massage matters, fall 2010

F a l l 2 0 1 0

Protect Your Neck: Whiplash Prevention Steering Committee wants to help you help your patients

Unique RMTs: Tanya Turnbull, Sheriff and RMT

Non-Vascular Edema Affecting the Head and Neck: A Three Case Report

A J o u r n a l f o r R e g i s t e r e d M a s s a g e T h e r a p i s t s

Massage MattersC A N A D A

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R ecently, I attended the Canadian Health Care Anti-fraud Associations’ (CHCAA) conference in Niagara Falls, Ontario. While

many of us have heard the recent exposé about massage therapy and other health care professionals fraudulently billing third party insurers, the degree of fraud is shocking.

Clinicians that choose to fraudulently bill are hurting patients, their colleagues, insurers and themselves – and that is unacceptable.

As primary health care providers we support the insurance companies’ rigorous accountability process that will ultimately protect patients and the profession by weeding out those who choose to compromise the system for their short-term personal gain.

It should be clear too, that the measure of fraud in the profession uses a national yardstick. All provinces, be they regulated or not, have access to health care benefits, including those for registered massage therapy. We are left with a glaring dilemma and questions to other Massage Therapy associations across the country: “What does Registered Massage Therapy mean in your province?” “Do you consider yourselves to be primary health care providers?”

The challenge is that not all provinces have equal entry to practice standards, testing, professional development or regulation. The gap ranges from no testing at all, to fully written and practical testing as in BC, Ontario, Newfoundland, Saskatchewan and Prince Edward Island.

The MTABC supports a National Standard that sets the minimum level of education to enter the practice. Although a National Standard is only binding on regulated provinces, we implore non-regulated provincial associations to adopt them, in addition to entry testing and professional development or continuous education. These measures plus, an accreditation process for teaching schools will help to demonstrate a national commitment to quality education and a health care model of massage therapy and patient care.

We will be working closely with the CHCAA developing further accountability measures that will give all parties comfort in knowing that a massage therapy treatment is a “medically necessary” component of patient care. As a profession we are committed to high ethical standards both in our clinical and business practices.

Damon Marchand, President

President’s Message

Please direct your comments to [email protected], subject heading “Letters,” where they will be forwarded to the MTABC Board for review.

Editor in ChiefDavid DeWitt

EditorLori Henry

PublisherPaul Holden604-608-5154 [email protected]

SalesVictoria Chapman 604-741-4189 [email protected]

DesignDon Chin

Editorial BoardSandra ColdwellBodhi HaraldssonAnita WilsonBrenda LockeRachel ScottDee WillockDamon Marchand

Mission StatementThis 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 – MTABC180 - 1200 West 73rd Avenue Vancouver, British Columbia V6P 6G5Tel: 604-873-4467 Fax: 604-873-6211Toll Free: 1-888-413-4467 Email: [email protected]

www.massagetherapy.bc.ca

Massage Therapists’ Associationof British Columbia

Massage MattersA J o u r n a l f o r R e g i s t e r e d M a s s a g e T h e r a p i s t s

b c m a s s a g e t h e r a p i s t s ’ j o u r n a l • F a l l 2 0 1 0 • 3

contents

in this issue:Cover 4

People 8

Computer 18

Classified 21

Cover photo credit: DT DeWitt

An Introduction to Tapingby kristy wiltshire 20

Protect Your Neck– Whiplash Prevention Steering Committeeby karilyn kempton 4

African Touch: Teaching Massage in Africaby kari walker 10

Non-Vascular Edema Affecting the Head and Neck: A Three Case Reportby dr. david decamillis 14


by karilyn kempton

Whiplash is the most common injury in motor vehicle accidents, and according to the Insurance Corporation of British Columbia, the economic cost of whiplash injuries may be over $600 million per year in B.C. Nearly 70% of all bodily injury claims from ICBC involve whiplash injuries and a new Whiplash Prevention Steering Committee wants to help you help your patients’ necks. Traffic-related injuries account for a very substantial share of the health care burden in B.C., and are a frequent cause of hospital admission and long-term disabilities.

The Whiplash Prevention Steering Committee aims to work with a wide range of stakeholders, including the Registered Massage Therapists’ Association of British Columbia, in order to educate the public about whiplash. RMTs are encouraged to participate in the whiplash prevention campaign by learning the basics about head restraints and disseminating that information to patients. “Given that many people who have experienced whiplash go to massage therapists,” says researcher Dr. Marc White, “it would be wonderful if RMTs could become active educators by providing resources to help their patients purchase/lease safer vehicles, as well as hands-on instruction on how to adjust their head restraints to prevent future injury.”

The campaign sprung from a larger research project, Prevention: Reducing Occupant Injury in Rear End Collisions. Four researchers and several staff members head the project: Dr. Marc White is the Executive Director of the Canadian Institute for the Relief of Pain and Disability. Dr. Ediriweera Desapriya is a Research Associate in the Department of Pediatrics at the University of British Columbia, and is a part of the BC Injury Research & Prevention Unit. Douglas Romilly, PEng, is an Associate Professor in the Department of Mechanical Engineering at the University of British Columbia. Dr. Dinithi Peiris is a Research Assistant in the Department of Pediatrics at UBC and is a member of the BC Injury Research & Prevention Unit. Other staff members include Tonya Hyde, Project Manager at the Canadian Institute for the Relief of Pain and Disability, and Lee-Aye Azami, BC Consumer Health Public Relations and Communications, Canadian Institute for the Relief of Pain and Disability, and several work-study students.

Protect Your Neck – Whiplash Prevention Steering Committee wants to help you help your patients

Cover

AUTO21 Network of Centres of Excellence, the BC Injury Research and Prevention Unit through Child & Family Research Institute, the Canadian Institute for the Relief of Pain and Disability, and the University of British Columbia Department of Mechanical Engineering sponsor the project. The campaign is so important because “the societal costs of whiplash are staggering to ICBC,” says Dr. Desapriya, and a 2002 roadside survey “found that only 18% of drivers in BC adjusted their head restraint properly.”

Dr. Marc White has a long history of working toward whiplash prevention. White is a former registered massage therapist and was a Council member and President of Section

Erin Pierson, RMT with the “head gear” from the whiplash sled. photo: DT DeWitt

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III, Massage Practitioners, Association of Physiotherapists and Massage Practitioners of BC (1981–83). During that period, he co-founded the Massage Therapists’ Association of British Columbia. In 1985, he established the Physical Medicine Research Foundation, now called the Canadian Institute for the Relief of Pain and Disability.

In 1989 and 1991, he was involved in two rear-end collisions that resulted in chronic neck and back pain. In 1996, he created the BC Whiplash Initiative to improve physician knowledge and management of whiplash. In 1999, he organized the first World Congress on Whiplash-Associated Disorders, and in 2008 he organized a World Congress on Neck Pain in the Population where it was revealed that 35% of serious neck pain could be prevented if the population drove vehicles with properly-adjusted, well-rated head restraints.

