Effects Of Osteopathic Treatment Research Articles

Effectiveness of osteopathic treatment in patients with Lower Urinary Tract Symptoms (LUTS)

Introduction and Aim: International continence society mentions that more than 50 % of females suffer from lower urinary tract symptoms (LUTS) and more than 90% of them were not on any medication. LUTS is a term that covers symptoms resulting from conditions affecting the urinary bladder and urethra, prostate, other pelvic organs or any other part of the body which is related to the bladder and urethra anatomically. LUTS can be classified into 3 subcategories, i.e., storage symptoms (symptoms during storage of urine), voiding symptoms (symptoms during micturition), and post micturition symptoms (symptoms after completing micturition). Patients with LUTS may present with a combination of storage, voiding, and post micturition symptoms. The aim of this study is to assess the effectiveness of osteopathy treatment in patients with lower urinary tract symptoms.
 
 Materials and Methods: This is a pre-test post-test single group experimental study conducted at Sri Sri University. In this study, 20 females having the mean age of 21.9± 2.61 years with moderate and severe symptoms voluntarily participated. The pre-test scores were measured in 3 different questionnaires (AUA symptom score index, ICIQ – FLUTS and HPMDQ). The subjects were diagnosed and given 4 osteopathy sessions. The post-test scoring was noted and data was analysed using MS Excel. 
 
 Results: Compared to the baseline scoring, the post intervention scores on all the questionnaires reduced significantly. Subjects having moderate and severe symptoms were selected for the study. After intervention either the symptoms were absent or mild residual symptoms were seen.
 
 Conclusion: The results shows that osteopathy treatment is effective in patients having lower urinary tract symptoms.

Effectiveness of Osteopathic Treatment on the Spinal Column as Measured by the Spinal Mouse®: A Case Series.

IntroductionThis case series aims to compare changes in spinal column mobility using the Spinal Mouse® (Idiag, Volketswil, Switzerland), a device providing a spatial survey of a single vertebra's position. The measurements have been made before and after an osteopathic treatment with different spinal column positions on healthy subjects. We presumed that osteopathic treatment is able to improve spinal column mobility.MethodsThe measurement was carried out with the naked spinal column in the following positions: standing, static bending, dynamic bending, and conducting the static Matthiass test, which consists of maintaining the standing position with outstretched arms, with a 1 kg weight. We evaluated the vertebral tilt degrees and changes in height (expressed in mm) in the mentioned positions before and after the osteopathic treatment.ResultsWe observed improvements in spinal column tilt (expressed in degrees) and in vertebral metameres length (expressed in mm) in a standing position (T<0.04 and T<0.04). We also noted a global increase in tilt (expressed in degrees) during the static bending position (T<0.05) and in the thoracic tract during the Matthiass test (T<0.02).ConclusionsThe present study highlighted that osteopathic treatment was able to increase vertebral mobility, concerning tilt (expressed in degrees) and length (expressed in mm), evaluated in different positions.

Оценка эффективности остеопатического лечения пациентов с последствиями компрессионного перелома нижнегрудного отдела позвоночника, протекающего с вертебровисцеральным синдромом

The article highlights the materials of a study on the effectiveness of osteopathic treatment on the dynamics of symptoms in patients with vertebral visceral syndrome against the consolidated compression fractures of Th9-Th10. The study involved patients of both sexes, with the mean age of 29.4±6.5 years, the treatment lasted from 10 to 14 weeks. It was determined that following the osteopathic treatment in patients, the number of complaints decreased, the mobility of the spine in the thoracic and cervical regions increased, and the condition of the gastric mucosa improved.

