Top PDF General Osteopathic Treatment is Associated with Postural Changes

General Osteopathic Treatment is Associated with Postural Changes

General Osteopathic Treatment is Associated with Postural Changes

In a previous study we have certified the reproducibility of repeated measurements of the characteristics of the thoraco-lumbar vertebral column and pelvis using the Diers D4 formetric system® (Lason et al., in press). In 154 healthy volunteers we did not find any significant changes in measured variables between the first and the second measurement, indicating that the repeat assessment generated the same values as the initial measurement in this control population. Also, we have redefined the reference values and assessed the influence of gender and of the body mass index (BMI) on the measured variables (Peeters et al., submitted).
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Postural Changes In Blood Pressure Associated With Ageing

Postural Changes In Blood Pressure Associated With Ageing

The present study reveals to determine the patterns of orthostatic blood pressure (OBP) changes, symptoms and clinical factors in different aged groups. Sixty subjects of different aged group between 20 and 90 were used in this study. Among these groups, different measurements of BP were done in lying as well as standing position at two time intervals (1min, 3min) to check their orthostatic hypotension (OH). The Results showed that OH significantly increased in the age group 71.1 and moderate in 39.8 and no changes occurred in 20.55. The symptoms of head ache, blurred vision, falling and light headedness as well as blood hemoglobin levels were independent of OH in all aged groups. Based on the nutritional status, Body Mass Index was measured in these subjects and identified as 72% well nourished; 4% under-nourished and 24% overweight. The systolic OH (P<0.01) was more common among the elderly subject than diastolic OH (P>0.05). Also prevalence was similar in either gender of elderly group. Based on the present study, we conclude that OH incidence increases with increase in age and symptoms are independent of physical recording.
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POSTURAL CHANGES IN BLOOD PRESSURE IN NORMOTENSIVE PERSONS

POSTURAL CHANGES IN BLOOD PRESSURE IN NORMOTENSIVE PERSONS

Blood pressure is a measure of cardiovascular reactivity reflecting autonomic function. Also such elder ones having some associated diseases like hypertension, diabetes mellitus, and low blood volume become further weaker. The primary purpose of this study is to observe the postural variation of blood pressure and to compare.

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Immediate changes in electroencephalography activity in individuals with nonspecific chronic low back pain after cranial osteopathic manipulative treatment: study protocol of a randomized, controlled crossover trial

Immediate changes in electroencephalography activity in individuals with nonspecific chronic low back pain after cranial osteopathic manipulative treatment: study protocol of a randomized, controlled crossover trial

Osteopathic Medicine (OM) is based on a diagnostic and therapeutical system to treat tissue mobility dysfunctions in general [1]. The Osteopathic Manipulative Treatment (OMT) uses different techniques according to the dys- functional tissues. The World Health Organization con- siders OM as complementary or alternative medicine, and it is based on concepts and unique approaches that enable the self-healing and self-regulating process within the body [2, 3]. This increasing interest in osteopathic medi- cine may reflect the reality of the society because patients turn to complementary or alternative treatments whereas the conventional treatments seem to fail in producing the desired outcome, or to produce side effects [4]. In the United States, the overall expenditure for complementary and alternative medicine is in the tens of billions of dollars per year [4].
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Changes in Postural Control in Mastectomized Women

Changes in Postural Control in Mastectomized Women

One study evaluating factors related to falls in postmenopausal women with breast cancer surgery suggests that balance disorders of vestibular origin and delays in detecting low-contrast visual stimuli are associated with falls in these women. A relationship was also observed between falls and chemotherapy treatment, an associa- tion not observed with the use of adjuvant endocrine therapy [18]. Chemotherapy is a negative factor affecting postural control in women with breast cancer, increasing instability and pressure center score [19]. In this study, women were not included in the period of chemotherapy, but it is possible to observe that the mastectomy sur- gery is also an important factor increasing instability and changes in the pressure center.
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Antihypertensive drug treatment changes in the general population: the colaus study

Antihypertensive drug treatment changes in the general population: the colaus study

