Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis

Franke, Helge; Franke, Jan-David; Belz, Sebastian; Fryer, Gary

doi:10.1016/j.jbmt.2017.05.014

Cited by 63 publications

(41 citation statements)

References 37 publications

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“…Another meta-analysis found that even during and after pregnancy, osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy gave clinically relevant benefits [ 37 ]. A meta-analysis of randomized controlled trials (RCTs) published in 2018 showed that exercise decreased the risk of low back pain in pregnancy by 9% [pooled risk ratio (RR) = 0.91; 95% CI 0.83–0.99; I 2 = 0%, seven trials; n = 1175] [ 38 ].…”

Section: Pregnancymentioning

confidence: 99%

Physical Therapy Approaches in the Treatment of Low Back Pain

Shipton

2018

Pain Ther

118

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Globally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse. There is no evidence available to show that one type of exercise is superior to another, and participation can be in a group or in an individual exercise program. Active strategies such as exercise are related to decreased disability. Passive methods (rest, medications) are associated with worsening disability, and are not recommended. The Danish, United States of America, and the United Kingdom Guidelines recommend the use of exercise on its own, or in combination with other non-pharmacological therapies. These include tai chi, yoga, massage, and spinal manipulation. Public health programs should educate the public on the prevention of low back pain. In chronic low back pain, the physical therapy exercise approach remains a first-line treatment, and should routinely be used.

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Section: Pregnancymentioning

confidence: 99%

Physical Therapy Approaches in the Treatment of Low Back Pain

Shipton

2018

Pain Ther

118

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“…Osteopathy is a complementary touch-based manual medicine primarily used by different age groups of patients ( Licciardone et al, 2013 ; Cerritelli et al, 2014 , 2015b ; Pizzolorusso et al, 2014 ; Luciani et al, 2015 , 2018 ; Schwerla et al, 2015 ; Steel et al, 2017 ) and in a wide variety of clinical conditions ( Cerritelli et al, 2011 , 2015a , 2016a , 2017b ; Cicchitti et al, 2015 ; Ruffini et al, 2016 ; Franke et al, 2017 ; Lanaro et al, 2017 ). Several studies showed positive clinical effects as compared to sham, placebo, usual care or physical devices ( Pizzolorusso et al, 2011 ; Cerritelli et al, 2013 , 2015a , 2016b ; Martelli et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Does Osteopathic Manipulative Treatment Induce Autonomic Changes in Healthy Participants? A Thermal Imaging Study

Cerritelli¹,

Cardone

Pirino

et al. 2020

Front. Neurosci.

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Osteopathic manipulative treatment (OMT) has been demonstrated to be an effective therapy in several clinical conditions and age groups. Despite the clinical effectiveness, lack of robust data in terms of neurobiological, specifically autonomic, mechanisms of action is observed. Preliminary studies showed a parasympathetic effect leading to a trophotropic effect of OMT. However, these data are limited to heart rate variability (HRV) analysis. In order to study further the role of OMT on the autonomic nervous system, a cross-over randomized controlled trial RCT has been designed to test the effect of osteopathic treatment compared to sham therapy on a range of autonomic parameters. Thermal images, HRV and skin conductance data were collected on a sample of healthy adults. The study design consisted of two sessions (OMT and SHAM), 1 treatment per week, lasting 35 min each, composed of 5 min of baseline, 25 min of treatment, and 5 min of post-touch. During the baseline and the post-treatment, participants received no touch. Thirty-seven participants (aged 27 ± 5 years old, male ratio 40%) completed the study. Multivariate analysis showed a significant parasympathetic effect of group as well as of epoch on thermographic data of the nose (estimate 0.38; 95% CI 0.12-0.63; p < 0.01), left (0.17; 0.06-0.27; <0.001) and right (0.16; 0.07-0.24; <0.001) perioral as well as on the forehead (0.07; 0.01-0.12; <0.01) regions but not for the chin (0.08; −0.02 to 0.18; 0.13). Consistent with a parasympathetic effect, analyses demonstrated a difference between OMT and sham groups on the nuHF (p < 0.001) and DFA-a1 (p < 0.01) as well as on skin conductance (<0.01). The present research supports the hypothesis that a single session of OMT as compared to sham induces autonomic consequences in healthy non-symptomatic adults. Clinicaltrial.gov identifier: NCT03888456, https://clinicaltrials.gov/ct2/show/NCT03888456.

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“…Diversos autores investigaram em seus estudos o efeito de hipoalgesia pela manipulação visceral sobre os tecidos osteomioarticulares, sendo constatado uma melhoria de tais parâmetros sobre o nível metamérico correspondente a estrutura em que foi encontrada maior tensão fáscial ou disfunção. Tais conclusões fundamentaram parâmetros para a realização de novos estudos como este apresentado [24][25][26][27][28][29][30].…”

Section: Discussionunclassified

Variação da resposta sintomática dolorosa na coluna lombar pela manipulação visceral

Bentes

2021

Fisioter Bras

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Introdução: A manipulação visceral é atualmente um tratamento usado amplamente pelos osteopatas no mundo, contudo, sua base de mecanismos ainda é pouco esclarecida, havendo certa escassez de pesquisas publicadas sobre tais intervenções. O conceito para o tratamento se baseia na ação sobre aderências fáscias que supostamente afetam a hemodinâmica visceral, desregulação autonômica, fatores psicossomáticos e ptose visceral, repercutindo de maneira direta no bom funcionamento das demais estruturas do corpo. Objetivo: O estudo tem como objetivo mensurar as variações imediatas da resposta sintomática dolorosa por pressão na coluna lombar pela manipulação visceral. Métodos: Trata-se de um estudo experimental, com abordagem longitudinal e caráter quantitativo. Constituído por amostra de doze indivíduos divididos em G1 (uso de manipulação visceral), G2 (uso de placebo) e uso do algômetro de pressão nos músculos paravertebrais corresponde ao nível topográfico da quinta vértebra lombar. Para análise estatística dos dados obtidos, foi aplicado o teste t de Student para amostras pareadas no software Bioestat. Além disso, o nível de rejeição da hipótese de nulidade foi estabelecido em 0,05 ou 5%. Resultados: Obteve-se relevância em um ponto de vista estatístico na análise do grupo submetido a manipulação visceral. Quando comparado a outras evidências recentes, os resultados obtidos pelo estudo revelam dados condizentes. Conclusão: Os resultados deste estudo fornecem informações confiáveis que vão nortear a futura utilização da manipulação visceral na dor lombar crônica, mostrando bom prognóstico em curto prazo.

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Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis

Abstract: This review suggests OMT produces clinically relevant benefits for pregnant or postpartum women with LBP. Further research may change estimates of effect, and larger, high-quality randomized controlled trials with robust comparison groups are recommended.

Cited by 63 publications

References 37 publications

Physical Therapy Approaches in the Treatment of Low Back Pain

Physical Therapy Approaches in the Treatment of Low Back Pain

Does Osteopathic Manipulative Treatment Induce Autonomic Changes in Healthy Participants? A Thermal Imaging Study

Variação da resposta sintomática dolorosa na coluna lombar pela manipulação visceral

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