Possibility Of Osteopathic Correction Research Articles

The possibilities of osteopathic correction using in adolescents with varicocele: a pilot study

Introduction. Currently, varicocele remains a largely unresolved problem in urology, and this makes it necessary to search for additional, including non-pharmacological, methods of treatment. In recent years, the effectiveness of osteopathic correction of patients with chronic venous insufficiency has been shown. However, at this moment, the use of osteopathic methods in the treatment of varicocele is not widely used, which makes it relevant to conduct research on this topic.The aim is to explore the possibility to use the osteopathic correction in adolescents with varicocele.Materials and methods. The study involved 40 participants aged 13–17 years. Two groups were formed: the main group (20 patients), whose participants received drug treatment and a course of osteopathic correction, and the control group (20 patients, data were collected retrospectively), whose participants received only drug therapy. For both groups, there were collected the parameters (before and after treatment) that characterize the state of the venous network of the spermatic cord (presence/absence of testicular hypotrophy, of cremaster reflex and of a positive Valsalva test; as well as the diameter of the cremaster veins and the value of the resistance index), and information on the presence/absence of pain syndrome.Results. In the control group, whose participants received only drug therapy, there was a significant (p<0,05) increase in the number of detected cases of pain syndrome and a positive Valsalva test, as well as a significant (p<0,05) increase in cremaster vein diameter at the end of treatment. Participants of the main group, who received osteopathic correction in addition to conservative therapy, were characterized by a significant (p<0,05) decrease in the diameter of the cremaster veins and an increase in the resistance index, the results differed significantly (p<0,05) from the corresponding values in the control group. Also, in the main group at the time of completion of treatment, there were recorded a statistically significantly (p<0,05) lower number of cases of pain syndrome, a positive Valsalva test, and the absence of a cremaster reflex in comparison with the control group.Conclusion. The results obtained in the framework of this pilot study allow us to positively assess the prospects for the use of osteopathic correction in the treatment of varicocele in adolescents. It is recommended to continue research in this direction over a longer period of time and on a larger sample size, with the obligatory formation of a parallel control.

Osteopathic treatment of cervicalgia in dentists experiencing prolonged professional overloads

Introduction. Among dentists, the prevalence of major occupational diseases is higher than among medical professionals in general. Thus, under the influence of professional physical exertion, functional and structural changes occur in the joints, changing their mobility. More than 50 % of dentists have various types of musculoskeletal pathology, and at least half of them are disorders in the cervical spine. A number of studies have demonstrated the effectiveness of the osteopathic correction in the treatment of cervical pain syndromes. However, the possibility of osteopathic correction in the treatment of occupational diseases among medical workers has not been specifically considered.The aim of the study is to evaluate the effectiveness of osteopathic treatment of cervicalgia in dentists experiencing prolonged professional overload.Materials and methods. Under observation there were 30 patients — dentists (13 men and 17 women, age 35–55 years) with a previously established diagnosis of Cervicalgia (duration of the disease 1–5 years). The patients were divided into the main (15 people) and control (15 people) groups. The control group of patients received a set of physical therapy exercises. The main group of patients additionally received three sessions (1 every 10 days, duration 45 min) of osteopathic correction. Before and after the course of treatment, the detection frequency of somatic dysfunctions, life quality (a short version of the World Health Organization questionnaire WHOQOL-BREF was used), pain syndrome severity (by a 100-point visual analog scale), and active movements volume in the cervical spine (by a medical goniometer) were evaluated.Results. At the study beginning in the both groups there were most often detected somatic dysfunctions in the following regions: cranio-cervical region (sphenobasillary synchondrosis (SBS), С0–I, СII–III and СVI–VII vertebralmotor segments (VMS) of the cervical spine), pelvic region (sacrum, pubic joint), thoracic region (diaphragm, sternoclavicular joint, ThVI–VII and ThII–III VMS of the thoracic spine). After the treatment, positive statistically significant (p<0,05) dynamics was observed in the main group for all of the above dysfunctions, and in the control group only for disorders of SBS, VMS С0–I, sacrum, VMS ThVI–VII. There were significant (p<0,05) difference between groups by the detection frequency of SBS, pubic articulation and diaphragm dysfunctions. After the treatment, patients in both groups had a statistically significant (p<0,05) improvement in the life quality by the «physical and mental well-being» domain, and in the main group these changes were statistically significantly (p<0,05) more pronounced. After the therapy course completion, the pain intensity in patients of the main group decreased to an average of 6 points, in 13 patients the pain symptom was completely eliminated. In the control group, the pain syndrome intensity decreased to an average of 35 points, none of the patients had a complete pain absence. The differences between the groups were statistically significant (p<0,05). After the therapy course, a statistically significant (p<0,05) increase in flexion, extension, lateroflexion to the right and left, rotation to the left was noted in the main group; and in the control group the significant positive dynamics was noted with respect to flexion and lateroflexion in both directions, rotation to the left. The groups began to differ significantly (p<0,05) by the volume of lateroflexion to the left and inflection in the cervical spine.Conclusion. The obtained data allow us to recommend the use of osteopathic correction in the treatment of occupational diseases of the cervical spine in dentists.