A properly-adjusted head restraint can make a world of difference in a rear or side collision and many drivers may be unaware that their head restraint will not help them in a crash. “We know that awareness of appropriate head restraint adjustment is low,” laments Dr. Desapriya.

The intent is to “influence consumers to buy cars with the right head restraint geometry and adjustments, which can lower the chances of drivers and passengers getting whiplash injuries,” says Dr. Desapriya. “Consumers need to be aware that vehicle safety ratings are an important thing to be considered when they want to buy a car.”

There are a few steps you can instruct patients to take to prevent whiplash injuries. Purchase an automobile with a highly rated head restraint, and then, more importantly, adjust the head restraint

A mannequin demonstrating a negative (top) and a positive (bottom) example of a whiplash incident.photo: DT DeWitt

Continued on page 6

With national level AIS instructor Paul John Elliott

A ctive Isolated Stretching (AIS)

3-Day Seminar

A 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 wand strategies.

Instructor: Paul John Elliott, LMT, Certified AIS Instructor, Advanced AIS Practitioner

■ Victoria, BC– October 22, 23 and 24, 2010; Harbour Towers Hotel, 345 Quebec St. V8V 1W4

■ Regina, Sask– November 19, 20 and 21, 2010; Regina Inn, 1975 Broad St. S4P 1Y2

■ Toronto, Ont– February 4, 5 and 6, 2011; TBA

■ Montreal, QC– February 25, 26 and 26, 2011; 2360 Notre Dame W. H3J 1N4

■ Calgary, AB (Advanced AIS)– May 27, 28 and 29, 2011; TBA

Please check www.stretchingcanada.com for further details

■ Course Cost: $650.00 ❙ NHPC – 15 Continue Competency Credits

MTAA – 24 Primary Continuing Education Credits ❙ CATA – 9.0 credits for 24 hour course

For registration information contact: (514) 792-5595

Visit: www.stretchingcanada.com to fill out registration form

See website for details and dates and locations of other future seminars


properly. First, position your seat properly at an incline angle of less than 20 degrees. Then, adjust the height of your head restraint. The centre of your head should be at the centre of the head restraint—use the middle or top of your ears as a guide. Either have a passenger help you or rotate your head to ensure that you are looking directly into the centre of the head restraint.

Then, adjust the head restraint so that it is less than 10 centimeters or four inches from the back of your head. Closer head restraints are twice as good at preventing injuries as those set too far back, because your head will have less distance to accelerate and load the neck during impact.

The objective is to change current practices in buying automobiles: consumers should be encouraged to buy or lease safer vehicles, and then properly adjust head restraints. Other goals include the implementation of educational programs to change head restraint safety culture, policy changes to reinforce best practices in whiplash prevention, and to provide useful information to consumers. Whenever possible, steer patients and the general public to the Whiplash Prevention website [www.whiplashprevention.org].

Whiplash sufferer Ona Gilks has found massage therapy to be “just great” at helping her ongoing injury, but admits that when she buys her next vehicle she will certainly make use of the head restraint ratings on the Whiplash Prevention website. “I’m not very tall,

so the head rest did not help me very much when we were hit from behind,” says Gilks. She has been getting regular massage treatments from RMT Harriet Hall since the accident, and she says that the hour treatments help her “big time.”

The options for getting involved are many: RMTs can participate in a variety of public awareness events in collaboration with the MTABC. Further resources will be available at [www.whiplashprevention.org], including fact sheets, graphic images, checklists and brochures. Do you have an idea to share? White encourages RMTs to get involved in the process: “We are only limited by our collective creativity,” he notes. •

Erin Pierson, RMT with the addition of a chin strap. photo: DT Dewitt

Cover

Awaken your healing potential.HOLISTIC HEALTH STUDIES

Cranial Sacral Therapy Certificate Program

Gain a comprehensive understanding of Cranial Sacral Therapy and learn the therapeutic manual skills needed to work effectively with all types of clients. This part-time program is designed and 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. You will also complete a 2-month practicum (320 hours) in a spa setting. Earn credit for further study to become a Registered Massage Therapist and obtain eligibility to write the Registered Aromatherapist licensure exam.

Register now. www.langara.bc.ca

CSTMassageMatters_20100825.indd 1 30/08/10 9:32 AM


People

by kari walker

Tanya Turnbull is truly a unique RMT. Despite her grueling work schedule, her full time job as a sheriff hasn’t stopped her from practicing as a therapist. And it most certainly hasn’t damaged her sense of humour.

She decided to become a massage therapist after physics and calculus “trashed her dreams of becoming a veterinarian”. Tanya says, “I mean really, who cares how much rope Tarzan needs to swing over the Grand Canyon? It has nothing to do with spaying and neutering.”

Instead she began studying sports injuries at Douglas College. One evening an RMT came in to lecture on cross fiber frictions and the Canucks, and she was hooked. Tanya soon registered for the program at WCCMT and subsequently graduated in 1997.

When massage therapy experienced reduced coverage from MSP, Tanya became concerned about her future as an RMT. She wanted a career with benefits and security, and a government job appealed to her. At the urging of a friend she applied to the BC Sheriff Service, and graduated from the Justice Institute of British Columbia in 2001.

Her jobs are worlds apart, but there’s a strong correlation between the two in terms of people skills. “In massage, I work to develop a rapport with my patients. As a sheriff I work to gain cooperation from sometimes the most dangerous offenders.”

Juggling her demanding work schedule can be challenging, but she now has regular shift patterns as a sheriff and currently works Saturdays at a massage therapy clinic. That extra day means she works a total of six days a week, every week. But she’s not complaining. “I’ve been working this pattern for so long it feels natural,” she says. “I look forward to my Saturdays. I enjoy connecting with people.”

Tanya is very strict about keeping the two professions separate. She intentionally avoids thinking about her sheriff job on Saturdays at the clinic to prevent any negativity from transferring through her hands. “As a deputy sheriff I’ve had to work through some very negative experiences. Whether it’s listening to evidence in the courtroom or dealing with a difficult individual, I use my RMT experience to stay balanced.”

They’re polar opposites, but in her opinion her professions don’t conflict at all.

Being an RMT is extremely rewarding, and she feels it brings out the best in her. And her favorite part about being a sheriff?

“The pistol! The lights and sirens! The training days where we get to beat each other up and not have to write a report!”

But it’s not all fun and games. She works as part of a specialized team that performs prisoner transport, some of them high risk offenders. It’s a fast-paced job and at times stressful, but most of her colleagues have worked together for many years and they have confidence in each other. As far as coping with the stresses of the job, Tanya seems to take it all in stride. “Life is what you make it and there’s a fine balance. You gotta have thick skin and you gotta learn to laugh.”

