International Therapist Summer 2018 by Redactive Media Group

International

Therapist fht.org.uk

Scar support The beneďŹ ts of scar massage

Shining example

Skin

FITNESS

Complementary therapy within the NHS

Laws of motion Mobilisation and the Maitland concept

Exercise and skincare

F H T Confere

nce

PUBLISHED BY THE FHT

see page 32

ISSUE 125 (SUMMER 2018) THE LEADING MAGAZINE FOR PROFESSIONAL THERAPISTS Cover__International Therapist 1

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CONTENTS

International

Therapist fht.org.uk

ISSUE 125 (SUMMER 2018)

FEATURES 12

Skin fitness We discuss active beauty, the use of skincare products alongside physical exercise

The art of good health A recent conference looked at how the arts can tackle some of today’s healthcare priorities

Scar support Emma Holly, MFHT, talks about the physical and emotional benefits of scar massage

Shining example Jane Sheehan, MFHT, talks about establishing a new delivery model for a complementary therapy service within an NHS palliative care unit

Positive energy FHT accredited course providers Judith Hadley and Sara Pearson discuss introducing feng shui to your therapy premises

LEARNING ZONE

Your views

News update

Essential oil profile Ask an expert

What’s new at FHT

Local support group news

FHT at events

2018 FHT conference Supporting the integrated healthcare agenda

Face time FHT Vice President Mary Dalgleish introduces marma massage with a self-help routine

New in the reading room and spiral quiz

MEMBERS’ PAGES

Medical A-Z

Research Including tai chi for fibromyalgia, and taping for hypertension

On the couch…

FHT learning

with Gill Morris, director of commercial development at Sterex

FHT accredited courses

A day in the life of… Nicky Gee, Blackpool FHT local support group coordinator and crystal therapist

Kyphosis

Industry news

03_Contents__International Therapist 3

Psychotherapist Lara Just provides a brief introduction to walk and talk therapy and its benefits

CPD questions and diary dates

FHT.ORG.UK FHT F FH H T.O HT .O OR RG G.U G. ..U UK UK

Walking the talk

Roman chamomile

Katie Campbell looks at the benefits of manual therapy using the Maitland concept

REGULARS

Laws of motion

Members’ news… Jackie Winters, MFHT, helps a horse learn to relax with crystal healing

Reviews, competition and new products

SUMMER 2018 INTERNATIONAL THERAPIST

09/07/2018 12:43

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INTERNATIONAL THERAPIST SUMMER 2018

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06/07/2018 07:58

EDITOR’S WELCOME

WELCOME Federation of Holistic Therapists 18 Shakespeare Business Centre Hathaway Close Eastleigh Hants SO50 4SR

Contact

T. 023 8062 4350 E. info@fht.org.uk W. fht.org.uk

Editor

Karen Young

Deputy Editor Daniel Ralls

Sub-editor

James Hundleby

Design

Sarah Auld

Picture Editor Chloe Crisford

Advertising

Joanne Rose T. 020 7880 6231 joanne.rose@redactive.co.uk

Deadlines – Autumn 2018 (Issue 126) Editorial – 1 Aug Classiﬁed adverts – 24 Sept Display adverts – 2 Oct Published – 18 Oct

Senior management team

Jade Dannheimer; Julie McFadden; John Parsons; Annie Walling; Karen Young

Governing Council

President – Christopher Byrne Vice Presidents – Gerri Moore; Mary Dalgleish; Herman Fenton Lay members – Helen Chambers; Peter Wren

FHT Expert Advisers

Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran

t was lovely to meet many of you at this year’s FHT Training Congress at the Holistic Health Show. We hope you enjoyed the experience, and for those who couldn’t join us this year, you’ll find a short write-up on page 44 to give you a feel for what to expect in 2019 – we look forward to seeing you there! Helping with the seminar rooms at the Training Congress, I was even lucky enough to dip into one or two of the talks. I’m pleased to report this led to some fruitful conversations with some of the speakers about future articles for the magazine, so watch this space. Sitting in Jennifer Young’s talk about how to communicate with medical professionals also got me pondering on the matter of mutual respect – less in terms fostering it between therapists and medical professionals, which was the primary focus of the talk, but between therapists from different disciplines. I say this because one of the delegates, a complementary therapist, said that she was tired of doctors and consultants mistaking her for a beauty therapist. From the way she said this, the implication was that the complementary therapist was... I’m not entirely sure. More professional? Better qualified? More aligned to the medical profession? I don’t know if the delegate was an FHT member, or entirely serious, but I’m still sad to say it’s not the first time I’ve heard a comment like this. So if you can forgive me putting on my dual hat of editor and communications manager, I would like to take this opportunity to stress the following:

USEFUL FHT CONTACTS

please always show the same level of respect to other professional therapists that you would expect yourself. Trying to gain the respect of one professional only to make a derogatory remark about another in the next breath is not only contradictory, it’s potentially damaging for everyone. All therapists who belong to the FHT are professional, qualified and just as capable of supporting the health and wellbeing of the public as the next member. Folding the soapbox away and finishing on a positive note, we have doubled the size of our ‘Ask an expert’ and Research sections this issue, as our 2018 Member Survey indicated these were your favourite regular articles. We hope you enjoy the extra content.

Karen Young, Editor

International Therapist (IT) is printed on FSC® responsibly sourced paper. If you can bear to part with your copy of IT, please pass it on to a friend to read or recycle.

ACCREDITATION Annie Walling E. accreditation@fht.org.uk W. fht.org.uk/accreditation

INTERNATIONAL THERAPIST Daniel Ralls E. dralls@fht.org.uk W. fht.org.uk/IT

CPD REQUIREMENTS

MEMBERSHIP AND INSURANCE Beverly Bartlett E. bbartlett@fht.org.uk W. fht.org.uk

Heidi Hinton E. cpd@fht.org.uk W. fht.org.uk/cpd

PRESS AND MEDIA Karen Young E. kyoung@fht.org.uk W. fht.org.uk/press-and-media FOLLOW FHT ON FACEBOOK, TWITTER, LINKEDIN & INSTAGRAM

FHT is a trading name of the Federation of Holistic Therapists, which is authorised and regulated by the Financial Conduct Authority (FCA) under ﬁrm reference number 502095. You may check this on the Financial Services Register by visiting the FCA’s website, register.fca.org.uk or by contacting the FCA on T. 0800 111 6768. Registered in England and Wales, No. 02864349. Registered ofﬁce: Chilworth Point, 1 Chilworth Road, Southampton SO16 7JQ. This issue of International Therapist has been published on behalf of the Federation of Holistic Therapists by Redactive Media Group, 78 Chamber Street, London E1 8BL. The Federation has taken all reasonable steps to ensure the accuracy of the information contained in the magazine. Except in respect of death or personal injury caused by the Federation’s negligence, the Federation shall not be liable, by reason of any error in or omission from the information contained in this or any previous editions of the magazine, for loss or damage whatsoever arising therefrom. Neither FHT, Redactive Media Group nor the authors can accept liability for errors or ommisions. Neither the Federation nor Redactive Media Group necessarily associates itself with any views that may be expressed in this magazine, to which readers are invited to submit articles of general interest for publication. Responsibility cannot be accepted for unsolicited manuscripts or transparencies. No part of this magazine may be reproduced in any form or by any means, whether electronic, mechanical or optical without written permission from the Federation.

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05_Editor welcom__International Therapist 5

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PRESIDENT’S WELCOME

WELCOME

t’s with real pleasure that I have this opportunity to formally introduce myself to you all. My name is Christopher (Chris) Byrne, and I have very recently been elected as the new President of the FHT by my fellow board members. I take up this exciting role from Paul Battersby, who – on behalf of the FHT Governing Council and staff – I would like

in clinical practice, or employing or teaching therapists, we’d love to hear from you – please visit fht.org.uk/governingcouncil for more information and to put yourself forward for consideration. Meantime, I look forward to meeting you at our FHT conference: Supporting the Integrated Healthcare Agenda (a topic very close to my heart) at The King’s Fund, London, this November (see page 32 for more details). It’s an event not to be missed, and to make it even more special, we’ll be announcing our 2018 FHT Excellence Award winners as part of the day’s programme. While I’ll obviously be there in my official capacity as FHT President, please note that I’ll also be attending as Chris Byrne, a therapy practitioner, as passionate to hear from our expert speakers as you are, so please come and say hello. For those who would like to learn a little more about my background, our editor Karen has reliably informed me I’ll be appearing in the next ‘On the couch’. So watch this space, as they say!

to thank for representing and safeguarding the interests of the FHT and its members as President over the past two years. Our thanks also to Jonathan Hobbs, Maria Mason and Cheryl Cole, who have also chosen to step down from their roles as Vice Presidents at this time. As industry experts, you are extremely busy people by nature, and so we truly appreciate the time you all generously gave to the FHT during your tenure. And, of course, a big thank you to those who remain on the Governing Council and will be supporting me in my new role going forward – namely Gerri Moore, Herman Fenton, Mary Dalgleish, Helen Chambers and Peter Wren (for more information, visit fht.org.uk/about-us). Obviously all this change means we have some seats to fill on our Governing Council but for me, this is incredibly positive. It’s a great opportunity to bring some new blood and fresh ideas to the table which, combined with the vast experience and wisdom of our incumbent council members, will equip us with the necessary skills and energy to truly drive the FHT forward and tackle any challenges that may lie ahead. If you are passionate about the therapy industry, about high standards and professional practice, and have experience

Christopher Byrne, President

FHT GOVERNING COUNCIL PRESIDENT

VICE PRESIDENTS

Christopher Byrne ICAT (International Council of Acupuncture Therapists) and PACT (Professional Association of Clinical Therapists) FHT EXPERT ADVISERS Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran.

Gerri Moore IFHB (International Federation of Health and Beauty Therapists)

Herman Fenton HFST (International Council of Health, Fitness and Sports Therapists)

Mary Dalgleish ICHT (International Council of Holistic Therapists) and Association of Therapy Lecturers (ATL)

LAY MEMBERS Helen Chambers and Peter Wren (representing the interests of the public)

For biographies, please visit fht.org.uk/about-us 6

INTERNATIONAL THERAPIST SUMMER 2018

06_President wel__International Therapist 6

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INT.Summer2018.007.indd 7

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HAVE YOUR SAY PLEASE KEEP IN TOUCH WITH US... Email dralls@fht.org.uk Facebook facebook.com/fht.org.uk

Your views

FHT website fht.org.uk

Instagram fht_org

Twitter @FHT_Org

Write to 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hants S050 4SR

STAR COMMUNICATION

Warning signs For the past four years, I have been delivering complementary therapies at a local retirement village; these have been very popular with the residents. Recently, an 89-year-old wheelchairbound lady with heart failure attended for her regular upper back and shoulder massage. She started to remove her blouse and made a joke about having a ‘winking’ inverted nipple. I had breast cancer five years ago and am very aware of the importance of promoting breast cancer awareness. I asked if it had always been like that or whether it was a recent change. She was unable to give a clear history and reluctant to see her GP. However, I managed to gently persuade her that it was important she saw someone to have it checked, and she agreed to visit the nurse practitioner at the retirement village. After examination by the nurse, she was immediately referred to the fast-track breast clinic at the hospital, where she was seen within 10 days and diagnosed with breast cancer. They are unable to perform surgery or give complex treatment because of her general health but will be able to look after her and ensure that she receives good palliative care.

I am writing this letter to remind all therapists to listen closely to what clients are saying, to notice any changes and to have the confidence to refer clients to medical practitioners. Remember, our job is not to diagnose or treat medical conditions, but if we are aware of the signs and symptoms of various illnesses, we can help ensure that our clients have access to the appropriate treatment.

This lady would have happily ignored her painless, inverted nipple but, as it turned out, she and her family are so grateful that I followed up her flippant comment. The nurses have also given me a pat on the back for being aware of the signs of breast cancer. Further information and free leaflets about signs and symptoms of breast cancer can be found at fht.org.uk/IT-125breast-cancer-signs Diane Leopard, FFHT

Not slowing down I qualified as a sports massage therapist in 2009 at the age of 56, while working as a prisoner custody officer (PCO). A year later, I suffered a hand injury dealing with a violent prisoner, and two surgical procedures ended my career as a PCO. My wife Jill encouraged me to set up the ANH Treatment Room in 2011, where my first clients were members of the Australian rugby team. Then in 2012, a bombshell dropped: I was diagnosed with Parkinson’s disease. This did not end my new career. Having treated a few clients suffering with Parkinson’s, I had a good insight into the disease, so I adapted and kept going.

INTERNATIONAL THERAPIST SUMMER 2018

08-09_Your Views__International Therapist 8

Every client is told I have Parkinson’s, and they have all been very supportive. It has even opened a few doors: following a talk at the local support group about the importance of exercise, I was asked to give Parkinson’s-specific exercises at the start of every meeting. Following the retirement of the coordinator, my wife and I were then asked to take over as coordinators and run the group. Earlier this year, I signed a 12-month extension on my lease, taking me past retirement age. I have no intention of slowing down, as you can see from this picture of me with my rather large motorbike. Tony Hillier, MFHT

FHT.ORG.UK

05/07/2018 12:06

HAVE YOUR SAY

Helping teachers relax at national conference I was recently asked to organise a chillout zone for the National Association of Schoolmasters Union of Women Teachers (NASUWT) annual conference in Birmingham. The chill-out zone was set up to help teachers get some well-deserved relaxation and relief from the stresses of what can be a very demanding job. I had worked in the chill-out zone in previous years, but this was the first time I was asked to organise the whole area. Not one to turn down a challenge, I agreed to set it all up, including risk assessments, PAT testing, contracts and insurance. I needed to hire four therapists, and because I am one of the coordinators for South Birmingham FHT local support group (LSG), I had access to a good network of skilled therapists. I knew who would have the skills, professionalism and enthusiasm to deal with more than 300 delegates in three days. I was also confident of their qualifications and insurance, and pleasantly surprised to learn that we were covered for

public liability with our existing insurance through the FHT. FHT members Catrina Parker, Tina Farrell, Sarah Hall and Jas Rai were ideal therapists and were able to offer a variety of treatments to the very grateful delegates. Back massage, Indian head massage, facials and reflexology were all available to accommodate a variety of therapeutic needs. We were fully booked throughout the three days. I ran the booking system, which got very hectic at times because there were far more delegates than spaces, so everyone was

trying to sign up. I decided humour was the best way forward, which worked a treat. As a therapist myself, I was able to advise people who had difficult symptoms and was able to step in, if needed, which made it all run smoothly – much to my amazement. We arranged to have a gazebo set up in the large exhibition hall, which gave the teachers a dedicated private space where they could relax during treatments. We added lights to the ceiling, and flowers were scattered about to give a contrast to the industrial hall. The clients were delighted, and we had pages of positive feedback: ‘amazing’, ‘wonderful and relaxing’, ‘wonderful – first massage ever and I am going for some more’ and ‘absolutely sublime – I feel exhilarated’ were just a few of the enthusiastic comments. The organisers were delighted that the whole event went so smoothly, and all five of us were buzzing at the end. Knowing each other from our FHT LSG definitely paid off and we look forward to working together at future events. Linda Jacobs, FFHT

STAR COMMUNICATION

Mindfulness for parents In the next issue of International Therapist, the lucky member who wins our star communication prize will receive a copy of Mindfulness for Parents by Amber Hatch. Get in contact for a chance to win (details at top of page 8).

PICTURES: GETTY; TONY HILLER; LINDA JACOBS; WATKINS PUBLISHING

Opportunity knocks I just read your email for the collaboration with the Complementary Therapy Awards. This sounds like a wonderful way of giving recognition to all the amazing complementary therapists out there. We will get there, we will be heard, and we will be recognised for the excellence we demonstrate. It’s wonderful to have the FHT standing in our corner. Nicky Gee, MFHT Find out more about the Complementary Therapy Awards at fht.org.uk/awards

LEARNING FHT ACCREDITATION MANAGER’S PICK ‘I found a short research article on lavender and sleep helpful. I have tinnitus which makes falling asleep difficult. I’m also a light sleeper. After reading this piece, I started using lavender on my pillow at night and found it really does make a difference. I’ve also used a roll-on lavender oil on my wrists to inhale and aid relaxation.’ Find this article in the Research section of the reading room (fht.org.uk/readingro readingroo om) m) under ‘Lavender and sleep’.

FHT spiral no. 26

In the reading room In the reading room section of the FHT website, you will find more than 350 therapy- and business-rela ted articles and research summaries, with more added regularly. Visit fht.org.uk/ readingroom, log in and have a browse.

REFLEXOLOGY IN CANCER CARE A

prospective clinical study assessed the impact of clinical foot reflexology (CFR) on 257 patients attending an NHS cancer ward and outpatient chemotherapy clinic. Authors A Abbigail Langstone-W ring and David D Machin write in the conclusion of their t paper, ‘CFR has been shown to be a useful intervention for reducing stress and a provides symptom relief to patients

TEST YOUR A&P P KNOWLEDG E AND AN ND

WIN A £20 AMAZO GIFT CARN RD D

The winner will also receive a 2018 Beauty ty Shortlist award-winni ng Zone Facelift – Face and and Spirit Lifting Elixir (30ml).

undergoing cancer treatment’. Abbigail received a special Research Award from

the International

Council of Reflexology (ICR) at its 2017 conference, in recognition of her contribution to reflexology. fht.org.uk/IT-124-RR-C FR

EDEN ENERGY MEDICINE (EEM)

Hilda Kalap, MFHT, provides an overview of EEM and what prompted her to train in this modality. Central to EEM is helping clients to return to optimum health by restoring energies that have become weak, disturbed or out of balance. fht.org.uk/IT-124-RR-E EM

8 7 11

15 2

14 17

Write your answers in a spiral from the start, working king in an anticlockwise towards the centre of the l k direction, d grid. The last letter of each ch answer is the fi The shaded diagonal line first rst letter of the next. will spell out a type of bone.

TO ENTER Simply email the word that appears in the diagonal shaded boxes to dralls@fht.org.uk (writing ‘Spring Spiral’ in the subject box), or send your answer on a postcard to the usual FHT address. Please include your name, address and membership number. Standard competition terms and conditions apply (visit fht.org.uk/ competitions). Entries to be received no later than 18 May.

9 3

CROSSWORD CLUES 1 2 3 4 5 6 7 8 9

eg. ribs, metatarsals, phalanges (5) Pear-shaped organ that links the oesophagus to the small intestine (7) Initials for a retrovirus that affects the immune system (1,1,1) Tiny finger-like projections in small intestine that absorb nutrients (5) Prolonged inability to sleep (8) Gland found above each kidney (7) Lob a mug (anag.) low back pain (7) Muscle that surrounds the eye (11,5) Third/final section of the small intestine (5)

Solution for spiral no.

10 Chin muscle (8) 11 Nerve that extends from lower end of the spine, down the back of each thigh (7) 12 Section of spine consisting seven vertebrae (8) 13 - - - - - nodes, ducts, vessels (5) 14 Artery that supplies blood to the liver (7) 15 Jelly-like liquid in cells (9) 16 Where you’d find the submandibular and sublingual glands (5) 17 eg. vellus and terminal (4)

25…

where is it? We do not publish spiral solutions in International Therapist, as completing member who sent in the spirals from the magazine ﬁrst correct spiral solutions can count towards your to be independently drawn CPD (one CPD point per from all eligible entries spiral quiz, a maximum sent in by the allocated of ﬁve points per year). closing date for spiral Turn to page 65 for the no. 25 featured in Issue name of the 123 (Winter 2018). FHT.ORG.UK SPRING 2018 INTERNATIO NAL THERAPIST 52 CPD__International

Therapist 53

13/04/2018 12:25

Every day is a school day As a newly qualified therapist, I love, love, love the spirals – such a fab way to refresh A&P knowledge! Please keep them coming. Karen Hopes, MFHT

FHT.ORG.UK

08-09_Your Views__International Therapist 9

Celebrating therapy excellence Love this post [regarding Dr Chatterjee’s comments on the value of complementary therapists] and proud to be an FHT member. Mandy Maguire, MFHT

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NEWS

Children at risk from black henna temporary tattoos A recent British Skin Foundation survey has found that 20% of children could be in danger of having serious reactions to black henna temporary tattoos, a fashion accessory that is popular at overseas holiday destinations, festivals, funfairs and the British seaside during summer months. Real henna is orange or brown in colour. Black henna tattoos are not based on henna at all, but a substance called

paraphenylenediamine (PPD), which is found in hair dyes. PPD is allowed for use in hair dye, but its use for skin contact products, such as temporary tattoos, is illegal in the UK and Europe. Three-quarters of people surveyed were not aware that black henna tattoos contain PPD, a substance that can be dangerous to the skin. Read more on the FHT blog at fht.org.uk/IT-125-black-henna

Research reveals key factors to support quality of life in dementia A robust research analysis has identified which factors can be targeted to support people to live as well as possible with dementia. The study, led by the University of Exeter and published in the journal Psychological Medicine, found that good relationships, social engagement, better everyday functioning, good physical and mental health, and high-quality care were all linked to better quality of life for people with dementia. Professor Linda Clare at the University of Exeter said: ‘This research supports the identification of national priorities for supporting people to live as well as possible with dementia. While many investigations focus on prevention and better treatments, it’s equally vital that we understand how we can optimise quality of life for the 50 million people worldwide who have dementia.’ The team carried out a systematic review and meta-analysis to examine all available evidence about the factors that are associated with quality of life for people with dementia. They included 198 studies, which incorporated data from more than 37,000 people. Access the research paper at fht.org.uk/IT-125-dementia-exeter

Health retreats can beneﬁt people with chronic diseases Health retreat experiences could be beneficial for people with chronic diseases such as multiple sclerosis, as well as cancer, heart conditions, HIV and AIDS, and mental health problems, according to a study published in the BMC Complementary and Alternative Medicine journal. A systematic review was conducted, looking at 23 studies involving intervention programmes in residential settings, with a total of 2,592 participants. Interventions in the residential

retreats included meditation, yoga, ayurveda, mindfulness, qi gong, massage, self-compassion, exercise and breathing techniques. Seven of the studies measured objective outcomes such as blood pressure, while 16 involved subjective measures, such as questionnaires. All 23 studies reported health benefits from residential retreats, ranging from immediately to five years later. Access the study at fht.org.uk/IT-125-retreats

INTERNATIONAL THERAPIST SUMMER 2018

10-11_News__International Therapist 10

Frequent sauna bathing reduces risk of stroke

Frequent sauna bathing is associated with a reduced risk of stroke, according to new international research. In a 15-year follow-up study, people using a sauna four to seven times a week were 61% less likely to suffer a stroke than those using a sauna once a week. This is the first prospective large-scale study on this topic. The findings, reported in the journal Neurology, are based on the population-based Kuopio Ischaemic Heart Disease Risk Factor study and involved 1,628 men and women aged 53 to 74 years living in the eastern part of Finland. Based on their frequency of taking traditional Finnish sauna baths, the study participants were divided into three groups: those taking a sauna once a week, those taking a sauna two to three times a week and those taking a sauna four to seven times a week. The more frequently saunas were taken, the lower the risk of stroke. Read an abstract of the study at fht.org.uk/IT-125sauna-bathing

FHT.ORG.UK

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NEWS

Acupuncture could be used to combat food addiction Growing evidence suggests that acupuncture could be used in the treatment of food addiction and obesity, according to an article published in the British Medical Journal. Research from a team of scientists led by Dr Jason Aaron Chen indicates that food addiction bears many similarities to drug and alcohol dependency. The team believes that strategies that have worked for drug and alcohol addiction could be used to tackle

obesity, including an acupuncture-based protocol that was used in 1970s Hong Kong to treat opioid addiction. In addition, the team also refers to a wider evidence base that demonstrates acupuncture’s efficacy in treating substanceuse disorders and calls for more research on the therapy’s effect on people with a food addiction. Read the article abstract at fht.org.uk/IT-125-food-addiction

PICTURES: ALAMY; BRITISH SKIN FOUNDATION; ISTOCK; SHUTTERSTOCK

New health beneﬁts discovered in berry pigment Naturally occurring pigments in berries, also known as anthocyanins, increase the function of the sirtuin 6 enzyme in cancer cells, a new study from the University of Eastern Finland shows. The regulation of this enzyme could open up new avenues for cancer treatment. Sirtuins are enzymes regulating the expression of genes that control the function of cells through key cellular signalling pathways. Ageing causes changes in sirtuin function, and these changes contribute to the development of various diseases. Sirtuin 6, or SIRT6, is a less wellknown enzyme that is also linked to glucose metabolism. The findings indicate that anthocyanins increase the activation of SIRT6, which may play a role in the development of cancer. The study also lays a foundation for the development of new drugs that regulate SIRT6 function. Access the study at fht.org.uk/ IT-125-berry-pigment

FHT.ORG.UK

10-11_News__International Therapist 11

UK GOVERNMENT PUBLISHES POSTURAL CARE GUIDANCE The government has published information on the importance of meeting the needs of people with postural care needs and learning disabilities. The guidance is aimed at health and social care professionals and family carers to help them support people with learning disabilities who are at risk of body distortion. Find out more at fht.org.uk/ IT-125-postural-care

SOCIOECONOMIC DISADVANTAGES REDUCE PHYSICAL FUNCTION IN OLD AGE

Exercise may reduce blood pressure in stroke patients Exercise may help reduce blood pressure in stroke patients, according to a study published in the British Journal of Sports Medicine. In a systematic review and meta-analysis, a team of scientists looked at various medical databases to evaluate the effects of aerobic or resistance exercise interventions in patients after a stroke or transient ischaemic attack (mini-stroke). Twenty randomised controlled trials were included in the study, which showed that exercise interventions resulted in significant reductions in systolic and diastolic blood pressure compared with the control groups. Exercise was also associated with reductions in total cholesterol. Read the abstract at fht.org.uk/ IT-125-exercise-stroke

Men aged 60 with lower economic status (for example, working in manual occupations) have the same walking speed as men aged 66.6 with a higher economic status (for example, working in non-manual occupations), according to research from the Lifepath Project. Read more at fht.org.uk/ IT-125-lifepath

SUN SAFETY MESSAGE SINKS IN Of those who use sunscreen in the UK, three in ﬁve people are using SPF 30 or higher, according to research by the British Skin Foundation. Consultant dermatologist Dr Anjali Mahto said: ‘It’s fantastic to see the sun safety message has hit home to the British people.’ Read more on the FHT blog at fht.org.uk/IT-125-sun-safety

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:07

BEAUTY | Skin

Skin FITNESS WE DISCUSS ACTIVE BEAUTY, THE USE OF SKINCARE PRODUCTS ALONGSIDE PHYSICAL EXERCISE

xercise has many health benefits: from lowering the risk of cancer, heart disease and diabetes to improving sleep and quality of life. But what impact does it have on the skin? Should we use skincare products before and after exercise? In this article, we look at how exercise affects the skin, the active beauty trend and how to protect the skin both before and after a workout.