The names of all antihypertensive drugs were collected and coded using the Anatomical Therapeutic Chemical (ATC) classification system [10]. In both baseline and follow-up, antihypertensive drugs were classified into six different categories: 1) Diuretics (isolated or associated with other drugs); 2) Calcium channel blockers (CCBs); 3) Beta- blockers (BBs); 4) Angiotensin-converting enzyme inhibi- tors (ACEIs); 5) Angiotensin receptor blockers (ARB) and 6) Other (reserpine). Combinations were split into the drug classes they contained; for example ATC code C08GA01, corresponding to nifedipine and diuretics, was split into “di- uretics associated with other drugs” and “calcium channel blockers”. As a single medicine can be a combination of up to three antihypertensive drug classes, two further classifications were used according to the number of an- tihypertensive drug classes or of antihypertensive pills: monotherapy (i.e. taking a single drug class)/combination therapy and single medicated (i.e. taking a single pill, which can eventually be a combination of drugs)/polymedicated.
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The Effect of Osteopathic Manipulative Therapy Applied to the Lumbar Spine on Postural Stability: A Pilot Study

The Effect of Osteopathic Manipulative Therapy Applied to the Lumbar Spine on Postural Stability: A Pilot Study

OMT is a collective expression used to describe a variety of treatment techniques employed by osteopathic practitioners. While there are many different techniques that are classified as OMT this study is only concerned with three; high-velocity low-amplitude (HVLA) thrust manipulation, muscle energy technique (MET) and myofascial technique (MT). HVLA thrust manipulation involves the application of a high velocity ‘impulse’ or ‘thrust’ to a synovial joint over a very short amplitude often producing an audible ‘popping’ or ‘clicking’ sound associated with cavitation of a joint. 18 MET is an active technique that utilizes the patient’s own muscle contraction against an operator applied force in order to stretch soft tissues, enhance drainage and increase joint range of motion, 19 while myofascial techniques (MT) involve cross-fiber kneading to soft tissues of the body, particularly the muscles and fascia. 20
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CHANGES IN BLOOD PRESSURE DUE TO POSTURAL VARIATION

CHANGES IN BLOOD PRESSURE DUE TO POSTURAL VARIATION

Many epidemiologic studies have identifed blood pressure as an important risk factor for both cardiovascular disease and total mortality. 12 Elevated levels of either Diastolic Blood Pressure (DBP) or Systolic Blood Pressure (SBP) are associated with an increased mortality risk. As a result of these findings, the importance of the detection and treatment of individuals with high blood pressure has been established. [2] Normally, properly taken BP measurements show only minor variations with changes in position. Certain patients with an imbalance of the Auto-nomic Nervous System (ANS), however, may tend to have a fall in BP with the upright position. The ANS normally controls the constriction (narrowing) and the dilation (widening) of blood vessels and thus helps regulate a person's BP. Such a fall in BP with standing is called Postural Hypotension (low blood pressure), which, when significant, can cause weakness, lightheadedness, and even fainting. The treatment of high blood pressure (hypertension) with medication in these patients may actually lead to an excessive fall in BP with standing. [1] In the upright posture, cardiovascular adjustments occur to maintain the blood pressure. These actions include reflex arteriolar and venous constriction, reflex acceleration of heart rate, increase in muscle tone, and an immediate increase in plasma catecholamines. The net result of these adjustments in the normal individual is that blood pressure remains largely unchanged, although a 10 to 15 mmHg rise or fall in SBP is probably not an uncommon experience. [2]
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Conclusion: Perceived intensity of neck pain, and perceived disability significantly reduced following four weeks of osteopathic management. This pilot study suggests that osteopathic treatment is effective for the management of chronic and sub-chronic ne

Conclusion: Perceived intensity of neck pain, and perceived disability significantly reduced following four weeks of osteopathic management. This pilot study suggests that osteopathic treatment is effective for the management of chronic and sub-chronic neck pain

active and postural or relaxation exercises, stretching, and functional exercises) manual therapy (muscular mobilisation (soft tissue stretching and kneading), specific articular mobilisation, coordination or stabilisation exercises) and general practitioner care (self care being heat application, home exercises and ergonomic considerations) for 183 patients with chronic neck pain. They found that the manual therapy group showed a significant greater improvement in outcome measures than the physiotherapy group and the general practitioner care group, while the cost effectiveness ratios and the cost utility ratios showed that manual therapy was less costly and more effective than physiotherapy or general practitioner care. 13
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Posturodynamic 6 Test: A New Scoring Method for Effective Communication of Results

Posturodynamic 6 Test: A New Scoring Method for Effective Communication of Results