After years of being in situations where she has to be on guard all the time,

Tanya can read people better, and now has a heightened sense of awareness, what

she calls “spidey-senses”. She’s also learned a trick or two as an RMT that comes in handy in her other job. “Knowledge of human anatomy and the increased hand strength aids me in physically controlling others when necessary. Because of my hand strength I’ve never had difficulties with yearly pistol re-qualification.” She’s won her division three of the four times she’s competed, something she credits her husband—a sheriff and firearms instructor—for helping her with.

As far as her approach to people in both jobs, Tanya gives respect first until she’s given a reason not to. “I wear two hats. One is my sheriff personality and the other is my RMT personality. As a sheriff I have to be very guarded and constantly enforce limits and boundaries. As an RMT there are still boundaries, but the walls come down.”

Her professions involve working closely with people in two wildly different settings, but she does both because she likes learning new things. As a sheriff she’s travelled to some of the most remote communities in B.C. This experience has given her “a broader perspective and greater understanding of the diversity of cultures we encounter within our communities. I have a deeper sense of appreciation for the individuals who work in the justice system.”

Next time you see a sheriff or their vehicle, remember they’re transporting some of the most high profile and high risk individuals through our communities. And, Tanya adds proudly, “We do it safely, securely and professionally.” •

Tanya Turnbull: Sheriff and RMT

Tanya Turnbull holding her dog, Bella. photo: Mr. Turnbull

1 0 • b c m a s s a g e t h e r a p i s t s ’ j o u r n a l • F a l l 2 0 1 0

by kari walker

Victoria RMT Yvonne Poulin went to Africa in 2002 after deciding, “life was short and the world is crazy”. There, she began working with The Hands Across Borders Society, run by a chiropractor and teacher couple from Victoria. She worked in a small Muslim fishing village on the island of Zanzibar, in Eastern Africa’s first free complementary medical clinic. She was the first RMT to practice there.

Yvonne began working with women who where providing massage on the beach to tourists. She gave these women an upgrade course, involving improved technique and training about contraindications. Upon completion, she gave them a laminated certificate to show to prospective clients and told them to charge double their normal fees. They did, and people were more than willing to pay the extra money for the enhanced treatments. That’s when Yvonne had an epiphany about making a positive difference in the world and The African Touch program was born. “I’ve never given birth,” she says, “but I feel for The African Touch as though it is my child!”

As you might imagine, setting up this sort of program in a developing nation comes with its own unique challenges. The biggest problems for Yvonne were

bureaucracy, a lack of funds, and the social stigma of massage being linked to prostitution in that part of the world. In Tanzania, she found people had a low level of education and poor access to it, whereas in Kenya, the education level was high, but so was the unemployment rate. In both countries, people with disabilities are marginalized, cast out, and often forced to beg on the streets to survive. Seeing this unfulfilled need, Yvonne also began training some blind students to help change that stigma.

She found that the graduates of The African Touch program gained a new respect from their communities, both from attaining their certificates of completion and their ability to earn more income. Yvonne’s graduates stand out above the realm of relaxation massage due to their training in contraindications, principles of treatment and therapeutic techniques. Each African Touch grad provides a high quality treatment to their clients, as opposed to other masseurs that simply repeat a massage routine they’ve been shown.

While most of their potential client base rests with the tourism industries in spas and resorts, there are also many expats that have access to extended health benefits, which cover massage therapy. Yvonne believes in time this sort of health care coverage will spread to more of the local population as well.

Due to their training and professionalism, the graduates from Zanzibar seem to have made a name for themselves. Word has spread fast on the small island and Yvonne says she’s still getting requests for trained therapists to work in hotels and resorts there.

Though she is no longer a board member with The African Touch, Yvonne is still involved on an advisory basis and has every confidence in its new leadership. “I am thrilled The African Touch has new ‘parents’ to guide it through this next phase of development,” she says. “My vision for its future goes beyond one lifetime, and beyond one continent.”

Yvonne would love to see this kind of massage therapy training expand to all developing nations across the globe. “Thank you to all the massage therapists who supported The African Touch through their donations, contributions of time, and positive thoughts and prayers since 2003.”

Above: A massage therapist at work in Kenyaphoto: Yvonne Poulin

African Touch: Teaching Massage in Africa

Continued on page 12

People

b c m a s s a g e t h e r a p i s t s ’ j o u r n a l • F a l l 2 0 1 0 • 1 1

E-mail : [email protected]

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.

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).

Structural Myofascial Therapy (SMFT) With course developer BetsyAnn Baron

Coming to the following locations: (Locations and Times TBA)—Course Level 1: ■ Montreal: November 5–7, 2010 (bilingual) ■ Calgary: November 19–21, 2010; Course Level 2: ■ Montreal: March 4–6, 2011 (bilingual) ■ Calgary: April 1–3, 2011

CEUs: NHPC: 15 CMTBC: 21 MTAA: 24

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.

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 ❘

Your clients will: ❘ Rejuvenate injured tissue ❘ Increase their range of motion ❘ Breathe deeper and easier ❘ Decrease chronic pain ❘

SMFT enriches the practices of massage therapists, physiotherapists, athletic therapists, osteopaths and other hands on health care professionals.

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 [email protected] or call (403) 679-9221Structural Myofascial Therapy


Yvonne might have officially stepped down from The African Touch, but thanks to its current president, the organization is still going strong.

B.C. RMT Curt Chambers fell in love with Africa when he spent four years in Malawi in the 80s, and then another few months in the mid 90s. While there, he made up his mind to go back someday when he could find a way to create employment in Africa. Upon returning home to Canada he worked with the developmentally delayed for 11 years and then entered massage therapy school. He graduated from OVCMT in 2006 and during his training came up with the idea to start a massage therapy school in Africa. The faculty quickly introduced him to Yvonne and The African Touch program, and Curt decided to take it over in 2008. He feels there is a huge need for the creation of employment in Africa, because the gap between poor and rich is so enormous. To him, the best way to help the poor is by giving them training that will result in sustainable, reliable employment.

Why Kenya and Uganda? Chambers believes it’s because they are the “ideal setting and good places to start. Uganda’s economy is doing well right now and strong enough to support the industry, but the rich are getting richer while the poor become poorer.” Uganda is currently one of the safer countries in Africa, a big consideration for him since he’ll be bringing his wife and two-year-old son with him when he travels there.

Chambers has written the entire new program for The African Touch and will begin his inaugural class in Ggaba, a suburb of Uganda’s capital, Kampala. There, the school will be housed in a hospital and a physician at the Wentz Medical Clinic has agreed to help facilitate the program. Not only does this setting and support help lend credibility to the program, but it allows the students access to more resources for their studies and helps distance therapeutic massage from the stigma of prostitution it’s so often connected with in Africa.

The program itself is an ambitious one, at five months/480 hours in length. In the future, it may increase to a year. Students will be selected by interview and drawn from a pool of applicants with Grade 12 education. Initially they will be from Kenya and Uganda, but that will no doubt change

as news about this incredible opportunity spreads. Initially Curt and his wife Sandy (an occupational therapist) will run the program. Additional RMTs from Toronto and Vancouver may come on board next year to help.