THE EFFECTS OF PHYSICAL EXERCISE ON THE SKIN During exercise, our heart rate increases, we get warmer, we sweat and we require more oxygen. Because our heart beats faster, it pumps more blood around the body, as well as oxygen picked up from the lungs. It then carries this oxygen in the blood to the specific muscles we are using in any given exercise (British Heart Foundation, 2017). This increased circulation also affects the skin, which requires additional blood flow to get rid of the extra heat generated from doing exercise (Burton et al, 2004). According to Dr Emma Wedgeworth, consultant dermatologist and British Skin Foundation spokesperson, this has the benefit of making our skin glow after exercise, as well as removing toxins more effectively and aiding skin cell regeneration (Salter, 2015). Dr Wedgeworth also explains that these changes can ‘help regulate comedogenesis, the pore blockage, which is the first stage in acne’. As our temperature rises when we exercise, sweat is produced to cool it down and regulate body temperature. Our nervous system causes eccrine glands to release sweat, which is mostly made up of water with sodium, chloride and tiny amounts

of other chemicals (American College of Sports Medicine, 2013). Sweating relieves the body of toxins that clog pores, which is beneficial with mild to moderate sweating (Borreli, 2014). Excessive sweating, however, can increase the risk of skin infection. High-intensity endurance exercise, for example, can enhance the risk of infection by reducing the skin’s immune and physical barriers, so it is advisable to protect the skin by showering immediately after exercise, and using moisturisers (Eda et al, 2013). On the plus side, exercise can help protect the skin from damage caused by stress. Regular exercise is known to enhance mood and reduce stress by regulating the levels of the body’s stress hormones, such as adrenaline and cortisol, and releasing endorphins, chemicals in the brain that elevate mood and reduce pain (Harvard Medical School, 2011). Dr Wedgeworth says that the reason exercise can help protect the skin is because it reduces our levels of cortisol, which can be pro-inflammatory and make skin conditions worse (Salter, 2015). Exercising to improve the condition of the skin was highlighted in global market research company Mintel’s Active Beauty Global Beauty & Personal Care Trend 2017 report (Mintel, 2017), as something that an increasing number of people are now considering. Mintel surveyed Chinese facial skincare users and found that 59% were prepared to do more exercise to improve the condition of their skin.

THE ACTIVE BEAUTY TREND The association between exercise and the skin isn’t anything new, but Mintel and other leading market research analysts suggest that attitudes are changing. In increasing numbers, consumers are

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Skin | BEAUTY

“Regular exercise is known to enhance mood and reduce stress by regulating the levels of the body’s stress hormones, such as adrenaline and cortisol ” purchasing beauty products specifically designed for use in conjunction with exercise. Mintel calls this active beauty, and this is the focus of its beauty report, in which it is speculated that it would become a major global beauty trend in 2017. Active beauty is also often referred to as athbeauty or athleisure skincare – the latter because of its link to the fashion trend where athletic clothing is worn in settings outside of sport and fitness. According to Mintel, the growth of active beauty is due to consumers being encouraged to exercise their bodies and their brains, and beauty brands are ideally positioned to create new products that can help their customers achieve their specific health and fitness goals (Mintel, 2017). This is reflected in Mintel’s research that a third of consumers in France, Germany, Italy and Spain exercise two to three times each week, and that 43% of women in France would be interested in using make-up that stays in place during exercise (Rudd, 2017). Increased publicity and coverage of women’s sport has also helped drive this trend. Campaigns such as Sport England’s This Girl Can actively encourage more women to get involved in sport and even has an advert with the strapline ‘My game face has lipstick on’ (Rudd, 2017). This is something also evident in Olympian Jessica Ennis-Hill, who famously competes in the heptathlon while wearing make-up (Green, 2017). Seeing images of women competing in sport while wearing make-up has the effect of influencing the public to follow these examples.

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BEAUTY | Skin

Mintel says that another driver of this trend is the greater desire of women to look selfie-ready at all times (Rudd, 2017). This is something that no doubt coincides with the rise of Instagram, the online picture-sharing platform, with many using it to upload selfies. On Instagram, the hashtag #gymselfie has been used more than 2.2 million times to date. According to global information company the NPD Group, it has become second nature for young people to apply make-up before exercising and sharing selfies on social media (Green, 2017). June Jensen, director of NPD UK Beauty, says the popularity of wearing make-up in the gym has been partly driven by models such as Gigi and Bella Hadid, Josephine Skriver and Jasmine Tookes, who have all uploaded their own gym selfies to Instagram (Green, 2017).

PICTURES: ISTOCK

PRODUCTS THAT ENDURE THE EFFECTS OF EXERCISE

There are a wide range of existing products on the market for use during exercise. These are typically applied to the face before engaging in exercise and are designed to endure its effects by remaining in place or protecting the skin. Active consumers who exercise regularly make higher demands on their make-up, expecting increased longevity (Green, 2017). Jensen has said that there has been â&#x20AC;&#x2DC;a definite increase in make-up sales which we attribute to this trend, especially with foundations that are long-wearing and formulated with moisturising or oil-controlling propertiesâ&#x20AC;&#x2122; (Green, 2017). NPD reported that sales of long-wear foundation had grown by 13% between February 2016 and March 2017 in the US, while basic foundation sales were in decline (Guyduy, 2017). During the same period, other products designed to last also saw sales increase, including lip colour, powder, eyebrow make-up and primers for the face, lips and eyes. According to Mintel, active beauty is positioned in Asia as sun protection for active people, rather

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than cosmetic products as in the west (Mintel, 2017). Products that are specifically designed to protect the skin from harmful ultraviolet (UV) rays, such as moisturisers and foundation with SPF protection, are important for people participating in outdoor sports or exercise. For indoor exercise, you can buy beauty products that protect the skin from high energy visible (HEV) light, the type used in most gyms. However, it is possible to find products that offer dual protection from UV and HEV light. Sweat-resistant make-up is a key area in active beauty, where products are designed to last through an intense workout. A wide range of sweat-resistant products are available, including foundation, illuminators, bronzers and brow mascara. One brand, Sweat Cosmetics, has even produced an entire range of sweat-resistant products for women participating in sport and fitness activities. The brand also claims that its products are designed to offer SPF protection, and to enhance, repair and protect active skin. Waterproof products, including mascaras and eyeliners, can work in a similar way to sweat-

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05/07/2018 12:08

Skin | BEAUTY

“Moisturisers should be used after exercise, especially if showering immediately after working out, as the hot water from a shower can strip away some of the skin’s protective oils”

resistant make-up as they are formulated to endure similar exercise conditions, negating the effects of sweat on make-up. Some products in this category can endure the most extreme sports conditions and even remain intact after a swim. The skin can also get very dehydrated with exercise, so moisturisers can be especially useful, and should be applied before, as well as after a workout.

POST-EXERCISE PRODUCT USE The skin can be vulnerable to dryness and infection after exercise, so it is important to take steps to protect the skin at this stage too. As mentioned above, moisturisers should be used after exercise, especially if showering immediately after working out, as the hot water from a shower can strip away some of the skin’s protective oils and cause it to lose moisture, leading to dry and tight skin. Because hot water is responsible for this, showering with lukewarm or cold water for no more than five to 10 minutes after exercise is recommended (Harvard Medical School, 2018). For those who are not able to shower immediately after exercise, dry shampoo is linked to the active beauty trend as a product for use after exercise. In the US, sales of dry shampoo rose by 66% between 2016 and 2017, a figure which the NPD Group attributes to the growth of the active beauty market (Guyduy, 2017). People with rosacea or sensitive skin can be prone to redness after exercising and can use anti-redness moisturisers specifically formulated for sensitive skin (Hayes, 2013). Cooling sprays, cloths and towels can help reduce body temperature, which is beneficial to those susceptible to excessive redness. The cooling products should be used during exercise as well as after. Back acne, commonly referred to as ‘bacne’, is another skin condition that can cause problems for many people after exercise and can be tackled with acne-specific products applied a few times each week.

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Those involved in outdoor sports who experience sunburn should stay out of the sun for the rest of the day and can apply creams or gels, particularly with aloe vera to help the skin heal itself. If blisters are present, this could indicate there are second-degree burns and a dermatologist should be consulted.

THE FUTURE OF ACTIVE BEAUTY So which types of products could complement exercise in the future? Market research published by Mintel gives some insight into what active consumers would like to use when working out: ⦁ 36% of French consumers are interested in sportswear that releases bodycare or fragrances in response to changes in body temperature. ⦁ 46% of Spanish consumers would be interested in fragrances that make them work harder. ⦁ 48% of German consumers would be interested in bodycare products that help them recover from exercise. ⦁ 53% of Italian consumers would be interested in bodycare products that enhance and prolong the effects of exercise (Mintel, 2017). Vivienne Rudd, a spokesperson for Mintel, suggests that most active beauty skincare innovations are for exercises and sports that are performed on land, with almost nothing available to swimmers except waterproof mascara (Rudd, 2017). She goes on to say that, while swimmers may use products to help their hair recover from water with chlorine in, beauty brands could produce make-up that nourishes and conditions the skin during a swim.

REFERENCES For full references, go to fht.org.uk/IT-references

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:08

ESSENTIAL OIL PROFILE | Roman chamomile

Therapeutic properties Anti-inﬂammatory, antispasmodic, calming,

ROMAN CHAMOMILE (Chamaemelum nobile)

There are three different types of chamomile that are used in aromatherapy – German (Matricaria recutita), Maroc (Ormenis multicaulis) and Roman (Chamaemelum nobile), which is featured in this profile. Commonly known as English or garden chamomile, Roman chamomile is a native of Western Europe and is widely cultivated in England, Hungary, France and Belgium. A mat-forming perennial, the plant grows up to 25cm in height, with feathery leaves and daisy-like flowers that produce a sweet, apple aroma. The essential oil is steam distilled from the flower heads, typically pale yellow in colour, with a fruity, tea-leaf aroma and middle note. Renowned for being a gentle, soothing essential oil, Roman chamomile is a popular choice when treating children and is frequently called upon for its sedative, antispasmodic and anti-inflammatory properties. Caddy (1997) and Rhind (2016) both make reference to Roman chamomile’s horticultural nickname of ‘plant’s physician’, owing to its traditional use as a companion plant to help stave off infection in neighbouring plants.

carminative, emmenagogic, sedative, vulnerary.

Indications Amenorrhea, anxiety, appetite (stimulant), boils, burns, depression, dysmenorrhoea, eczema, ﬂatulence, headaches, gout, indigestion, intestinal colic, irritability, menopause, nervous asthma, neuralgia, psoriasis, rheumatic pain, shock, sleep problems, skin (inﬂamed, irritated, sensitive), stress, wounds.

Blends with Bergamot, clary sage, lavender, neroli, rose, sandalwood, sweet orange, ylang ylang.

Safety data No known hazards or contraindications and ‘on the basis of current knowledge, unlikely to present any hazard in aromatherapy’ (Tisserand and Young, 2014). Holmes (2016) indicates that, very rarely, Roman chamomile may cause an allergic rash in individuals who are hypersensitive to plants in the daisy family.

Botanical family

RESEARCH Anxiety and sleep

Asteraceae

A study (Cho et al, 2013) showed that the inhalation of an aromatherapy blend containing lavender,

Chemical composition

Roman chamomile and neroli (with a 6:2:0.5 ratio)

Esters (up to 80%) – angelates, butyrates

was more effective than conventional care alone at

Oxides – 1.8-cineole

helping to reduce anxiety levels and improve sleep

Hydrocarbons – α-pinene, sabinene,

quality in percutaneous coronary intervention

caryophyllene, chamazulene

patients in an intensive care unit.

Alcohols – trans-pinocarveol NB: The chemical composition of any essential

Muscle relaxant

oil can vary greatly, according to the plant

Frontiers in Pharmacology recently published a

species; climate, altitude and soil where the plant

paper entitled ‘Evidence supports tradition: The

is grown; and when it is harvested. Refer to the

in vitro effects of Roman chamomile on smooth

manufacturer’s safety data sheet for a breakdown

muscle’, outlining how a study identiﬁed that

of an oil’s chemical proﬁle.

various extracts from Chamaemelum nobile had a positive impact on smooth muscle, including

Body systems

the essential oil, which ‘had a remarkable smooth

Digestive, immune, musculoskeletal, nervous,

muscle relaxant effect in this setting’ (Sándor et

reproductive, skin, urinary.

al, 2018).

Wound healing A study published in Infectious Disorders Drug Targets (Kazemian et al, 2018) indicated that an ointment containing Roman chamomile had superior wound-healing activities compared with a topical antibiotic. The authors concluded that the ‘results indicated that extract of C. nobile had effective antibacterial activity and accelerated the progression of wound healing’ and ‘revealed the value of plant extracts to control antibioticresistant bacteria in wound infections’.

PICTURE: ISTOCK

REFERENCES For references and further reading, visit fht.org.uk/IT-references

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FHT.ORG.UK

05/07/2018 12:08

Promote your

professional status

with

branded products

Weâ&#x20AC;&#x2122;ve produced a range of FHT branded products to support your business and promote your professional status, available to purchase from your Membersâ&#x20AC;&#x2122; Shop. Membersâ&#x20AC;&#x2122; favourites include: therapy OHDÃ&#x20AC;HWV FRQVXOWDWLRQ IRUPV JLIW FDUGV DQG DSSRLQWPHQW FDUGV <RXÂ¶OO DOVR Â¿QG KDQG\ accessories, such as cotton shoppers, lanyards and notebooks. Products are H[FOXVLYH WR )+7 PHPEHUV DQG VWDUW IURP MXVW Â&#x2026;

Find out more at shop.fht.org.uk

FHT.ORG.UK

INT.Summer2018.017.indd 17

SUMMER 2018 INTERNATIONAL THERAPIST

04/07/2018 14:19

BUSINESS | Members’ questions

Ask an expert JADE DANNHEIMER AND DANIEL RALLS ADVISE ON BUSINESS CARDS AND PICTURE USE

Q. WHAT SHOULD I PUT ON MY BUSINESS CARD? Jade Dannheimer, FHT marketing manager, says: While businesses move further and further towards digital solutions, the business card is still an essential piece of marketing collateral for handing out to potential clients and partners. However, it’s important to ensure that your card is professionally designed, communicating who you are and what you do, simply and directly.

Include key information Make sure you include your logo and/or business name, your name and position (for example, ‘owner’), business telephone number, business email address, website and your practice address (if you have business premises) or ‘mobile therapist’. Stay in line with personal safety advice given by FHT Vice President Herman Fenton (issue 124, page 19); if you work

INTERNATIONAL THERAPIST SUMMER 2018

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from home, think carefully before including your address and consider adding ‘By appointment only’ to your card, to prevent clients turning up on your doorstep unannounced. As an FHT member, you can download and incorporate an FHT membership logo from the website (fht.org. uk/membersarea), as illustrated opposite. If you are also listed on the FHT’s Accredited Register, independently approved by the Professional Standards Authority for Health and Social Care, there is a special mark for you to use. You can also include one of the following suffixes after your name to promote your professional status: MFHT (FHT Member), FFHT (FHT Fellow) and AFHT (FHT Associate).

Make it beautiful Business cards can leave a lasting impression on potential clients and partners. A graphic designer can put together a bespoke design for you; however, there are lots of free templates to choose from at moo.com, vistaprint.co.uk and solopress.com. It’s also worth considering the type of card stock your design is printed on because a nice feel will also make a good impression. You can even buy cards made from recycled t-shirts – tree-free with an interesting texture – for those who are eco-conscious.

Double-check your artwork Ask someone to check the design and contact information for you. Business cards can be low cost, but they take time to produce and deliver, and you don’t want to hand out incorrect information.

Q. I’M CURRENTLY UPDATING MY LEAFLETS AND WEBSITE. WHERE CAN I GET FREE OR REASONABLY PRICED PICTURES FROM? Daniel Ralls, FHT deputy editor, says: All images (not just photographs) belong to someone, and if that someone is not you then it’s really important to check that you can use this image exactly how you want to – or you could find yourself subject to a hefty fine. This applies whether you are looking to use the image online or in print, and regardless of whether it carries any sort of copyright logo. It is possible to download free images from some stock image libraries, such as pexels.com, which don’t need to be credited and can be used for personal and commercial use. All pictures on pexels.com are licensed under the Creative Commons Zero licence, which means the images are completely free to use for any legal purpose. Another free image website you might like to take a look at is unsplash.com However, with any website offering free images, it’s important to look at the terms of use and the type of licence attached to each image you want to download, just to be doubly sure. It’s also worth noting that if the website doesn’t have any free images that match your search word – for example, ‘reflexology’ – it might divert you to a ‘partner’ website and display a range of images that do meet your description, but require payment. And be aware that ‘royalty-free’ doesn’t mean an image is free – it’s a licensing option where you purchase an image’s rights for a one-off fee, and don’t pay royalties to use it. If in doubt, contact the website or image library direct. If you can’t find what you’re looking for on a website that offers free images, you can purchase affordable pictures from stock image libraries such as istockphoto.com, shutterstock.com, bigstockphoto.com, 123rf.com and fotolia.com These websites all offer different price plans, but it’s possible to buy highquality images for around £6 each, and the variety will generally be much greater than on the websites offering freebies, particularly if you’re looking for therapy-related images. Again, check the terms of use and the type of licences available for the image you want to use – if you’re printing the image on something you are going to retail (such as a book or t-shirt), you may need an extended licence, which will be more expensive.

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05/07/2018 12:09

Members’ questions | BUSINESS

GDPR QUERIES THE FHT ANSWERS SOME COMMON QUESTIONS ABOUT GDPR IN RELATION TO CLIENT RECORDS, FHT CONSULTATION FORMS, AND WHERE TO GO FOR MORE ADVICE Q. HAS THE FHT UPDATED ITS CONSULTATION FORMS? No, we haven’t updated the FHT consultation forms we sell in our Members’ shop (shop.fht.org.uk). The key purpose of these forms is to help our members assess whether treatment is safe and appropriate for clients, and to keep a record of their treatments. As such, the forms only contain data ﬁelds relevant to this purpose. If you want to contact your clients to market your business, we have created a separate marketing preferences form, which allows clients to ‘opt in’ to this type of communication and state how they would like to be contacted. This form is available to download from the Members’ area of the FHT website. It is also available in your Members’ shop as a pad of 50 sheets (see page 26).

Q. HOW LONG SHOULD I KEEP CLIENT RECORDS FOR? The answer to this query falls in line with the requirements of the new General Data Protection Regulation (GDPR), which came into effect on 25 May 2018. Article 5 (1e) of GDPR states that personal data should be kept for ‘no longer than is necessary for the purposes for which the personal data are processed’. This very much leaves it up to each member to determine what they believe is a reasonable period of retention to suit their business and clients’ needs. For those members who hold combined medical malpractice, public and products insurance through the FHT, the policy underwriters Hiscox stipulate that client records should be retained for a minimum of 10 years, and potentially

longer if the client is a child (please refer to the ‘Your obligations’ section of the policy wording). In the event that a client asks you to delete their personal data within that timeframe, there is an exemption to the right to erasure under Article 17 (3e) of GDPR, where processing is necessary for the defence of legal claims. If you receive a request under Article 17, you must respond to the client and explain that you need to retain their personal data in case this is needed to defend a legal claim. It has to be made clear to the client what data you are retaining, which must only be data absolutely essential for the purpose of defending a claim. If you do not hold insurance through the FHT, we would recommend you contact your insurance provider for guidance.

Body massage

Consultation form

Personal details Name: Address:

Telephone (day): Evening:

Postcode:

Occupation:

Mobile:

Doctor:

Email:

Practice address:

Emergency contact

GP practice tel:

health

Do you exercise regularly? Are you taking any medication? Are you on any special diet? Do you smoke?

Yes No Yes No Yes No Yes __ per day Do you drink alcohol ? Yes __ units per How would you describ week e your stress levels? High How would you describ Med e your energy levels? High How would you describ Med e your sleep pattern ? What do you do for relaxation? Have you ever had a massage treatme nt? Reason for treatme Yes nt?

Height: Weight: Date of Birth: No No Low Low

Female clients only Could you be pregna nt? Are you breastfeeding? Date of last period?