Results of osteopathic treatment of infants with psychomotor developmental disorders

Aim. To compare the effectiveness of osteopathic treatment of infants with psychomotor development disorders with standard treatment in terms of functional status.&#x0D; Methods. The study was conducted at the Yaroslav-the-Wise Novgorod State University and the Institute of Osteopathic Medicine named after V.L. Andrianov, between 2020 and 2021. The study included 49 children with delayed psychomotor development, of which: the main group consisted of 26 children receiving osteopathic treatment; the control group consisted of 23 children treated with standard therapies. Data gathered included the indicators of the functional health state, complaints of parents, assessed neurological, vegetative, and osteopathic statuses, the psychomotor development in the children according to the ZhurbaMastyukova scale, performed neurosonography. The results were processed using descriptive statistics followed by checking for the significance of the difference by using the Student's t-criterion for related samples.&#x0D; Results. A comparison of the effectiveness of osteopathic and standard treatment of infants with a delay in psychomotor development by indicators of the functional status was carried out. The need for an integrated approach to therapeutic and diagnostic procedures was substantiated. The number of subjective complaints about the health of children from parents in the main group decreased, while in the control group, it remained the same. Neurological status in children of both groups improved, but the changes are more pronounced in the main group (p 0.05). The outcomes of the treatments indicate for improving psychomotor development of the children in the main group, in the control group, such an increase was only 13.0% (p 0.001).&#x0D; Conclusion. The results of the study showed that osteopathic treatment of infants with psychomotor development disorders is more effective than standard complex treatment, which is reflected in the improvement of functional health indicators.

The effectiveness of osteopathic treatment 2,5–4,5 year-old children with dysarthria

Background. In recent decades, diagnostic and therapeutic procedures related to classical orthopedics, manual medicine and osteopathy have become widespread in Russian clinical medicine. Osteopathy expands the possibilities of diagnosis and treatment of various diseases due to the fact that its methods are not addressed to individual symptoms of the disease, but to violations of the system organization of physiological functions of the body and to establishing cause-and-effect relationships between mechanical damage of human tissues and the development of subsequent pathologies. Currently, the problem of studying the relationship of indicators of the osteopathic status of preschool children having perinatal signs of dysarthria is relevant for osteopathic doctors. Materials and methods. On the basis of the department of osteopathy of the Yaroslav-the-Wise Novgorod State University and the V.L. Andrianov Institute of the osteopathic medicine, a study was conducted aimed at assessing the clinical and physiological parameters of children aged 2.5 to 4.5 years with dysarthria and further substantiating the effectiveness of oteopathic treatment of adverse functional disorders of the brain that affect oral speech. The work used a computer electroencephalograph Mizar. Ultrasound dopplerography of the brain vessels of the subjects using the transcranial dopplerography device EME/Nicolet as well as ultrasound examination of the cervical spine was performed. The materials obtained in the course of the study were subjected to mathematical and statistical processing using the Statistica 6.0 software package, nonparametric (Wilcoxon test) and parametric methods were used with applying the Students t-test to assess the reliability of differences, and correlation analysis was performed to establish the relationship between clinical, physiological and osteopathic indicators in children before and after treatment. Conclusions. The results of the assessment of the clinical and physiological parameters of the subjects allowed us to infer that the osteopathic treatment was effective.

Quality of life as a criterion for the effectiveness of osteopathic treatment

Quality of life as a criterion for the effectiveness of osteopathic treatment

Effects of Osteopathic Treatment With Cognitive Training on Low Back Pain

Effects of Osteopathic Treatment With Cognitive Training on Low Back Pain

Image of the new medical specialty «osteopathy» among students of a medical university with due regard to their personal social characteristics

