Pub Date : 2024-03-27DOI: 10.32885/2220-0975-2024-1-31-44
E. V. Kiryanova, A. A. Gurichev
Introduction. One of the current tasks of healthcare is the preservation of vision in children, prevention of blindness and visual impairment. In Russia, more than 1 million children suffer from visual impairments: myopia, hypermetropia, astigmatism, amblyopia. It is especially important to identify refractive errors and their complex correction in primary school children, since actual school loads are comparable in intensity to the visual loads of adults engaged in visually strenuous work. Osteopathic correction has proven itself well in the complex therapy of accommodative asthenopia of adult patients with visually strenuous work. However, the effectiveness of osteopathic correction in the complex treatment of accommodative asthenopia in children has not been sufficiently studied.The aim of the study was to evaluate the effectiveness of osteopathic correction in the complex therapy of children with astigmatism.Materials and methods. The study involved 40 children aged 7 to 11 years with the presence of simple, complex hypermetropic astigmatism, complex myopic astigmatism, mixed astigmatism. Two groups were formed: the control group — 20 children who received standard treatment (constant wearing of corrective glasses, pleopto-orthoptic treatment); the main group — 20 children who additionally received a course of osteopathic correction (3 sessions with an interval of 1 month). In each group, two subgroups were additionally identified: children with hypermetropic astigmatism, HA (16 in the main group and 15 in the control group), and children with myopic astigmatism, MA (4 in the main and 5 in the control group). The number of these subgroups was insufficient to test any statistical data on them hypotheses. In each subgroup, the osteopathic and ophthalmological (visual acuity, astigmatism, fatigue of the visual analyzer) status before and after therapy was evaluated in each group. Descriptive statistics were calculated for all subgroups based on the results of the study. Statistical hypotheses were tested in relation to subgroups of children with HA.Results. At the beginning of the study, 100 % of children with astigmatism had regional somatic dysfunctions of the head. Regional somatic dysfunction of the dura mater was detected in the main group in 69 % of children with HA and in 100 % of children with MA, and in the control group, respectively, in 73 and 100 %. After complex therapy, which included osteopathic correction, children with HA revealed statistically significantly (p<0,05) fewer cases of biomechanical disorders of the head regions and dura mater than children of the corresponding subgroup of the control group. Also, children with HA in the main group had statistically significantly (p<0,05) more pronounced positive dynamics in a number of indicators of ophthalmological status: an increase in visual acuity, a decrease in the magnitude of astigmatism. After complex therapy, children with HA were characterized by significantly (p<0,05) l
{"title":"Osteopathic correction in the complex therapy of children with astigmatism","authors":"E. V. Kiryanova, A. A. Gurichev","doi":"10.32885/2220-0975-2024-1-31-44","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-31-44","url":null,"abstract":"Introduction. One of the current tasks of healthcare is the preservation of vision in children, prevention of blindness and visual impairment. In Russia, more than 1 million children suffer from visual impairments: myopia, hypermetropia, astigmatism, amblyopia. It is especially important to identify refractive errors and their complex correction in primary school children, since actual school loads are comparable in intensity to the visual loads of adults engaged in visually strenuous work. Osteopathic correction has proven itself well in the complex therapy of accommodative asthenopia of adult patients with visually strenuous work. However, the effectiveness of osteopathic correction in the complex treatment of accommodative asthenopia in children has not been sufficiently studied.The aim of the study was to evaluate the effectiveness of osteopathic correction in the complex therapy of children with astigmatism.Materials and methods. The study involved 40 children aged 7 to 11 years with the presence of simple, complex hypermetropic astigmatism, complex myopic astigmatism, mixed astigmatism. Two groups were formed: the control group — 20 children who received standard treatment (constant wearing of corrective glasses, pleopto-orthoptic treatment); the main group — 20 children who additionally received a course of osteopathic correction (3 sessions with an interval of 1 month). In each group, two subgroups were additionally identified: children with hypermetropic astigmatism, HA (16 in the main group and 15 in the control group), and children with myopic astigmatism, MA (4 in the main and 5 in the control group). The number of these subgroups was insufficient to test any statistical data on them hypotheses. In each subgroup, the osteopathic and ophthalmological (visual acuity, astigmatism, fatigue of the visual analyzer) status before and after therapy was evaluated in each group. Descriptive statistics were calculated for all subgroups based on the results of the study. Statistical hypotheses were tested in relation to subgroups of children with HA.Results. At the beginning of the study, 100 % of children with astigmatism had regional somatic dysfunctions of the head. Regional somatic dysfunction of the dura mater was detected in the main group in 69 % of children with HA and in 100 % of children with MA, and in the control group, respectively, in 73 and 100 %. After complex therapy, which included osteopathic correction, children with HA revealed statistically significantly (p<0,05) fewer cases of biomechanical disorders of the head regions and dura mater than children of the corresponding subgroup of the control group. Also, children with HA in the main group had statistically significantly (p<0,05) more pronounced positive dynamics in a number of indicators of ophthalmological status: an increase in visual acuity, a decrease in the magnitude of astigmatism. After complex therapy, children with HA were characterized by significantly (p<0,05) l","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"34 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-27DOI: 10.32885/2220-0975-2024-1-8-19