Yes __ weeks Yes

+DYH \RX KDG DQ ,8' Yes

Conditions and/

Telephone:

Postcode:

General state of

No No

ÀWWHG LQ WKH ODVW ZH

HNV"

or symptoms

Do you suffer from unstable blood pressur Do you suffer from e? Yes any heart disorde No rs? Do you suffer from Yes phlebitis? No Do you have a history Yes of thrombosis/em No bolism? Do you have epileps Yes y? No Do you have a dysfunc Yes tion of the nervou No Do you suffer from s system? Yes any infectious disease No Do you suffer from s? Yes any skin disorde No rs? Do you have any Yes severe bruising? No Do you have any Yes recent scar tissue? No Have you recently Yes suffered from a haemo No Do you have any rrhage? Yes varicose veins? No Do you suffer from Yes any swelling/oedem No a? Do you have any Yes recent cuts or abrasio No ns? Yes No Please give details if you answered yes to any of the previous questio ns:

Have you recently had any operations? Have you recently had any inoculations? Have you ever had or do you have cancer? Do you have any recent fractures or sprains? Are you currently suffering from a fever? Do you have diabete s? Do you have osteopo rosis? Do you suffer from arthritis? Do you suffer from any back problem s? Do you suffer from any allergies? Have you recently consumed alcohol ? Have you recently consumed a heavy meal? Do you have any other medical conditio n?

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No No No No

Section for use by therapist

GP consent required ? Yes No Verbal consent obtained? Written consent Yes* obtained? (attach) No *(client to sign and date declaration below) Yes* No I declare the informat ion that I have given without any adverse is true and correct effects. I have been and that, as far as fully informed about for medical advice I am aware, I can contra-indication and/or treatment. undertake treatmen s and am willing, t with this establish therefore, to proceed ment . I understand that body massage is not a substitute &OLHQW·V VLJQDWXUH 'DWH 7KHUDSLVW·V VLJQD WXUH 'DWH

Client declaration:

PICTURES: ISTOCK

Q. WHERE CAN I GO FOR MORE ADVICE ABOUT DATA PROTECTION AND GDPR? The Information Commissioner’s Ofﬁce (ICO) features lots of useful information and mythbusting on its website (ico.org.uk) and offers a free and conﬁdential

FHT.ORG.UK

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helpline (0303 123 1113). When calling the ICO for advice, we recommend having speciﬁc queries in mind that you would like assistance with.

There are also lots of online training courses available (search for ‘online GDPR training’), which will give you a user-friendly introduction to the basics.

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 15:15

SOCIAL CARE | Arts and health

The art of

GOOD HEALTH T

he FHT was delighted to attend the second national Arts in Health conference and showcase in April this year, organised by Arts Enterprise with a Social Purpose (Aesop), in collaboration with the College of Medicine and the Guildhall School of Music and Drama. Attended chiefly by health and arts professionals, the day was informative, interactive and engaging, and shone a light on a range of inspiring arts programmes that are helping to tackle some of today’s health priorities including mental health, supporting an ageing population, reducing health inequalities and reducing demands on the health system. Below is just a brief insight into some of the programmes featured at the conference. Please visit their websites for more information and where appropriate,

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20-21_Arts and h__International Therapist 20

signpost your clients or colleagues to the services they provide.

PERFORMING MEDICINE Performing Medicine is an awardwinning Clod Ensemble programme for health professionals and medical students. Using ideas and techniques from the performing and visual arts, it offers artist-led courses in supportive environments, where participants can rehearse the skills and behaviours they need to thrive as health professionals. Among others, these include: ⦁ Self-care – developing strength, stamina, self-awareness and strategies for self-care ⦁ Verbal communication – understanding the importance of the language we use and the quality of our voice, such as tone, volume and pitch

⦁ Non-verbal communication

– looking at how the way we move, look and touch impacts others ⦁ Appreciation of the person – appreciating personal narratives and understanding different perspectives ⦁ Teamwork – understanding the different roles within a team and understanding the pressures on other teams. During a presentation at the conference, delegates heard from two health professionals who had received training from Performing Medicine, including a sonographer, who explained how the course helped her to improve her verbal and non-verbal communication with patients. She realised that while concentrating during ultrasound, her facial expression and silence could be interpreted as a sign of worry. As a result of her training, she now communicates with and reassures patients throughout the procedure, and is more aware of her body language. ⦁ Learn more at performingmedicine.com

PICTURES: ISTOCK; SHUTTERSTOCK

A RECENT CONFERENCE LOOKED AT HOW THE ARTS CAN TACKLE SOME OF TODAY’S HEALTHCARE PRIORITIES

FHT.ORG.UK

05/07/2018 12:09

Arts and health | SOCIAL CARE

DANCE FOR PARKINSON’S For eight years, English National Ballet (ENB) has been at the forefront of offering classes and cultural experiences for people with Parkinson’s, their families, friends and carers. ENB’s Dance for Parkinson’s classes are delivered by specialist artists and combine dance and music inspired by ENB’s classical and contemporary repertoire. They provide a fun and informal way for participants to discover the themes, choreography and music of ballet. As stated on ENB’s website, the evidencebased dance progamme has been ‘proven to support people with Parkinson’s to develop confidence and strength, while temporarily relieving some participants of symptoms in everyday life. Classes are expressive, creative and promote feelings of freedom from the physical and social constraints of having Parkinson’s.’ ⦁ Learn more and watch videos of Dance for Parkinson’s participants at ballet.org.uk/project/dance-for-parkinsons

HOUSE OF MEMORIES House of Memories is an award-winning museum-led dementia awareness training programme created by National Museums Liverpool. It offers training, access to resources, and museum-based activities to enable carers to provide person-centred care for people living with dementia. The training programme uses practical experiences to:

DIVERSE DANCE MIX (DDMIX) FOR SCHOOLS Founded by Dame Darcey Bussell, president of the Royal Academy of Dance, and advised by Amanda Daley, professor of behavioural medicine at Loughborough University, DDMIX for Schools is a dance fitness programme that aims to get children moving to improve their health and wellbeing. The programme, which follows national curriculum PE guidelines, celebrates diversity, is completely inclusive and non-competitive, with sessions featuring a range of music and dance styles covering 30 different genres. In a special session at the conference, Darcey and Amanda discussed the challenges of childhood obesity and argued the case for health commissioners to engage with the initiative, as well as exploring how adding dance fitness to the national curriculum can give all children the opportunity of a physically healthy future. ⦁ For more information, visit ddmixforschools.com

⦁ Provide basic knowledge about the

different types of dementia ⦁ Explore the challenges faced by families and those diagnosed ⦁ Provide a ‘memory toolkit’ with activities and resources based on the Museum of Liverpool’s objects, archives and stories, for use in care home settings ⦁ Demonstrate how people can make meaningful connections and enhance communication through better awareness and understanding.

Those who complete the training can borrow nostalgic objects, memorabilia and photographs to run their own reminiscence session. The museum has also created a free My House of Memories app, allowing users to explore objects from the 1920s to 1980s to stimulate memory and conversation, and to create virtual memory trees, boxes and timelines. The app also includes ideas for more memory activities for carers and people with dementia to do together. Overall, the programme demonstrates how a Stimulating the memories museum – or by association, of people with dementia a library, arts centre or

“Museums are great at looking after people’s memories. Using our experience in reminiscence work and access to museum objects, we’ve got activities and resources to help people living with dementia share their memories with family, friends and other carers” National Museums Liverpool

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theatre – can provide the health and social care sector with practical skills and knowledge to facilitate access to untapped cultural resources, often within its local area. ⦁ To download the app, sign up for a newsletter or training, or learn more about My House of Memories, visit houseofmemories.co.uk

SHARED READING Since 2008, The Reader has pioneered the use of the Shared Reading programme to improve wellbeing, reduce social isolation and build resilience in diverse communities across the UK and beyond. The programme aims to inspire and support people to read great literature aloud together, in weekly groups where people can share their thoughts and form personal connections with each other and the book, poems or short stories they are reading. Research shows that 90% of group members report that attending a group is an important event in their week, connecting them to others in their community. The Shared Reading programme works with various groups in the community, including children in care, people in recovery from substance misuse, prisoners, those living with dementia, parents, teachers, people with mental and physical health conditions, and many more. While predominantly available in northwest England, the ambition is for Shared Reading to become so widespread that everyone, whoever they are, wherever they are, can access one of their groups. ⦁ For more information, visit thereader.org.uk

WITH THANKS... The FHT would like to thank the College of Medicine (collegeofmedicine.org.uk) and Arts Enterprise with a Social Purpose (ae-sop.org) for their support with this article.

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COMPLEMENTARY | Scar massage

Scar support I

first qualified as a massage therapist in 1998 after attending the prestigious Clare Maxwell-Hudson School of Massage in London. Since then, I have trained in many different forms of massage therapy, including aromatherapy, stone therapy, bamboo massage and oncology massage with Jennifer Young. When I was deciding what to do next, I saw a course for massage therapists to learn techniques for working with scars. My interest was piqued because, over many years of CPD, scar therapy was something I had not seen before. I had a few clients who had undergone routine surgeries, such as a caesarean section or spinal fusion, and a few who had scars from road traffic or childhood accidents, but I hadn’t given the scar and its impact on the body much consideration. My work has radically changed since that first course, and I am now a leading practitioner in ScarWork, with a busy private clinic based in Harpenden, Hertfordshire. I am also an approved ScarWork trainer and have created my own short courses to share these skills. I hope to bring an understanding of the impact of scars and some simple techniques for their treatment to more therapists, having seen how much benefit this therapy can bring.

PICTURES: ALAMY; EMMA HOLLY

ABOUT SCARRING AND SCARWORK

As many therapists will know, scar tissue is inferior to pre-injured tissue. The formation of a scar leaves the structure of the dermis and fascia – and possibly even the muscle and tendon, depending on the depth of the surgery or injury – lacking the organisational structure and integrity of normal, healthy tissue.

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EMMA HOLLY, MFHT, TALKS ABOUT THE PHYSICAL AND EMOTIONAL BENEFITS OF SCAR MASSAGE

Several factors can have a negative impact on scar healing and formation, including smoking, diabetes, radiotherapy, medication and genetics. Of course, some people may never notice a problem with their scar, but for others, it can leave them in permanent discomfort or pain. ScarWork is a very gentle therapy, first developed by American therapist Sharon Wheeler in the early 1970s. It is used to improve feeling and functionality in the scar and surrounding tissues, creating better movement between the layers of the skin, fascia and muscle. It is simple and easy for the manual therapist to deliver, places minimal strain on the hands, and uses no special tools or oils. During the treatment, the therapist will use a variety of gentle techniques on and around the scar, including sweeping, stretching and ‘press and release’ movements, with the client rarely feeling any discomfort. The therapy aims to benefit scars resulting from an accident, such as a burn or road traffic accident, or from an operation (including cosmetic surgery). Examples of scars I have treated are:

Many of the clients I see have not been aware of any problems stemming from their scars, and some have even failed to mention old injuries and surgeries during the consultation. For those who go on to have some ScarWork treatment, it is only when they notice the absence of an underlying discomfort or pulling sensation that they realise the scar was having a daily impact on their lives. Often, these clients have created a compensation pattern following surgery to enable function and reduce strain through the weakened structure where the scar is located. ScarWork directly addresses the scar tissue itself, using gentle techniques to help improve the softness and elasticity of the area, while the stimulation usually causes further healing to occur. It is essential to work only on scars that have had time to fully heal. This will depend on the severity and depth of the surgery or injury sustained. Treatment usually starts 10 to 14 weeks after surgery, with consultant approval if the client is still under the care of a specialist.

WORKING WITH OLD SCARS • • • • • • • • • • • • • •

Abdominoplasty Appendix and gallbladder removal Breast reconstruction Burn scars Caesarean section Facial scars Foot and knee surgery Hip replacement Hysterectomy Oncology surgery Open heart surgery Road traffic accident Spinal surgery Tube/drain sites.

Many clients have very old scars that still respond well to treatment, even after a number of decades. One example is my client Sarah, who was in a road traffic accident when she was 19 years old. When Sarah first came for treatment, her scars had faded and she had become used to seeing them every day. The accident happened when she was with some friends on an evening out. They were travelling in a camper van when the driver lost control and the vehicle rolled off the road. With no seatbelts in the back, Sarah was thrown around inside the vehicle and her face struck

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Scar massage | COMPLEMENTARY

Research into scars Research into ScarWork is still in its infancy, but studies are underway at cancer charities, tracking the benefits to patients. Other research has already shown that brief, light stretching and compression on scars stimulates the release of collagenase (Tortora et al, 2007), which is known to reduce the potential for excess collagen formation or fibrosis. Drainage of excess fluid from interstitial spaces has been shown to reduce the impact of pro-inflammatory cytokines (Fryer and Fossum, 2009). Studies have also demonstrated that fascia hydrodynamically responds to compression and stretch (Klinger et al, 2004). ScarWork treatment is likely to trigger these same anti-inflammatory and hydrating actions believed to help promote healthier, less inflamed tissues.

a plug socket in the floor. After a period in intensive care, she made a slow recovery. The scars across her face gradually healed, but she was left unable to feel or move her forehead because the scars had damaged the nerves and the area was ridged and immobile. Sarah came for ScarWork almost 20 years after her accident, unsure if the treatment could help. Her forehead was still numb and immobile, with a ridged section of scar that she was particularly self-conscious about. After four 45-minute sessions over three weeks, she regained full movement and feeling in her forehead, and the ridge of the scar reduced. Sarah was thrilled with the improvement, but she also discovered the scar had been impacting her mother over all these years. Sarah has kindly shared the email her mother wrote to her: ‘Ever since the accident… it was your scar that I saw first, and I found it very distressing that my beautiful daughter had been so disfigured. Just recently I realised that the scars were no longer so pronounced… suddenly I was not aware of them. For me, it is lovely to see my daughter without noticing her scars first.’ I am often overwhelmed by the lovely feedback I get from my clients when they start to feel better or see an improvement after living with a scar for many years. How wonderful it is to also know I have helped lessen a trauma for their loved ones. Sarah’s mother later wrote to me, saying: ‘When Sarah had her accident, there were two people who were traumatised. Sarah’s injuries were physical and mine were mental. Your work is healing both of us. Thank you, Emma.’

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COMPLEMENTARY | Scar massage

Right: Author Emma works on a knee Below: A mastectomy scar before and after ScarWork treatment

Before

EMOTIONAL SCARRING As well as working on a physical level, therapeutic touch on scar tissue is also very powerful on an emotional level. Many people hate their scars, never touch them and are upset looking at their body. Combined with the trauma and stress of the surgery or injury, this causes a mixture of emotions. Allowing someone to connect with you and bring comfort can be very beneficial to the healing process. Although most training we attend segments the body and its systems, I believe it’s always important to remember that our bodies function as a whole, with our physical, emotional and mental health intertwined. A client with a scar from an emergency caesarean section, which is tight and adhered internally, impacting her core muscles and straining her lower back, is likely to present with pain not in her scar, but in her back or hips. Release of the scar, together with soft tissue work through the impacted areas where pain is presenting, should improve health and functionality throughout the pelvis. For some clients, allowing time and space to reflect on the emergency surgery and how she felt at the time emotionally may also bring relief and enable her to move forward and reconnect with her core, as part of a truly holistic and client-focused treatment.

BREAST CANCER CARE A large proportion of my clients are women who have had breast cancer. Following surgery, complications with scar healing is more likely, because radiotherapy and chemotherapy treatment can compromise optimum healing. Survival rates following diagnosis are fortunately improving, so knowing how to relate and safely give treatment to those who have recovered from cancer is a beneficial skill for any therapist to have. Consultant surgeons in my area are now starting to recommend ScarWork treatment post-operatively for their mastectomy and breast reconstruction patients. For over

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After

two years, I have been running a voluntary scar clinic for women after breast cancer surgery at a local charity, Grove House in St Albans, where I am donating my time each month. I wanted to ensure that women who are recovering from breast cancer could access treatment, regardless of whether they could afford to pay. Having seen how beneficial my Rennie Grove Hospice Care clinic has been to

“This is a unique service. Feedback from patients has been absolutely fantastic” JOAN FOLLETT, NURSING SERVICES MANAGER AT RENNIE GROVE HOSPICE CARE

patients, in 2017 I started to donate workshops to pass these skills onto other therapists working within the charitable sector, starting with the complementary therapy team at Breast Cancer Haven in London. In December 2017, I also donated training to therapy staff at the Mulberry Centre, another local cancer charity, and plan to do the same at Guy’s Cancer Centre in London.

LOOKING TO THE FUTURE I hope to continue to spread the message about the benefits of gentle touch, particularly after cancer surgery. Since winning the title of Highly Commended Complementary Therapist of the Year at the FHT Excellence Awards in 2017, I have been interviewed on local radio and appeared in the local press. This has been a wonderful boost for me to continue the work I am doing within the charitable sector, and has also helped to raise awareness about the benefits of treating scars.

In the year ahead, I am developing courses for massage therapists. RTI Scar Massage (Restore Therapy Integrated Scar Massage) will deliver skills to seamlessly incorporate a remedial scar massage into treatment. The initial course will be for therapists to learn scar massage for clients impacted by breast cancer. The training will cover common complications in scar healing, understanding the impact on movement and mobility after the operation, and chemotherapy and radiotherapy treatments. I am delighted to be sharing these techniques so that other massage therapists can promote health and recovery and make a real difference to their clients. Emma Holly, MFHT, was highly commended at the FHT Excellence Awards in 2017 for helping people affected by scars and promoting the beneﬁts of ScarWork therapy to health professionals. She is the owner of Restore Therapy Scar Clinic and Training, offering treatments and training in ScarWork and Restore Therapy Integrated Scar Massage techniques. restoretherapy.co.uk

REFERENCES For full references, go to fht.org.uk/IT-references

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www.weleda.co.uk SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 09:46

WHAT’S NEW

FHT in the press We were delighted to contribute to a ecent number of national publications in recent months, helping to promote both thee FHT and you, our members. • For In the Moment magazine – a g monthly lifestyle magazine covering ing wellbeing, creating, living and escaping – we provided an introduction to ge. acupuncture and Indian head massage. • In Natural Health magazine – written by leading experts, therapists and health columnists – we looked at sleep in ne. relation to traditional Chinese medicine.

Business advice maintaining professional boundaries when clients become emotional after treatments. • Peter Wren, Lay Member, on making a business plan and business decisions.

In the Spring issue of International Therapist (issue 124, pages 18 to 20) the FHT’s Governing Council offered some bite-size business advice for members in our ‘Down to business’ article. To support the article, we posted some short videos on social media outlining the advice offered, including: • Helen Chambers, Lay Member, on financial advice and reflecting on the three ‘Ws’ for members. • Mary Dalgleish, Vice President, on the importance of self-care. • Maria Mason, Vice President, on

With more than 250 years’ collective experience as therapists and business owners, their words of wisdom have resonated with members, helping to make their businesses more successful. Find us on Facebook and select the Videos option

Download your new marketing preferences form How your information will be used MARKETING PREFERENCES FORM

Your personal information will only be used for treatment purposes and will not be shared with any third parties, without your express permission.

Keeping in touch We would like to get in touch with you when we have information about new therapies and special offers that we think might be of interest to you. If you agree to being contacted in this way, please tick how you are happy to be contacted: Post

Phone

SMS

You can change your preferences or remove your consent at any time by contacting __________________ on: Telephone ________________________________

Email ___________________________________________

Your name ______________________________________________

Date completed _____________________

If you have ticked one or more of the boxes above, please note that your data will only be used to send you further information about new therapies and special offers.

Following our data protection and GDPR e-update, sent on 4 May, we have produced a download to support members when obtaining clients’ details for marketing purposes. General Data Protection Regulation (GDPR) came into effect on 25 May 2018, replacing the Data Protection Act 1998 (DPA). While many of the principles are already followed under the DPA, GDPR has a wider scope and carries tougher penalties.

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• And in Health & Wellbeing magazine d – packed with feel-good inspiration and d stress-reducing techniques – we provided self-help tips on improving posture. It’s our mission to make the public more aware of our members, the different therapies they offer, and the FHT’s Accredited Register, independently approved by the Professional Standards Authority for Health and Social Care – the largest accredited register for complementary healthcare therapists. Look out for updates in your monthly e-newsletter, on the FHT blog, Facebook, Twitter and LinkedIn. Alternatively, a full g schedule can be found at advertising fht.org.uk/consumer-campaigns

mation and If you collect personal information contact details for marketing purposes, mpliant with you must ensure you are compliant y: GDPR by asking clients if they: • Agree to receiving specific marketing communications • Agree to receiving it via your ur chosen n, for example methods of communication, post, email, phone or text message. Simply download and complete mplete your marketing preferences form with each new bers’ area of client, available in the Members’ embersarea) our website (fht.org.uk/membersarea) rces’. under ‘Downloads and resources’. vailable to Printed versions are also available purchase from the FHT shop and are supplied free of charge with each purchase of consultation forms. For more details, visit ation-forms fht.org.uk/consultation-forms

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09/07/2018 12:45

Top blog The FHT FH blog brings you the latest therapy news, health information and business bu resources. Here are some top posts that readers have enjoyed in recent rece months:

EFF EFFECTIVE USE OF CRYSTALS FOR STRESS AND ANXIETY STR Gue blogger and 2018 FHT Training Guest Con Congress speaker Jackie Winters discusses ho how crystals can be used to help clients deal wi with stress and anxiety.

ACUPUNCTURE MAY BE MORE EFFECTIVE THAN IBUPROFEN FOR LUMBAR DISC HERNIATION

H HMRC OFFERS FREE RESOURCES TO HELP BUSINESS OWNERS T

Acupuncture has a more favourable effect in the treatment of lumbar disc herniation than lumbar traction and ibuprofen, according to a recent study published by the BMJ.

FIVE POINTERS TO BEING WITH YOUR TERMINALLY ILL CLIENTS

Have you entered the Complementary th Therapy Awards? In addition to our own awards, the FHT is delighted to be supporting the new Complementary Therapy Awards. Entries for the awards are open until Monday 3 September and aim to highlight innovation, best practice and success in complementary therapies, particularly where therapists are working alongside or supporting statutory regulated health and care professionals. For more information and to enter, visit fht.org.uk/awards

HMR has a range of free resources to help HMRC mem members who are employers, including a selec selection of short videos to help business owners pay the right amount of tax at the right time.

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ONLINE SURVEY ON LONELINESS

FIBROMYALGIA SYMPTOMS REDUCED IN NEW MEDITATION THERAPY STUDY A team of academics conducted the ﬁ rst study on the effectiveness of compassion meditation for treating ﬁ bromyalgia.

MALE GRASSROOTS FOOTBALL TEAMS GIVEN £1M FA FUNDING TO AID RETENTION A brand-new funding scheme is set to aid the retention of adult male teams within grassroots football clubs. The £1m fund has been created to boost football’s traditional format following a recent decrease in the number of adult male FA-afﬁ liated grassroots league teams.

FHT Code of Conduct updated Following a review of the FHT’s Code of Conduct and Professional Practice, an updated version (July 2018) has been uploaded to the FHT’s website. Sections that have undergone substantial changes are: • Consultation and contraindications to treatment (2.1)

Guest blogger and 2018 FHT Training Congress speaker Jane Duncan Rogers shares ﬁ ve top tips to enable you to be fully present with clients who are terminally ill.

• Informed consent (2.2) • Data protection and record-keeping (3.2) A number of weblinks and addresses in the ‘Useful information’ sections have also been updated. Download a free copy at fht.org.uk/code or call 023 8062 4350 to purchase a hard copy.

The BBC and the University of Manchester asked the British public to take part in a loneliness survey, so scientists can learn more about the experiences and attitudes towards social connections and belonging. To read more, visit fht.org.uk/blog and enter a title in the search box.