Introduction. In recent years osteopathy has been rapidly developing as an individual medical specialty in the Russian Federation. A growing number of specialists are studying this specialty and represent it in Russia and abroad. A large number of studies clearly demonstrating the effectiveness of osteopathic treatment are being conducted. In addition, the Russian Federation has a regulatory framework according to which osteopathy is regulated by the government. However, many medical doctors, lecturers and students of medical universities do not have a clear understanding of osteopathy and put in question the effectiveness of osteopathic treatment. The goal of research — to study student′s knowledge about the principles, methods and scope of osteopathic treatment in order to develop a program for disseminating relevant information about osteopathy with regard to individual social characteristics.Materials and methods. We conducted an anonymous survey among students of Pavlov First St. Petersburg State Medical University using special forms. We also used the online tool Google Forms in the social network Vkontakte. 73 respondents took part in the survey. 8 communities from the social network Vkontakte, with the target audience being students of medical Universities, were reviewed. The search for references to osteopathy was made by the keyword «osteopath». A special questionnaire with 22 questions was developed in order to collect the necessary information. The first part of the questionnaire contains 16 questions about the specialty «osteopathy»; the second part (6 questions) allows to study the respondent′s personal characteristics: age, gender, year of studies, presence of medical doctors among family members, participation in the student′s scientific society (SSS). 14 questions from the fi rst part of the questionnaire were dichotomous and 2 questions had 3 or more answer options. 12 questions from the first part were aimed at studying students′ ideas about osteopathy. The correct answer was rated 1 point, the wrong answer — 0. The points obtained during the survey were summed up. In the subsequent processing of the results, the indicators of the respondent′s opinions, evaluated on a 12-point scale, were ranked into 3 groups: from 1 to 4 points — a low level of knowledge, from 5 to 8 points — an average level, from 9 to 12 — a high level.Results. It was found that 66 % of respondents have a low level of knowledge about the specialty «osteopathy», 30 % have an average level of knowledge, only 4 % of respondents have a high level of knowledge. The results indicate insufficient and extremely low level of awareness about the specialty «osteopathy» among students. Due to the lack of reliable sources of information within the system of education in higher medical educational institutions there is a spread of misconceptions about this specialty. It was established that students involved in SSS had a significantly higher level of knowledge about osteopathy than students who were not involved in SSS, and that students who had medical doctors in their families had a significantly lower level of knowledge about osteopathy than students who did not have medical doctors in their families.Conclusion. It is necessary to use different ways of informing students about the new medical specialty taking into account their individual characteristics, as well as to introduce awareness-raising about osteopathy (lectures, practical sessions) into the training system within the framework of an optional and/or elective courses, to improve the work of the student scientific society.

Effect of osteopathic treatment on a scar assessed by thermal infrared camera, pilot study

BackgroundScar formation is influenced by mechanical forces and may generate mechanical tension. Scars induce a temperature difference in the body objectified by thermal imaging camera. The osteopath’s task is to ensure the tissue good mobility in the body. The aim of this study was to measure the influence of osteopathic treatment on a scar by thermal camera. Method12 subjects were analyzed: 4 scars by wounds and 8 by operations. A thermal camera was used to measure the temperature variations of the scars and peri-scar area after cooled stimulation. Measurements were made before and after osteopathic treatment. Results/findingsA significant difference was found between the scar and the peri-scar area before osteopathic treatment (p = 0.044) and no significant difference after osteopathic treatment (p = 0.069). Results showed that osteopathic treatment on a scar induces a more homogeneous local warming temperature. ConclusionThe osteopathic treatment allows different warming between scar and peri-scar area; this suggests a modification of the connective tissue function after osteopathic treatment. Further studies are required to better understand the function of connective tissue and the mechanism of healing.

Quality of life, health-related, and features of osteopathic treatment of patients

Evaluation of the effectiveness of osteopathic treatment of 50 women, aged 30 to 40 years, with different types of disease: psychophysiological insomnia, a syndrome of chronic venous discirculation brain, adhesive disease of the pelvic organs (operation history about 1012 years ago) due to uterine myoma and cyst one or both ovaries. With the help of a questionnaire SF-36 was assessed in the dynamics of indicators of quality of life before and after osteopathic treatment. According to the correlation and factor (principal components) analyses the peculiarities of interrelations of indicators of the osteopathic status and quality of life before and after osteopathic treatment.

Objectification of the effectiveness of osteopathic correction of the consequences of polychemotherapy during the accompanying therapy in the postoperative period in children with malignant neoplasms of the musculoskeletal system

