS 19 CMt CeUs Duncan, June 18 – 20, 2010
Dr. Fränzi Ng TFT - Thought Field Therapy: 14 CECs Reiki Levels 1 & 2: 7 & 9 CECs Workshops in Vancouver, Prince George & across B.C.
250.964.0118 • www.DrNg.net j o u r n a l
Working With the extreMitieS And the tMJ - 18 CMt CeUS prereqUiSite: CoMpletion of StoopS, ArCheS & tiltS
$485 Duncan, July 24 – 26, 2010
$485
Courses prerequisites for Applied Somatics educator Certification, September 24 - 26, 2010 in Duncan. Expand your career & teach with confidence. To learn more see appliedsomatics.com or call toll-free: 1-866-748-6600. Please register at least one month in advance. Mail a post dated cheque (date of the workshop) payable to: Applied Somatics, 303 – 80 Station St. Duncan BC V9L 1M4. Print your name clearly, specify course date and location and indicate whether you can bring a portable massage table. Call toll-free to use Visa/MC.
Renew Your Passion for Healing.
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When the Body StoopS 18 CMt CeUs Duncan, April 23 – 25, 2010 $485
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classified Winter 2010 YOGA SELF-CARE FOR RMT’s 6 CEC’s Tofino BC Retreat, June 18, 19, 20
Systemic Deep Tissue Therapy® Workshops (also known as SDTT)
(Systemic Deep Tissue Therapy® should not be confused with high pressure treatments)
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riginated and developed by Armand Ayaltin DNM, RHT, RMT, and taught by him since the late 1980’s. It consists of its own scientifically-based philosophy, therapist-friendly assessment and treatment. To reduce burn-out, body and hand postures are ergonomically designed. Therapy takes its cue directly from the assessment. This innovative procedure is designed to minimize the mental and physical stress of the Tx room. In these Workshops we will teach: • Philosophy and background • How to treat the underlying cause of pain, often realizing quick and lasting results • How to Structurally Realign the body by collapsing the compensatory-matrix, using specific SDTT techniques at the physical and energetic levels which are: • recognizing the compensatory-matrix • engaging the SNS • manipulating the Fascial-muscle-joint systems • therapeutic intent • treating the relevant meridians • stimulating the patient’s quantum field of healing
Includes yoga, two nights, four delicious meals, guided nature walk. $550 advance $600 after May 1st. Take time to take care of yourself Leigh A. Milne, RMT, RYT is an Iyengar certified yoga instructor. For course fees, instructor details and registration form visit: www.thesadhanacentre.com leigh@thesadhanacentre.com Leigh 902-273-YOGA
If as a Therapist, gaining self-confidence, self-sufficiency and effectiveness with reduced chances of self-injury is important, taking these workshops and adopting the Systemic Deep Tissue Therapy® is for you. Testimonials: “Thank you so much for this amazing workshop. It will change my life!” W.M. RMT. “This course surpassed my expectations...” B.C. RMT. “Thank goodness there is a way to read the body and respond to its core needs.” J.W. RMT.
“Great coverage of biomechanics and application. I like these instructors, cool guys” J.L. RMT. Courses for 2010 Introductory: March 6-7, September 18-19. Intermediate: May 1-2, October 23-24.(CEC 28 for both courses combined), Cost: $399 each. For more info and to register, phone: 604.984.2611 systemicdeeptissuetherapycenter.com
Touch for healTh with Janice Golub Levels 1-4 – 14 CECs for each level Level 1 – in Vancouver Sunday, March 21 & 28, 2010 To register: jgolub@telus.net 604-220-1992
Ann Sleeper
is offering private courses for 2-5 people in her home in central Vancouver. Review sessions are also available to improve your techniques. In these small groups, you can take any of the muscle energy or osteopathic technique courses listed in this journal or at
www.annsleeper.com
E-mail Ann at sleeplow@telus.net or leave message at 604-872-1818
Dr. VODDEr MLD COUrSES Basic, Therapy I, Therapy II & III April / May 2010 October / November 2010 WWW.VODDErSCHOOL.COM TEL: 1-800-522-9862