FHT Code of Co Profession nduct and al Practice

Revised: July 2018

02 3 80 62 43 50 fh t.o rg .u k

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COMPLEMENTARY | Palliative care

Shining EXAMPLE JANE SHEEHAN, MFHT, TALKS ABOUT ESTABLISHING A NEW DELIVERY MODEL FOR A COMPLEMENTARY THERAPY SERVICE WITHIN AN NHS PALLIATIVE CARE UNIT

y career journey began when I trained as a nurse at St Bartholomew’s Hospital, London, in 1982. As part of an introduction to the course, we had to carry out a group project; I persuaded my supervisors to do it on complementary therapy. One member of my group said: ‘If you believe in all that, why are you doing nursing?’ I’m glad to say I still trained as a nurse. However, complementary therapy remained an interest for me and a developing skill alongside those of a trained nurse. I first heard of the complementary therapy coordinator role in a chance meeting with a nurse who had this role in a London hospice. I knew at once that this was what I wanted to do, although I had no idea whether such a job would be possible in Norfolk. I couldn’t think of a better use for therapies than to use them to support patients receiving palliative care and their carers. This meeting inspired me to do further training in complementary therapies in cancer and palliative care, so I would be suitably qualified if such a job became available. In 2009, the position I had been waiting for was advertised for a complementary therapy coordinator at the Priscilla Bacon Centre for Specialist Palliative Care in Norwich.

THE BENEFITS OF COMPLEMENTARY THERAPY IN A PALLIATIVE CARE SETTING Complementary therapies, alongside conventional medicine, provide valuable benefits and support to those receiving palliative care, enhancing feelings of relaxation and wellbeing for patients and

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relatives who may not be able to find this elsewhere. The treatments provide them with the comfort of touch and enable them to feel supported, which helps them to cope with their situation and to manage issues such as the symptom control of fatigue, breathlessness, nausea and pain. Application of complementary therapies in palliative care settings has been acknowledged since the Calman-Hine report in 1995, with a growing number of therapists supporting people after a cancer diagnosis. The use of complementary therapies is also included in the 2004 NICE guidance on improving supportive and palliative care for adults with cancer. Many people find complementary therapy helpful if they are coping with loss or illness, and by building a therapeutic relationship, the therapist is able to support the person through their journey. The time spent having a treatment can provide valuable ‘me’ time and a safe space in which to reflect or relax. Not everyone wants complementary therapy, but even this can be beneficial because saying ‘no’ can provide a person with some control which they may feel has been taken away due to illness. The outcomes of receiving complementary therapy can be very positive and provide valuable coping mechanisms.

BECOMING A COMPLEMENTARY THERAPY COORDINATOR When I joined the Norfolk team, the Anglia Cancer Network (ACN) was the advisory NHS group on cancer services for the East of England and produced guidance

“The time spent having a treatment can provide valuable ‘me’ time and a safe space in which to reflect or relax” on the provision of complementary therapy in palliative care. This outlined the requirements of therapists, including qualifications, registration with a professional association, insurance and

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Palliative care | COMPLEMENTARY THERAPY

PICTURES: ISTOCK

a Disclosure and Barring Service check. The implementation of these guidelines continued even after the disbanding of the ACN. At the time, the complementary therapy service was delivered by a loyal team of self-employed therapists and a volunteer, overseen by a senior physiotherapist. I was the first complementary therapy coordinator to be employed in this NHS unit, which was partially funded by a charitable support group who were funding the complementary therapy service. When I started, I was given the following long-term objectives: 1. To integrate the complementary therapy service into the specialist palliative care (SPC) setting

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2. For the complementary therapy team to become integrated into the multidisciplinary team 3. To develop a robust complementary therapy policy that would encompass delivery of complementary therapy across the whole community team. Other more immediate short-term goals included: ⦁ Developing a model of outreach care for patients who would prefer to receive therapies at home ⦁ Developing a method for evaluating the complementary therapy treatments ⦁ Providing assistance to staff caring for patients requiring malodorous wound care using aromatherapy.

In order to achieve my long-term goals, I first needed to familiarise myself with the service that was in place and to develop a model that would be affordable, sustainable and provide the best quality of patient care. I also had goals of my own which I hoped to bring to fruition. At my interview, I was asked what my goals would be, and I said that I would like to introduce a wider variety of therapies on offer within the first six months. It transpired that this was an admirable goal but not very realistic, as I learned it can take some time to change existing policies and procedures in an NHS hospice. Before tackling the long-term goals, there were some pressing short-term issues which required attention as part of the complementary therapy service’s integration into the multidisciplinary team,

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COMPLEMENTARY | Palliative care

such as difficulty obtaining referrals, and lack of training and supervision for the complementary therapists (CTs). Everyone in the unit had the patient’s best interests at heart, but the CTs were often not able to carry out their work efficiently because staff were often too busy to complete referral forms, and some couldn’t see the point of them. This was a challenge for the CTs, as they clearly just wanted to treat the patients but were unable to obtain the information that they needed to work safely and effectively. It was also proving expensive as the CTs would want to stay on until they had seen a patient who needed their help, and were paid an hourly rate.

INTEGRATING COMPLEMENTARY THERAPY INTO THE MULTIDISCIPLINARY TEAM As part of my role, I attended the multidisciplinary team meetings, enabling me to raise the profile of the complementary therapy service by suggesting when I thought a therapy may be helpful during the discussions about each patient. I was also able to obtain referrals and express the need for completed referral forms. The CTs found that having a coordinator enabled them to concentrate on delivering treatments as I could manage referrals on their behalf and provide clinical supervision. We commenced bi-monthly complementary therapy meetings and distributed minutes to senior nursing and medical staff. The role of a link nurse was developed, which gave us a named member of staff to approach to resolve issues quickly and effectively, and improved communication. I had expected everyone to be as enthusiastic about the service as I was and was surprised when this was not always the case. Some staff had been championing complementary therapy for some time but there were areas of resistance and to facilitate change it was necessary to overcome this – so I developed an education programme. Taster sessions were arranged, enabling staff to receive a learning experience with the aim of increasing staff knowledge and understanding of the therapies offered. Following this, staff would be able to explain to patients what

happens during a treatment and what they might experience. Evaluation forms were completed following taster sessions, and responses were very positive. I arranged a workshop open to all therapists and staff on the ‘M’ Technique®, an easy-to-learn method of structured touch, widely used in hospices and for anyone who would benefit from relaxation. We had a total of 25 attendees, including many staff members, which again gave them further insight into the effects of experiencing deep relaxation. This was followed a few months later by HEARTS (Hands-on contact, Empathy, Aromas, Relaxation, Textures, Sound) taught by a tutor from the Christie Hospital in Manchester. Again, it was well attended by delegates including staff from the SPC team and the intensive care unit at the Norfolk and Norwich University Hospital. It was felt that the course was beneficial and inspiring. Subsequently, we were receiving more referrals as staff gained a better understanding of what the service could offer.

IMPROVING SERVICE DELIVERY A complementary therapy policy was developed to formalise its delivery. It ensures a consistent approach to provide safe and effective complementary therapy for anyone using it with this client group and is based on the National Institute for Health and Care Excellence (NICE) and the Prince of Wales Foundation for Integrated Healthcare national guidelines. It states the roles and responsibilities of those practising complementary therapies, sets standards for their service provision and provides indications and outcomes. The length of time until it was signed off across the NHS highlights the challenge of delivering complementary therapy in an NHS setting. Job descriptions for the therapists were developed alongside the policy. An up-to-date patient information leaflet, which is updated regularly, was prepared to outline the therapies currently available and what the patients could expect from these. This was important so that the expectations of treatment were realistic and an informed choice could be made as to whether to participate or not.

“There were areas of resistance to complementary therapies and to facilitate change it was necessary to overcome this - so I developed an education programme”

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TRAIN TO GAIN While working at the hospice, I completed further study attending a complementary therapy coordinator’s course, evaluating evidence and research, followed by a diploma in clinical reflexology at the Christie Hospital. I also completed a practitioner diploma in the ‘M’ Technique®, and was later invited to train as an instructor. In addition, I achieved a postgraduate diploma in massage for cancer care and later trained in supervisory management. The Royal Marsden Hospital provides excellent aromatherapy and cancer care education and after attending this, flower waters and spray bottles were introduced for patients to help control malodour, with a laminated information sheet regarding the safe use of essential oils. The essential oils were blended by a qualified aromatherapist, following assessment of each patient, and a protocol for wound care use was developed.

Development of a bespoke model for home visits was piloted following requests from patients who were unable to come to the unit. Patients were asked to attend the unit for complementary therapies, if possible, and transport could be provided if necessary. However, if they were unable to travel and were approaching end-of-life care, we would offer up to four treatments in the patient’s home. A service delivery protocol was implemented – outpatients and carers could have a course of up to six treatments. We would evaluate the efficacy of treatments and whether referrals to other modes of assistance were necessary, such as counselling. We used the MYCaW (Measure Yourself Concerns and Wellbeing) method to evaluate the outcomes of complementary therapy treatments for three months. This gave us a useful snapshot of the efficacy of treatments. Patients and carers were also

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Palliative care | COMPLEMENTARY THERAPY

provision for complementary therapy, so we had lost our clinical network of excellence which had developed the policy on which we based our own. Later, in 2015, when the NICE guidelines for SPC were being reviewed, the intention was to remove complementary therapy from the guidelines, again making our position feel more vulnerable. Thankfully, following an overwhelming response to their consultation, NICE U-turned and kept complementary therapy in the guidelines. I visited units in East Anglia and Essex to meet other coordinators and find out how their services were run. Most had a complementary therapy service provided largely by volunteers. There were a few self-employed therapists and only one non-NHS unit that employed therapists. These all had many variations in service delivery, with some units providing home visits, and some therapists having access to patients’ notes and so on.

not anticipated the length of time that it can sometimes take to achieve such goals, but eventually the model was adopted where the therapists are still paid for by the support group but employed by the NHS, which means that they are fully integrated into the multidisciplinary team providing care for patients in this palliative care setting. It is quite unusual for therapists to be employed by the NHS, as most hospices have a complementary therapy service which is provided by volunteers and a coordinator. It was a huge step forward for them to be employed. The therapists received the mandatory training received by all other clinicians in the NHS, including manual handling/ musculoskeletal health, basic life support and resuscitation training, documentation and record-keeping, and infection control. After achieving my goals, I left the NHS in 2016 to return to being a self-employed therapist, knowing the service was in safe hands. It continues to thrive and develop under its new leadership and is now firmly embedded in the fabric of the service. Having excellent supervision and building a network with other coordinators in the area are both essential, and I am very grateful for all the help and support I received. The current coordinator, Sally Lawrence, MFHT, has plans to further develop the close working relationship between the complementary therapy service and the psychological support team and would like to develop a system to help support staff in the unit. There are also plans for a new SPC unit to be built where the complementary therapy service would have a more spacious area than at present.

“They would receive training in the ‘M ’ Technique so they could be confident of providing a safe and effective treatment using an appropriate level of touch”

ACHIEVING MY GOALS

encouraged to give feedback if appropriate. In certain circumstances, we continued to offer support after the six sessions. We gave advice on how to find a suitably qualified practitioner if they wished to continue to have complementary therapy after completing their course. Attending meetings of the ACN’s complementary therapy steering group provided a valuable opportunity for networking with other experienced professionals to discuss the implementation of care in our respective units. I was very lucky to have this support, in combination with national guidelines, to ensure the safe delivery of complementary therapies in the SPC setting. Following the 2010 proposals for the reorganisation of the NHS, the cancer networks were replaced by 12 strategic clinical networks, which included some cancer expertise. However, there was no

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Part of my role was to develop a sustainable service, which was affordable and maintained all the standards required by clinical governance and provided the most effective service delivery. The support group did not want to continue to fund both the coordinator post and self-employed therapists, as this was an expensive option. Having looked at all the different variations, I presented the findings to a team of senior management. It was decided that the model which would provide the most cost-effective and efficient service was to have a coordinator and a team of Band 4 therapists who would provide complementary therapies five days a week, supported by a small number of volunteers. These volunteers would benefit by gaining experience in an SPC unit under the supervision of the employed therapists and the service would benefit from their support. They would receive training in the ‘M’ Technique® so that they could be confident of providing a safe and effective treatment using an appropriate level of touch. This decision by senior management to employ therapists brought about a huge change in the structure of the complementary therapy service. I had

Jane Sheehan, MFHT, is qualiﬁed in a wide range of complementary therapies. Since leaving the NHS, Jane uses therapies to support women with fertility and pregnancy, teaches baby reﬂexology and the ‘M’ Technique® and runs yoga and qi gong holidays.

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FHT CONFERENCE | Lorem ipsum

2018 FHT CONFERENCE Supporting the integrated healthcare agenda THURSDAY 29 NOVEMBER | THE KING’S FUND, 11 CAVENDISH SQUARE, LONDON W1G 0AN

his year, we will be presenting our Excellence Awards at a special FHT conference that focuses on how professional therapists can help to support the integrated healthcare agenda. Our current healthcare system is under a huge amount of pressure, not least because of the increasing demand placed on it by chronic health conditions and an ageing population. This one-day conference will look at some of the many ways professional therapists can support both the public and the medical workforce – from helping patients to make positive lifestyle changes and manage their own health and symptoms, to addressing ‘effectiveness gaps’ and creating cost and time efficiencies within the NHS.

THE SESSIONS WILL COVER:

ABOUT THE DAY A full programme will be available online (fht.org.uk/2018conference) and in the Autumn issue of International Therapist, but the timings below will give you an overview of the running order of the day.* 9.00am – 9.30am – Registration and refreshments 9.30am – 9.45am – Welcome 9.45am – 1.00pm – Guest speakers (with refreshments break) 1.00pm – 2.00pm – Networking buffet lunch 2.00pm – 3.45pm – Guest speakers (with refreshments break) 3.45pm – 4.45pm – FHT Excellence Awards presentation 4.45pm – 5.00pm – Closing comments 5.00pm – 6.00pm – Drinks reception

⦁ Evidence base and measuring treatment outcomes ⦁ Understanding therapies from a GP’s perspective ⦁ Integrated healthcare success stories and case studies ⦁ Overcoming barriers to integrated healthcare ⦁ Networking opportunities for all.

Early bird prices are available until 31 August at just £65 for FHT members (£85 for non-members), after which tickets will cost members £75 (£95 for non-members). Limited spaces are available, so we strongly recommend booking early to avoid disappointment. *Timings are subject to change

Book your place now at fht.org.uk/2018–– 32

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Integrated healthcare | FHT CONFERENCE

Confirmed speakers Dr Michael Dixon Widely considered one of the most influential figures in healthcare, Dr Michael Dixon is a GP, national clinical lead for social prescribing (NHS England), chairman of the College of Medicine and an appointed government adviser on GP commissioning. He is a strong advocate of preventative medicine, healthy living and integrated healthcare. In his talk, Dr Dixon will provide an overview of the current health and social care landscape, and discuss the different challenges and opportunities this presents for the successful integration of complementary therapies into mainstream care. ⦁ Read more about Dr Dixon at fht.org.uk/Michael-Dixon and social prescribing at fht.org.uk/social-prescribing

About the venue Built in the reign of George III, No. 11 Cavendish Square is a Grade II listed townhouse and over the years has been sympathetically extended to cater for larger events. It is also home to The King’s Fund, an independent charity working in England to achieve the vision that the best possible health and care is available to all. Situated in the heart of London’s West End, the venue is close to shops, theatres, restaurants and the Royal Colleges, and just a few minutes’ walk from Oxford Circus underground station (exit 4). For more information about the venue, visit 11cavendishsq.com

Professor Nicola Robinson Nicola Robinson is professor of traditional Chinese medicine at London South Bank University, chair of the Research Council for Complementary Medicine and editor-inchief of the European Journal of Integrative Medicine. She has a keen interest in complementary medicine and its integration into mainstream healthcare. In her talk, Professor Robinson will be discussing the importance of evidence base and how best to measure and present treatment outcomes for complementary therapy interventions. ⦁ Read more about Professor Robinson at fht.org.uk/nicola-robinson and the importance of research at fht.org.uk/evidence-base Anita Mehrez, MFHT Anita Mehrez is a senior member of the complementary therapy team at The Christie NHS Foundation Trust, which received an FHT Excellence Award for researching and developing the

CALM Service, bringing therapeutic support to patients struggling to cope with difficult medical procedures. Anita will be talking about the different interventions offered by the team; how these help to improve efficiencies in the hospital; and how they audit and fund the therapy service, which includes their comprehensive integrative therapies training programme. ⦁ Read more about the CALM Service at fht.org.uk/calm and the use of aromasticks at The Christie at fht.org.uk/aromasticks Dr Julie McCullough, MFHT Dr McCullough is a research associate at Ulster University. As part of her PhD, she joined an established research team investigating the impact of antenatal reflexology on women experiencing stress caused by pregnancyrelated low back and/or pelvic girdle pain. The findings of The CAM in Pregnancy Trial were very positive, which Dr McCullough will discuss in her talk, along with what it was like to be involved in this research, as a complementary therapist, scientist and mother. ⦁ Read Dr McCullough’s article, ‘Reflexology research’, published in the Spring issue of International Therapist at fht.org.uk/ reflexology-pregnancy Jennifer Young, MFHT Jennifer Young is a microbiologist, nutritional therapist, aromatherapist, beauty therapist and product formulator. She is the creator of Defiant Beauty, specialist skincare for those affected by cancer, founder of Beauty Despite Cancer, and author of Recognise Yourself, a beauty and wellbeing guide for those affected by cancer. Jennifer will be talking about the impact of cancer on self-esteem and body image, including its effects on the hair, nails and skin, as well as her pioneering therapy work to help clients live with and beyond cancer. ⦁ Read about the Appearance and Wellbeing Clinic at Guy’s Hospital, where Jennifer offers services, at fht.org.uk/therapy-at-guys

––conference or call 023 8062 4350 FHT.ORG.UK

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05/07/2018 12:12

ENVIRONMENT | Feng shui

POSITIVE FHT ACCREDITED COURSE PROVIDERS JUDITH HADLEY AND SARA PEARSON DISCUSS INTRODUCING FENG SHUI TO YOUR THERAPY PREMISES

s therapists, we all desire the perfect treatment room, salon or clinic with the perfect ambience and atmosphere for our clients. Feng shui has the potential to enhance every aspect of your business and, when applied to your workspace, it can also improve your daily life in general – from relationships and good health to reputation and creativity, and much more. Introducing the principles of feng shui into your treatment area will increase the flow of positive energy (qi), enhancing harmony, tranquillity, relaxation and calmness in both you and your client, and boosting the holistic effects of treatment.

PICTURE: GETTY

ABOUT FENG SHUI

While there are many philosophies and theories involving feng shui, all have one thing in common: feng shui is ‘therapy for the environment’ – whether

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ENERGY

that environment is the home, garden or workplace. The initial theories of feng shui originate from ancient China, around 500BC, and centre on the way humanity relates and interacts with the natural environment, and how qi may be improved to create and enhance balance, protection, good health and positivity. ‘Feng’ translates as wind and ‘shui’ as water, relating to the five natural elements – earth, water, fire, metal and wood – and also the two opposing but complementary forces, yin and yang. There are many different schools of thought about feng shui, including: The Form/Compass School This uses the ‘bagua’ eight-sided trigram, symbolism involving the four celestial animals (green dragon, phoenix, black tortoise and white tiger), compass points and the surrounding natural environment.

Eight House Water Method Based on a sophisticated formula that analyses negative energies from land structures, this includes numerology and life numbers for each of the property’s residents. Flying Star School This uses nine stars, nine numbers, compass points and colours – including 432 existing maps, which are predicted annually. Nine Ki Astrology Based on the use of compass points and the five elements – earth, water, fire, metal and wood.

BLACK HAT SECT Originating from Tibetan monks and Buddhism, Black Hat Sect feng shui is the most popular and widely used theory in modern-day Europe and the US. It draws on a combination of all of the above theories relating to the bagua (floor space) of each property.

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Feng shui | ENVIRONMENT

• Prosperity (purple/gold) – Place your PROSPERITY

FAME AND REPUTATION

LOVE

FAMILY

HEALTH AND WELLBEING

CHILDREN AND CREATIVITY

SKILLS AND KNOWLEDGE

CAREER

HELPFUL PEOPLE AND TRAVEL

Figure 1: The nine bagua or life areas Sometimes our path needs clearing before we’re allowed to move on to more positive things, and feng shui is the perfect channel to initiate the changes.

FENG SHUI TIPS FOR YOUR TREATMENT AREA There are many dos and don’ts to enhance positivity and prevent negativity. Below are three ‘general rules’ along with some top tips for each of the bagua areas (see figure 1) in your treatment area.

THREE GENERAL RULES Chinese coins – attach three Chinese coins with a red ribbon above your entrance door. This will help attract wealth, good luck and abundance to your workspace. Declutter – don’t accumulate piles of ‘stuff’. Keep products, equipment and towels clean, tidy and organised. Floor space – keep the floor free of boxes and spare products. The most powerful energy is at ground level. Place things either in cupboards or on shelves to allow qi to circulate.

Any feng shui alterations made with ‘pure and positive intention’ stir up the energy of the space involved, which may cause life changes to happen very quickly. The hope is that this will ultimately create a more harmonious environment for everyone involved. It is believed that feng shui also attracts better luck, of which there are three types: • Earth luck – the energy within your environment • Merit luck – how you conduct yourself through life • Karmic luck – passed down from previous lifetimes. Merit and karmic luck are strongly connected to Buddhism. Feng shui will not necessarily bring a magical ‘solution’. It involves only one-third ‘luck’ and, although life in general will definitely improve, problems and struggles may still arise.

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cash box or till in this area, if possible. Alternatively, place a jade (‘money’) plant in a gold-coloured plant pot in this area. Fish are also a powerful symbol of wealth. • Fame and reputation (red) – Butterfly or sun symbols in this area represent flying high, transformation and personal success. Avoid water colours such as blue. • Love and relationships (pink/red) – Two is the number for this area. Place two hearts or two small rose quartz crystals in this area to encourage positive relationships with your clients and friends. • Family (brown) – Wood-related items (paper, books, shelves) work well in this area, or a bamboo plant, which is considered auspicious. • Health and wellbeing (orange) – Placing your treatment couch here would be the most effective for your client and maximise the benefit of treatment. A carnelian crystal would enhance positive energy and balance physical and psychological wellbeing. • Children and creativity (yellow) – Metal items work well, and symbols representing treatments and therapies. Introduce some light if possible, but don’t use candles in this area. • Skills and knowledge (green) – Symbols of wisdom include Buddha, gods and bats. Use symbols of skills or new hobbies you would like to have. • Career (blue) – Business symbols include goats, sheep and lilies. Place items or pictures of the life path you’d like to follow in this area. • Helpful people and travel (grey) – Symbols or pictures of horses and ships represent good news and travel. The hematite crystal will help with stress, inspiration and courage.

TIPS FOR THE NINE BAGUA (LIFE AREAS) A vast range of symbols, colours, crystals and numbers can enhance each bagua area. The following list is a small selection of what to begin with, but don’t worry if there isn’t much space for ornaments – using the colours in your décor or hanging pictures of the chosen symbols is an alternative. To determine which area sits where in your treatment room, salon or clinic, align the bottom three squares of the bagua map with the main door. This will make the far left-hand area of the treatment room or salon ‘prosperity’, and the bottom right-hand area ‘helpful people and travel’.

Judith Hadley, MFHT, and Sara Pearson offer FHT accredited short courses in the principles and practice of harmonious living, covering ancient principals of feng shui, symbols, crystals, colour and numerology. harmony-9.co.uk

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SPORT | Mobilisation

LAWS OF KATIE CAMPBELL, BSC, LOOKS AT THE BENEFITS OF MANUAL THERAPY USING THE MAITLAND CONCEPT

anual therapy is one of many tools that the therapist can use to help solve musculoskeletal problems in clients. It uses a range of passive mobilisation techniques that can help increase mobility around joints, decrease muscle tension and reduce pain, and works well in conjunction with other skills including soft tissue work, muscle energy techniques, ultrasound and home stretches and exercises. In this article, the Maitland concept will be discussed, alongside an example of how mobilisations can be used within a treatment, using a holistic approach with a focus on clinical reasoning.