Introduction.Cancer is the second leading cause of death in the world. WHO predicts that the incidence of cancer will grow from 14 million in 2012 to 22 million in the following decades. It is impossible to achieve an adequate effect in the medicamentous treatment of malignant tumors without the use of accompanying therapy. The search and use of new methods of correction of complications arising in children during polychemotherapy will not only signifi cantly reduce the lethality of this category of patients, but also signifi cantly intensify specifi c therapy and thereby increase the percentage of complete remissions and event-free survivals.Goal of research— to assess the effectiveness of osteopathic treatment in eliminating the side effects of adjuvant PCT in children in the postoperative period.Materials and methods. 42 children aged 6–16 years with a history of malignant neoplasm of the musculoskeletal system took part in the research. At the time of the study they were undergoing adjuvant PCT after the radical surgery. Patients were divided into two equal and comparable in all parameters groups (the main group and the control one) by method of blind selection. Patients of the experimental group (21 patients) underwent osteopathic correction according to the standard protocol with the frequency 1 session per 7–14 days. In order to assess the severity of PCT complications, a number of non-specifi c indicators from the toxicity criteria proposed by the International Society of Pediatric Oncologists (laboratory markers of hematological toxicity and clinical manifestations of gastrointestinal toxicity) were used. The osteopathic status was assessed in accordance with the recommendations «Osteopathic Diagnostics of Somatic Dysfunctions» with limitations in active tests because of the severity of the condition and postural problems related to the short time period after surgical treatment (tumor resection, endoprosthetics). The indices for each PCT course were calculated separately. Patients were included in the study during the start of the next course of PCT. The duration of each patient′s observation was at least 21 days, which corresponds to the time between two subsequent courses of PCT.Results.In this group of patients, osteopathic correction led to the elimination of global biomechanical dysfunctions, a decrease in the absolute number of global and regional somatic dysfunctions, and a change in the structure of regional dysfunctions. It has been established that osteopathic support does not signifi cantly affect the intensity of hematological toxicity in PCT (the severity of leukocytopenia, anemia, thrombocytopenia). However, it leads to a signifi cant decrease in such manifestations of gastroenterological toxicity as emetogenic syndrome and abdominal pain.Conclusion.The reasonable use of individual osteopathic correction in the course of accompanying therapy can reduce the intensity of intoxication and improve the quality of life of patients during PCT courses.

Effect of osteopathic correction on strengthening of the perineal muscles in the postpartum rehabilitation period

Introduction. The effect of the osteopathic treatment in the postpartum period has not been adequately studied in Western countries. The most part of the studies are focused on postpartum pain, whereas there is not enough information on the effect of osteopathic treatment on the recovery of perineal muscles.Goal of research - to study the effect of osteopathic treatment in combination with physical therapy on the recovery of the perineal muscle system in women in the postpartum period. Materials and methods. The study examined 38 women (mean age 30±5 years old) who underwent therapy in order to restore the perineal muscular system in the postpartum period. They were divided into two groups. Patients of the focus group received therapy in combination with the osteopathic correction. Women of the second group received therapy in combination with the imitation of manual treatment. Results. The data analysis shows a signifi cant difference in the results of testing of the perineal muscle strength in patients of both groups by the end of the treatment: from 24,51±18,55 to 148,21±127,51 in the focus group, and from 29,32±20,32 to 94,22±78,51 in the control group. The intensity and the duration of the perineal muscle contraction did not differ signifi cantly by the end of the treatment in both groups.Conclusion. Osteopathic treatment in combination with the rehabilitation therapy of the perineum signifi cantly improves the muscle tone and promotes the restitution of the perineal muscle quality in the postpartum period in comparison with classical treatment.

Viscoelastic properties of tissues and changes in them after osteopathic correction

Introduction. Objective measurement of the muscle tone, especially on specifi c areas, represents a serious clinical issue. The most objective and well-known method for studying muscular function is electromyography. A non-invasive assessment of muscle tone and rigidity is possible by using Myoton digital palpation device. However, these methods have a range of disadvantages, which disable them to be widely used for dynamic evaluation of muscles’ viscoelastic properties during treatment, including after osteopathic correction.Goal of research - to evaluate the viscoelastic properties of tissues using palpation and instrumental techniques before and after osteopathic correction.Materials and methods. 14 students (7 practicing sports and 7 not practicing sports) aged 18-23 without problems with the musculoskeletal system were examined. Osteopathic diagnostics and measurement of viscoelastic properties of muscles before and after osteopathic correction were performed by vibrational viscoelastometry.The results. The elasticity in sportsmen’s muscles is higher compared to the elasticity of muscles of those who do not practice sports (p=0,04). Viscosity comparison did not show any difference (p=0,6). In the non-practicing sports group, the osteopathic treatment decreased muscle elasticity (p=0,000002), that may indicate their relaxation. At the same time, the viscosity was practically unchanged (p=0,45). In the sports-practicing group the elasticity and the viscosity of the muscles increased after the osteopathic correction session (p=0,0000002 and p=0,001, respectively). In the same group, two weeks after the fi rst session, muscle elasticity decreased (p=0,02) and the viscosity increased (p=0,03). These changes may be considered as favorable. After the second session of osteopathic correction, the elasticity decreased even more (p=0,04), which means that muscles became relaxed.Conclusions. Therefore, reported results showed that the viscoelastometry method had a real potential for an objective evaluation of the skeletal muscles’ condition and the effects of osteopathic treatment. Modifi cations in the viscoelastic properties of the tissues demonstrate that the effects of osteopathic treatment are ambiguous and depend on the initial muscle’s condition.