The CPT is a clinical test with 4 evaluation items (cervical, thoracic, lumbar, and pelvis) for the right and for the left sides of the body [1]. This instrument assesses the postural response of each spinal section and pelvis during a lateral flexion movement [1]-[3]. The practitioner observes the result of the physiological response of the spine range of motion [4]. The quality of the postural response is quantified through spinal lateral flexion and pelvic translational maneuvers. The practitioner positions their hands successively on the four anatomical regions that are evaluated: cervical spine, thoracic spine, lumbar spine, and pelvic girdle. For the first three anatomic regions, the patient is instructed to laterally flex in the frontal plane: “slowly slide your hand down the side of your leg to the left and then to the right”. The normal physiologic response of the lower thoracic and lumbar regions is cha- racterized by a slowly progressive contra-lateral rotation. Ipsilateral rotation should occur in the cervical region and upper thoracic regions of the spine because of the orientation of the articular facets. When the practitioner induces a lateral movement of the pelvic region to the right or left, the normal physiological response is a slow but progressive contra-lateral rotation (i.e. if the lateral movement induces by practitioner is on the right, the physiological response is pelvic rotation on the left) [1] [2] [4]. Previous research indicates that the CPT, in general, has 80% intra-examiner reliability and that intra-examiner reliability varies depending on the anatomic location [2] [3]. In clinical practice, however, we recommend that CPT measurements be made by the same cli- nician to improve the reliability of repeated measurements. Observations made during the CPT assessment are reported on a clinical data sheet (Figure 1(a)). If the response of the anatomic region is not a normal physiologic response, the practitioner records an “X” on the clinical data sheet and nothing if the patient’s response is a normal physiological response [1] [2]. With 2 possible observations for each of the 8 assessments, 30 possible combinations of overall performance on the CPT are possible. The CPT is scored numerically by replacing every “X” with the number “1” and then adding all of the recorded 1’s for a total score on the CPT. In the ex- amples given in Figure 1, the CPT score is 0 for Figure 1(a) and the score is 6 for the CPT depicted in Figure 1(b).
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Preliminary results from a proof of concept study for fall detection via ECG morphology

Preliminary results from a proof of concept study for fall detection via ECG morphology

Moreover, although 31% of falls are due to accidents and the causes of 27% of falls remain unclear, the remaining 42% are due to transient problems, which are clearly related to health states, including those related to cardiovascular system (CVS) conditions [5]: gait/balance disorders or weakness (17%), dizziness/vertigo (13%), drop attacks (9%), postural hypotension (3%). There is evidence that these physiological conditions, particularly dizziness/vertigo [6] or postural hy- potension [7], can be detected through the study of the ECG.

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Survey based investigation into general practitioner referral patterns for spinal manipulative therapy

Survey based investigation into general practitioner referral patterns for spinal manipulative therapy

Regarding response bias, although the data presented here appears to show differences in distribution regar- ding gender and age, these do generally appear reflective of the total population at the time [24]. For instance, there were nearly twice the number of male respondents to this present survey than female; as at the time the population of GPs in Wales was approximately 60% male [24], therefore, this response would not appear to be too biased in relation to gender. Most male respondents were between 40–59 year of age and most females were between 30–39 years old, which is also in line with the general population statistics for Welsh GPs in 2007–9 [24]. Regarding the whole sample of respondents, 79% were 40 years of age or older, comprising 3 times as many males as females. The statistics available do not allow completely accurate comparison (the data presen- ted as 30–44 and 45-above: [24]), however in the popu- lation, 62% were above 45 yrs of age, of which there were approximately 2.4 times as many males to females. In comparison, those less than 40 years of age were re- presented by double the amount of females compared to males: again the population statistics show 1.3 times the number of females to males [24].
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Effect of osteopathic manipulative treatment on length of stay in a population of preterm infants: a randomized controlled trial

Effect of osteopathic manipulative treatment on length of stay in a population of preterm infants: a randomized controlled trial

The treatment of preterm infants with complementary and alternative medicine could be considered a potential and promising intervention to be included into the routine health care system. Results from the present study show the effectiveness of the OMT in reducing the length of stay, costs but not weight gain in a sample of pre-term newborns. Despite the lack of prospective research into the effects of osteopathy on preterm infants, our study shows strong evidence that OMT has a role in the care of newborns. Further studies based on multi-centric design are required to confirm our results.
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Reflections on osteopathic fascia treatment in the peripheral nervous system

Reflections on osteopathic fascia treatment in the peripheral nervous system

support osteopathic fascial treatment of the peripheral nerve, providing a strong incentive to launch new research aimed at understanding what happens to the nerve using fascial osteo- pathic techniques, in addition to quantifying the benefit derived by the patient. It is important to remember that evidence-based medicine involves not only scientific research highlighted in an article, but also the patient’s experience of treatment and the clinical experience of the operator. 26

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A study into Osteopathic treatment of pregnant women in NSW and Queensland.