SOME DEFINITIONS... To avoid confusion, it is important to clarify the difference between certain manual therapy techniques. The Maitland concept uses a grading system from I-V (table 1 below). Grades I-IV are classed as mobilisations, carried out at the

early to end range of movement in a joint. Grade V is classed as a ‘thrust manipulation’, or high-velocity low-amplitude thrust (HVLA), carried out at the end range of movement. HVLA manipulations are characterised by the ‘pop’ or ‘crack’ noise they generate, which is thought to be caused by the formation and collapse of gas, known as cavitation. By contrast, mobilisations (Grades I-IV) do not result in this classic popping or cracking often associated with chiropractic treatments. Within the category of mobilisations, physiological and accessory movements will also be discussed in this article. Physiological movements are joint movements that can be actively performed by the client without assistance, such as flexion of the elbow and circumduction of the shoulder. Accessory movements are joint movements that cannot be performed by the client, such as a lateral glide of the humeral head or anteroposterior movement of a vertebrae.

TABLE 1: MAITLAND MOBILISATION GRADES Grade I

Small amplitude rhythmic oscillating mobilisation in early range of movement

Grade II

Large amplitude rhythmic oscillating mobilisation in mid-range of movement

Grade III

Large amplitude rhythmic oscillating mobilisation to point of limitation in range of movement

Grade IV

Small amplitude rhythmic oscillating mobilisation at end range of movement

Grade V (Thrust manipulation)

Small amplitude, quick thrust at end range of movement

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ABOUT THE MAITLAND CONCEPT The Maitland concept, named after the pioneering physiotherapist Geoffrey Maitland (1924-2010), recognises that active and passive movements play a central role in both the diagnosis and treatment of movement disorders. It also emphasises the importance of a comprehensive clinical assessment, good communication skills and the therapeutic relationship for effective treatment. It is an approach that requires the therapist to be open-minded and empathetic, so that they truly understand what the client is feeling and the impact the disorder has on their daily life. This could be pain during work hours while sitting at a computer, or the inability to improve their swimming technique due to a limited range of rotation through their cervical spine. Ultimately, if it’s important to the client, then it’s important.

THE EXAMINATION When utilising mobilisations, a thorough examination is necessary to identify or re-enact the exact movement that reveals the disorder and/or symptoms. The next step is to break the movement down and analyse the different components, to make clinical sense of the joint movement and pain responses. The therapist can consider the precise areas indicated on the client’s body, the depth at which the symptoms are experienced, along with other areas of pain and whether they overlap or are separate. Testing the joint and surrounding muscles allows the therapist to deduce how the symptoms change in response to different movements or different joint positions in other regions of the body. If the client’s pain is felt at the end-range of movement, then consider when in that movement

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Mobilisation | SPORT

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TABLE 2: GRADES OF MOBILISATION (MAITLAND)

Small amplitude out of resistance

Large amplitude out of resistance

Resistance

III Large amplitude into resistance IV Small amplitude into resistance V High-velocity thrust

III MOTION LIMIT

START

the symptom first appears and whether this varies with the continuation of the movement. During the symptomatic range, how do the symptoms behave, and does the muscle spasm? Is there resistance and, if so, is there a relationship? If the client feels pain during the whole range of the movement, does the pain increase at different points? Further still, if the limb is taken just past this point, how is the intensity and referral of pain affected? When watching the client perform these movements, it is helpful to note whether it is a normal physiological movement, using full range of movement, or whether stiffness is apparent, potentially from a protective muscle spasm. As mentioned, the client is unable to perform accessory movements themselves, so these are tested by the therapist using palpation techniques to gain further information. Three main positions are used for this: the neutral/mid-range (the midway point, such as flexion and extension, left and right rotation, and distraction and compression); a loose-packed position (where the client’s symptoms begin or start to increase); and the end of the available range. Palpation can identify soft tissue abnormalities along with symptomatic responses to the movement being performed, providing information deemed as important as the movement test themselves. The therapist can apply a logical and thoughtful analysis when both the physiological and accessory movements are performed together, the findings of which can then be used to differentiate between a group of movements. An example of this might be when a client presents with pain during a supinated outstretched arm; it is possible to determine where and when the symptoms increase depending on the therapist’s hand position, and whether it’s more proximal or distal during pronation or supination while supporting the hand. When the pain increases during passive pronation two to three degrees of the distal radio-ulnar joint, this indicates the pain is coming from structures within the wrist, as the movement made by the therapist is increasing supination stress at the radiocarpal and mid-carpal joints. However, if the source of pain is coming from the distal radio-ulnar joint, then the pain would increase as the therapist applies supination at that joint. This logical, ordered process of examination can be used not only for the joints, providing additional evidence leading to effective treatments, but also during the subjective part of the examination. Think about what the client

is explaining and relate it back to everyday life. For example, they might say ‘I feel pain in my low back’. The therapist might get a negative result when asking the client to bend forward and touch his toes (to test lumbar flexion), and the same result when testing other structures around the pelvis. However, if further questioning identifies that getting in the car is a problem, it might be cervical flexion which initiates the pain; therefore a slump test would be more appropriate in revealing the movement which triggers the symptoms.

DEVELOPING A TREATMENT PLAN After a thorough examination, the treatment plan can be developed. If mobilisations are to be used, it is vital that these are always performed pain-free. This requires an assessment movement to be

conducted before each set of mobilisations, to determine at what point in the range the symptom is initiated, which then determines the grade of the mobilisation to be used. When performing Maitland mobilisations on a joint, document the number performed and the grade of each technique used, as this will help you to analyse progression or regression with the client. As pictured above (table 2), it can be seen that a Grade I mobilisation uses a very small movement, taking the joint just out of resistance (for example, abducting a client’s femur five degrees in a side-lying position, holding it just above the knee). An example of a Grade II mobilisation would be taking this same movement further, but not so far that resistance is felt (which would then be a

AXILLARY NERVE

DORSAL

VENTRAL RADIAL NERVE

MUSCULOCUTANEOUS NERVE

ULNAR NERVE

RADIAL NERVE

ULNAR NERVE

MEDIAN NERVE

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SPINAL CORD

BACK OF RIGHT HAND C7 NERVE ROOT

BRACHIAL PLEXUS MUSCULOCUTANEOUS NERVE

RADIAL NERVE

MEDIAN NERVE ULNAR NERVE RADIAL NERVE MEDIAN NERVE

ULNAR NERVE

Sensory distribution of C7 nerve root

Testing brachial nerves: Median (1)

Median (2a)

Radial (2b)

Ulnar (3)

large oscillation, Grade III mobilisation). A Grade IV oscillation remains within resistance and has a small amplitude. As the differences between the grades are subtle, it is imperative the therapist is engaged and uses their palpation skills, allowing a precise technique that can be recorded and, if appropriate, replicated in future sessions.

includes a C7 disc prolapse around two years previously and during this time, he sought treatment from a physiotherapist. The symptoms decreased slightly but remained constant until recently, when he noticed an increase in severity and irritability. His occupation requires him to drive for up to six hours a day, but he is usually fit and well. His hobbies include cycling and walking, although at present he is unable to ride a bike as it incites symptoms. A postural assessment concluded a forward head, which is not ideal, as it adds 10 pounds of weight per

CASE STUDY A 58-year-old male presented with pain around his left shoulder and down his left arm to his fingers. His medical history

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inch that it sits away from its neutral position, increasing strain throughout the supporting musculature and compression through the cervicothoracic junction. Kyphosis can be hereditary or as a result of this type of posture, and it is thought to occur due to long periods spent driving or sitting at a desk with a head forward posture (see more about kyphosis on page 52). The client described his symptoms as ‘tingling’ and ‘shooting’, radiating down the back of his arm, with sporadic numbness in his hand and around his thumb. However, the pain around his shoulder presented as an ache under his shoulder blade, mainly felt through the lateral aspect. The pattern of symptoms indicated that the radial nerve was in some way compromised, potentially compressed through the shoulder musculature. Testing the radial nerve increased symptoms dramatically and confirmed this. Using the testing position, the therapist flossed the radial nerve by flexing and then gradually increasing the extension of the wrist. This decreased the symptoms by easing neural tension and reducing the hypersensitivity, which can be the result of overused muscles with increased tone. Communicating throughout the flossing technique is essential, so as not to exceed the range where the client can tolerate the increased symptoms. Restricted movement at end-of-range abduction-adduction of the humerus and pain during cervical extension was noted. Along with nerve flossing, the treatments utilised the use of soft tissue therapy through the hypertonic muscle, which included the erector spinea group, supraspinatus, upper trapezius and scalene group, and then over the deltoids, pectorals and down the triceps. This was performed in a side-lying position due to the increase of pain when in prone; however, after the fifth treatment, prone was possible for around 20 minutes. Cephalad traction and gentle longitudinal oscillations, in an upward rather than downward movement, were used to help increase space between the vertebrae and improve function of the deep muscles in the neck. The cephalad traction was held for 10 gentle breaths, with the client’s head held securely at the base of the occiput, while the other hand supported the underneath of his chin. Grade III longitudinal oscillations were deemed optimal after reassessment and three sets of 20 were carried out, twice per treatment. Grade IV became pain-free during the course of the treatments, which reduced the range of oscillations that remained at the client’s end-of-range movement.

ILLUSTRATIONS: IAN MOORES GRAPHICS

SPORT | Mobilisation

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Mobilisation | SPORT

rests on the head and tailbone, which keeps the previous position but also allows a hip hinge. This was practised standing about 30cm away from a wall, with the bottom of the pole touching the wall if the movement is performed correctly. If the client is quadricep dominant then they typically try to squat, which involves knee flexion, identified in the picture to the left – the hip hinge does not. At first, the client was unable to lengthen his cervical enough to touch the back of his head to the wall or pole but gradually, with manual therapy, adherence to the home stretches and weekly treatments, this is now possible and we hope he will soon be back on his bike, pain-free.

Elongation of the spine Squat To enhance the treatments, home exercises were given to the client to promote and lengthen the spine, encourage movement at the atlantal-occipital joint, and to also improve the hip-hinge pattern, restoring natural spine curvature, ideally resulting in pain-free movement when driving and cycling.

Katie Campbell, MSc, completed her sports therapy degree at the University of Bath. Currently employed at a multidisciplinary clinic, Active Potential Therapy (activepotentialtherapy. com), she teaches FHT accredited courses in manual therapy, among others, on behalf of Core Elements Training. coreelements.uk.com

Hinge Using soft knees, a tucked-under tailbone against the wall and the ‘red dot’ cue from the Alexander technique, a stretch down the client’s back was felt. He was asked to use this exercise three to four times a day and, if possible, to hold this position for five to 10 gentle breaths. The client progressed to using a pole that

STAND UP AND BE RECOGNISED While the FHT’s Excellence Awards are now closed for entries, there’s still time to enter the new Complementary Therapy Awards we are sponsoring, which help to highlight innovation, best practice and success in complementary therapy practice. Whether you work as an individual or as part of a team, if you are helping people recover from illness or to manage their own health and wellbeing, then we strongly encourage you to enter these independent awards, organised by Chamberlain Dunn.

⦁ The Award for Palliative Care

AND THE CATEGORIES ARE...

DEADLINES, GUIDELINES AND THE AWARDS CEREMONY

Not sure which aspect of your work to focus on? You can enter more than one project, under the same category or under separate awards categories. Choose from: ⦁ The Award for Prevention and Self-care ⦁ The Award for Cancer Care

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⦁ The FHT Award for

Complementary Therapy Research ⦁ The Award for Mental Health and Wellbeing ⦁ The Award for Pain Management, Injury Prevention and Rehabilitation ⦁ The Award for Furthering Integrated Healthcare. The judges will also select an overall winner – Complementary Therapist (or Team) of the Year – from all of the category winners.

winning entry can be found at the Complementary Therapy Awards website. The Awards ceremony lunch will be held in October 2018 and will be attended by finalists and their guests, judges, sponsors and special invited attendees. Honour your team, network with other professionals and, above all, have a wonderful day to remember. Shortlisted entrants will receive two free tickets to the lunch. For more information and to enter, visit fht.org.uk/awards

The closing date for entries is 5pm on Monday 3 September, but FHT members will receive free entry if they apply before 31 July. After that date, entries will cost £45 each. An information sheet and guidelines on how to write a

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:13

COUNSELLING | Outdoor therapy

WALKING

WHAT IS WALK AND TALK THERAPY? Put simply, it’s counselling or psychotherapy sessions that take place in the outdoors rather than in a conventional indoor setting or online. The location is agreed in advance with the client setting the pace – from a relaxing stroll to a more energetic, fast-paced walk.

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TALK THE

WHAT ARE THE BENEFITS OF WALKING WHEN HAVING A TALK THERAPY? There are many. Combining therapeutic support with walking in nature can be very meditative and grounding for clients, and it is well established that access to and exercising in green space is good for health. Because the client walks alongside their therapist rather than sits facing them,

the session can also feel less formal and intimidating, particularly when there are periods of silence. It’s even been suggested the therapeutic space becomes more democratic (Berger, 2009), removing the potential power difference created by the ‘therapist’s office and space’, as the environment is ‘shared’ by both client and therapist. And of course walking forward is itself a metaphor for moving ahead,

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Outdoor therapy | COUNSELLING

PSYCHOTHERAPIST LARA JUST, PGDIP, BSC, UKCP (ACC), PROVIDES A BRIEF INTRODUCTION TO WALK AND TALK THERAPY

On a physical level, walking improves circulation. As well as the obvious health benefits, this helps to activate both sides of the brain, synchronising the right hemisphere, involved in logical, rational thinking, with the left, which is linked to feelings and creativity.

WHO MIGHT IT BE PARTICULARLY GOOD FOR? Walk and talk therapy is useful for people dealing with transition, grief, a life crisis, or who simply feel ‘stuck’. Research has shown improvements in depression, anxiety, mood, self-esteem, grief and bereavement, among other things.

IS THERE A STRONG EVIDENCE BASE FOR WALK AND TALK THERAPY?

the presence of water generating even greater effects. They also reported that the ‘mentally ill’ showed one of the greatest improvements in self-esteem.

WHAT ABOUT CONFIDENTIALITY? I’m often asked what happens if the client or therapist bumps into someone they know. Or what if someone overhears the conversation? These sorts of things get discussed before the session, along with how the therapist and client will proceed in such an event. Resting or changing route are both simple ways to resolve or avoid such situations.

WHAT IF THE WEATHER’S BAD? The weather can sometimes be a concern, particularly if it’s icy, raining or very hot, and, in such instances, it can be agreed to have an indoor or online session instead. However, in reality the weather rarely turns out to be a reason for not conducting a walk and talk session. It can actually feel quite invigorating to be outside in different conditions, as long as the right clothing, gear and products (such as sun cream) are used.

“Walking forward is itself a metaphor for moving ahead, symbolising change and getting past difficult times”

symbolising change and getting past difficult times. The outdoors allows for a much richer engagement with our environment, which can be utilised in a number of ways, depending on where the client is on their therapeutic journey. Statements such as ‘I feel as if everyone is looking at me’, or ‘It feels that I could choose a different path today’ can prove very useful in a session.

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It’s a relatively new form of therapy, with a limited number of small-scale studies to date, but more research is constantly emerging. Much of this is coming from the fields of eco-psychology, eco-therapy, wild therapy, wilderness therapy, conservation theory and animalassisted therapy, to name a few (Jordan, 2014; Totton, 2011; Buzzell and Chalquist, 2009). Jordan (2014) describes walk and talk therapy, or eco-therapy, as something that can help to heal the human-nature relationship, and includes a range of therapeutic and reconnective practices, such as horticultural therapy, ‘green’ exercise, ecodreamwork, community eco-therapy, dealing with eco-anxiety and eco-grief, and more (Buzzell and Chalquist, 2009). In addition, the UK charity Mind has published reports on ecotherapy (Mind, 2013; 2007), which found that people’s mental health significantly improved after activities in nature. One study conducted by the University of New Orleans found that walk and talk therapy speeds up the process of therapy and allows the therapist and client to get to the issues more quickly (McKinney, 2011). It seems that rapport can be built together faster this way than in the traditional seated arrangement. Research from Doucette (2004) highlighted that walk and talk therapy with young adolescents encouraged them to make improved pro-social choices in behaviour and allowed them to experience increased feelings of self-efficacy and wellbeing. Pretty and Barton (2010) showed that exercising outside in green environments improves both self-esteem and mood, with

HOW CAN SOMEONE FIND A WALK AND TALK THERAPIST? Walk and talk therapy is relatively new in the UK, but an increasing number of psychotherapists and counsellors are starting to incorporate it into their practice. A Google search will help to identify a suitably trained therapist in your area, but check they belong to a relevant accredited register, such as the UK Council for Psychotherapy (UKCP) or British Association for Counselling and Psychotherapy.

REFERENCES For full references, go to fht.org.uk/IT-references

Lara Just is a psychotherapist (UKCP Acc), and founding director of ADADSU (AdaptAdvance-Succeed, adadsu.com) and offers walk and talk therapy sessions on Hampstead Heath, London, through thewalkingtherapist.co.uk

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:14

REGIONAL UPDATES

Local support groups NHS doctor in the house in North Birmingham

North Birmingham LSG welcomed Dr Sukhdev Singh (pictured above) at their recent meeting at the Cancer Support Centre in Sutton Coldfield, writes group coordinator Alison Clamp. Dr Singh is an NHS consultant at Good Hope Hospital, who specialises in gastrointestinal complaints. He has many years’ experience in this field but has also trained in hypnotherapy, mindfulness and yoga. He is very interested in natural health and the importance of a

positive outlook to health; at the hospital, he holds regular yoga and mindfulness classes. During his hypnotherapy training, he became very aware of the importance of being listened to by someone with an open, loving heart and that was a large part of any treatment he could offer. His path in life led him to discover reiki and a therapist named Sandy Edwards. Sandy offered reiki in his clinic at Good Hope Hospital, and Dr Singh often signposted patients

to her that he felt could benefit from treatment. He expressed the frustration that doctors can feel when patients don’t respond to treatment and aren’t sure what to do next. These were the type of patients he referred to reiki. Sandy managed to obtain funding for a seven-year study, during which reiki was offered to patients. Two research papers have so far been published on the study, ‘Experiences of healing therapy in patients with irritable bowel syndrome and inflammatory bowel disease’ (2015) and ‘A pragmatic randomised controlled trial of healing therapy in a

gastroenterology outpatient setting’ (2017) – see page 55. The Cancer Support Centre offers many therapies, and some service users attended the meeting. They endorsed the therapies, saying how they improved wellbeing and quality of life for themselves and their families. The evening concluded with an interesting discussion on the role of complementary therapies in mainstream medicine and around the cause of illnesses in general. Dr Singh asserted that people in general get ill because of toxic relationships, poor food and lack of exercise.

A meeting on mindfulness for Kirklees and Calderdale At our last meeting, Rosemary Shackleton (pictured left) gave a fascinating presentation on mindfulness for health, writes Kirklees and Calderdale LSG coordinator Sue Bell. Rosemary taught us the beneﬁts of being mindful and its effect on pain, mood and quality of life. The two main elements of improving health are 20 minutes of daily meditation and ‘habit releasers’. Compassion to oneself is also a central feature of mindfulness.

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Rosemary went on to guide us through a 10-minute body scan meditation, after which one of our members said the nerve pain she had been experiencing disappeared. It was fascinating and insightful, giving us all food for thought and leading to plenty of discussion afterwards. Thanks to Rosemary for her very informative and interesting talk and her detailed handouts, which she had obviously put a lot of hard work into.

FHT.ORG.UK

05/07/2018 12:14

REGIONAL UPDATES

GROUP CONTACT LIST SCOTLAND

Hereford

Sussex, Eastbourne

Ayrshire

T: 07971 029354

and South Downs

T: 07989 193146

Llanelli

T: 01323 644007

T: 07789 242160

T: 07794 811562

T: 01424 981212

Moray, Elgin

Stourbridge

Sussex, Worthing

and Dudley

T: 07773 702942

Ayshire’s audience with an author

T: 07751 316663

We were delighted to recently welcome fellow member and author Geraldine Mair (pictured left) as our guest speaker, writes Ayrshire LSG coordinator Tracy Byron. Coming from a working-class background and working in retail for 25 years, a ‘quashed’ chance for change within the workplace brought about an epiphany, and with the love and support of her family Geraldine retrained as a holistic therapist. In discovering her new passion, Geraldine has excelled as a great therapist, and for the past five years has helped numerous clients. Geraldine used Facebook to write positive messages and passages offering words of confidence and self-worth, which many clients found resonated with them. This helped lead Geraldine to write her first book, Choose to Climb: Reaching Your Personal Summit.

T: 07563 772556

T: 07932 769227 NORTHERN

Swansea

CENTRAL &

ENGLAND

T: 01792 402242

SOUTHERN ENGLAND

Blackpool

Wolverhampton

Durham T: 07855 175726 Harrogate T: 07801 885207 Kirklees and Calderdale T: 07900 336067 T: 01924 490851 Lancaster

T: 07929 030931 Worcestershire, Redditch T: 07748 902104 EASTERN & CENTRAL ENGLAND Derbyshire, Alfreton T: 07882 777587 Leicester

T: 07855 589892 Gloucester T: 07969 323917 Hampshire, Waterlooville T: 01730 261842 T: 023 9259 8259 Hampshire,

T: 07967 588056

Winchester

T: 01522 518209

Leeds

T: 01962 854184

Northampton

Oxford, South

T: 07899 998970

T: 01604 882143

T: 07949 888575

Newcastle

Nottingham

T: 07815 433487

T: 07737 274066

T: 01636 815739

Salisbury & District

T: 01914 166822

Shefﬁeld

T: 07855 589892

West Cumbria

T: 07936 506012

Somerset, Bath

T: 01946 726013

Warwickshire,

T: 01225 315718

T: 01946 724419

Coventry

T: 07885 964489

T: 07980 543139

West Sussex,

T: 07775 630757

Chichester T: 07815 455732 T: 01243 825816

ENGLAND

EAST ANGLIA

Chester

& NORTHERN

T: 07512 127013

HOME COUNTIES

SOUTH-WEST

Liverpool (Rainhill)

Cambridgeshire, Ely

ENGLAND

T: 07787 532827

Devon, Ipplepen

T: 07733 115474

Hertfordshire

T: 07830 020998

Manchester, North Manchester, South T: 07824 641700 Staffordshire, North T: 07960 720583 T: 07951 120176 Wigan & Leigh T: 07837 860717 Wrexham

42-43_LSGs__International Therapist 43

Dorset, Bournemouth

Lincoln

T: 01616 650799

FHT.ORG.UK

T: 07981 294595

T: 07969 922137

WEST & CENTRAL

We had a great evening at our last Waterlooville LSG meeting, writes group coordinator Liz Cox. Not only did we reinforce our knowledge of the lymphatic system, but those who wanted to also had a chance to experience working with lymphatic pressure therapy. Speaker Yvette Jordan (pictured above) was so passionate and knowledgeable that everyone left knowing just a little more than they did before.