Clinical and Neurophysiological Criteria for Evaluation of Effectiveness of Osteopatic Treatment of Myofascial Pain

Goal of research - the study aims to examine the clinical and neurophysiological criteria for evaluating the effectiveness of osteopathic treatment for patients with myofascial pain.Materials and methods. The authors conducted a complex clinical and instrumental examination of 40 people of working age with myofascial pain syndrome of the humeroscapular region. The control group included 20 presumably healthy volunteers of the same age and sex as the main group of subjects of the study. Each patient was subjected to clinical and neurological examinations, neuro-orthopedic and osteopathic examinations, and psychological testing. The electro-neurophysiological part of the work consisted in the study of somatosensory evoked potentials, and polysynaptic refl ex excitability.Results. The authors determined a correlation between the data of the psychological study, the parameters of the blinking refl ex and somatosensory evoked potentials.Conclusion. The data obtained from the complex clinical and neurophysiological examination allow substantiating the pain syndrome before and after treatment. The data can be used as one of the criteria for diagnosis and effectiveness of the treatment of myofascial, in particular, humeroscapular, pain syndrome.

Possibilities of osteopathic correction of functional disorders in children

Osteopathy is a branch of clinical medicine based on a holistic approach which uses manual methods on the stages of prevention, diagnosis, treatment and rehabilitation and is aimed at restoring the body's natural ability to self-correction. The article presents an overview of randomized controlled trials of the results of osteopathic treatment of children of different age groups presenting functional alterations. All the trials were held in the Russian Federation over the recent years. On the grounds of the presented data it is possible to draw a conclusion about the proven clinical effectiveness of osteopathic treatment in hypoxic-ischemic lesions of the central nervous system, in particular, in hypertension-hydrocephalic syndrome, in the mild form of bulbar dysarthria as a consequence of a birth injury of the craniovertebral junction, dysplasia and subluxation of the hip joint, low degree myopia with the accommodation spasm, neurogenic dysfunctions of the urinary bladder complicated by the chronic bullous cystitis and vesicoureteral reflux. The sooner osteopathic treatment starts, the better is the result. Osteopathic treatment is safe. It allows to reduce the medicinal load and the risk of polypragmasy in children. It goes well with other methods of treatment, which is especially important for children of the first year of life. Osteopathy can enrich the clinical medicine toolkit and occupy a rightful place in the system of healthcare delivery to children.

Effects of Osteopathic Treatment on Postural Equilibrium Evaluated through a Stabilometric Platform: A Randomized and Controlled Study

