Osteopathy and Emergency: A Model of Osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Brief and Useful Guide—Part 2

Collebrusco, Luca; Fabri, Simone; Furfaro, Antonio; Tanini, Ilaria; Lombardini, Rita; Rizza, Andrea; Zavarella, Paolo

doi:10.4236/health.2018.1011120

Cited by 2 publications

(6 citation statements)

References 9 publications

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“…Both are underlined by mechanisms that are poorly understood [30,68] and associated with various biological, psychological, and social factors [69,70]. However, of particular interest is that both MSDs [71,72] and OMT [73][74][75][76] are reputed to be associated with changes in muscle tone. On the one hand, alterations in lumbar myofascial tone and stiffness seem to contribute to the development of LBP [77] and may be linked to underlying pathologies and symptoms [71,72].…”

Section: ; (2) Muscle Energy Technique (Met): (21) Definitionmentioning

confidence: 99%

“…Lastly, it is unclear if OMT could also have the opposite effect. In detail, it has previously been assumed that OMT restores normal muscle tone where it is altered [73][74][75][76], meaning that high muscle tone decreases, and low muscle tone increases, when OMT is applied [83]. Therefore, it might be useful to assess the effect of OMT on conditions associated with both hypertonia and hypotonia.…”

Section: Future Directionsmentioning

confidence: 99%

“…On the one hand, alterations in lumbar myofascial tone and stiffness seem to contribute to the development of LBP [77] and may be linked to underlying pathologies and symptoms [71, 72]. On the other hand, manual osteopathic treatment is assumed to alter muscle tone and stiffness [73–76], for example, of paraspinal muscles in patients with LBP [71]. Therefore, we hypothesise that a putative mechanism of action underpinning the treatment of MSDs with OMT might be the modulation of muscle tone.…”

Section: Introductionmentioning

confidence: 99%

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Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Preprint

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Background: Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. Methods: A 3x3 factorial randomised trial was performed to investigate the immediate-term effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. Primarily, we assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (main effect) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (interaction effect) using the MyotonPRO (at rest). Data were analysed using descriptive (mean, standard deviation, quantiles, and simple effect) and inductive statistics (Bayesian ANOVA). Results: 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n=20; n=20; n=19 and n=17, respectively). The CS produced frequent measurement errors and was excluded from analysis. The main effect changed significantly for F (-0.163 [0.060]; p=0.008), S (-3.060 [1.563]; p=0.048), R (0.594 [0.141]; p<0.001), and C (0.038 [0.017]; p=0.028) but not for D (0.011 [0.017]; p=0.527). The interaction effect did not change significantly (p>0.05). No adverse events were reported. Conclusion: OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable) at immediate term. However, the effect on HRMT was not modulated by muscle-technique interaction.

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Section: ; (2) Muscle Energy Technique (Met): (21) Definitionmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Both are underpinned by poorly understood mechanisms 30 , 31 and are associated with various biological, psychological, and social factors 32 , 33 . Another commonality is that MSDs 34 , 35 and OMT 36 – 39 are reputed to be associated with changes in muscle tone. On the one hand, alterations in lumbar myofascial tone and stiffness seem to contribute to the development and symptoms of LBP 34 , 35 , 40 .…”

Section: Introductionmentioning

confidence: 99%

“…On the one hand, alterations in lumbar myofascial tone and stiffness seem to contribute to the development and symptoms of LBP 34 , 35 , 40 . On the other hand, OMT may alter muscle tone and stiffness in patients with MSDs 36 – 39 . Hence, we hypothesise that a putative mechanism of action underpinning the treatment of MSDs with OMT might be the modulation of muscle tone.…”

Section: Introductionmentioning

confidence: 99%

Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Sci Rep

View full text Add to dashboard Cite

Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. A 3 × 3 factorial randomised trial was performed to investigate the effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. We assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (primary objective) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (secondary objective) using the MyotonPRO (at rest). Ancillary, we investigate if these putative effects may differ between the sexes. Data were analysed using descriptive (mean, standard deviation, and quantiles) and inductive statistics (Bayesian ANOVA). 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n = 20; n = 20; n = 19–2). The CS produced frequent measurement errors and was excluded from analysis. OMT significantly changed F (−0.163 [0.060]; p = 0.008), S (−3.060 [1.563]; p = 0.048), R (0.594 [0.141]; p < 0.001), and C (0.038 [0.017]; p = 0.028) but not D (0.011 [0.017]; p = 0.527). The effect was not significantly modulated by muscle-technique pairings (p > 0.05). Subgroup analysis revealed a significant sex-specific difference for F from baseline to follow-up. No adverse events were reported. OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable). However, the effect on HRMT was not modulated by muscle–technique interaction and showed sex-specific differences only for F.Trial registration German Clinical Trial Register (DRKS00020393).

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Osteopathy and Emergency: A Model of Osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Brief and Useful Guide—Part 2

Abstract: This work aims to describe a well standardized therapeutic path in reference to the article "Osteopathy and Emergency: A Model of Osteopathic Treatment Aimed at Managing the Post-Traumatic Stress-Part 1 in the form of a practical guide for manual therapist,

Cited by 2 publications

References 9 publications

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial

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