High Wycombe

T: 07801 190919

NORTH WALES,

Lymphatic learning for Waterlooville group

Bucks (South),

T: 07976 978315

T: 07534 199126 T: 07557 121278 T: 01462 730415 Luton and Bedfordshire T: 01582 596929 T: 07702 049696

T: 07528 436843 Somerset, Taunton T: 07773 071353 IRELAND Donegal T: 00353 74 91 38457 NORTHERN IRELAND

LONDON & SOUTH EAST

Belfast T: 07598 945933

Dartford, Gravesham

Coleraine

and Medway

T: 07707 411101

T: 07811 216113 SOUTH WALES &

Lisburn

Essex, South East

T: 07709 550173

WEST MIDLANDS

T: 01621 774827

Lisnaskea

Birmingham, East

Horsham & Crawley

T: 02867 722368

T: 07751 942234

T: 07500 934286

Newtownabbey

Birmingham, North

North Kent

& Belfast

T: 07771 915141

T: 07971 898568

T: 07801 988856

Birmingham, South

North London

South Tyrone

T: 07812 773505

T: 07956 559688

T: 07879 644604

T: 01978 762523

SUMMER 2018 INTERNATIONAL THERAPIST

09/07/2018 12:45

FHT AT EVENTS

Inspiration, education and relaxation at the 2018 FHT Training Congress

hank you to all members and speakers who joined us at the 2018 FHT Training Congress. You all helped to make the event a huge success. Our Training Congress took place alongside the Holistic Health Show, on 20 and 21 May at the NEC in Birmingham and consisted of 23 talks by leading therapy and business experts. More than 240 delegates enjoyed presentations on a wide range of topics including social media marketing, stretching your clients, mindfulness, being with terminally ill clients, ayurvedic kansa wand face massage, postural analysis, aromatherapy skincare, laughter yoga, crystals for stress and anxiety and lots more. We also had a stand within the main Holistic Health Show and were delighted to meet many new and existing FHT members, and guests, who were able to make use of the show offers and take home our free FHT goody bags.

HELP US TO PLAN FUTURE EDUCATION EVENTS... If you attended the Training Congress and are yet to provide us feedback about the talks you attended, please email your comments to education@fht.org.uk, writing ‘Training Congress’ in the subject box. We have received very useful feedback from this year’s event, with the general consensus

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indicating that members saw it as an improvement on the previous year, especially with regards to the location of the seminar rooms. Located outside the main exhibition, the rooms were calm, comfortable and quiet. Congratulations to Nicola Duffield, MFHT, who won an Affinity Portable Flexible Massage Couch in this year’s Training Congress feedback prize draw. Here’s what some of you had to say about the talks:

• Alison Battisby’s talk on getting the most out of social media: ‘Outstanding presentation style and content. Best session of the day. Really enjoyed, and very relevant.’

• John Gibbons’ talk on kinesiology taping for the athlete: ‘Brilliant, very informative. John is a master in his work.’

• Lotte Mikkelsen’s laughter yoga workshop: ‘Absolutely fantastic. It’s so refreshing to take a lecture that was fun but so useful for me as a therapist.’

• Barbara Scott’s talk on ReproﬂexologyTM as an integrated approach to fertility: ‘Speaker was extremely knowledgeable and subject was fascinating.’

• Jane Duncan Rogers’ talk on being with terminally ill clients: ‘Really thoughtprovoking session.’

• Mary Dalgleish’s ayurvedic kansa wand face massage demonstration: ‘Mary was a great and confident speaker, a lovely caring style. Fascinating subject. Very hands on. Good to see [a demonstration] on the big screen.’

• Elaine Wilkins’ talk on adverse childhood experiences – a major factor in chronic pain recovery: ‘Excellent. Beyond my expectations.’

• Seán Collins’ talk on mindfulness for therapists and their therapies: ‘Best talk so far. Lovely, lovely man. Wonderful talk.’

FHT.ORG.UK

05/07/2018 12:15

FHT AT EVENTS

Momentous day supporting marathon runners with massage Emily Bevan-Jones, MFHT, talks about providing massage therapy to runners at this year’s London Marathon... Aside from our positive thoughts on this day, we must take a moment to reflect on a life lost during this gruelling run – Matt Campbell, 29, made it to the 22.5-mile mark. Incredibly, he had run a marathon in Manchester earlier that month. With this year’s London Marathon the hottest ever recorded, I was incredibly impressed with every runner, no matter how long it took them to complete the 26.2 miles. The 24.1°C temperature meant that most runners could not have prepared for the conditions of the day. I work as a massage therapist, and my aim for the day was to support runners who had raised money for the Stroke Association. The therapy service was held at Champagne Charlies, and runners were offered a free foot and leg massage as well as a free meal. Once there, I met nine other truly fantastic FHT members and massage therapists, who had travelled from all over the UK to volunteer their time to support the runners. They were Violet Meyer, Rebecca Shirzad, Manuela Rufener, Elizabeth Layton-Scott, Abigail Joynes, Laura Ellis and Cesare Gaetani. Violet said of her involvement: ‘It was

were cheering on the runners, regardless of whether they knew anyone involved. Several participants said to me that it was one of the best feelings in the world to have people they didn’t know giving them so much care and attention. It is wonderful to meet people who have taken part in an event like this and hear their stories. Why are they running? Why are they running for the Stroke Association? Did they feel positive about their run? Would they do it again? Overwhelmingly, answers to these questions pointed towards running because they wanted to help, for a family member or friend who has been affected by a stroke, no – they always wish they could have ran faster, and yes – they would do it again. Despite how divided the population may seem when discussing politics, beliefs, work or hobbies, they are more than capable of overlooking differences, to come together and celebrate the incredible strength and willpower of others.

a great pleasure to participate in such an amazing event and meet other FHT members from all over England.’ I love days like this – that feel as though the whole world is coming together to celebrate each other. Thousands of people

Emma Evans, events manager at the Stroke Association, was delighted with the incredible support of Emily and the rest of the team, and said: ‘Thank you so much to all of those who kindly volunteered their time on London Marathon day to provide much-needed massages to those who ran a gruelling 26.2 miles to support those affected by stroke. We can’t thank the FHT enough for their support; their help makes such a big difference to the experience our runners have and provides them with a great head-start in their post-race recovery.’

PICTURES: EMILY BEVAN-JONES

FHT enjoys meeting and greeting at COPA Series 2018 The FHT enjoyed meeting existing and potential new members at the COPA Series 2018 on 9 and 10 May at ExCeL in London, where visitors enjoyed an exhibition, speaker programme and live demonstration. Located at stand 2230, the FHT team, comprising Kiah Myatt, Heidi Hinton and Zak Robertson, were on hand to meet and greet, promoting the FHT, its members and their therapies to exhibitors and visitors at the show, aimed primarily at sports and rehabilitation professionals.

FHT.ORG.UK

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SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:15

A DAY IN THE LIFE | Nicky Gee

A DAY IN THE LIFE OF… NICKY GEE, MFHT, BLACKPOOL FHT LOCAL SUPPORT GROUP COORDINATOR, CRYSTAL THERAPIST AND REIKI TEACHER

7AM

I wake up, get ready and then go out for a brisk walk with my Jack Russell, Tilly. This is a great way to start the day – walking in greenery makes you feel at one with nature, especially when you have time to look around and take it all in.

8AM

I have a light breakfast with some coffee. Despite trying alternatives, only coffee hits the spot for me in the morning.

9AM Off to work at my part-time job as a product support assistant at NST, a travel company where I have been working for the past 18 years. Mental health awareness is currently a priority for the company, so staff have been given the opportunity to take time out of their normal working schedule to experience new therapies, including reflexology, which was so popular it stretched over four days.

11.45AM I head home for lunch and take the dog for another walk to recharge my batteries.

1PM

Time to get on top of emails. I love organising things, so I enjoy my role as the Blackpool FHT local

INTERNATIONAL THERAPIST SUMMER 2018 2017

46_A day in the life__International Therapist 46

support group coordinator. I was really pleased to have been awarded the FHT Excellence Award for this role last year. Our group is very welcoming and laid-back. We have great fun, are growing every year and meet at the Blackpool Cricket Club on the last Thursday of every month. I email group members news that the FHT has shared, so we can all stay up to date, along with information about the next meeting. We recently had Anthony from PrintIT as our speaker, who talked to us about social media dos and don’ts – a great learning curve for us all.

2PM Time to see which therapies have been booked for this evening. I run a therapy centre from my home and sort out administration for my crystal therapy clients, reading their consultation forms and deciding which crystals will be suitable to use.

therapy for her. She is a little nervous and excited about what to expect. She hasn’t been sleeping well, and is very low, with a lot of sadness in her life. After the crystal therapy and reiki session, she is feeling visibly lighter and as if a load has been lifted off her shoulders. She says she could sleep for a week, and is now feeling very relaxed and ready to cope with the world again. It is so wonderful to hear the difference we can make as therapists. Now it is time to clear away all the crystals and change the room back into the ironing and office room for the evening, for now it is my study time. I am just coming to the end of a level 3 qualification in counselling skills and aim to attain a level 4, which would greatly complement my therapies. Clients will be able to pour their heart out in a calm and empathic space, while also having their chakras balanced through the vibrations of crystals, and energies restored with reiki.

8PM

I finish work for the day. Although I’ve been very busy, it isn’t a chore, as everything I do is through my own choice. My own balance of work, family and therapies works great for me. I love my days, my life, and support from my husband Rob, who even built me my website. Who knows what tomorrow will bring, but I know I will love it.

2.45PM Off to school to pick up my grandson from the same school my children went to. I’ll soon be picking up all three, when my other two grandchildren start in September.

6PM The evening is now mine for holistic therapies. The rooms are organised quickly, and a new client has arrived. After a discussion, we decide that chakra alignment is the crystal

FHT.ORG.UK

09/07/2018 12:46

MEMBERS’ NEWS

ast year, I was invited to use crystals on a rescue horse in a sanctuary in Almería, Spain, and to monitor any improvement in her wellbeing. The setting could not have been more beautiful, with blue skies and warm sunshine in the magnificent Sierra Cabrera mountains. It was an offer not to be refused, except for one small problem – my fear of horses. More than 30 years of research into the benefits of incorporating crystals into vibrational medicine had led me to work with people, cats, dogs, plants and even houses, so this was an exciting new project, but one far out of my comfort zone. Fortunately, my husband is a horse psychologist and kindly offered to supervise me. The owner of the sanctuary introduced us to Willow, a timid 18-year-old piebald. Her story touched my heart when I learned that she had been locked in a stable for more than seven years. In a bid to break free she would reverse and buck into the back of the stable, inflicting severe damage to her hips and hind legs. She had been at the sanctuary for three months and had yet to lie down or roll with the other horses. An initial assessment determined that Willow had stiffness in her joints, in particular her hind legs, shoulders and neck, which restricted her mobility. She walked on her tiptoes, causing possible problems with her fetlock. There was evidence of tension along her spinal column from the sacral area down to the coccyx, which disturbed her posture. Her skin was very dry and flaky and she had abrasions on her back. During our first session, Willow was tethered to a post to allow us to apply the crystals. It was clear she was unhappy being tied up. She began stamping her foot and pawing at the ground, signs of anxiety and stress. We were informed that Willow had shut down emotionally, displaying no affection or comfortable interaction with her surroundings, other animals or people. The aim of the crystal therapy was to enable Willow to lie down and roll with the other horses in her paddock. Initially we massaged her with crystals for relaxation – fluorite for fluidity and blue lace agate for deep relaxation. We wanted Willow to trust us and feel safe and secure in her surroundings. During the first session Willow stopped pawing, her eyes softened, and her neck and body visibly dropped as she began to relax. As the sessions continued, we progressed to using crystals for fortification and strength, including

FHT.ORG.UK

47_Members news__International Therapist 47

Jackie Winters with Willow

Weeping Willow JACKIE WINTERS, MFHT, HELPS A HORSE LEARN TO RELAX WITH CRYSTAL HEALING bloodstone and amber. Willow became more confident and moved more easily. Short walks were introduced along with aerobic exercise walking up hills, stretching techniques and light liberty training. Her resistance to leaving the newly perceived safety of the sanctuary was displayed by her constant whinnying along her walks. However, she was improving, so we continued to encourage and support her daily and the whinnying gradually ceased. We placed crystals in the ground to create a secure energetic frequency in the shape of a bed to encourage her to feel safe to lie down in her paddock and watched as she gravitated towards this area. The bed consisted of rose quartz for love, smoky quartz for safety and moonstone for mobility. It soon became apparent that my own confidence with horses was growing along with Willow’s in people.

We established a good relationship with her; she would purposefully look for our arrival and display signs of jealousy if we gave attention to other horses. However, after four months she had still not lain down and our hopes were diminishing. She had improved in many ways and it was a privilege to witness her progress. Our enjoyment of this inspired us and we now offer retreats in Spain. I feel the horses are helping me as much as I am helping them. After a few months, we received a very emotional phone call from the horse sanctuary stating that Willow had lain down. Photos were taken and we all were delighted with the results. Was it the crystals? The energy? The massage? I have become more and more convinced that it is just love magnified by the crystals and projected into the subject.

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:16

MEMBERS’ REVIEWS

LIVING NATURE ULTIMATE DAY OIL Living Nature’s Ultimate Day Oil is ultra-ﬁne and formulated for use on the face and body, containing organic rosehip, evening primrose, calendula, jojoba, lavender and tangerine peel oils.

JENNIFER BARNES, MFHT

The container was very attractive, with 6/10 a useful pipette so you can obtain the amount of oil needed. I was pleased it was glass and therefore recyclable. The oil was nice but wasn’t ground-breaking. It is more of a night oil than a day one – as I have very dry skin – yet it remained on the skin for a long time before I could apply make-up.

LISA MANSELL, FFHT

5/10

The ﬁrst impression I got of this organic facial oil was the very strong smell of lavender – it was a bit overpowering. The instructions said two to three drops, but this was not enough. I’m very used to using different types of facial oils, but I needed around six drops to feel that it sufﬁciently covered my face and neck.

BEST BUY Prices start from £16.67 (trade price). For the best prices on Living Nature Products, visit livingnature.com

THE POCKET ATLAS OF HUMAN ANATOMY, BY CHRIS JARMEY

LISA-JAYNE FALLOWS, FFHT As a former student of sport, massage and injury rehabilitation, 9/10 I had to purchase large tomes of anatomy and physiology. This book would have been very useful in my studies and its size is perfect for quick referencing. It’s packed full of useful and essential information and welldesigned illustrations. Although the title states it’s for students of physical therapy, medicine, sports and bodywork, it would also be great for student reﬂexologists.

ROSALIND GREEN, MFHT

The Pocket Atlas of Human Anatomy has been produced as a helpful reference book for students and new practitioners, with full colour illustrations.

Another anatomy book for our shelves. It is a small reference tool for looking up anatomical terms such as joints, bones and tissue. The

book is compact, so a good size for carrying around, but too big for a 6/10 pocket. It has a nice section at the back, noting the body as a whole, and particularly useful is chapter 8, which describes the anatomical myofascial trains. The diagrams are clear, but a bit ﬂat.

MEMBER OFFER Readers can buy the Pocket Atlas of Human Anatomy (RRP £12.99) for just £10, including P&P when purchased from Combined Book Services. Call 01892 837171 and quote Anatomy10 when ordering. Offer ends: 30 September 2018.

NEW PRODUCTS ELEMIS TARGETED TONING BODY MOISTURISER The new Targeted Toning Body Moisturiser transforms from a cream to an oil when applied to encourage massage and support areas prone to loss of texture. The product is said to leave these areas visibly tighter and more toned, and has been clinically proven to reduce the appearance of cellulite by 64% in eight weeks when combined with massage. The moisturiser contains plankton extract, jania rubens and nigari salts to stimulate the body’s natural detoxiﬁcation process and promote collagen synthesis.

RRP: £69, available from elemis.com

CLINICAL ASSESSMENT FOR MASSAGE THERAPY, BY DAVID ZULAK This practical guide to massage therapy assembles a range of examination and assessment techniques otherwise found in a variety of places. It is written by a massage therapist speciﬁcally for massage therapists. For massage therapy to be undertaken safely, accurately and appropriately it is crucial that the therapist be able to assess their clients’ condition accurately. This book helps students develop this skill and learn about various techniques. More experienced therapists can use it to update, reﬁne and enhance skills.

Price: £45, available from handspringpublishing.com

INTERNATIONAL THERAPIST SUMMER 2018

48-49_Reviews__International Therapist 48

ATHLETIC TAPING, BRACING AND CASTING (FOURTH EDITION), BY DAVID H PERRIN AND IAN A MACLEOD This premier text for athletic taping, bracing and casting is back in a fourth edition, with newly expanded techniques, superior photos and illustrations, precise step-by-step instructions, and a pinpoint focus on the techniques that athletic trainers and therapists are most likely to apply in clinical practice. Clinical professor Ian McLeod joins veteran author and athletic educator David Perrin in this fourth edition to examine the application guidelines and precautions for casting and splinting.

Price: £66.99, available from humankinetics.com

THE NHS HEALER: ONWARDS AND UPWARDS, BY ANGIE BUXTON-KING A follow-up to Angie’s ﬁrst book, The NHS Healer, published in 2004, Onwards and Upwards follows the author’s personal journey with her charity, the Sam Buxton Sunﬂower Healing Trust, which has gone on to fund and support many healers working in cancer care. The book also describes the patient pathway and how healing, when used alongside conventional medicine, can support the patient at every stage of their journey.

Price: £11.99, available from cancertherapies.org.uk

FHT.ORG.UK

05/07/2018 12:16

BOTANICALS DEEP PEACE ORGANIC BODY MASSAGE OIL An aromatic blend of lavender, rose geranium, sandalwood and marjoram formulated to promote deep relaxation while enriching the skin with nutrients.

PRIZE WORT OVER H £50

Competition

JAYNE DOYLE, MFHT

Body massage

9/10 This body oil is presented in a beautifully designed glass dispenser. Well blended and offering a subtle aroma, the essential oils indeed feel calming and restful. The oil was easily absorbed into the skin, and I appreciated the organic ingredients. I applied the oil both in the morning and at night, when it provided a lovely accompaniment to my evening meditation and a prelude to a good night’s sleep.

Consultation form Personal details Telephone (day):

Name:

Evening:

Address:

Mobile:

Postcode:

Email:

Occupation:

Emergency contact:

Doctor:

Telephone:

Practice address:

GP practice tel:

Postcode:

General state of health Do you exercise regularly?

Yes

Are you taking any medication?

Yes

Are you on any special diet?

Yes

Height: Weight: Date of Birth:

Do you smoke?

Yes __ per day

Do you drink alcohol?

Yes __ units per week

No No

How would you describe your stress levels?

High

Med

Low

Female clients only

How would you describe your energy levels?

High

Med

Low

Could you be pregnant?

Yes __ weeks

Are you breastfeeding?

Yes

How would you describe your sleep pattern?

Date of last period?

What do you do for relaxation? Have you ever had a massage treatment?

+DYH \RX KDG DQ ,8' ÀWWHG LQ WKH ODVW ZHHNV" Yes

Reason for treatment?

Conditions and/or symptoms Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Do you suffer from unstable blood pressure? Do you suffer from any heart disorders? Do you suffer from phlebitis? Do you have a history of thrombosis/embolism? Do you have epilepsy? Do you have a dysfunction of the nervous system? Do you suffer from any infectious diseases? Do you suffer from any skin disorders? Do you have any severe bruising? Do you have any recent scar tissue? Have you recently suffered from a haemorrhage? Do you have any varicose veins? Do you suffer from any swelling/oedema? Do you have any recent cuts or abrasions?

ULRICKE LEWISS, FFHT I tried the oil for ﬁve days and can 10/10 totally recommend it to help with relaxation and sleep. It has a wonderful scent. It also helped to ease itchy skin on my shoulders and even cleared some spots. My skin felt like velvet and very smooth after ﬁve days. A client has also tried this and it helped them to get a good night’s sleep after a stressful day at work.

Section for use by therapist

GP consent required?

Yes

&OLHQW·V VLJQDWXUH

'DWH

%HQH¿WV RI VRIW WLVVXH therapies* • ,QFUHDVHG ÀH[LELOLW\ • Recovery from training sessions • A general sense of health and well-being

FHT 18 Shakespeare Business Centre Hathaway Close, Eastleigh SO50 4SR

48-49_Reviews__International Therapist 49

Three lucky members will win an FHT Therapy Business Pack, worth more than £50. Winners of the competition will receive the following items, designed to support your therapy business and promote your professional status: • An FHT lanyard with membership card holder – display your professional status at all times • FHT appointment cards – a box of 50, with space for your client’s name, appointment date, time and treatment details • FHT consultation forms – includes questions relevant to the therapy covered* • FHT cotton shopper – display your professional status with pride with this 100% natural tote bag • FHT recycled notebook and pen set – an eco-friendly spiral-bound notebook and pen set to keep track of your day or scribble down thoughts and things to do • FHT umbrella – a professional, large golf umbrella. Ensure you stay on top of the weather, while showcasing your professional status • A pack of FHT therapy leaﬂets – aimed at your clients to explain what the treatment you’re offering is all about.** shop.fht.org.uk

info@fht.org.uk 023 8062 4350 www.fht.org.uk

FHT.ORG.UK

Verbal consent obtained? Written consent obtained? (attach)

Yes* Yes*

No No

*(client to sign and date declaration below)

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* Soft tissue therapies should not be used in SODFH RI FRQYHQWLRQDO PHGLFDO FDUH $OZD\V consult a GP or other health professional IRU PHGLFDO DWWHQWLRQ DQG DGYLFH

*The offer can only be used once per customer

Price: £17.99, available from singingdragon.com

No No No No No No No No No No No No No

Soft tissue therapies

• Relief from muscle strain and tension

With yoga sequences, breathing exercises and meditations, this book shows care home staff and family carers how to use yoga to help people with dementia reduce the negative effects of their symptoms. The programme can be used with both individuals and groups, and can be adapted for a range of abilities. It offers a reminiscence yoga approach, using sound, music, guided imagery and familiar actions to stimulate memories, and describes the ways that each yoga exercise can be adapted for people of different abilities.

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Client declaration: I declare the information that I have given is true and correct and that, as far as I am aware, I can undertake treatment with this establishment without any adverse effects. I have been fully informed about contra-indications and am willing, therefore, to proceed. I understand that body massage is not a substitute for medical advice and/or treatment.

• Improved range of movement in joints

YOGA FOR DEMENTIA, BY TANIA PLAHAY

Have you recently had any operations? Have you recently had any inoculations? Have you ever had or do you have cancer? Do you have any recent fractures or sprains? Are you currently suffering from a fever? Do you have diabetes? Do you have osteoporosis? Do you suffer from arthritis? Do you suffer from any back problems? Do you suffer from any allergies? Have you recently consumed alcohol? Have you recently consumed a heavy meal? Do you have any other medical condition?

Please give details if you answered yes to any of the previous questions:

MEMBER OFFER FHT members can receive a 10% discount in addition to the standard trade discount on all Botanicals Organic Body Massage Oils when purchasing from botanicals.co.uk. To redeem this offer, enter FHT18 at the checkout. Offer ends: 31 August 2018.*

Please note that product descriptions featured on these pages are provided by the supplier/manufacturer.