Thus far, students are finding out about the program through word of mouth, but the selection process will be difficult. The African Touch staff will implement a written and practical test to evaluate literacy and hands-on skills. For those few candidates accepted, the program will not be an easy one. Students will have to study hard to get through it and will not be able to work during the course. The tuition itself is free, but there is a fear the program won’t be taken seriously if it doesn’t cost anything. Yet the very people The African Touch is trying to help can’t afford to pay for their education.

Since students will need to be fed while they attend school, Curt is considering charging a small amount for that instead of tuition. Overall, he will select 8-12 students for the pilot program. “It will be easier to tweak that way,” he says. “Eventually I want to increase it to 20-25.” And to his delight, there’s been no shortage of people wanting to help. “We have lots of offers from RMTs worldwide to come and work with us.”

Any teacher that comes on board will have to work on a volunteer basis. Curriculum includes basic anatomy and physiology, clinical theory and practice, Musculoskeletal Anatomy and Kinesiology,

New graduates in Kenyaphoto: Yvonne Poulin

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TAPINGKinesio

Dates: Saturday-Sunday,

November 6-November 7, 2010

Location: downtown Victoria

Venue: Pacifi c Rim College, at Market Square,

229 - 560 Johnson St.Time: Saturday, 7:45 a.m. (register) to 4:30 p.m. Sunday, 8 a.m. to 4:30 p.m.

Fee: $550.00 by October 6; Fee thereafter: $600.00

Seminar fee includes workshop, tuition,

continental breakfast, and an educational package

(retail value $120) consisting of 3 rolls of Kinesio

Tape, 2 books and a one-year membership to an

interactive website.

Course Description: Each attendee will learn the

theory, application, and concepts of Kinesio Taping.

This time-effi cient method and unique stretchy tape

is used to relax overuse syndromes/spasm, decrease

pain and swelling, or stimulate weak muscles. The

130% elasticity of Kinesio Tape allows for full range of

motion, and encourages lymphatic drainage.

Contact:

Roger Berton, DC, at 519.979.2663 or [email protected]

Web Site:

www.kinesiotape.ca

Brochure Link:

www.kinesiotape.ca/downloads/brochure-fall-2010.pdf

Mail to:

[email protected]

with ROGER BERTON, DC

Certifi ed Kinesio Taping Instructor

14 CE credits approved by CMTBC

pathology, and professional development (PD). Chambers wants to be careful not to influence the students with Western ideologies, so the details of the PD course are currently being researched and will be continually worked into the program once he gets a better feel for the students and their culture.

Upon completion of the program, students are given a Canadian accredited certificate from the Association of Massage Therapists and Holistic Practitioners. The hope is to eventually get the Ugandan government to add their own accreditation. Graduates will potentially work in spas, resorts, acupuncture and chiropractic clinics, salons, hotels, and maybe even with sports teams or in hospitals. With added credibility attained by their schooling and accredited certificates, they will be respected in their communities and be able to charge more for their services. Since many Ugandans earn only one U.S. dollar per day, making even $5-$10 per treatment is a huge financial gain for the graduates and their families.

Chambers plans to run a program or two, get it perfected, and then approach the Ugandan government for certification by the Ministry of Education. Eventually he’ll train someone else to take over The African Touch, but for now he’s looking forward to doing his part to help the people of Uganda. His long term goal is to have a Ugandan certified program run completely by Ugandans, for Ugandans, and taught by Ugandans. With any luck the program will result in satellite schools springing up across the country, the continent, and then to other developing nations throughout the world.

If he gets enough funding, Curt will stay in Ggaba and do an additional program in the summer of 2011. He’s been fundraising for the past year and has applied for grants and non-monetary assistance such as discounted air fare, but he still needs $5,000 more by December in order to run the program.

The African Touch is a federally registered charity and all donations are welcome. Since PayPal takes a percentage of the amount sent, please mail a cheque instead so that the full amount goes to the foundation. (Donators will receive an official tax receipt for their records.) If you’d like to learn more about the organization and how you can help support it, please visit www.africantouch.org. •

Sandy and Curt Chambers in Kelownaphoto: Terry Peel


By Dr. David De CamillisDC, FCCRS, Dip MDTwww.drdavedecamillis.com

In the summer 2010 edition of Massage Matters, I explained in some depth the phenomena of non-vascular edema and tissue degeneration. In the present paper I’ll be discussing three cases involving

the head and neck. The first two will be dealing with the neck and viscerocranium, while the last case includes a section on the neurocranium. The reason for writing this paper is to demonstrate that the nerves in both the head and neck really are not different from those in other parts of the body. The underlying pathology is the same; only the symptoms are different.

In February 2010, a forty-one year old male presented with right temporomandibular joint pain and stiffness. The problem began after falling from his bike in 1983, and he had been experiencing constant jaw trouble ever since. The jaw got worse with chewing and in extreme cold and previous care was occasional chiropractic visits. Examination showed restricted excursion of the mandible, forward head posture, hypertonicity in the muscles of mastication and joint crepitus.

The patient was seen for several visits during May and June 2010. Treatment consisted of end range loading the ligaments, disc, joint capsul and muscles of the right TMJ. By doing so I was attempting to stretch tiny branches of the fifth cranial nerve. End range loading was also performed on the upper thoracic and lower cervical spinal discs. This procedure reshapes those discs and results in less of a forward head carriage. In reducing the forward head carriage I was attempting to normalize the trigeminal spinal tract nucleus. From the end of June until now, the patient has reported 80% improvement in symptoms and disability. He now has a full range of motion and exhibits far less hypertonicity in the masseter muscles. His diagnosis is non-vascular edema caused by the bike accident affecting the CN V on the right.

In August 2010 a fifty-four year old female presented with left temporomandibular joint and left ear symptoms. This started in 1989 when she was hit on the inferior aspect of the mandible, driving it upwards. Several of her molar teeth were damaged during the trauma and she described her symptoms as constant and full in nature, not position dependent, and having an intensity of five on the pain scale. Examination and inspection revealed hypertonicity of the

masseter muscles, a fullness in the left buccal area and right deviation of the jaw with mandibular depression. Previous care included dental work to repair the damaged molars.

Treatment was similar to the previous case. After five visits over a period of three weeks she now reports an 80% abatement of symptoms and some periods with no TMJ pain at all. Examination now reveals symmetrical jaw excursion and greater symmetry in the buccal area. Her diagnosis is non-vascular edema affecting small branches of CN V on the left.

A forty-five year old female presented in February 2010 with a more complicated symptom picture. In 1980 she was involved in a head-on MVA and wasn’t wearing a seatbelt. She was thrown from the car and bounced on the road several times. This resulted in a dislocated hip, head lacerations and concussion with loss of consciousness. Onset of a rheumatological blood profile occurred at that time. In early 2007, she was involved in a second MVA and had symptoms consistent with cervical sprain. She first started noticing facial numbness beginning in May 2008. It seemed to start as a tingling in the left side of her lip and within a few days also some tingling in her left gums. She went to see a dentist but no abnormality was found.