The use of osteopathic correction in the complex rehabilitation of patients with acute cerebrovascular accident

Introduction. Acute disorders of cerebral circulation - strokes - are the most important medical and social problem, due to their high proportion in the structure of morbidity and mortality of the population, signifi cant indicators of temporary labor losses and primary disability. In this regard, one of the main tasks of Russian healthcare is to slow down the increase in the disability of the population, which is carried out through the active development of the rehabilitation system in our country, including neurorehabilitation. Osteopathic correction can become one of the new areas of rehabilitation for this group of patients. There have already been made previous attempts to study the osteopathic status in patients with acute cerebrovascular accident and to assess the possible contribution of somatic dysfunctions to the pathogenesis of this disease. At the same time, there are no publications in the available scientifi c literature about the possibility of osteopathic correction using in the rehabilitation of patients with acute cerebrovascular accident in the early recovery period. All of the above predetermined the purpose of the study.The aim of the study is to substantiate the possibility of osteopathic correction methods using in the complex rehabilitation of patients with acute cerebrovascular accident in the early recovery period.Materials and methods. A prospective randomized controlled study was conducted from February 2019 to March 2020 on the basis of the neurorehabilitation department of the State Clinical Hospital № 11 (Omsk). 40 patients with a diagnosis of acute cerebrovascular accident, early recovery period were under observation. The sample was entire. Patients, depending on the method of used treatment, were divided with using the method of simple randomization into two comparable groups of 20 people: main and control. All patients received complex rehabilitation treatment, which included drug therapy, physiotherapy, kinesiotherapy, massage, and acupuncture. Additionally, patients of the main group received osteopathic correction (3 sessions). All patients, regardless of the group, before the start, as well as after the completion of the rehabilitation course, were assessed for osteopathic status, the level of self-care, daily activity and mobility of patients was determined using functional scales, and muscle strength of the hands was studied using dynamometry.Results. Patients with ischemic stroke in the early recovery period are characterized by the presence of somatic dysfunctions, mainly at the global and regional levels. 100 % of the examined participants had a global rhythmogenic cranial disorder. The most characteristic regional somatic dysfunctions were of the neck region, the structural component (29 %), and of the dura mater region (24 %). After completion of rehabilitation, global rhythmogenic cranial somatic dysfunction remained in all patients (100 %), however, in the group that received osteopathic correction, its severity was statistically signifi cantly reduced (p<0,05). Also, in the main group, the average number of regional somatic dysfunctions and their severity changed statistically more signifi cantly (p<0,05). At the background of complex rehabilitation treatment, all patients had an increase in the level of self-care, daily and physical activity according to neurorehabilitation scales, and also increased arm muscle strength according to dynamometry. However, in the group receiving additional osteopathic correction, these indicators were statistically signifi cantly higher (p<0,05).Conclusion. Rehabilitation of patients with vascular pathology, including those with ischemic stroke, is one of the most important directions in the development of the modern healthcare system. This dictates the need to search and study new methods and means of rehabilitation, one of which could be osteopathy. This study showed that the inclusion of osteopathic correction in the program of complex rehabilitation of patients with ischemic stroke in the early recovery period will achieve better results in terms of restoring lost functions and improving self-care skills. In order to introduce the new method more widely, it is advisable to continue the study on an even larger sample.