No No No No No No No No No No No No No No

Modern techniques working on the neuromuscular and fascial systems of your body to aid recovery from an injury, event or as part of a ¿WQHVV SURJUDPPH

TO ENTER, PLEASE ANSWER THE FOLLOWING QUESTION: How many FHT appointment cards would you find in a standard box? 50 25 30 Simply email your name, address, membership number and answer to dralls@fht.org.uk, typing ‘FHT Business Pack competition’ in the subject box. Alternatively, send your answer and details on a postcard to Business Pack Competition, FHT, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hampshire SO50 4SR. The closing date is 7 August 2018. For full competition terms and conditions, visit fht.org.uk/competitions *Choose from aromatherapy, body massage, ear candling, Indian head massage or reflexology ** Choose from aromatherapy, Indian head massage, massage, reflexology, reiki or our marketing leaflets

SUMMER 2018 INTERNATIONAL THERAPIST

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LEARNING

CPD questions

FO R M O R E IN F O R M AT IO ABO UT H OW N G A IN C P D P T O O IN T S BY R E F L E C T IN G O N YO U R FAVO U R IT E A R T IC L E S , V F H T.O R G .U IS IT K /C P D

BELOW ARE QUESTIONS RELATING TO ARTICLES IN THIS ISSUE OF INTERNATIONAL THERAPIST. TO GAIN TWO CPD POINTS (UNLESS OTHERWISE STATED), ANSWER ONE OR MORE QUESTIONS RELATING TO THE SAME ARTICLE, USING A MINIMUM OF 300 WORDS IN TOTAL. IF YOU DON’T THINK THE QUESTIONS ARE HELPFUL, YOU CAN POSE YOUR OWN TO ANY OF THE ARTICLES FEATURED IN THE MAGAZINE. SKIN FITNESS (P12-15)

We talk about how skincare products are often used both before and after exercise. Reflecting on your own work, write about what specific products you would recommend a client use to protect their skin before and after an exercise routine.

practice, write about how you have helped a client cope with a problem that affected their mental health.

2018 Diary Dates 31 August - 3 September University of Sussex, Brighton botanica2018 botanica2018.com 30 September - 1 October Olympia London Olympia Beauty olympiabeauty.co.uk

FHT STAND

19-21 October Alexandra Palace, London Om Yoga Show london.omyogashow.com 21-22 October Manchester Central Professional Beauty North professionalbeauty.co.uk October – TBC Complementary Therapy Awards 2018 presentation fht.org.uk/awards 21-22 November NEC Birmingham Therapy Expo therapyexpo.co.uk

Formulate your own treatment plan, using a different type of therapy than mentioned in the article, stating what recommendations you would make to a client engaging in a specific sporting activity.

FHT

29 November EVENTS The King’s Fund, London FHT Conference & FHT Excellence Awards presentation fht.org.uk/events

SHINING EXAMPLE (P28-31)

Jane Sheehan talks about how she established a working model for a complementary therapy service within an NHS palliative care unit. Write about why the therapy you practise would be beneficial to patients in NHS settings.

SCAR SUPPORT (P22-24)

Working with a lot of clients after breast cancer surgery, Emma Holly has received referrals from consultant surgeons. Identify situations where you have received referrals from professionals in other sectors and discuss how you helped to establish these links.

Emma Holly talks about ‘emotional scarring’. Reflecting on your own

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In her article, Katie Campbell says that ‘when utilising mobilisations, a thorough examination is necessary to identify or re-enact the exact movement that reveals the disorder and/or symptoms’. Write about how you would assess a client for a specific problem you experience regularly in your work.

*Ask our membership team about paying by Direct Debit – it could save you 5% on membership fees. **Includes case study insurance cover. £24.99 deducted from full membership fee on qualifying and upgrading. Terms and conditions apply.

For membership and insurance information or an application pack, visit fht.org.uk or call 023 8062 4350. FHT is authorised and regulated by the Financial Conduct Authority, Ref: No. 502095.

Professional status and recognition.

Campaigning, promoting and protecting your interests as a professional therapist.

3 4

Professional representation.

Tailor-made comprehensive therapist, salon and clinic insurance policies.

6 7 8

Discounted continued professional learning.

LAWS OF MOTION (P36-39)

2018 ANNUAL MEMBERSHIP FEES* FHT Member: £59.99 FHT Associate: £64.99 Student Member**: £24.99 FHT Affiliate: £34.99 Overseas Member: from £41.99 Qualified Combined Medical Malpractice, Public and Products insurance: from £46.81

Top 10 reasons for being an FHT member

The industry’s leading professional therapist magazine.

The UK’s largest local support group network. FHT-branded products and member discounts on therapy supplies.

9 10

Members’ helpline. FHT is a not-for-proﬁt organisation run by therapists, for therapists.

FHT.ORG.UK

09/07/2018 12:46

LEARNING

FHT EDUCATION ASSISTANT HEIDI HINTON’S PICK I enjoyed reading the case study provided by Lorraine Senior in ‘Reflex and development’. Lorraine introduced reflexology to a school for children with autism and the case study follows her work with a young client and his progression over the years that she supported him. This touching article is just one example of the positive impact our members have within the community. Find this article in the Complementary Therapy section of the reading room (fht.org.uk/readingroom) under ‘Reflexology and autism’.

FHT spiral no. 27

In the reading room In the reading room section of the FHT website, you will find more than 350 therapyand business-related articles and research summaries, with more added regularly. Visit fht.org.uk/readingroom, log in and have a browse.

CHOOSE TO CLIMB Geraldine Mair, MFHT, shares an excerpt from her new book, Choose to Climb. For those searching for a way to see life through a whole new perspective, the book aims to equip you with strategies to cope with a myriad of life challenges you may come across on your journey. fht.org.uk/IT-125-RR-Climb

MY LEFT FOOT When Laura Kitto’s left foot dramatically swelled up, the doctors could find no medical reason why. Months later, with her foot still swollen, Laura attended Ziggie Bergman’s facial reflexology course. After applying the lymphatic drainage sequence to her face each day, the swelling disappeared. fht.org.uk/IT-125-RR-Foot

MENTAL HEALTH SUPPORT RESOURCES Those suffering with a mental health problem can find it difficult to access support. In this article, Chrissy Sanderson looks at digital technology – including online magazines and apps – that has the potential to increase mental health awareness and improve delivery of therapy services to those most in need. fht.org.uk/IT-125-RR-Mental

TEST YOUR A&P KNOWLEDG E AND

WIN A £20 AMAZON GIFT CARD

The winner will also receive a copy of Born to Walk by James Earls, published by Lotus Publishing (lotuspublishing.co.uk).

Write your answers in a spiral from the start, working in an anticlockwise direction, towards the centre of the grid. The last letter of each answer is the first letter of the next. The shaded diagonal line will spell out part of the brain.

TO ENTER Simply email the word that appears in the diagonal shaded boxes to dralls@fht.org.uk (writing ‘Summer spiral’ in the subject box) or send your answer on a postcard to the usual FHT address. Please include your name, address and membership number. Standard competition terms and conditions apply (visit fht.org.uk/competitions). Entries to be received no later than 7 August 2018.

CROSSWORD CLUES 1 2 3 4 5 6 7

Collarbone (8) Protein that accounts for skin’s elasticity (7) - - - - bed, plate, walls (4) Brain system where you’d find the amygdala and thalamus (6) Condition that clouds the eye lens (8) Hormone produced by the thyroid (9) Brain chemicals that reduce pain and

promote relaxation (10) Oily substance released by sebaceous glands (5) 9 Type of membrane (6) 10 Involuntary and abnormal muscle contraction (5) 11 By firm soil (anag.) – these contain actin and myosin (10) 12 - - - - - - - - fluid, joint or membrane (8) 8

13 Tough bands of fibrous tissue that connect bones (9) 14 Sudden loud expulsion of air through the mouth and nose (6) 15 Protective piece of skin that might have involuntary twitches or styes (6) 16 Lacking one or more physical or mental attributes that most people have (8)

Where’s the solution for spiral no. 26? We do not publish spiral solutions in International Therapist, as completing spirals from the magazine can count towards your CPD (one CPD point per spiral quiz, a maximum of ﬁve points per year). Turn to page 65 for the name of the member who sent in the ﬁrst correct spiral solution to be independently drawn from all eligible entries sent in by the allocated closing date for spiral no. 26 featured in Issue 124 (Spring 2018).

FHT.ORG.UK

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SUMMER 2018 INTERNATIONAL THERAPIST

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LEARNING

Medical A-Z KYPHOSIS Kyphosis is an outward curvature of the spine that most commonly occurs at the top of the back (NHS, 2018; Peters, 2008).

CAUSES Kyphosis can occur for a number of different reasons, including: • Abnormal development in the womb (congenital kyphosis) – two or more thoracic vertebrae (bones in the middle section of the spine) can fuse together if there is a disruption in the spine’s normal development. • Poor posture (postural kyphosis) – leaning back in chairs, slouching and carrying heavy bags can lead to spinal curvature by stretching ligaments and supporting muscles. • Abnormal development of vertebrae (Scheuermann’s kyphosis) – vertebrae become wedged or triangular in shape, instead of box-like, and can fall out of position as the spine develops in childhood to adolescence. It can also occur because of an injury or specific condition such as osteoporosis, spondylosis, spina bifida, muscular dystrophy or spinal cancer.

SYMPTOMS People with kyphosis will usually appear to have a hump or area at the top of the back that appears more rounded than usual and bends at an angle of 50 degrees or more (John Hopkins Medicine, 2018). The thoracic vertebrae are curved out of position. Other common symptoms can include a difference in shoulder height, head bending forward, the upper back appearing higher than normal, tight hamstrings, tenderness of the spine, tiredness, back pain and stiffness.

PICTURE: ISTOCK

ORTHODOX TREATMENT

Medical treatment isn’t required in most cases of kyphosis. Postural kyphosis, for example, can usually be treated by improving posture. Mild to moderate kyphosis may be treated with painkillers and exercise. Painkillers such as ibuprofen and paracetamol can help to relieve back pain and regular exercise can help strengthen back muscles. Teenagers

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with the condition can wear a back brace to correct the condition while the bones are still growing. Braces won’t correct the position of the spine in adults. Surgery can, however, be required for children who are born with congenital kyphosis and for particularly severe cases where the potential benefits outweigh the risk of surgery. There is a high risk of complications in this type of surgery, such as nerve damage, infection and bleeding.

SPORTS AND COMPLEMENTARY THERAPY A study investigating the effects of postural taping on thoracic posture in 15 women with vertebral fractures from osteoporosis, compared postural therapeutic taping, control taping and no taping (Greig et al, 2008). The findings showed a significant reduction in kyphosis in the postural therapeutic taping group when compared with the other two groups. Reductions in kyphosis have been reported in a number of other studies, including a randomised controlled trial that compared the efficacy of exercise therapy with complementary therapy in 46 young adults (Kamali et al, 2016). In this study, a 15-session programme of stretching and strengthening exercises was compared with 15 sessions of complementary therapies – including massage, muscle energy technique and myofascial release – for a period of five weeks.

At the end of the study, both interventions were found to be equally effective in reducing the angle of thoracic kyphosis and increasing back extensor muscle strength. Studies have not been limited to treating young adults, as one randomised controlled trial looked at how yoga could be used to help 118 women and men over the age of 60 (Greendale et al, 2009). The active treatment group attended hour-long yoga classes three times a week for 24 weeks, while the control group attended a monthly luncheon and seminar and received mailings. When compared with the control group, participants who received the yoga experienced a 4.4% improvement in the angle of kyphosis.

NB: The information provided in this article is not all-encompassing, and intended as an overview only. It should not be used for the purposes of ‘diagnosis’. Members or clients presenting with any symptoms should always consult a GP or other relevant health practitioner. The advice of a doctor, pharmacist or other suitably qualiﬁed person should be sought before taking any form of medication or treatment.

REFERENCES For full references, go to fht.org.uk/IT-references

FHT.ORG.UK

09/07/2018 12:46

Marma therapy | SELF-CARE

yurveda, meaning ‘science of life’, is the ancient healing system of India. Marma therapy, an important aspect of ayurveda, focuses on balancing the subtle energy (‘prana’) of the body to support healing and maintain health and wellbeing. It involves the manipulation of 107 different points that are considered access points to the body, mind and spirit. These marma points are located all over the body, and being generally larger and less specific than reflexology or acupressure points, it’s very easy to massage them yourself.

DIY MARMA FACE MASSAGE Even spending a few minutes each day massaging your own face can make a huge difference to how you look and feel. Your eyes and skin will appear brighter, and you may help alleviate headaches and sinus problems, too. Try this simple routine and see for yourself: • First, cleanse your face and neck, and apply a small amount of your favourite facial oil, massaging it gently over the entire area. • Work on each of the points shown right, massaging these gently with your finger(s), three times in each direction. • Finish by pinching and tapping all over your face and neck and then thoroughly massaging your ears and scalp.

FACIAL MARMAS 1. STHAPANI (support) – clears mind 2. AVARTA (calamity) – eye tension 3. SHANKA (temple) – tension headaches, memory 4. UTKSHEPA (upwards) – emotional tension

5. APANGA (outer eye corner) – sinuses, photophobic headaches

4 2

2 3 1 5

6. PHANA (serpent’s hood) – sinus congestion 7. SHRINGATAKA (where four roads meet) – tongue, nose, eyes, ears

8. USTA (mouth) – alertness, libido, appetite suppression 9. VIDHURA (distress) – all ear problems

10. MANYA (honour) – circulation, taste, voice 11. SIRA MATRIKA (mother of blood vessels/carotid arteries) – blood ﬂow to head

11 12

12. NILA (dark blue/jugular veins) – thyroid, speech, circulation from brain

FACE TIME PICTURES: ALAMY; SHUTTERSTOCK

FHT VICE PRESIDENT MARY DALGLEISH PROVIDES AN INTRODUCTION TO MARMA MASSAGE WITH A SELF-HELP ROUTINE

Mary Dalgleish, FHT Vice President, qualiﬁed in aromatherapy in 1999 after a career in education. She has since trained in a wide range of therapies and offers training in ayurvedic face lift massage on behalf of the London Centre of Indian Champissage. head2toemassage.co.uk

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SUMMER 2018 INTERNATIONAL THERAPIST

09/07/2018 12:59

RESEARCH

Acupuncture aids chronic knee pain MORE THAN 4.5 MILLION PEOPLE IN THE UK SUFFER WITH OSTEOARTHRITIS OF THE KNEE Many of them also experience chronic pain (Arthritis Research UK, 2018). Acupuncture could be effective in relieving chronic knee pain 12 weeks after treatments, suggests a study published in Acupuncture in Medicine (Zhang et al, 2017). A team of scientists from the Heilongjiang University of Chinese Medicine and Stanford University conducted a systematic review of 19 randomised controlled trials

found on leading medical databases, including Medline, Embase, CINAHL and four Chinese medical databases. They used pain intensity measured by the visual analogue scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) to determine whether the acupuncture was effective. The results showed that acupuncture was associated with significantly reduced

Tai chi could be better than exercise for ďŹ bromyalgia FIBROMYALGIA IS A CHRONIC CONDITION THAT CAUSES PAIN ALL OVER THE BODY, AFFECTING MORE THAN 5% OF PEOPLE IN THE UK (FAYAZ ET AL, 2016) Tai chi can produce similar or greater improvement in symptoms of fibromyalgia as aerobic exercise, according to a study published in the British Medical Journal (Wang et al, 2018). The study was a comparative effectiveness randomised controlled trial that involved

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226 people who had fibromyalgia and were randomly assigned to one of five groups. Participants in group one (n=39) participated in one session of tai chi each week for 12 weeks; group two (n=37) had two sessions of tai chi each week for 12 weeks; group three (n=39) had one session of tai chi

chronic knee pain at 12 weeks, according to results measured by both the VAS and WOMAC methods. The implementation of acupuncture was also found to be safe, although the researchers have suggested that further studies are needed to confirm this and to draw stronger conclusions on the therapyâ&#x20AC;&#x2122;s effectiveness. Access the full article at fht.org.uk/125-research-zhang

each week for 24 weeks; group four (n=36) had two sessions of tai chi for 24 weeks; and group five (n=75) participated in two sessions of aerobic exercise each week for 24 weeks. The participants all had a history of musculoskeletal pain for three months or more, and had not experienced tai chi or any other similar complementary therapy six months prior to the study. They were asked to complete a fibromyalgia impact questionnaire (FIQR), where participants would answer a series of questions, giving a rating of between one and 10 (with 10 representing greater impairment or pain). Based on these answers, a total score could be calculated for each participant, from which comparisons would be made at baseline and 24 weeks. The FIQR scores improved in all five groups, with greater improvements recorded in those who did tai chi. Between the combined tai chi groups and exercise group there was a 5.5 point FIQR score difference. However, the most significant differences were recorded in comparisons between exercise and tai chi at the same intensity (two sessions each week for 24 weeks), with the tai chi group improving by 16 points more than the exercise group. In addition, those in the 24-week tai chi group showed greater improvements than those in the 12-week group. However, there was no significant difference between the tai chi sessions that were held once or twice each week. See the full study at fht.org.uk/125-research-wang

FHT.ORG.UK

05/07/2018 12:18

RESEARCH

Neuromuscular taping may help lower blood pressure HYPERTENSION AFFECTS NEARLY ONE IN THREE ADULTS IN THE UK AND CAN DAMAGE ARTERIES, LEADING TO HEART DISEASE AND STROKE (BRITISH HEART FOUNDATION, 2018) Neuromuscular taping (also known as kinesio taping) may help lower blood pressure in clients with hypertension, according to the first pilot study of its kind, published in Medical Hypotheses (Shah et al, 2018). The study recruited two male and five female patients with systemic arterial hypertension, with an average age of 57. Two had been on medication for their hypertension and continued on this throughout the study. Prior to applying neuromuscular tape across the shoulders, clients were asked to lie relaxed in a supine position as measurements were taken of the patients’ blood pressure, cardiac rate, cardiac vagal tone at rest, cardiac sensitivity to baroreflex and cardiac contractility. The skin was cleaned and, if present, coarse hair removed. Depending on the height of the client, four or five strips of the tape were firmly

applied (without stretching) to the back between C1 and T2, and the shoulders were relaxed after application. The patients were then asked to again recline into a supine position, and further measurements were taken to compare the pre- and posttaping data. The results showed reductions in mean systolic, diastolic and aterial blood pressure after the application of the tape, with the effects on mean blood pressure lasting for at least five days after taping. The authors concluded: ‘There is an indication from this study, given the reduction in cardiac vagal tone at rest associated with the neuromuscular taping, that the mechanism of action of this intervention involves modulation of the brainstem parasympathetic system during cardiovascular control.’

Frankincense could ease labour pain Results from a recent study indicate that inhaling frankincense essential oil – Boswellia carterii (BC) – might help alleviate pain in the first stage of labour (Esmaelzadeh-Saeieh, 2018). A randomised controlled trial, involving 126 women who had not given birth before, was conducted to evaluate the effects of BC on the intensity of labour pain by comparing the essential oil with a placebo. In the aromatherapy group, 0.2ml of 0.2% BC essential oil was diluted with 2ml of saline and applied to a gauze, which was placed on the collar of each patient and repeated every 30 minutes up to a cervical dilation of 10cm. The same process was repeated for the placebo group, but only 2ml of normal saline was applied to the gauze. Labour pain intensity in the aromatherapy group was found to be significantly lower than in the control group at cervical dilations of 3cm to 4cm, 5cm to 7cm, and 8cm to 10cm, indicating inhalation of BC essential oil may be used to help relieve pain in the first stage of labour. Access the research at fht.org.uk/125-research-E-S

Healing therapy improves gastrointestinal symptoms

PICTURES: BREAKSPEARMEDICAL.COM; ISTOCK

IRRITABLE BOWEL SYNDROME (IBS) AND INFLAMMATORY BOWEL DISEASE (IBD) CAN SIGNIFICANTLY REDUCE QUALITY OF LIFE IN THOSE AFFECTED In a study published in the European Journal of Integrative Medicine (Lee et al, 2017), healing therapy was shown to be a beneficial adjunct to conventional medicine in patients with IBS and IBD, helping to reduce symptoms and improve their quality of life. Two hundred outpatients with IBS or IBD (ulcerative colitis or Crohn’s disease) were randomised to either a conventional treatment (control) group, or conventional treatment and healing therapy (intervention) group. Participants had a median age of 46, were predominantly female (71%), nonsmokers, and had been diagnosed on average five years previously.

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Those in the healing therapy group received five weekly 30-minute sessions of healing therapy in a private consultation room within the hospital. Therapy was not standardised, but was delivered as per training. After 12 weeks, the control group also received healing therapy. A selection of validated self-report outcome measures was used including MYMOP, IBS-QoL and IBDQOL, with outcomes recorded at baseline, then six, 12 and 24 weeks. The results demonstrated that ‘when used alongside standard medical care, healing therapy confers additional benefit. Benefits observed in our IBS cohort in terms of both symptom reduction and QoL improvement

were significant, consistent and of a size likely to be associated with “clinical benefit”. ‘Observations within the IBD cohort suggested benefit in some sub-domains but lacked the strength of association or consistency over measures and time points observed in the IBS group.’ For the full report, go to fht.org.uk/125-research-lee

REFERENCES For full references, go to fht.org.uk/IT-references

SUMMER 2018 INTERNATIONAL THERAPIST

05/07/2018 12:18

Expand your skill set and grow as a therapist with an FHT Hosted Course

CPD is a requirement for all FHT Members and Fellows, refreshing and developing your therapy skills and knowledge. CPD points can be gained through a variety of activities, including courses, and a full guide can be found at fht.org.uk/CPD

INTERNATIONAL THERAPIST SUMMER 2018

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FHT.ORG.UK

04/07/2018 14:22

The FHT is committed to supporting every member with continuing professional KL]LSVWTLU[ *7+ ^OH[L]LY `V\Y Ã&#x201E;LSK Following popular demand, the FHT is hosting a range of courses in the coming months [OH[ `V\ JHU IL Z\YL TLL[ [OL OPNOLZ[ Z[HUKHYKZ Plus, FHT members get a discount of at least Â£10 on each course!

Forthcoming courses include : 11-12 Aug

MTAT ear acupuncture for stress and anxiety management protocol level 1, Bristol This two-day course offers full practitioner status to deliver an ear acupuncture protocol to support symptoms of stress and anxiety.

6HSW )LUVW DLG IRU WKHUDSLVWV HPHUJHQF\ Ã°UVW DLG DW ZRUN 6ZLQGRQ This course includes the full content of the Emergency First Aid at Work course, but

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6HSW &DQFHU DZDUHQHVV IRU KROLVWLF DQG EHDXW\ WKHUDSLVWV /LYHUSRRO A CPD introduction to working with those affected by cancer, covering the condition, the treatment, side effects and the ways in which therapists can help. 6 Oct

Stretching your clients, Manchester This workshop provides you with the skills to deliver couch-based and seat-based stretches for the neck, back, chest, upper and lower limbs.

7 Oct

Designing home stretching routines, Manchester Learn how to design safe, effective stretches for your clients to do at home, and understand which stretches would be most suitable for which clients.

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This course includes the full content of the Emergency First Aid at Work course, but

1RY 6SRUWV UHPHGLDO PDVVDJH WHFKQLTXHV 3HWHUERURXJK A two-day advanced massage technique workshop aimed at therapists who would like to

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1RY &DQFHU DZDUHQHVV IRU KROLVWLF DQG EHDXW\ WKHUDSLVWV /HHGV A CPD introduction to working with those affected by cancer, covering the condition, the treatment, side effects and the ways in which therapists can help. 'HF

&DQFHU DZDUHQHVV IRU KROLVWLF DQG EHDXW\ WKHUDSLVWV /RQGRQ A CPD introduction to working with those affected by cancer, covering the condition, the treatment, side effects and the ways in which therapists can help.

For our full list of courses and to book your place, visit IKW RUJ XN FRXUVHV $QG UHPHPEHU LI WKHUHÂ¶V D FRXUVH \RX ZRXOG OLNH WR UXQ LQ \RXU DUHD Â¿QG D JURXS RI WKHUDSLVWV DQG ZH FDQ Â¿QG WKH VSHDNHU FHT.ORG.UK

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SUMMER 2018 INTERNATIONAL THERAPIST

04/07/2018 14:22

LEARNING

FHT accredited course provider news CELEBRATING 30 YEARS IN BUSINESS At the age of 26, my lif life was flatlining. I was w in the wrong jo job, and there was o only one thing to do. H Having grown up in C Canada, my can-do eentrepreneurial soul y yearned to work for th the wellbeing benefit o of others. In 1987, a three-week introduction to reflexology and aromatherapy changed everything. Without any qualifications or employment to go to, I took a leap of faith and quit my sales job. That was 30 years ago, and I have not looked back.