Within two weeks she also noticed some numbness and slight tingling in her left cheek. The left side of her forehead was affected about three to four months later, and by Christmas the left side of the chin and left half of her tongue were symptomatic. Starting in

Non-Vascular Edema Affecting the Head and Neck: A Three Case Report

Science

Loading the superior head of external pterygold.photo: David DeCamillis



January 2009, she also noticed the same tingling in the right chin and by March 2009 also in the right upper lip and right cheek. Sometimes there would be a flashing, electrical pulsing feeling there. Again, this is associated with no pain.

At this time she felt it was harder to enunciate words. A head CT and MRI scan in the summer and fall of 2008 were negative, and her blood work-up showed a rheumatological profile. Physical examination demonstrated normal pupils, fundi, visual fields and eye movements. She had reduced light touch in the forehead and left cheek, particularly in the left and right V3 distributions. Pinprick sensation was almost absent in the left V2 and V3 distribution, reduced in V1 and reduced in right V2 and V3. She had decreased sensation over her right cornea, although cold temperature and sensation was normal. Ageusia involving the left buccal and lingual zones existed. She had difficulty formulating a smile, suggesting some change in the small facial muscles and therefore involvement of the CN VII. Masseter temporalis movement and contraction appeared to be normal. Her tongue and palate were midline and her hearing appeared normal except sounds in the right ear were a touch higher in pitch. Strength and sensation in all four limbs was normal, but her left cheek appeared to be puffy and somewhat flaccid.

Previous care included acupuncture, craniosacral therapy and massage. These treatments were ineffective. This woman appeared to have a bilateral left greater than right trigeminal neuropathy and a left sided CNVII neuropathy.

The patient was seen for 13 visits between February and July 2010. Treatment included end range loading tissues derived from her first two pharyngeal arches. She now reports a marked improvement in pain and disability and reports this is the best she has felt since 2008. Her diagnosis is non-vascular edema caused by her previous MVA affecting CNV&VII. I believe her rheumatological profile is related to her first MVA of 1980. Non-vascular edema does exist in the brain after trauma1-19. I believe this edema can also be mechanically removed but the treatment has yet to go through proper trials and is not in our scope of practice.

I believe many conditions affecting the viscerocranium can be helped with therapeutic massage. It behooves the practitioner to understand the embryonic development of the six pharyngeal (branchial) arches, their pouches and clefts. The interrelationship of these nerves (CNV1,2,3, CNVII, CNIX, CNX, CNXI, CNXII, the cervical plexus) and their association with arch cartilage, blood vessels, muscles, fascia, mucosa, and mesenchyme give diagnostic clues for avenues of treatment.

For example, Meckel’s cartilage relates the incus and malleus to the sphenomandibular ligament. By end range loading this ligament, perhaps small branches of CNV2,3 would have a reflex effect in the middle ear. The same thinking is true for the caudal arches. Conditions such as dysphasia and dysphagia may have a beneficial effect by loading involved tissues. •

REfEREnCES:1) Bigler E D. Neuropsychology and clinical neuroscience of

persistent post-concussive syndrome. Journal of the International Neuropsychological Society. 2008; 14, 1-22.

2) Chodobski A, Chung I, Kozniewska E, Ivanenko T, Chang W, Harrington JF, et al. Early neutrophilic expression of vascular endothelial growth factor after traumatic brain injury. Neuroscience. 2003; 122(4): 853-67.

3) Engel DC, Mies G, Terpolilli NA, Trabold R, Loch A, De Zeeuw CI, et al. Changes of cerebral blood flow during the secondary expansion of a cortical contusion assessed by 14C-iodoantipyrine autoradiography in mice using a non-invasive protocol. J Neurotrauma. 2008 Jul; 25(7): 739-53.

4) Galtrey CM, Fawcett JW. The role of chondroitin sulfate proteoglycans in regeneration and plasticity in the central nervous system. J.Brain Res Rev. 2007; 1-18.

5) Haddock G, Cross AK et al. Brevican and phosphacan expression and localization following transient middle cerebral artery occlusion in the rat. Biochem. Soc. Trans. 2007 Aug; 35(Pt.4):692-694.

6) Hai J, Li ST, Lin Q., Pan QG, Gao F, Ding MX. Vascular endothelial growth factor expression and angiogenesis induced by chronic cerebral hypoperfusion in rat brain. Neurosurgery. 2003 Oct; 53(4):963-70; discussion 970-2.

7) Harris NG, Carmichael ST, Hovada DA, Sutton RL. Traumatic brain injury results in disparate regions of chondroitin sulfate proteoglycan expression that are temporally limited. J Neurosci Res. 2009 May 12; Epub 2009.

8) Jones LL, Margolis RU, Tuszynski MH. The chondroitin sulfate proteoglycans neurocan, brevican, phoshacan, and versican are differentially regulated following spinal cord injury. Exp. Neurol. 2003 Aug;182(2):399-411.

9) Krishnan L, Underwood CJ, Maas S, Ellis BJ, Kode TC, Hoying JB, et al. Effect of mechanical boundary conditions on orientation of angiogenic microvessels. Cardiovasc Res. 2008 May 1; 78(2):324-32. Epub 2008 Feb 28.

10) Kwok JC, Afshari F, Garcia-Alias G, Fawcett JW. Proteoglycans in the central nervous system: plasticity, regeneration and their stimulation with chondroitinase ABC. Restor Neurol Neurosci. 2008; 26(2-3):131-45.

11) Leadbeater WE, Gonzalez AM, Logaras N, Berry M, Turnbull JE, Logan A. Intracellular trafficking in neurons and glia of fibroblast growth factor-2, fibroblast growth factor receptor1 and heparan sulphate proteoglycans in the injured adult rat cerebral cortex. J Neurochem. 2006 Feb;96(4): 1189-200. Epub 2006 Jan 17.

12) Matsui F, Oohira A. Proteoglycans and injury of the central nervous system. J of Congenital Anomalies. 2004 Dec; 44(4): 181-188.