Equilibrium is a very complex function and involves many systems, including the somatic-sensory, vestibular and visual systems. The condition of balance is maintained until the gravity center falls into the perimeter of support, defined as the ground level of the support base. Equilibrium loss is at the root of the risk of falling down, and represents a public health issue associated with remarkable costs for hospitalization, risk of residual disability and death for the elderly. Osteopathy can be a good ally that allows the human body to oppose gravitational force in a functional and ergonomic way. Osteopathy represents a medical approach complementary to healthcare and could be a non-invasive approach to improve and support traditional medicine in different physiological and pathological conditions. The aim of this study is to evaluate the cause-effect relationship between Manipulative Osteopathic Treatment (OMT) and its effects on equilibrium through stabilometric examinations. The 63 chosen subjects, including 23 females and 40 males, were between 18 and 45 years old, with a mean age of 29. Subjects were randomly divided into two groups: Manipulative Osteopathic Treatment (OMT) and Non Touch group (NON TOUCH). We can confirm that the tonic-postural response was more marked in the OMT group, with a statistic relevance both for the ellipse surface and the tangle length, with better stability and consequent energy saving in treated subjects. There were not statistically relevant variations for the NON TOUCH group. Therefore, it seems that Manipulative Osteopathic Treatment (OMT) influences stabilometry. However, posture influence due to Manipulative Osteopathic Treatment (OMT) should be evaluated with short- and long-term follow-ups, and with a larger sample size to test the administration of osteopathic treatments, in order to define an adequate work plan time period to prevent equilibrium loss.

Osteopathic Treatment of Patients Suffering from Chronic Non-specific Low Back Pain: A Dose- response Pilot Study

Background: Dose- response studies are needed for pharmaceuticals, but have not been commonly performed in the field of manual therapy. Objective: The aim of this study was to determine the combination of treatment numbers and intervals needed to obtain the optimal effect of osteopathic treatment for patients with chronic non-specific low back pain and to highlight methodological aspects concerning dose-response studies in the field of manual therapies. Design: The study was performed as an open, randomized, single -centre trial with a 22 factorial design. Methods: The patients were allocated equally to four groups by block randomization. The first group was given two treatments at an interval of 14 days, the second group was given two treatments at an interval of seven days, the third group received four treatments with intervals of 14 days, and the fourth group received four treatments with intervals of seven days. Oswestry Disability Index (ODI) and the Numeric Pain Rating Scale (NPRS) were recorded at baseline and two weeks post treatment. Participants: Eight women and four men with chronic non-specific low back pain were included. Results: The two treatments with an interval of 14 days resulted in an ODI reduction of only 1.3 (95% CI: -21 – 24.1). The largest reduction in ODI was detected in the four treatments with the seven days intervals. The mean reduction in this group was found to be 19.3 (95% CI: -14.4 – 53.1). An interaction between the number of treatments and the treatment interval was observed. Conclusion: The effect increased with increases in the numbers of treatment and reductions in the treatment interval. The program with four treatments and intervals of seven days was found to be optimal among the four examined regimens.

Evaluation of the Effectiveness of Osteopathic Treatment of the Right Sided Cervicobrachial Syndrome with the Help of Electropunctural Diagnostics

Changes in adaptation and psychosomatic alterations in the body reflect on the state of the acupunctural channels in patients presenting cervicobrachial syndrome. This fact permits to choose the best algorithm of osteopathic treatment.

Treatment of irritable bowel syndrome somatic comorbidities by osteopathic approach

Irritable bowel syndrome (IBS) is a chronic continuous or intermittent gastrointestinal tract dysfunction encountered by the health professionals. IBS patients are afflicted with intestinal and extraintestinal somatic morbidities. The aim of the present case study was to explore the effect of osteopathic treatment (OT) on somatic comorbidities in IBS patients. The author reported a 43-year-old female case who presented with a headache, abdominal pain, pain in the one-half of the body, lower back pain, increased the frequency of stool passage in a day, with alternating diarrhea or constipation, bloating; with few occasions of nausea and vomiting. The patient had history of 3-year-old hysterectomy and with no other relevant medical history. On endoscopic, colonoscopy, and blood investigations, no abnormality was detected. In this case, the osteopathic diagnosis was made as visceral somatic dysfunction and the OT made the remarkable difference in the patient symptoms as assessed by bowel symptom scale.

Osteopathic Treatment of Somatic Dysfunctions in NewbornInfants: the NE-O Model

Background: Several studies showed the effect of osteopathic treatment in newborn infants in reducing length of stay in hospital, gastrointestinal problems, clubfoot complications and improving cranial asymmetry of infants affected by plagiocephaly. Despite several results obtained, there is still a lack of standardized osteopathic evaluation and treatment procedures for newborns recovered in neonatal intensive care unit (NICU). The aim of this paper is to suggest a protocol on osteopathic approach (NE-O model) in treating hospitalized newborns.