A case study of the effects soft tissue manipulation has on patients with Walker Posture Syndrome.


A 12 month long case study of how soft tissue manipulation applied specifically and with consideration to the treatment of Walker Posture Syndrome relieves and/or corrects the ailments experienced by geriatric patients suffering from WPS.

Results: A Positive correlation between the applied use of this type of massage therapy and relieving the pain described by geriatric patients experiencing Walker Posture Syndrome. A marginal percentage reported the reversing of the symptoms of walker posture syndrome by treatment of massage therapy. Notably, the reversal of the syndromes symptoms was maintained by the patient but only when the treatments were given regularly therefore maintaining the homeostasis of the patients musculo-skeletal integrity.

Method: Each group received the weekly massage therapy, each session lasting 30-60 minutes and each massage therapy treatment included soft tissue manipulation performed in the same manner in each session for the same muscle groups in each session for each patient treated in this case study. 10 Seniors (ages 79-91 yrs old) where observed over 12 months from two separate Assisted Living homes in two separate cities for this study. The seniors from both locations had one commonality: they both received regular massage therapy and their treatment progress was monitored for comparison. Group A however was different from Group B in that Group A was reliant on the use of walkers to support their mobility. Whereas Group B was not. The patients Group B where capable of walking safely within the distance of 25 feet without the use of any walking aid.Each patient of the study was monitored weekly. SOAP notes were used to capture the data of each patients weekly report. Those SOAP notes where analyzed at the end of the 12 month period and reviewed with comparison to each-others and to the alternate group, first by the studies organizer and then by the organizers supervisors. A commonality was established among both groups of both locations which verified that Group A’s SOAP notes reflected both in Subjective and Assessment that the patient using a walker from Group A had the following symptoms:

TABLE available upon request.

The Subjective assessment of Group A’s SOAP notes reflected 97% of the patients suffered from severe neck pain and low back tension as reported by the patient.

The assessment section of Group A’s SOAP notes showed that a third of the groups posture was compromised, and aggravated by the use of the walker. Their posture resembled that of Kyphosis disorder, even when the patients did not have a kyphosis diagnosis. This posture prevented the group from lying flat on a massage table comfortably and so the use of support pillows were necessary. Insert Photo of example

The only limitation to this study was that of the type of walker being used and its effect on the patient. For example a patient who used a Zimmer frame walker vs. a Rollator walker. However there was no identifiable marker that the discovery of this dissorder would have been effected. Or that the symptoms of this disorder (foundationally) would have had been effected if the limitation had been added to the data analyzed. Lastly the data acquired in the discovery of this disorder was ethically acquired and analyzed with permission from its suppliers.

The applied method of massage therapy is detailed in TGHL geriatric massage practitioner training package and is available for purchase at www.thegoodhandslist.com

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Figure 1. Represents the amount of time/focus that was given to each of the effected muscle groups during the duration of the treatment session. (available upon request)

Results: For those seniors who’s mobility relies on the use of a standard Zimmer frame walker, soft tissue manipulation (massage therapy) when applied in a specific manner has positive effect with on the identified tightened muscle tissues/ affected areas which are compromised by the use of the standard walker for those who suffer from Walker Posture Syndrome. The affected areas include but are not limited to the rhomboids, teres major and minor, trapezius, and scalene muscles.

* All data studied for this report was given with full permission by the participants of its study and performed under the supervision of a senior massage therapist. The data used was ethically collected for this study.

#SeniorMassage #GeriatricMassage #assistedliving

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