Stone Therapy School Level 1: Massage w/ Hot and Cold Stones; 14 CEUs Victoria: Mar 12-14, 2010 Nanaimo: Apr. 23-25, 2010 • Tofino: May 23-25, 2010
Contact Lisa Edwards: 250.896.7939 www.stonetherapyschool.com
Banyan Thai Massage
CMTBC CeU approved Courses Traditional Thai Massage: ITM Chiang Mai Level 1, 24 CEU’s Traditional Thai Massage: ITM Chiang Mai Level 2, 24 CEU’s
SHIATSU TRAINING 24 CEC credits Zen Shiatsu School Harrison Hot Springs Toll Free: 1-866-796-8582 haroldsiebert@yahoo.com
“SHAKE”
ONE DAY WORKSHOP with Patricia Pucher • 7 CEU’s 604-879-1935 • SPIRITUUS.COM “...arrives at the core of injury through sound and movement.” Leslie Smith RMT
Massage Matters
Thai Foot Reflexology Massage: 9 CEU’s intro. To Thai yoga Massage: 9 CEU’s Please visit our website to view our 2010 Course Schedule www.BanyanThaiMassage.com or contact: sharon Brown-horton, Instructor at
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If you have a product, service or course to advertise
604-741-4189 vchapman@biv.com
call Victoria Chapman at:
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MTABC CEC Courses 2010 Registration at MTABC 604.873.4467 or mta@massagetherapy.bc.ca Or mail to MTABC 180-1200 West 73rd Ave Vancouver BC V6P 6G5. Provide name, phone and email. Cancellation 3 weeks before course results in 20% cancellation fee; within 3 weeks, 40%; within 5 days or “no shows”, no refund. Anatomy Trains Manual Therapy Level One with Mark Finch, 14 Credits Holiday Inn, 711 West Broadway, Vancouver June 5-6, 2010 MTA One Month Early $275, Regular $300 Non-MTA One Month Early $370, Regular $410 September 11-12, 2010 New Prices for Fall 2010 MTA One Month Early $285 Regular $310*, Non-MTA One Month Early $380, Regular $420 Fascia, Its Structure and Function–The Pelvic Girdle with Mark Finch. 14 PE/A 2 Credits Vancouver, May 1-2, 2010 MTA One Month Early $275, Regular $300 Non-MTA One Month Early $370, Regular $410 End-Range Loading – A New Evidence Based Idea in Manual Therapy: Dr. David DeCamillis, D.C., F.C.C.R.S.(c), 12 PE / A2 Credits New Westminster, April 24-25, 2010 and September 25-26, 2010 Sat. 10:00-4:30 and Sunday; 9:00-3:30 Prince George–May 1-2, 2010; Sat. 10:00-4:30 and Sunday 9:00-3:30 MTA One Month Early $275, Regular $300 Non-MTA One Month Early $370, Regular $410 Ann Sleeper’s Courses: 20% repeater discount for Ann’s courses. See Ann’s web page, www.annsleeper.com Introduction to Osteopathic Techniques, Part One. 12 Credits Vancouver–Holiday Inn, Sat and Sun, June 12-13, 2010; 10 am-5 pm Vancouver–Holiday Inn, Sat and Sun, Oct 2-3, 2010; 10 am-5 pm Victoria–TBA, Sat and Sun, Oct 23-24, 2010; Times TBA Vancouver–Holiday Inn, Sat and Sun, Nov 13-14, 2010; 10 am-5 pm Victoria Prices: MTA One Month Early $280, Regular $310 Non-MTA One Month Early $375, Regular $415 Vancouver Prices: MTA One Month Early $245, Regular $270 Non-MTA One Month Early $330, Regular $365 Introduction to Osteopathic Techniques, Part Two. 12 Credits Vancouver–Holiday Inn, Sat and Sun, March 20-21, 2010; 10 am-5 pm Vernon–OVCMT, Sat and Sun, May 1-2, 2010; 10 am-5 pm Vancouver Prices: MTA One Month Early $245, Regular $270 Non-MTA One Month Early $330, Regular $365 Vernon Prices: MTA One Month Early $280, Regular $310 Non-MTA One Month Early $375, Regular $415 Muscle Energy Technique for the Neck and Upper Thoracic. 17 Credits Vancouver–Holiday Inn, Sat and Sun, March 6-7, 2010; 9am-5pm and Monday, March 8, 2010; 9am–Noon MTA One Month Early $345, Regular $380 Non-MTA One Month Early $465, Regular $510 Muscle Energy Technique for the Low Back, Part Two–The Sacrum. 14 Credits Vancouver–Holiday Inn, Sat and Sun, April 17-18, 2010; 9am-5pm MTA One Month Early $285, Regular $315 Non-MTA One Month Early $385, Regular $425 Muscle Energy Technique for the Low Back, Part 1–Lumbar & Ilia. 14 Credits Vancouver–Holiday Inn, Sat and Sun, October 30-31, 2010 MTA One Month Early $285, Regular $315 Non-MTA One Month Early $385, Regular $425 For more course details, see MTABC web site www.massagetherapy.bc.ca and the MTABC newsletter “Massage is the Message”
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