By May 1988, I was selfemployed after studying clinical aromatherapy with Eve Taylor and reflexology with Ann Gillanders – both trailblazers in their respective fields. In the early days, I was a rarity. I remember being called a witch, losing friends k solid and needing to anchor my rock-solid self-belief in order to stay true to my calling. It was tough but worth it. When I began working with clients, it was like a homecoming, and I quickly had requests for evening classes and workshops. Career highlights to date include building a successful private practice and still loving it to this day; becoming a lecturer on complementary therapies for

N NHS nurses; training more tthan 5,000 practitioners; ccreating the Daoyin Tao m modality; leading study trips tto China and Mongolia, a as well as lecturing in JJapan, Greece and Canada; eestablishing a team of ttherapists serving cancer p patients at a hospital; and publishing two tw inspirational books. I now have three decades of professional experience, supported by wisdom gained from life’s lessons. This has enabled me to deliver online personal development and spiritual awakening opportunities to help individuals and wellbeing therapists gain confidence and self-belief, through support, guidance and inspiration. Anna-Louise Haigh, MFHT

FHT accredited course providers IRELAND SC Churchtown Institute of Beauty & Holistic Training cibht.ie Q Deirdre Murray Holistic Training deirdremurray2@gmail.com SC Golden Egg Holistic goldeneggholistic.com Q Irish Institute of Nutrition & Health Ltd iinh.net NEW Q Kerry School of Reflexology kerryreflexology.com Q Saint Martin’s College of Physical Therapy stmartinscollegecork.com

SCOTLAND Myofascial Release UK – MFR UK myofascialrelease.co.uk SC Rosslyn Alternatives rosslynalternatives.co.uk NEW SC Start with Touch Ltd startwithtouch.co.uk SC The Glasgow School of Massage theglasgowschoolofmassage.com Q Therapia School of Reflexology therapiagourock.com Q

NORTHERN IRELAND SC Body and Sole School of Complementary Therapies bodyandsoleschool.co.uk SC Calm Confident Kids calmconfidentkids.co.uk SC Logan Fertility Centre loganfertility.com Q New Beginnings School of Natural Therapies angelsanctuary.co.uk Q

Q SC Sheila Nugent School of Reflexology sheilanugentschoolofreflexology.co.uk

NORTH WEST Acupuncture Training for Therapists Ltd acupuncturetrainingproviders.co.uk SC Alternatively Better alternativelybetter.co.uk SC Ashwood Beauty & Holistic Academy ashwoodacademy.co.uk Q Breathworks breathworks-mindfulness.co.uk Q SC British Academy of Crystal Healing britishacademyofcrystalhealing.co.uk NEW SC Dawn Alderson & Co Training Academy dawnalderson.co.uk Q SC Dorn Method Academy UK (Jacqui Hamer) dornmethod.org SC Dorn Method Lake District dornmethodlakedistrict.co.uk Q SC Elaine Ellis Courses elaineelliscourses.co.uk SC Energy for Life energyforlife.today Q SC KORE Academy Ltd koretherapy.com Q Reiki Tradition reikitradition.me.uk SC The Master Academy/Urban Body Balance urbanbalance.co.uk SC

NORTH EAST Anna-Louise Haigh anna-louisehaigh.com SC Aries Academy of Holistic Therapies ariesacademy.co.uk SC

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SC Butterfly Touch Therapies butterflytouchtherapies.com Q ETHOS (Education, Training, Health and Online Services) ethos.uk.com Q Eve’s Garden (Alison Valerie Peart) alipeart@hotmail.co.uk SC Jong Baik Education jongbaik.co.uk SC Kinesio UK kinesiotaping.co.uk Q Leeds Holistic Training & Therapy Centre (LHTTC) lhttc.co.uk NEW SC NHS Natural Health School nhsnaturalhealthschool.co.uk

EAST MIDLANDS Blossom & Berry Baby Massage & Yoga Training blossomandberry.com Q SC Cameron Reid Training cameronreidtraining.co.uk SC Extraordinary Kinesiology extraordinarychannels.com SC Fertility Massage fertilitymassage.co.uk SC Harmony-9 harmony-9.co.uk SC Helen Mary Perkins helenperkins.com SC Infinity Training Academy infinitytrainingacademy.co.uk Q Penny Price Aromatherapy Ltd penny-price.com SC Progressive Kinesiology Academy UK progressive-kinesiology.co.uk SC Routes to Healing Sarahling1@googlemail.com Q

Q Shirley Price International College of Aromatherapy shirleyprice.co.uk SC The Active School of Complementary Therapy ukmassagecourses.com Q Tri-Dosha tri-dosha.co.uk SC Vitali-Chi Headquarters v-chi.com

WEST MIDLANDS NEW SC Ascent Therapies Training Academy ascent-therapies.co.uk SC Beyond the Limits beyondthelimits.co.uk SC Central School of Massage centralschoolmassage.com SC Just BE (Butterfly Experience) with Jacqui Mexson Jacqui.mexson@virginmedia.com Q Lorraine Davis Holistic Healthcare and Education Centre lorrainedavistraining.com SC Lymphoedema Training Academy Ltd lymph.org.uk Q Meridian School of Massage & Bodywork jlmeridian.co.uk SC Microsystems Therapies and Training annavenables.com Q Paadena School of Yoga & Thai Yoga Massage Therapy paadena.co.uk SC The UK Dorn Method Centre dornmethod.co.uk

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FHT accredited qualification(s)

SC Time and Fitness for You timeandfitnessforyou.com/ bt-workshop SC Timeless Partnership Ltd timelesspartnership.co.uk SC Tranquil Heart Training Academy tranquilheart.co.uk

WALES Coleman’s Complementary Therapies holisticsforautism.wordpress.com NEW SC de Prez Training pjdeprez@aol.com SC Dynamic Massage dynamicmassage.co.uk Q Gaia Education gaiaeducation.com Q Glyndŵr University glyndwr.ac.uk Q SC Gower College Swansea gowercollegeswansea.ac.uk SC HB Training Wales Ltd hbtraining.org SC In The Pink! Therapies and Training inthepinktherapiesandtraining.co.uk SC Keep in Touch Training keepintouchtraining.co.uk SC Mandala Complementary Studies mcscourses.co.uk Q SC Physiotherapy and Complementary Therapies Ltd p.battersby@glyndwr.ac.uk SC Sally Kay reflexologylymphdrainage.co.uk SC Seren Natural Fertility serennaturalfertility.co.uk Q SC TEACH Therapy teachtherapy.co.uk Q The School of Naturopathic Nutrition lovenaturopathy.co.uk SC Velindre Cancer Centre velindrecc.wales.nhs.uk SC

SOUTH WEST Advanced Massage School handsonclinic.co.uk NEW SC Amethyst Trust amethysttrust.co.uk Q Barnes School of Sports Therapy barnesclinic-school.com Q SC Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk SC Complementary Therapy College complementarytherapycollege.co.uk Q SC Core Elements coreelements.uk.com/courses SC Cornish Wellessence Training – CWT cornishwellessence.co.uk SC Cotswold Academy of Health and Beauty cotswoldacademy.co.uk SC Devon Academy of Complementary Therapies devonacademy.co.uk Q Devon School of Massage and Bodywork lhbodywork.co.uk SC II Intuitive Ltd 2intuitive.co.uk SC JemmaCo Limited jemmaco.com/training SC

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LEARNING FHT accredited short course(s)

SC LMC Training massagefordementia.co.uk SC Paula Ryland: School of Holistic Therapies paularyland.co.uk SC Sue Chinn Holistic Training Academy suechinn@btinternet.com Q Sunshine Hair & Beauty Training Academy sunshinehairandbeauty.co.uk SC Susan Quayle Complementary Healthcare kidsreflex.co.uk SC The Good Hand Holistic Therapy Instruction thegoodhand.co.uk SC The Seed Institute theseedinstitute.co.uk SC Touchline Training Ltd touchlinetraining.co.uk SC Tranquillity Zone Training tranquillityzonetraining.co.uk Q University of St Mark & St John marjon.ac.uk SC Weston Hospicecare westonhospicecare.org.uk SC With Intention Healing withintention.co.uk

SOUTH EAST Academy of Advanced Beauty academyofadvancedbeauty.com SC Accredited Massage Courses Ltd accreditedmassagecourses.co.uk SC Aneid UK Ltd aneid.com SC Ayurveda Institute of Europe ayurvedainstitute.org Q SC Ayurveda Pura Academy ayurvedapura.com Q SC Brighton Holistics brightonholistics.co.uk NEW SC Brighton School of Massage brightonschoolofmassage.co.uk SC Calming Influences Ltd calminginfluences.com Q Centre for Nutrition Education and Lifestyle Management cnelm.co.uk Q Cherubs Training Academy – Hampshire cherubsbabyhealth.com SC College of Classical Massage Ltd collegeofclassicalmassage.com SC Corpus et Animus Holistic Therapies corpustherapies.co.uk Q Crimson Catz crimsoncatz.com Q SC Elemi Training elemitraining.co.uk SC Freedom Therapies Training freedomtherapies.co.uk SC Functional Reflex Therapy functionalreflextherapy.co.uk SC Hawaiian Massage UK Training Centre huna-massage.com SC

Q HypnoTC: The Hypnotherapy Training Company hypnotc.com SC Innamincka Training Services itsperou@depinaperou.plus.com SC Jane Sheehan footreading.com NEW Q Jivita Ayurveda Ltd jivitaayurveda.com Q JB Training Academy – Bedford jbtrainingacademy.co.uk SC Key Workshops keyworkshops.co.uk SC Kneads Must/Kneader Massage (KOM) kneadsmust.com SC London College of Massage/Massageworks londoncollegeofmassage.co.uk Q London Institute of Thai Yoga Massage learntomassage.co.uk SC London School of Complementary Health Ltd lsch.co.uk SC London School of Reflexology learnreflexology.com Q Lucis College Ltd lucisgroup.com Q SC Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk SC Neal’s Yard Remedies School of Natural Medicine nealsyardremedies.com Q Peter Symonds Adult and Higher Education College psc.ac.uk SC Purple Turtle Academy ptmassagetherapycourses.com SC Reflexmaster reflexmaster.co.uk SC RJ Buckle Associates rjbuckle.com Q SC Shared Beauty Secrets sharedbeautysecrets.com SC School of Natural Therapies schoolofnaturaltherapies.co.uk Q Shen Mantra shenmantra.com SC St Mary’s University College smuc.ac.uk/shortcourses SC Story Massage storymassage.co.uk SC The Holistic Academy holistic-academy.co.uk SC The School of Abdominal Sacral Massage abdominal-sacralmassage.com SC Total Release Experience (TRE UK®) treuk.com SC TouchPro UK touchpro.co.uk SC Training4Healthcare training4healthcare.co.uk

SC Vulsini Ltd vulsini.com SC Wavestone Therapies Ltd thewavestone.co.uk SC Ziggie Bergman with the London School of Reflexology zonefacelift.com

NATIONAL SC Essential Training Solutions Ltd essential-training.co.uk SC Fertility Massage fertilitymassage.co.uk Q SC Gateway Workshops gatewayworkshops.com Q Health Kinesiology UK hk-uk.co.uk SC Jennifer Young and Beauty Despite Cancer beautydespitecancer.co.uk SC Jenny Cox thebalanceprocedure.com Q SC London School of Massage londonschoolofmassage.co.uk Q Mind International Training Associates bodymindworkers.com Q Stonebridge Associated Colleges stonebridge.uk.com Q The College of Bowen Studies thebowentechnique.com SC The Chrysalis Effect thechrysaliseffect.com Q

INTERNATIONAL Akademi Ayu Jelita SDN BHD joanphang@yahoo.com Q ASET School for Holistic Therapies juleswiltshire@outlook.com Q Beaubelle Academy of Cosmetology and Management beaubelle.com Q Cosmo Kemp School of Thai Yoga Massage cosmothaiyoga.com Q Health Coach Institute, LLC healthcoachinstitute.com SC Holistic Therapy Practice holistictherapypractice.com Q SC Jari Jari Spa jarijari.com.my SC Liddle Kidz Foundation liddlekidz.com SC PureAroma Healing Academy purearoma.com.tw SC RAPID Adhesion Release Technique rapidadhesionrelease.com Q Rinalda Therapeutic Kneads wix.com/rinalda/rinalda SC Rustic Nirvana PTE Ltd rusticnirvana.com SC The Arvigo® Institute LLC arvigotherapy.com Q SC The Institute of Aromatherapy aromashoppe.com SC

MORE INFO Please visit fht.org.uk/accreditation for more information about FHT accredited qualiﬁcations and short courses.

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INDUSTRY NEWS

Elemis launches into Elivi Spa in Skiathos The Elivi Spa, run by Elemis, has been launched at the Elivi Skiathos, a luxury five-star hotel on the Greek island of Skiathos. The hotel covers 213 acres and has spacious rooms and suites with private pools and courtyards, enveloped by forests of olive and pine trees, rich vegetation and the Aegean Sea. The spa will give guests panoramic views over the sea and will include a heated pool, sauna and hammam. Spa therapists will provide massages using Elemis’ aromatic oils and skin conditioners. elemis.com

Free webinar with Jane Johnson Human Kinetics and the FHT are delighted to announce an exciting free webinar with chartered physiotherapist and author of Postural Correction, Jane Johnson (pictured left). Jane will answer common questions about low back pain, and advise on what exercises should be given to clients affected by it. She will also discuss stretching and treatments that can be given to clients with chronic low back pain. The webinar takes place at 3pm on 19 September 2018. FHT members can gain five CPD points from watching the webinar and completing the supporting CPD activity. humankinetics.com/janejohnson

Nelsons announces new website launch Nelsons has announced the launch of nelsons.net, its newly revamped website. The natural healthcare product manufacturer says it will offer a more modern look and feel than the previous website, with improved functionality and the user experience firmly in mind. The site has been completely redesigned to help customers, agency partners and potential candidates understand Nelsons’ mission to inspire generations to live healthier, happier lives. Also launching are three new dedicated brand websites for RESCUE®, Bach™ Original Flower Remedies and Spatone®, which give Nelsons’ global brands their own digital platforms. nelsons.net

Dr Chatterjee interviews Jamie Oliver in new podcast GP, TV presenter and author Dr Rangan Chatterjee interviews TV chef and health campaigner Jamie Oliver in a new podcast available online. In episode 16 of Dr Chatterjee’s ‘Feel Better, Live More’ podcast series, he talks to Jamie about his journey from learning to cook at age eight to becoming one of the UK’s most prominent health campaigners. They discuss how healthy food can be made available to everyone and how more needs to be done to improve the health of people in the UK and overseas. You can access the podcast on Dr Chatterjee’s website (address below) or on his Facebook page. drchatterjee.com/jamieoliver

Kim Fallon joins Sterex in new role Sterex is delighted to announce the appointment of Kim Fallon (pictured right) as group sales manager, a newly created and senior role within the company. Kim is eager to establish a connection with the Sterex UK wholesalers and international distributors in more than 30 countries, and looks forward to working with the Sterex teams in the UK and the US. Sterex MD Laurie Cartmell says: ‘Kim’s 14-year sales management expertise, as well as her clinical knowledge of the world of electrolysis and beauty, makes her the ideal candidate for this exciting new role.’ kim@sterex.com

NB: The information featured on the industry news page is based on information supplied by the training providers and product manufacturers featured. Please always check with the FHT that courses will be covered for membership and insurance purposes before booking.

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Post-graduate, modular training in CranioSacral Therapy - learn how to treat the craniosacral system and grow your practice.

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CLASSIFIED COMPETITION, SPIRAL AND PRIZE DRAW WINNERS

GENERAL CLASSIFIED USED THERAPY ITEMS FOR SALE Affinity Puma massage chair. Excellent condition. Hardly used. Portable. Adjustable. With case. £160. Buyer collects. East Sussex. T. 07855 172998 Belava peditub. Blue. Combilite 3-in-1 portable massage couch. Navy. 8cm foam. Plus other items. All new. E. faith612001@yahoo.com Massage couch disposable cotton face ring covers. 95. Washable. Cost £18. Selling at £8 for the lot. T. 07713 733422

SITUATIONS VACANT LSCH require reflexologist tutor to teach hot stone reflexology, a one-day CPD course accredited by the FHT. E. info@lsch.co.uk Volunteer therapists needed for busy clinical renal units around the North West. Salford, Wigan, Bolton, Oldham and Rochdale. E. janet.cairnie@srft. nhs.uk T. 0161 206 4812 Volunteer therapists passionate about benefits of treatments for cancer patients needed at New Cross Hospital, Wolverhampton. T. 01902 695234

Rossiter system items in good condition. Three steps, banner, flyers, large comfortable floor mat and supportive hand stick. T. 07976 097394 Vulsini hot stone heating bag. With two wash bags, 24 hot and 6 cold stones. Large and small. £100. T. 07954 629323 White therapy couch with face hole. Carry case included. Hardly used in excellent condition. £60. Buyer collects. Fareham. T. 023 9238 7340

JOBS WANTED Complementary therapist and reiki teacher based in Lancashire. Looking for local and international vacancies. T. 07835 004381 E. siskybab@icloud.com Homeopath available in SE London/Kent area. Also practises reflexology and reiki. E. katerinapersonal@yahoo.com T. 01689 827936 Mobile massage therapist looking for employed work opportunities in the North Yorkshire area. VTCT qualified. E. alison@ massagetherapistyorkshire.net T. 07718 951108

MEMBERS CAN ADVERTISE IN INTERNATIONAL THERAPIST FOR FREE !

TREATMENT ROOMS AVAILABLE Ground floor treatment room with electric couch. Would suit massage therapist/ physiotherapist. Pontnewydd Torfaen. E. information@ dreamstoneholistics.co.uk T. 07516 001947

FHT, its Directors and staff accept no responsibility for the accuracy of any description within the classified section and members should ensure they are satisfied with goods and services offered/ advertised before accepting/ purchasing.

FHT DISCLAIMER: Please note that the inclusion of a product or training advert in International Therapist does not mean the FHT endorses that product or training, or that it will be automatically recognised for membership and/or insurance purposes by the FHT.

INTERNATIONAL THERAPIST, ISSUE 124

2018 FHT Training Congress competition Nicola Duffield, MFHT Highland Wax competition (p51) Tracy Byron, MFHT Mary Wood, MFHT Spiral £20 Amazon Gift Card and Zone Facelift Face and Spirit Lifting Elixir (p53) Neil Boocock, MFHT

BEFORE EMBARKING ON ANY PAID OR VOLUNTARY WORK OPPORTUNITY, WE STRONGLY ADVISE MEMBERS TO ENSURE THEY HAVE APPROPRIATE TRAINING, PREREQUISITES AND INSURANCE COVER (WITH THE FHT OR AN ALTERNATIVE PROVIDER) TO CARRY OUT THIS WORK.

Write your advert here:

Name: .......................................................... Membership no:........................................... Tel no: ..........................................................

Classification (please tick): Situations Vacant Job Wanted Used Therapy Items for Sale Treatment Rooms Available Treatment Rooms Wanted Therapy Items Wanted

Deadine date for Autumn issue: 24 September 2018 Please post to: IT Free Ads, FHT, 18 Shakespeare Busines Centre, Hathway Close, Eastleigh, Hampshire SO50 4SR Alternatively email full details to classified@fht.org.uk or see online at fht.org.uk/classifieds

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Please note that members are entitled to one free lineage ad, per issue. We regret that FHT/International Therapist no longer publish lineage ads of a commercial nature free of charge. All adverts that do not meet the free ad classifications criteria and/or word count are charged at 90p per word (nonmembers £1.50) plus VAT.

Please use capital letters and one word per box only, including a contact number

Please contact Jo Rose on 020 7880 6231 or email joanne.rose@redactive.co.uk

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ON THE COUCH

TELL US A BIT ABOUT YOUR BACKGROUND…

I was a swimmer and an athlete as a child, so my plan was to become a physiotherapist. However, when looking into training in sixth form, the new health and beauty therapy qualifications caught my eye. I trained at one of the first further education colleges to offer beauty therapy, then worked in a salon before opening two of my own, which I later sold. I then left the beauty industry for a brief sojourn selling wine. Anyone who knows me will smile at this. However, I missed the industry and came back, working on the supply side for Ellisons for 10 years, then Sterex, where I helped launch our electrolysis needles and developed equipment. I left Sterex after five years to start my own consultancy company, which I ran for 18 years. I then worked for Habia as partnership director for a year, before rejoining my beloved Sterex.

Life-changing business WE TALK TO GILL MORRIS, DIRECTOR OF COMMERCIAL DEVELOPMENT AT STEREX

HOW DID YOU DISCOVER ELECTROLYSIS AND ITS BENEFITS?

I discovered electrolysis during my beauty therapy training, but it was at my first job where the salon owner, an electrolysis specialist, really gave me the love and passion that I have for it to this day. The clinic offered what we then called ‘remedial electrolysis’, and my clients were ladies with hirsutism, hormonal issues, polycystic ovary syndrome, and so on. I really saw how electrolysis could change somebody’s life – how you could help them go from somebody shy and retiring, who always wore a scarf to cover their face, to somebody who could walk into a room full of strangers and be a full and active part of society. I really loved the treatment and how I could help people.

WHAT DOES YOUR CURRENT ROLE INVOLVE?

Taking this iconic British brand to the next level, looking at new equipment, new products, new training courses and developing learning materials. Moving it forward and looking not just at the UK but overseas as well, where we have over 30 distributors and more in the offing, which is very exciting. At Sterex, I combine my love of electrolysis with my business skills, so this is the ideal job for me.

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YOU RAN A BUSINESS CONSULTANCY AND SKILLS TRAINING COMPANY. WHAT AREAS DID YOU FIND HELPED THERAPY BUSINESS OWNERS THE MOST?

Sales were often a challenge for owners, and particularly for their team, who historically weren’t terribly good at selling. For the owners, it was mainly business planning, marketing and helping them to see they ran a business and it wasn’t just what they did in the treatment room that was of value. I’ve often found that because people know they’re a great therapist, they think that’s enough for business success… but it’s not.

TELL US ABOUT THE BOOKS YOU HAVE PUBLISHED…

I am co-author of three electrolysis books and author of a retail sales book. The electrolysis books were for level 3, for basic electrolysis or electro-epilation; the sales book was for City & Guilds. I’m currently editing a fabulous textbook for level 4 and 5 blemish and advanced blemish removal.

HOW DID IT FEEL TO WIN A PRESIDENT’S AWARD FOR OUTSTANDING CONTRIBUTION TO THE INDUSTRY AT LAST YEAR’S FHT EXCELLENCE AWARDS?

I can’t put it into words. People who know me will understand how overwhelmed I was to receive that industry recognition. For everything that I have done, achieved and helped others achieve, it was actually the first award I had ever received. To be honest, it is normally me up on stage giving the awards. I was very honoured and quite overwhelmed.

HOW DO YOU TAKE CARE OF YOUR OWN HEALTH AND WELLBEING?

By having a positive frame of mind, being happy and content, and always looking on the bright side of things. Occasionally, when life has got me down, I focus on doing my utmost to get up again and learn from the experience to ensure it doesn’t happen again.

Gill Morris is the director of commercial development at Sterex and has been at the forefront of the beauty therapy industry for many years. Gill is also an author and Fellow of the Royal Society for the Encouragement of Arts, Manufactures and Commerce.

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