resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
June, 2008, Vol. 08, Issue 06
Age-Related Changes and Conditions, Part 1
By Ann Catlin, LMT, NCTMB, OTR
Older adults make up a growing clientele for massage therapists. According to the 2006 AMTA consumer survey, the use of massage among older adults has tripled in the past 10 years. Serving clients who are over age 65 requires that you have a basic understanding of age-related changes and the conditions many older adults are living with.While no two older adults are exactly alike, there are more or less typical changes that occur in physical and mental condition and function as we age.1,2
Vision: Changes in eyesight often are one of the first noticeable signs of aging. The eye lens stiffens, making focusing on close objects harder and seeing in dim light more difficult. The eyes produce less fluid, making the eyes feel dry. Depth perception can be impaired as the number of nerve cells decrease.
Hearing: Many people experience a decreased ability to hear high-pitched sounds, including consonants, making it difficult to understand words or certain tones in music.
Taste: The sense of taste is duller because the taste buds decrease in number and are less sensitive.
The skin tends to become thinner as the fat layer under the skin thins. The body produces less collagen and elastin (the fibrous tissue that makes skin strong and flexible) resulting in skin that tears more easily. Circulation in the deeper layers of the skin decreases, making the skin slower to heal when injured. There are fewer nerve endings in the skin, leading to diminished sensitivity to pain, temperature and pressure. Blood vessels become more fragile and the skin is more easily bruised. The skin also might be more vulnerable to chemical irritation.
Changes Affecting Physical Activity
Bones and Joints: Bone density tends to decrease somewhat in both men and women; however bone loss increases in some women after menopause due to lower estrogen levels. Less synovial fluid in the joint capsule is produced, leading to stiffness and decreased joint mobility, especially in weight-bearing joints such as the hips, knees and spine. The tendons and ligaments around the joints become weaker and stiff. The joint cartilage might erode.
Muscles: Muscle mass and strength decrease due in part to changes in hormones that regulate muscle development. The degree and impact of muscle loss is affected by the activity level of the individual. Those who do some form of weight-bearing exercise lose less muscle mass.
Balance: Unsteadiness might be a problem when structures in the inner ear that help regulate balance deteriorate. Some people experience dizziness upon standing because the heart pumps less blood to the head, and blood pressure is less able to respond to a change in position.
Changes in Mental Function
The number of brain nerve cells tends to decrease; however, the brain can compensate for this loss by establishing new pathways and connections. Levels of neurotransmitters change and blood flow to the brain decreases. There might be mild decline in some mental abilities such as short-term memory, recalling words, the ability to learn new material or performance under pressure. However, these normal changes do not greatly impact the person's daily functioning.
The motility of bowel contents slows, increasing the risk of constipation. Liver cells tend to decrease in number, decreasing blood flow through the liver, and liver enzymes work less efficiently. The liver then might eliminate toxins less effectively.
The kidneys become smaller and they remove wastes from the blood less efficiently. The bladder holds less urine, causing the need for more frequent urination. For some, this might interrupt restful sleep. The urinary sphincter may be weaker and less able to prevent urine leakage.
Immune System Changes
Immune cells tend to function more slowly, contributing to greater susceptibility to infectious disease such as pneumonia or influenza.
Massage therapists have much to offer older adults living with these changes. Aging, like massage, is a holistic event, not just a physical one. Physical changes are accompanied by psychological, social and spiritual alterations and adjustments as the gradual process of aging unfolds over time. For the older adult receiving massage, the benefits include decreased physical discomfort, greater ease of movement, an improved immune system, emotional support, spiritual acknowledgement and the empowerment of self care.
In Part 2 of this article, common conditions and disease in older adults will be explored, along with considerations for assessing the needs of older clients.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.