The immediate effects of sigmoid colon manipulation on pressure pain thresholds in the lumbar spine

McSweeney, Terence; Thomson, Oliver P.; Johnston, Ross

doi:10.1016/j.jbmt.2012.02.004

Cited by 42 publications

(33 citation statements)

References 60 publications

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“…This study demonstrated that performing a commonly used Osteopathic technique, 'Diaphragm Release', can produce a statistically significant hypoalgesic effect specifically in the right (F(2,48) = 3.67, p= 0.034) and left (F(2,48) = 4.120, p= 0.048) cervical spine when compared to no treatment. Although MT techniques have demonstrated segmentally specific hypoalgesic effects (McSweeney et al 2012;Paungmali & O'Leary 2003;Vicenzino et al 2001;Wright 1995), this is the first sham-controlled study to demonstrate and quantify the magnitude of a hypoalgesic effect on mean pain pressure thresholds in the cervical spine immediately following an Osteopathic technique. Effect size should be reported in addition to probability values as in research 'statistical significance is not sufficiently useful to be invoked as the sole criterion for evaluating the noteworthiness…' (Thompson 2002 p. 66).…”

Section: Discussionmentioning

confidence: 93%

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Preliminary evidence of Regional Interdependent Inhibition, using a ‘Diaphragm Release’ to specifically induce an immediate hypoalgesic effect in the cervical spine

McCoss

Johnston

Edwards

et al. 2017

Journal of Bodywork and Movement Therapies

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In clinical practice, Osteopaths and Manual Therapists commonly direct treatment towards the diaphragm by the use of a 'Diaphragm Release'. Currently, there is paucity within the literature to support the use of this technique, specifically in pain outcomes. This research aims to support a neurophysiological mechanism based upon the osteopathic principle "The body is a unit". Demonstrating that directing treatment to distal tissue which is neurologically related can reduce pain in the originating spinal segments. This study investigated the immediate hypoalgesic effects of a 'Diaphragm Release' on pain pressure thresholds in the cervical spine. A single-blind, randomised, sham-controlled, repeated measures within subject, crossover design was conducted on 17 asymptomatic subjects. Pain pressure thresholds were measured bilaterally in the C4 paraspinal musculature, lateral end of the clavicle and upper third of the tibialis anterior before and after a 'Diaphragm Release'. Results demonstrated a statistically significant hypoalgesic effect was only found in the spinal segment C4 in both the right (p = 0.016) and left (p = 0.004) sides. Averaging the hypoalgesic effect from both sides equates to a 17.17% change which is considered clinically significant, the effect magnitude was calculated to be small but educationally significant for the right (d = 0.26) and left (d = 0.40) sides. This study supports a novel neurophysiological mechanism, Regional Interdependent Inhibition, to induce a hypoalgesic state at segmentally related spinal segments, specifically C4. Suggesting that directing treatment towards the diaphragm, using a 'Diaphragm Release', could induce an immediate clinically and statistically significant hypoalgesic effect local to the fourth cervical segment due to its relationship with the phrenic nerve.

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Section: Discussionmentioning

confidence: 93%

“…One study that utilises a similar mechanism was conducted by McSweeney et al (2012). This study found a statistically significant hypoalgesic effect specific to the L1 spinal segment after visceral mobilisation of the sigmoid colon.…”

Section: Introductionmentioning

confidence: 95%

Preliminary evidence of Regional Interdependent Inhibition, using a ‘Diaphragm Release’ to specifically induce an immediate hypoalgesic effect in the cervical spine

McCoss

Johnston

Edwards

et al. 2017

Journal of Bodywork and Movement Therapies

Self Cite

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“…An abdominal scar may draw the inferior mesenteric plexus, bringing about symptoms related to the sympathetic nervous system and to the correlated visceral and somatic spheres (T11–L2), as studies on cadavers have already proven 109. Therefore, visceral adhesions can affect the sympathetic nervous system, with varied symptomatology such as vertebral stiffness corresponding to the metameric innervation 110. The spinal trigeminal nucleus receives visceral information via the vagus nerve (and the glossopharyngeal nerve).…”

Section: Symptoms and Clinical Scenarios: Abdominal Surgerymentioning

confidence: 99%

Skin, fascias, and scars: symptoms and systemic connections

Bordoni

Zanier²

2013

JMDH

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Every element or cell in the human body produces substances that communicate and respond in an autocrine or paracrine mode, consequently affecting organs and structures that are seemingly far from each other. The same also applies to the skin. In fact, when the integrity of the skin has been altered, or when its healing process is disturbed, it becomes a source of symptoms that are not merely cutaneous. The skin is an organ, and similar to any other structure, it has different functions in addition to connections with the central and peripheral nervous system. This article examines pathological responses produced by scars, analyzing definitions and differences. At the same time, it considers the subcutaneous fascias, as this connective structure is altered when there is a discontinuous cutaneous surface. The consequence is an ample symptomatology, which is not limited to the body area where the scar is located, such as a postural or trigeminal disorder.

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“…Visceral mesoderm falls within the definition of fascia. There are several articles in literature that explain how the OMT fascial can improve the function of the organ, the symptoms, the quality of life in case of chronic visceral disorders, using manual indirect techniques on the organ (through pressure on the different tissue layers to influence the bowel): in some cases there is a reduction in drug dosage for pain and the reduction of pain in somatic areas (viscerosomatic reflexes) [38][39][40][41][42][43][44][45]. Further research is needed to provide evidence of the effectiveness of the visceral approach [46].…”

Section: The Manual Osteopathic Approach To Visceramentioning

confidence: 99%

The Other Side of the Fascia: Visceral Fascia, Part 2

Bordoni

Simonelli

Bruno³

2019

Cureus

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In osteopathic clinical practice and in the teaching of osteopathic medicine, the visceral manipulation approach is included. The knowledge that some viscera satisfy the definition of fascial tissue will allow the osteopath to improve its practice. In the second part of the article, we will give a conclusive definition of fascia, and we will explain the embryological development of the heart and how the fascial tissue can be subject to manual treatment. This text is the first in the international scientific field that discusses the inclusion of some viscera in the context of what is considered fascia, through our committee for the definition and nomenclature of the fascial tissue of the Foundation of Osteopathic Research and Clinical Endorsement (FORCE).

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The immediate effects of sigmoid colon manipulation on pressure pain thresholds in the lumbar spine

Cited by 42 publications

References 60 publications

Preliminary evidence of Regional Interdependent Inhibition, using a ‘Diaphragm Release’ to specifically induce an immediate hypoalgesic effect in the cervical spine

Preliminary evidence of Regional Interdependent Inhibition, using a ‘Diaphragm Release’ to specifically induce an immediate hypoalgesic effect in the cervical spine

Skin, fascias, and scars: symptoms and systemic connections

The Other Side of the Fascia: Visceral Fascia, Part 2

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