13) Ong WY, Levine JM. A light and electron microscope study of

Loading tissues of branchial arch derivation including CN’s V, VII, IX and X. photo: David DeCamillis


Curties-Overzet Publications1-888-649-5411 Fax: [email protected]

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ReseaRch Updatea. Jon stoessl, cM, Md, FRcpc, FaaN Director, Pacific Parkinson’s Research Centre University of British Columbia, Vancouver, BC

caRe iN Late-stage paRkiNsoN’ssusan calne, cM Retired RNFormer National Parkinson Foundation Outreach Coordinator Pacific Parkinson’s Research Centre University of British Columbia, Vancouver, BC

MedicatioN MaNageMeNtMonique giroux, Md

Medical DirectorBooth Gardner Parkinson’s Care Center, Kirkland, WA

speech aNd physicaL theRapiesBecky Farley, phd, Ms, pt Assistant ProfessorDepartment of Physiology, College of MedicineUniversity of Arizona, Tucson, AZ

cogNitive chaNges aNd paRkiNsoN’sFrank Loomer, Md

Medical Program Director Seniors Mental Health Royal Jubilee Hospital, Victoria, BC

paiN aNd paRkiNsoN’sLisette Bunting-perry, MscN, RN

Assistant Clinical Director Parkinson’s Disease Research, Education and Clinical CenterVeterans Affairs Medical Center, Philadelphia, PA

Parkinson Society British Columbia presents

A SPECIAL Seminar for Healthcare Professionals

Friday, october 29, 2010 I 9:00am – 4:30pmdelta vancouver airport hotel I Richmond, British columbia

Parkinson’s is a complex, chronic, neurological disorder that affects 11,000 individuals in British Columbia. This seminar

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NG2 chondroitin sulfate proteoglycan-positive oligodendrocyte precursor cells in the normal and kainite-lesioned rat hippocampus. Neuroscience. 1999;92 (1): 83-95.

14) Orre K, Wennstrom M, Tingstrom A. Chronic lithium treatment decreases NG2 cell proliferation in rat dentate hilus, amygdala and corpus callosum. Prog Neuropsychopharmacol Biol Psychiatry. 2009 Apr 30; 33(3): 503-10. Epub 2009 Feb 6.

15) Pankonin MS, Sohi J, Kamholz J, Loeb JA. Differential distribution of neuregulin in human brain and spinal fluid. Brain Res. 2009 Mar 3; 1258: 1-11. Epub 2008 Dec 29.

16) Properzi F, Lin R, Kwok J, Naidu M, van Kuppervelt TH, Ten Dam GB, et al. Heparan sulphate proteoglycans in glia and in the normal and injured CNS: expression of sulphotransferases and changes in sulphation. Eur J Neurosci. 2008 Feb; 27(3):593-604.

17) Shimizu H, Ghazizadeh M, Sato S, Oguro T, Kawanami O. Interaction between beta-amyloid protein and heparan sulfate proteoglycans from the cerebral capillary basement membrane in Alzheimer’s disease. J Clin Neurosci. 2009 Feb; 16(2):277-82. Epub 2008 Dec 16.

18) Thallmair M, Ray J, Stallcup WB, Gage FH. Functional and morphological effects of NG2 proteoglycan deletion on hippocampal neurogenesis. Exp Neurol. 2006 Nov; 202 (1): 167—78. Epub 2006 June 30.

19) Wang A, He BP. Characteristics and functions of NG2 cells in normal brain and neuropathology. Neurol Res. 2009 Mar; 31 (2): 144-50.

by rachel scott

There are many new technologies that can improve the way RMTs conduct business. In this article we focus on using software programs.

MRX SoluTionS – offiCE MASTER:The MTABC received an MRX demonstration from Len Krekic, RMT

of North Surrey Massage Therapy Clinic. MRX is a management software system that integrates the business and administrative aspects of clinic operation into one easy-to-manage package. The software allows RMTs to customize its use for their specific needs. MRX includes everything from an appointment scheduler to a referral tracking system, making it easier for RMTs to focus on their practice. Another perk is the option to bill insurers directly – a huge operational time-saver. Len was also pleased with the amount of support provided through MRX’s Client Service providers. “It makes a big difference when you don’t understand something – just knowing that you’ll be guided through the steps very quickly is a sign of quality support.” For RMTs who are interested in purchasing Office Master, it is available on a subscription basis. With a valid MTABC membership the cost is $75.00/month for a PC or a Mac OS. An extra $45.00/month to add extra practitioners to the practice. Website: mrxsolutions.com

EXERCiSE SofTwARE:PhysioTools is a specific program on exercise and stretching. Some

of the key features include: over 15,000 unique exercises and the ability to customize handouts to your clinic and tailor the exercises to your client. Additionally, there is a favourites list for quick reference and RMTs can print or email handouts, making it possible for clients to view high quality videos of the exercises. For RMTs interested in PhysioTools, they offer a FREE online trial or demo CD. The base price starts at a single payment of $149 CAD for a Windows installable version with 35+ modules. Website: physiotools.com •

Using software to improve your business

Screenshots from the MRX Solutions software.photo: Sava Jurisic

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Practice

By Kristy Wiltshire RMT, SMT (C), BA kinCertified Sports Massage therapistCSMTA BC Chapter President

Taping can be seen as art. Yet it is only part of the picture in the recovery process of an injury and it takes a lot of instruction and practice. As an RMT, manual therapy and rehabilitation exercises are equally important in this process. With practice, though, you can apply wrinkle-free and supportive taping to enable an athlete to return to activity. As a Sport Massage Therapist, taping is a skill that is particularly useful in large events such as the B.C. Summer Games and World Police Fire Games.

why DoES TAPing woRk?Adhesive tape is used to help support a joint or contractile tissue

after it has been injured. Taping is not used to replace a rehabilitation program or for immediate first aid care, but is effectively used once an injury is in the repair and regeneration stage of healing. It can continue into the remodelling phase to help prevent re-injury. Taping also encourages functional movement to help strengthen and to aid in the reintroduction of the proprioceptive capabilities of the injured joint or tissue.

wRAPPing vERSuS TAPingSometimes there is confusion between the appropriate time to

wrap or tape. Generally, wrapping consists of a non-adhesive tensor or wrapping material and provides compression when used for more acute injuries to help control swelling. It can also help stabilize splints and keep sterile dressings on, but does not offer much support. Taping, on the other hand, uses adhesive tape as a support for contractile tissue and ligaments, without limiting function. The adhesive tape also assists in the return to modified or full activity.

guiDElinES foR TAPingA good principle to follow in taping is the H.O.P.E. Principle (History,

Observation, Palpation and Evaluation).*Before you begin it is important to learn the history of your athlete

or patient, as in any regular massage practice. Important initial questions are: medications, history of injuries or trauma, allergies, mechanism of injury, location of pain, the intensity and duration of pain, the ability to return to play, and if swelling is still present.

You also need to observe the structure that is injured and its surrounding structures for swelling, bruising and deformity. You then need to Palpate the structures involved to feel for tenderness, tension and temperature. Finally, Evaluate the injury by testing active and passive range of motion, muscle strength and any other functional

or special tests specific to the injury. If any of these tests cannot be performed adequately, then the athlete should not be taped and should not return to play. If an athlete returns to play too soon it can be harmful, possibly causing re-injury and a longer healing time. Taping is applied only after an athlete has been fully assessed and approved to return to modified activity. The athlete must have pain-free range of motion and close to 100% strength.

