Osteopathic Manipulative Treatment Improves Heart Surgery Outcomes: A Randomized Controlled Trial

Racca, Vittorio; Bordoni, Bruno; Castiglioni, Paolo; Modica, Maddalena; Ferratini, Maurizio

doi:10.1016/j.athoracsur.2016.09.110

Cited by 43 publications

(59 citation statements)

References 17 publications

(16 reference statements)

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“…In our department, we do not perform AMLPM on patients with COPD. Instead, we recommend approaches which are gentle and of osteopathic derivation, osteopathic manipulative treatment (OMT), which have already been clinically tested for pain reduction, are without side effects, and achieve precocious clinical stability [48][49]. The goal is to improve the flow of the lymph and thus provide space to the tissues; our aim is not to increase the number of lymphocytes.…”

Section: Amlpm and Copd: Can We Do Better?mentioning

confidence: 99%

“…The technique ends when the movements perceived by the operator are expressed in a harmonious way. Generally, the duration of the procedure is only 15 minutes [48][49]. We do not yet know if this procedure affects deep lymphatic drainage, but by reducing musculoskeletal tension, it is increasingly possible that the patient can breathe with greater ease.…”

Section: Amlpm and Copd: Can We Do Better?mentioning

confidence: 99%

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Lymphatic Pump Manipulation in Patients with Chronic Obstructive Pulmonary Disease

Bordoni

2019

Cureus

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Patients with chronic obstructive pulmonary disease (COPD) show a persistent local and systemic inflammatory pattern which stimulates negative remodeling of the airways. Globally, chronic respiratory disease is the third leading cause of death. One of the rehabilitative strategies used to improve the symptoms of COPD patients is the use of lymphatic pump manipulation; this procedure aims to reduce the concentration of pro-inflammatory substances. However, research results relating to this technique are contradictory. This article reviews the mechanisms that determine lymphatic flow, lymphatic lung anatomy, and the lymphatic response to respiratory pathology. Also highlighted is the manual approach to the mediastinum which can be used to improve the lymphatic and inflammatory response in COPD. Finally, new manual strategies have been discussed with which lymphatic flow in patients with COPD can be improved.

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Section: Amlpm and Copd: Can We Do Better?mentioning

confidence: 99%

Section: Amlpm and Copd: Can We Do Better?mentioning

confidence: 99%

Lymphatic Pump Manipulation in Patients with Chronic Obstructive Pulmonary Disease

Bordoni

2019

Cureus

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“…In a change from our previous practice,12 given the lack of a recent sternum wound, the OMT was performed with the patient in a seated position and not supine in bed.…”

Section: Osteopathic Treatmentmentioning

confidence: 99%

Post-sternotomy pain syndrome following cardiac surgery: case report

Bordoni¹,

Marelli²,

Bruno³

et al. 2017

JPR

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Over 2 million people undergo sternotomy worldwide for heart surgery each year, and many develop post-sternotomy pain syndrome (PSPS) which persists in the anterior thorax. In some patients, PSPS lasts for many years or suddenly reappears a long time after the sternotomy. The exact etiology of PSPS is unknown. This article presents a case report of a patient with a diagnosis of PSPS (after cardiac surgery 4 years prior) for whom an osteopathic approach was used, which successfully eliminated the pain. In a previous study, we demonstrated that this osteopathic procedure could reduce sternal pain associated with a recent surgical wound. Further efforts are needed to understand the reasons for PSPS. In light of new scientific data, these osteopathic techniques could contribute to a multidisciplinary approach to solve the problem.

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“…Other diaphragms are not considered, such as the sole of the foot or the posterior area of the knee or other body portions reminiscent of a diaphragm, because the five diaphragms are vital for survival; without the limbs, a person can live but, without the five diaphragms, a person risks death. Not surprisingly, working with this orientation can make a difference in the patient's clinical picture [5][6][7][8][9]. The article reviews the anatomy of the anterolateral myofascial relationships of the five diaphragms, continuing and concluding the path of the first part of the previous article.…”

Section: Introductionmentioning

confidence: 99%

Osteopathic Manipulative Treatment Improves Heart Surgery Outcomes: A Randomized Controlled Trial

Abstract: The combination of standard care with OMT is effective in inducing pain relief and functional recovery, and significantly improves the management of patients after heart surgery with sternotomy.

Cited by 43 publications

References 17 publications

Lymphatic Pump Manipulation in Patients with Chronic Obstructive Pulmonary Disease

Lymphatic Pump Manipulation in Patients with Chronic Obstructive Pulmonary Disease

Post-sternotomy pain syndrome following cardiac surgery: case report

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 2

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