Osteopathic Manipulation Treatment on postural balance: a systematic review.

Veloso, Carolina Fantinel; Silveira, Aron Ferreira da; Garcia, Michele Vargas; Romeiro, Caio Alexandre Parra

doi:10.17784/mtprehabjournal.2016.14.352

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Apesar de haver poucos estudos na literatura que investigaram os efeitos da técnica de PNS no equilíbrio de idosos, um estudo piloto mostrou uma significativa redução do deslocamento ântero-posterior de indivíduos idosos submetidos a quatro semanas de tratamento com manipulação osteopática, corroborando com nossos achados 17 . Entre outras evidências na literatura, existem crescentes estudos sobre diversos tratamentos utilizando as manipulações osteopáticas nos diferentes distúrbios de equilíbrio, demostrando que tais intervenções são efetivas na melhora do equilíbrio em diferentes populações 18 .…”

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A Influência Da Técnica De Posturoterapia Neurossensorial No Equilíbrio Do Idoso

et al. 2020

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The aim of the present study was to evaluate the effectiveness of manual technique of NeuroSensory Posturotherapy (PNS) applied indirectly to vestibulocochlear nerve in the balance regulation of elderly. Across-sectional study, including 53 elderly, with average age 73.5±7.0 years old, evaluated preand postthe application of the PNS on the Cyber-Sabots stabilometric platform, withopened eyes (OE) and closed eyes (CE).For the analysis of the variables obtained pre and posttechniquewith OE and CE,the Wilcoxon test was used. The results showed that after applying the PNS with OE and also CE there was a decrease ofposterior-anterior displacement (p<0.0001) and energy cost in the elderly (OE: p=0.004 and CE: p=0.020). It was concluded that there was a significant improvement in the static body balance of the elderly after applying the PNS, as OEas CE.

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A Influência Da Técnica De Posturoterapia Neurossensorial No Equilíbrio Do Idoso

et al. 2020

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Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: systematic review and meta-analysis

Rehman

Kirsch

Wang

et al. 2022

Journal of Osteopathic Medicine

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Context Osteopathic manipulative treatment (OMT) has been utilized by osteopathic clinicians as primary or adjunctive management for dizziness caused by neuro-otologic disorders. To our knowledge, no current systematic reviews provide pooled estimates that evaluate the impact of OMT on dizziness. Objectives We aimed to systematically evaluate the effectiveness and safety of OMT and analogous techniques in the treatment of dizziness. Methods We performed a literature search in CINAHL, Embase, MEDLINE, Allied and Complementary Medicine Database (AMED), EMCare, Physiotherapy Evidence Database (PEDro), PubMed, PsycINFO, Osteopathic Medicine Digital Library (OSTMED.DR), and Cochrane Central Register of Controlled Trials (CENTRAL) from inception to March 2021 for randomized controlled trials (RCTs) and prospective or retrospective observational studies of adult patients experiencing dizziness from neuro-otological disorders. Eligible studies compared the effectiveness of OMT or OMT analogous techniques with a comparator intervention, such as a sham manipulation, a different manual technique, standard of care, or a nonpharmacological intervention like exercise or behavioral therapy. Assessed outcomes included disability associated with dizziness, dizziness severity, dizziness frequency, risk of fall, improvement in quality of life (QOL), and return to work (RTW). Assessed harm outcomes included all-cause dropout (ACD) rates, dropouts due to inefficacy, and adverse events. The meta-analysis was based on the similarities between the OMT or OMT analogous technique and the comparator interventions. The risk of bias (ROB) was assessed utilizing a modified version of the Cochrane Risk of Bias Tool for RCTs and the Cochrane Risk of Bias in Non-randomized Studies – of Interventions (ROBINS-I) for observational studies. The quality of evidence was determined utilizing the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. Results There were 3,375 studies identified and screened, and the full text of 47 of them were reviewed. Among those, 12 (11 RCTs, 1 observational study, n=367 participants) met the inclusion criteria for data extraction. Moderate-quality evidence showed that articular OMT techniques were associated with decreases (all p<0.01) in disability associated with dizziness (n=141, mean difference [MD]=−11, 95% confidence interval [CI]=−16.2 to −5.9), dizziness severity (n=158, MD=−1.6, 95% CI=−2.4 to −0.7), and dizziness frequency (n=136, MD=−0.6, 95% CI=−1.1 to −0.2). Low-quality evidence showed that articular OMT was not associated with ACD rates (odds ratio [OR]=2.2, 95% CI=0.5 to 10.2, p=0.31). When data were pooled for any type of OMT technique, findings were similar; however, disability associated with dizziness and ACD rates had high heterogeneity (I2=59 and 46%). No studies met all of the criteria for ROB. Conclusions The current review found moderate-quality evidence that treatment with articular OMT techniques was significantly associated with decreased disability associated with dizziness, dizziness severity, and dizziness frequency. However, our findings should be interpreted cautiously because of the high ROB and small sample sizes in the eligible studies.

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The Effect of Cervical Manipulation Treatment in Benign Paroxysmal Positional Vertigo Patients With Neck Pain

Kültür

Şimşek

Ağir

2020

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Objective: Recurrence is common in the treatment of Benign Paroxysmal Positional Vertigo (BPPV) with an Epley maneuver. Methods such as manipulation are also effective in treatment. The study was aimed to determine the effect of cervical manipulation added to the Epley maneuver in treatment of patients with BPPV who has cervical lordosis and neck pain. Material and Methods: Patients diagnosed with BPPV who has flattened cervical lordosis with at least level 6 neck pain in VAS and over 18 years of age were included in the study. Patients were stratified into two groups according to age and gender. In the first and control examination one month later, cervical manipulation was performed in addition to Epley maneuver to the first group (combined therapy), and only Epley maneuver to the second group. Patients were examined with video-headimpulse test (VHIT), the severity of neck pain determined with VAS and symptoms were questioned with the vertigo symptom scale (VSS) prior and after treatment. Results: There was no difference between the groups in terms of VAS-pain, VSS and VHIT parameters before treatment (p˃ 0.05). While there was no difference in vestibulo-ocular reflex (VOR) gains between the study groups (p˃ 0.05), there was a significant difference in terms of VSS and VAS-pain (p = 0.01), after treatment. When compared by pathological VHIT findings, there was a significant difference in terms of improvement in favor of the combined treatment group after treatment (p = 0.02). At intragroup comparisons, VSS, VAS-pain, values were significantly decreased after treatment in both groups (p=0.01). While intragroup pathologic VHİT findings were considered before and after treatment, there was no significant difference in improvement after treatment in the Epley group (p˃0.05). Contrarily difference was significant in the combined treatment group (p=0.01). Conclusion: Epley and manipulation therapy are more successful when applied together.

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Osteopathic Manipulation Treatment on postural balance: a systematic review.

Cited by 4 publications

References 16 publications

A Influência Da Técnica De Posturoterapia Neurossensorial No Equilíbrio Do Idoso

A Influência Da Técnica De Posturoterapia Neurossensorial No Equilíbrio Do Idoso

Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: systematic review and meta-analysis

The Effect of Cervical Manipulation Treatment in Benign Paroxysmal Positional Vertigo Patients With Neck Pain

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