Possibility of osteopathic correction in the complex therapy of patients with Parkinson′s disease

Introduction. Parkinson′s disease (PD) is a slowly progressive chronic disease and currently all available treatments are aimed at alleviating the symptoms of the disease and improving the quality of patients′ life. The main correction is drug therapy. Taking into account the progressive nature of the disease, the insuffi cient effectiveness of drug therapy, as well as early and frequent complications from drug therapy, the search for new pathogenetic and symptomatic drugs, as well as additional non-drug methods of treatment, is constantly being conducted. A number of authors have also previously demonstrated positive changes in the state of motor functions and regression of some neurological manifestations in PD patients with the use of certain osteopathic correction techniques. The above suggests that osteopathic correction may become one of the new directions in the treatment of PD within the framework of complex therapy.The aim of the study is to substantiate the possibility of the inclusion of osteopathic correction of patients with Parkinson′s disease in complex therapy.Materials and methods. A controlled, randomized prospective study was carried out at the Bakhrushin Brothers City Clinical Hospital and the «Ear, Throat and Nose Clinic» (Moscow) medical center from April 2019 to January 2020. The study included 24 patients aged 60 to 78 years with a diagnosis of Parkinson′s disease stage I–II according to Hoehn and Yahr. Depending on the applied treatment method, the patients were divided by simple randomization into two comparable groups (main and control) of 12 people each. All observed patients received common drug therapy and exercise therapy. Additionally, the patients of the main group underwent osteopathic correction (within 3 months, once every 14 days, a total of 6 sessions were performed). All patients, regardless of the group, underwent an osteopathic examination before and after treatment, with the formulation of an osteopathic conclusion; the quality of life was assessed according to the Medical Outcomes Study 36-Item Short-Form Health Survey, and the impact of motor and non-motor symptoms of PD on the daily activity of patients was assessed using the unifi ed PD assessment scale of the International Society of Movement Disorders (MDS UPDRS).Results. The use of osteopathic correction together with drug therapy in PD patients leads to a statistically signifi cant (p<0,05) improvement in quality of life indicators (vitality scale and physical health scale) and daily physical activity (depression level). There is also a change in the structure of the dominant somatic dysfunctions (SD) in the form of a signifi cant decrease in the number of global SD.Conclusion. To increase the effectiveness of complex therapy for patients with PD, the common drug therapy can be supplemented with osteopathic methods of correction.

The use of osteopathic correction in conjunction with radon baths at the sanatorium-resort stage of rehabilitation of patients with dorsopathy

Introduction. Dorsopathy occurs in 90 % of people throughout life, and is in the first place for the duration of temporary disability in people after 45 years. The sanatorium-resort phase of rehabilitation, including usually physiobalneotherapy, is important in the treatment of dorsopathy. Radon therapy is one of the physiobalneotherapy types. However the effectiveness of radon monotherapy is not more than 25–38 % for various forms of dorsopathy. Therefore a combination of balneotherapy with additional methods of infl uencing on the organism is used in modern balneology to increase the effectiveness of therapy and to ensure the achievement of a positive treatment result in a shorter time without pathological balneoreaction and exacerbation. Osteopathic correction can be considered as such an additional method of infl uencing on the organism, because it triggers a cascade of regulatory reactions at the local, regional and global levels, and these reactions have a cumulative and prolonged effect.The goal of research — to substantiate the possibility of osteopathic correction using in conjunction with radon baths at the sanatorium-resort stage of rehabilitation in patients suffering from dorsopathy.Materials and methods. The study involved women aged 25 to 60 years, with a diagnosis of dorsopathy, taking radon therapy. Using the method of simple randomization with a random number generator, the main group (30 people who received radon therapy and osteopathic correction, OC), and the control group (30 people who received only radon therapy) were allocated. At the beginning and the end of treatment the osteopathic status examination of each patient was conducted in parallel with the study of their reactive anxiety level, assessed according to the Spielberger–Hanin scale, the body′s resistance to hypoxia, assessed in the Stange test by the length of breath-holding after inspiration, and the adaptive capacity of the circulatory system, assessed by Coefficient of adaptation L. Kh. Garkavi. The results were processed using nonparametric statistics.Results. It was found that if OC was included in radon balneotherapy, the state of patients suffering from dorsopathy improves statistically significantly (p<0,0001) by the following indicators: the total number of somatic dysfunctions in patients and the number of regional dysfunctions decreased, the level of reactive anxiety decreased, the body′s resistance to hypoxia increased, the adaptive potential of the circulatory system increased. The changes of all indicators in the main group receiving OC in addition to radon therapy were significantly more pronounced than in the control group receiving only radon therapy (p≤0,0001).Conclusion. The results obtained during this study allow recommending the use of osteopathic correction to enhance the effect of the sanatorium-resort treatment.