Do noT TAPE:- Over knuckles or finger nails, or extremely hairy areas.- If an acute injury just occurred or swelling is still present.- Overnight, and be sure to remove before going to bed.- Against the requirements of the specific sport (some sports do

not allow certain areas to be taped or require skin-coloured tape to be applied, so be sure to research beforehand).

how To TAPEAfter determining that an athlete can be safely taped, you can then

start with prepping the skin and positioning the athlete in a neutral position, or a position with the least possible amount of tension. Be sure to place anchors above and below the injury site. Elastic or stretch tape can be used around muscle if needed to allow expansion during activity.

An Introduction to Taping

Taping an injured leg.photo: Kristy Wiltshire


REGISTERED MASSAGE THERAPISTSAre you looking for a great job & lifestyle? Mike Wiegele Helicopter Skiing is one of the finest heliski resorts in the world. MWHS is located in Blue River, BC and operates in the hospitality industry which caters to an elite and exclusive customer base.

This is a seasonal position which begins Dec. 2010. Availability to work during our peak weeks is also beneficial as our demand spikes between January and March.

RequiRements:■ Registered Massage therapist (or working toward)■ Experience evaluating and adjusting treatments■ Able to complete administrative tasks■ Available to lead stretch classes■ Polished presentation and high level of grooming■ Energetic and personable■ Must be able to work in a team environment

Apply online www.wiegele.com through email to [email protected],

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British Columbia Acupressure Therapists’ Association

2010 Conference:“Bodymind Energy Therapies”

#527, 6000 Iona Drive, UBC Campus, Vancouver, BC; October 22-24, 2010

www.acupressurebc.org/Conference.html

You are invited to attend the entire conference, (includes Saturday gourmet meal), or register for individual workshops, (#’s 1 & 3 have been approved for 5 CMTBC CEC’s)

1. Beth Falch-Nielsen, RCC– Friday, Oct. 22, 7:00-9:30PM

“So what are mindfulness-based, body-centered energy therapies all about?

2. Noel Taylor, Senior Jin Shin Do® Teacher, Saturday, Oct. 23, 1:30-4:30PM

“Finding Our Way Home: Journeying into Altered States to Find Allies in the Healing Process”

3. Samantha Jennings, Dr. TCM. Sunday, Oct. 24, 9:15 -11:45AM

“Acupressure as Metaphor”

Discover what Jin Shin Do(R) Bodymind Acupressure(TM) and other ”Bodymind Energy Therapies” have to offer you and your clients

Nourish yourself & your practice with Knowledge, Networking & a Delicious Saturday Dinner!

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STONE THERAPY SCHOOLHot Stone Massage: Level I – 21 CEUs

Nanaimo – Oct 22-24 • Vancouver – Nov 13-15Victoria – Feb 11-13 • Nanaimo – Feb 18–20

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Functional tape strips are figure 8’s, that lock in the heel, spicas, spirals and stirrups. These are used in different capacities when taping each joint or contractile tissue. Figure 8’s restrict movement, while locks help to secure the joint in a neutral position. Spicas are often used in groin strains, using a tensor and tape in a continuous technique around the waist and limb. Spirals are “continuous strips, which go between the upper and lower anchors” (SportMed BC, pg 3-10). Stirrups are used more specifically for the ankle and run from one side of the leg under the heel to the other side of the leg. The last step is to close off the taped area, which helps to hold the functional tape techniques securely and prevents windows and shadows.

whEn To uSE TAPingTaping is used under many circumstances and is most useful with

sprains, strains, contusions, bursitis and hyper-mobility within joints. With contusions and strains, foam pads are used in combination with adhesive tape to help disperse the pressure throughout muscle and away from the injured area. With some bursitis, cut a doughnut shape into the foam to decrease direct pressure on the bursa and then secure with non-elastic or elastic, depending on location. In cases of hyper-

mobility and professions that are strenuous on the hands and wrists, such as massage therapy, you can take a preventive approach while playing sports, or in other physical activities outside the workplace.

If you are interested in learning more about taping, I would recommend taking a local course. Practical classroom instruction will teach you what types of tape are available, the associated situations in which to apply them, the stage of healing that is safe and effective to use taping, and how to tape different areas in a manner sensitive to specific injuries. Contact Sport Med BC or alternate reputable companies for taping courses in your area.

REfEREnCES* Sport Med BC, Athletic Taping, (1994) Sports Medicine council of BC;

Vancouver BCAnderson, M; Hall,S; Martin, M. Sports Injury Management 2ed.

(2000) LippincottWilliams & Wilkins; Baltimore, MarylandShaw and Hartley; Sport Injuries: Assessment and Treatment

protocol for the Massage therapist (2007) Canadian Sport Massage Therapists Assoc. Toronto, Ontario •

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5 CECsAdam DreamHealerIntention Heals Workshop

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Register online at: www.dreamhealer.com

MALE OR FEMALE RMT NEEDED FOR VERY BUSY PRIVATE FITNESS CLUB WHERE WALK IN TRAFFIC HELPS YOU BUILD A SOLID CLIENT BASE. PLEASE SEND US A RESUME/CALL US FOR AN INTERVIEW TO DISCUSS YOUR TOP INCOME OPPORTUNITIES.

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Systemic Deep Tissue Therapy® Workshops(also known as SDTT)

(Systemic Deep Tissue Therapy® should not be confused with high pressure treatments)

Originated 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

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.

2010 Fall Workshop: Intermediate: October 23-24, Cost: $3992011 Spring Workshops: Introductory: February 26-27. Intermediate: March 26-27, (CEC 28 for both courses combined), Cost: $399 each. For more info and to register, phone: 604.984.2611 • web: systemicdeeptissuetherapycenter.com

Dr. VODDEr MLD COUrSESBasic, Therapy I, Therapy II & III

April / May 2011 October/ November 2011

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Banyan Thai Massage CMTBC CeU approved CoursesA teaching affiliate with the famous

“ITM School” of Chiang Mai, Thailand. We guarantee our courses to run with 1 up to 6 students only!

~ Traditional Thai Massage: ITM Chiang Mai Level 1, 24 CEU’s

~ Traditional Thai Massage: ITM Chiang Mai Level 2, 24 CEU’s

~ Thai Foot Reflexology Massage: 9 CEU’s (1-day course)

~ intro. To Thai yoga Massage: 6 CEU’s (1-day course)

~ assisted stretch Therapy–Thai yoga Method: 3 CEU’s (1/2 day course)

Please visit our website to view our 2010/2011 Course Schedule. On-line registration available at www.BanyanThaiMassage.com or contact: sharon Brown-horton, Instructor at 604.773.2645