A study into Osteopathic treatment of pregnant women in NSW and Queensland.

research, both in developing aspects of the survey to obtain more specific details, and to be more user friendly for a larger return rate. The return rate of the survey was only small and so many of the results may not be greatly valid and hence can only be used as a guide. Further research could be done focusing purely on treatment and management in the post partum period, as this area didn’t get a thorough response from participants compared to during the trimesters. Other aspects that could be further researched are changes to the T/L area during pregnancy, and to look at the births with osteopathic preparation during pregnancy compared to those without.
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Noninvasive Continuous Monitoring of the Effects of Head Position on Brain Hemodynamics in Ventilated Infants

Noninvasive Continuous Monitoring of the Effects of Head Position on Brain Hemodynamics in Ventilated Infants

In the present study, we assumed that there was no change in lung compliance because no changes in blood gases or physiologic variables were detected. The study was too short to detect substantial changes related with pulmonary disease and no acute event significant enough to cause important swings in in- trathoracic pressure occurred. Respiratory settings remained constant. Therefore, we conclude that the effects on CBV observed in this study were related to obstruction of the venous drainage at the level of the neck. Although theoretical differences in lung me- chanics may exist, we did not observe differences in the effects of the 2 modalities of ventilation on cere- bral venous return.
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The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment

The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment

The fibroblasts, the fascia’s foundations, have the ability to change their vector, reflecting the force of the mechani- cal vector present, making the transmission of the tension produced, or managed, more fluid and ergonomic. The fascial system is rich in proprioceptors, such as the Ruffini and Pacinian corpuscles, particularly in the areas of transi- tion between the fascia and the articulation and between the fascia and the contractile tissue in the muscle. The fascial continuum can be considered to be an organ in the mechanical sense, influencing daily postural patterns. 11 Chronic fatigue
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VASCULAR RESPONSES TO POSTURAL CHANGES IN NORMAL, NEWBORN INFANTS

VASCULAR RESPONSES TO POSTURAL CHANGES IN NORMAL, NEWBORN INFANTS

Blood pressure response to head-up tilting was studied in 40 normal, full-term, new- born infants.. An initial fall in pressure with a con- sistent return to pre-tilt levels was observed[r]

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Osteopathic Manipulative Treatment for Pediatric Conditions: A Systematic Review

Osteopathic Manipulative Treatment for Pediatric Conditions: A Systematic Review

in 57 children with recurrent acute otitis media (OM). Of 57 subjects, 25 received 9 sessions of OMT plus UC, and 32 received equal amount of UC only. At 6-month follow-up, the authors repor- ted no signi fi cant changes in anti- biotics use (P = .13 [95% CI: 2 0.38 to 0.05]) and audiometrics (no P values [95% CI: 2 6.10 to 4.16 for fi nal speech awareness threshold]); and signi fi cant improvements in the number of epi- sodes of acute OM (MD = 2 0.14 [95% CI: 2 0.27 to 0.00], P = .04), mean surgery-free months (P = .01 [95% CI: 0.16 to 1.34]) and normalized tympa- nograms (MD = 0.55 [95% CI: 0.08 to 1.02], P = .02) in the OMT group com- pared with controls and concluded that OMT might be bene fi cial as an adjuvant therapy in children with recurrent acute OM.
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Long-term natalizumab treatment is associated with sustained improvements in quality of life in patients with multiple sclerosis

Long-term natalizumab treatment is associated with sustained improvements in quality of life in patients with multiple sclerosis

SF-12v2 PCS scores increased significantly at 2 and 3 years (adjusted CFB: 2.33 [P0.05] and 2.87 [P0.01], respectively), indicating improvement in physical HRQoL (Figure 2A). From baseline to year 3, the mean PCS score increased by 8% (from 34.1 to 36.9). In patients with base- line DS 0–2, significant improvement was observed in mean PCS score from baseline to the third year of natalizumab treatment (adjusted CFB: 3.05 [P0.05]; Figure 2B). For patients with greater disability at baseline (DS 3–6), the CFB was numerically higher at all time points, although these changes were not significant. Similarly, patients with 10 years since diagnosis had significant score increases from baseline at years 2 and 3, whereas scores Table 1 Baseline demographics and disease characteristics of patients who completed 3 years of natalizumab treatment stratified by baseline Ds, years since Ms diagnosis, and age
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