Possibilities of osteopathic correction in complex therapy of temporomandibular joint dysfunction

Introduction. Dysfunction of the temporo-mandibular joint is a frequent, complex, multifactorial disease that is traditionally treated by orthodontic methods, but not always with a positive result.Goal of research — to assess the effect of osteopathic treatment combined with orthodontic treatment on the temporo-mandibular joint dysfunction and osteopathic status of patients with TMJ disfunction.Materials and methods. The study included 40 patients with the temporo- mandibular joint dysfunction receiving orthodontic treatment (hard and soft splints, brace system, exercises). All patients were women without severe somatic pathology divided into 2 groups: treatment group and control group. The mean (±SD) age of participants was 27,5±5,3 and 29,2±5,7 years, respectively. In both groups, osteopathic, orthodontic status have been evaluated, patients completed a questionnaire on the status of the temporo-mandibular joint. In the main group, the described orthodontic methods of treatment were supplemented by osteopathic correction.Results. The study showed a decrease in the number of somatic dysfunctions, objective symptoms and subjective sensations arising from dysfunction of the temporo-mandibular joint. The analysis showed a greater effi cacy of combined osteopathic and orthodontic treatment in comparison with exclusively orthodontic treatment.Conclusion. The obtained results provide possibility of further research of the effectiveness of osteopathic correction in combination with orthodontic treatment of the temporomandibular joint dysfunction.

Possibilities of osteopathic correction of post-stroke periarthropathy of shoulder joint

Introduction. Strokes of various etiologies are the leading cause of disability in adults. Post-stroke periarthropathy of the shoulder joint is a frequent complication of this disease. Thus, it is relevant to study the possibility of use of osteopathic correction, as a method allowing to reduce the amount of medications in treatment and rehabilitation of patients with this disease.Goal of research - to study the possibility of use of osteopathic treatment in complex rehabilitation therapy of patients with post-stroke periarthropathy.Materials and methods. 22 patients with post-stroke periarthropathy of the shoulder joint were divided into 2 groups. The first group received medications, physiotherapy and exercise therapy. The second group received osteopathic treatment together with the same set of procedures. In the course of treatment the osteopathic status and the intensity of pain syndrome according to the VAS were assessed. The intensity of the pain syndrome was evaluated immediately after the treatment and after 6 months.Results. As a result of osteopathic treatment some regional and local somatic dysfunctions disappeared, or their intensity decreased. Reduction in intensity of pain in patients who received osteopathic treatment was recorded up to six months after the treatment, whereas the control group showed good reduction in pain immediately after medical and physiotherapeutic treatment. Conclusion. There are grounds to use osteopathic treatment in a complex rehabilitation therapy of patients with post-stroke periarthropathy

Osteochondrosis of Cervical Spine in Different Age Groups: Clinical Characteristics and Possibilities of Osteopathic Correction

Goal of research - the study aims to identify the severity of pain syndrome and changes in the range of head motions in patients with cervical dorsopathy in different age groups and to develop recommendations for osteopathic correction of this pathology.Materials and methods. The study examined 90 patients with pain syndrome associated with osteochondrosis of the cervical spine. The patients were divided into three groups: the 1st group - young patients aged 18-44 years, the 2nd group - middle-aged patients aged 45-59 years, the 3rd group - elderly patients aged 60-89 years. Each group consisted of an experimental and control subgroup of 15 people each. The clinical characteristics included an assessment of the pain syndrome intensity using a visual analog scale and a goniometer assessment of the changes in the range of the head motions. The measurements were carried out in rotation, in the sagittal and frontal planes.Results. After a course of therapy, the intensity of pain syndrome in patients of control groups decreased 2.8 times, and decreased 20 times in patients of experimental group. The osteopathic correction was most effective in patients of young and middle ages. The patients of all groups experienced an increase in the range of head motions in sagittal and frontal planes, in younger patients the change was more prominant. The range of motions in rotation also increased, but in older patients of the experimental group it was greater than in the control group of the same age group.Conclusion. It is established that osteopathic correction in combination with medication contributes to a more pronounced decrease in the intensity of pain syndrome and to an increase in the range of head motions in the sagittal, frontal planes and in rotation. The effectiveness of osteopathic correction is higher in patients of young and middle ages. It is suggested using osteopathic correction in addition to medication therapy and physiotherapy when treating patients with dorsopathy of the cervical region.

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.