MTABC CEC Courses 2010/11Registration at MTABC 604.873.4467 or [email protected]. Or mail to MTABC 180-1200, West 73rd Ave, Vancouver, BC, V6P 6G5. Provide name, phone and email. Cancellation within 3 weeks of a course results in 20% penalty; within 2 weeks, 40%; and within 5 days or “no shows”, no refund.Anatomy Trains Manual Therapy with Mark Finch, 14 CreditsHoliday Inn, 711 West Broadway, VancouverFebruary 12-13, 2011 and June 2011Fascia: Its Structure and Function– The Pelvic Girdle with Mark Finch, 14 Credits Holiday Inn, 711 West Broadway, VancouverOctober 23-24, 2010, FULL– wait list availableMarch 5 - 6, 2011Fascia: Structure & Function–The Shoulder with Mark Finch *NEW*, 14 CreditsHoliday Inn, 711 West Broadway, Vancouver April 30 – May 1, 2011Mark Finch Prices:MTA One Month Early $285, Regular $310Non-MTA One Month Early $380, Regular $420End-Range Loading – Evidence-Based Manual Therapy - GENERAL, 12 CreditsDr. David DeCamillis, D.C., F.C.C.R.S.(c) New Westminster, April 9-10, 2011 Sat., 10:00 - 4:30 and Sunday, 9:00 - 3:30End-Range Loading – New Evidence-Based Manual Therapy - HEAD AND NECKDr. David DeCamillis, D.C., F.C.C.R.S.(c) *NEW* Credits TBANew Westminster, May 14-15, 2011Sat., 10:00 - 4:30 and Sunday, 9:00 - 3:30Dave DeCamillis PricesMTA One Month Early $285, Regular $310Non-MTA One Month Early $380, Regular $420Ann Sleeper’s Courses: 20% repeater discount for Ann’s courses.See Ann’s web page, www.annsleeper.comMuscle Energy Technique for the Neck & Upper Thoracic Spine, 17 CreditsVancouver – Holiday Inn, Sat & Sun, Feb 19-20, 2011, 9 am - 5pm Mon., Feb 21, 2011, 9 am - NoonMTA One Month Early $370, Regular $405Non-MTA One Month Early $500, Regular $550Introduction to Osteopathic Techniques, Part One. 12 Credits Vancouver – Holiday Inn, Sat and Sun, March 19-20, 2011,10 am - 5 pmMTA One Month Early $265, Regular $290Non-MTA One Month Early $355, Regular $390Muscle Energy Technique for the Ribs, 18 creditsVancouver, Holiday Inn, Sat & Sun, April 2-3, 2011, 9 am - 5pm; Mon., Apr., 4, 2011, 9 am -1 pm MTA One Month Early $390, Regular $430 Non-MTA One Month Early $525, Regular $580Muscle Energy Technique for the Low Back, Part 1 - Lumbar & Ilia. 14 CreditsVancouver – Holiday Inn, Sat and Sun, May 14-15, 2011MTA One Month Early $310, Regular $340Non-MTA One Month Early $420, Regular $460Introduction to Osteopathic Techniques, Part Two. 12 Credits Vancouver – Holiday Inn, Sat and Sun, May 28-29, 2011, 10 am - 5 pmMTA One Month Early $265, Regular $290Non-MTA One Month Early $355, Regular $390Mike Dixon, RMT & Steve Anderson, RMT, BSc.Joint & Nerve Mobilizations, 14 CreditsNew West. WCCMT, Oct. 30-31, 2010, 9am-5pmMTA One Month Early $265, Regular $310Non-MTA On Month Early $380, Regular $420For more course details, see MTABC web site www.massagetherapy.bc.ca and the MTABC newsletter “Massage is the Message”


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.comE-mail Ann at [email protected] or leave message at 604-872-1818

ANATOMY & YOGASANA I & II: 24 CEC’s Maui, HI Retreat February 14th to 21st, 2011

Combine Yoga and Anatomy for an education vacation. Travel, relax, learn and earn credit while studying the anatomy of the yoga body; apply what you learn in your massage therapy or yoga practice. Register now to assure your place. Leigh Milne RMT, R-RYT500 is an experienced RMT, yoga teacher and educator. For course and instructor details and registration information visit: www.thesadhanacentre.com/yoga/classes.shtml#ceu [email protected] 902-273-YOGA

Intn’l Inst. of Reflexology offers ‘The Ingham Method ’

14 C.E.Credits A 2 day - phase 1, 2 class • Oct 16 & 17/10

O.V.C.M.T. Vernon BC contact Deborah Dowker for info or to register

250-890-3668 or [email protected] Works/Thai Massage: 24 ceu’sOctober 1 – 3: “Fusion Works”

SaltSpring Island – 24 ceu’sOctober 4 – 5: “Thai Massage on the Table”

SaltSpring Island – 12 ceu’sKristie Straarup r.m.t.

www.academyofmassage.ca toll free 1-866-537-1219

Massage Matters

If you have a product, service or course to advertise

call Victoria Chapman at:

[email protected]


ClASSIFIEDADVERTISINg

Structural Integration (SI) is an ef-fective way to reach deeply intoyour clients’ ingrained patterns andchange them. SI restores naturalalignment, balance, and flow in thebody posture andmovement.

Pioneered by Dr Ida Rolf, SI utilizes the ‘plastic-ity’ of the body’s fascial fabric to enhance ‘spatialhealth’.

Training in SI lets you• offer new skills to your clients• join dedicated professionals in search of last-ing change

What is Structural Integration?

Why KMI?Change your body about your mind!

TomMyers studied directlywith Dr. Rolf in the ’70s.Aer 25 years’ practice,he reconfigured the Rolfseries of sessions intothe KMI 12-seriesprotocol, based onthe Anatomy

Trains Myofascial Meridians.

KMI offers a unique ‘open-in-quiry’ learning environment thatcombines old world crasman-ship with 21st century delivery.KMI is warm and friendly as wellas rigorous and intensive. KMI is inclusiveand blends well with cranial, visceral andmuscle-release techniques, as well as yoga,Pilates, and other movement modalities.

So why KMI?• creative learning environment• widely experienced teaching staff• an evolving approach with a strong

anatomical basis

And let's not forget value formoney:e KMI train-ing is priced lean anddelivered in six 2-weekintensive increments

over a year (or so), withperiods to absorb and learn in between.Keep up your practice and keep up withyour kids as you train for a lifetime’s satis-faction in working deeply and produc-tively with your clients.

Dr. Ida Rolf

KMI Structural IntegrationProfessional Certification

TomMyers

®

Seattle Vancouverstarts January 2011 starts February 2011

For full program details and registration information, visit: www.AnatomyTrains.com/kmiCall us at 207 563-7121 • [email protected]

Passion andanatomy in-fuse KMI.It’s a spiral-ing journeyof hands-onscience, skilland creativity.”

— Jan Schollenberger

I chose KMIfor Tom’suniqueability tohonor eachstudent’s par-ticular abili-ties while maintainingacademic competence. KMIremains strongly tied to IdaRolf ’s foundation, but is alsowilling to step beyond.

—MattWhittaker

I chose KMI.I could havegone toanotherschool butwith twochildrenthere was no way. I wasthrilled with the training. Itwas so accessible, a grounded,solid foundation and notdogmatic. I made the rightchoice for me. It is a wonder-ful journey.

—Kate Brustin

“I chose KMI”

massage matters, fall 2010

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