Effects of Comprehensive Osteopathic Manipulative Treatment on Balance in Elderly Patients: A Pilot Study

Abstract

The OMT protocol used in the present study improved the postural stability of healthy elderly patients, as measured by changes in sway values. (ClinicalTrials.gov number NCT01153412).

Osteopathic Manipulation Treatment on postural balance: a systematic review.

“…Regarding the type of OM, one study exclusively used cranial osteopathy (19) making use of the following operations: the fourth maneuver ventricle "CV4", "V-spread" frontal and parietal, atlanto-occipital decompression, myofascial techniques for cervical spine and venous circulatory techniques.…”

“…Nevertheless, the study showed satisfactory results from a voluntary sample and followed the eligibility criteria. (26) Regarding the quality of the pilot studies, one (19) recruited patients voluntarily but not randomized them, distributing the first 20 enrolled in the OM group and others in the control group, in which, although it participated of the assessment inter-group, it received no intervention. The other study (9) was also not randomized, and there was no control group, when the subjects were assessed before and after intervention with OM.…”

“…(22,23) This technique is commonly used to investigate changes in foot stability after the application of any therapeutic procedure. (24) The force platform was the assessment method in two articles (19,25) in which one of them was French and the other American. The force platform measures the oscillations through the foot pressure center (FPC) and also notifies the anteroposterior, mid-lateral imbalances, forming a type of equilateral triangle.…”

“…Lopez et al (19) Seven osteopathy techniques were performed during 4 weeks. Patients were evaluated on a force platform.…”

Avaliação do controle postural unipodal após uma manobra de manipulação cervical

“…Vários autores têm proposto intervenções baseadas em terapia manual para o tratamento de tontura e desequilíbrio associados a sintomas na região cervical (BRANDT; BRONSTEIN, 2001;GALM et al, 1998;KARLBERG et al, 1996;ZHOU et al, 1999), sugerindo que manobras de manipulação da coluna vertebral podem ser benéficas para o tratamento da tontura e vertigem de origem cervical (FRAIX, 2010;GALM et al, 1998;HAWK et al, 2007;HEIKKILA et al, 2000;LOPEZ et al, 2011;LYSTAD et al, 2011). No entanto, duas recentes revisões sistemáticas da literatura concluem que ainda são limitadas as evidências que suportam o uso de terapia manual, em especial mobilização e manipulação vertebral, para o tratamento de tontura/vertigem de origem cervical (LYSTAD et al, 2011;REID;RIVETT, 2005).…”