T. S. Guseva, M. N. Naprienko, L. Smekalkina
Introduction. Tension-type headache is an urgent problem in the modern medicine due to a significant decrease in the efficiency and quality of patient′s life, despite the benign nature of the disease.The aim of the study is to develop and scientifically substantiate the comprehensive application of extracorporeal shock wave therapy and manual methods of preventive treatment of the chronic tension-type headache.Materials and methods. The prospective randomized study included 90 patients with tension-type headache (chronic), G44.2, and 20 healthy patients in the age from 24 to 50 years. Participants were divided into 3 equal groups with 30 participants in each one. In the I group the pharmacotherapy with amitriptyline was performed, in the II group — manual treatment, and in the III group — complex rehabilitation with manual methods of treatment and extracorporeal shockwave therapy. Additionally, 20 healthy patients were included in the study (group IV). To assess the treatment effectiveness the following methods were used: a headache diary, manual examination, NRS scale, HADS scale.Results. The data obtained demonstrated that the combined use of manual treatment and extracorporeal shock wave therapy, as well as single-impact manual treatment methods, contributes to clinical improvement to a greater extent than pharmacotherapy. A comparative analysis of the study groups in the long-term follow-up period (after 3 months) showed more significant results in the group with comprehensive rehabilitation, which is clearly reflected in the form of a significant decrease in pain intensity and overall pain score. The methods used significantly improved the psycho-emotional status of patients, however, pharmacotherapy with amitriptyline was accompanied by side effects.Conclusion. The comprehensive application of extracorporeal shock wave therapy and manual methods of treatment leads to a significant improvement in both clinical and psycho-emotional states of patients with tension-type headache.
{"title":"The role of manual correction methods and extracorporeal shock wave therapy in the prevention of chronic tension headaches","authors":"T. S. Guseva, M. N. Naprienko, L. Smekalkina","doi":"10.32885/2220-0975-2024-1-8-19","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-8-19","url":null,"abstract":"Introduction. Tension-type headache is an urgent problem in the modern medicine due to a significant decrease in the efficiency and quality of patient′s life, despite the benign nature of the disease.The aim of the study is to develop and scientifically substantiate the comprehensive application of extracorporeal shock wave therapy and manual methods of preventive treatment of the chronic tension-type headache.Materials and methods. The prospective randomized study included 90 patients with tension-type headache (chronic), G44.2, and 20 healthy patients in the age from 24 to 50 years. Participants were divided into 3 equal groups with 30 participants in each one. In the I group the pharmacotherapy with amitriptyline was performed, in the II group — manual treatment, and in the III group — complex rehabilitation with manual methods of treatment and extracorporeal shockwave therapy. Additionally, 20 healthy patients were included in the study (group IV). To assess the treatment effectiveness the following methods were used: a headache diary, manual examination, NRS scale, HADS scale.Results. The data obtained demonstrated that the combined use of manual treatment and extracorporeal shock wave therapy, as well as single-impact manual treatment methods, contributes to clinical improvement to a greater extent than pharmacotherapy. A comparative analysis of the study groups in the long-term follow-up period (after 3 months) showed more significant results in the group with comprehensive rehabilitation, which is clearly reflected in the form of a significant decrease in pain intensity and overall pain score. The methods used significantly improved the psycho-emotional status of patients, however, pharmacotherapy with amitriptyline was accompanied by side effects.Conclusion. The comprehensive application of extracorporeal shock wave therapy and manual methods of treatment leads to a significant improvement in both clinical and psycho-emotional states of patients with tension-type headache.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"6 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-27DOI: 10.32885/2220-0975-2024-1-20-30
V. Belash, M. B. Revina
Introduction. Currently, the only way to rehabilitate patients with deafness is cochlear implantation (CI). CI includes not only surgery, but also rehabilitation carried out by a whole group of specialists. This is a multi- stage, labor-intensive, complex, long-term process of developing and maintaining speech function, so there is a constant search for new approaches and methods that could increase the effectiveness of ongoing rehabilitation measures. Previous studies have demonstrated that osteopathic correction in preschool children reduces the severity of speech disorders, contributes to the regression of speech therapy disorders, and helps in the correction of certain forms of dysarthria. Of particular interest is the work in which the authors demonstrated the existence of relationships between certain somatic disfunctions and the presence of disturbances in peripheral sound conduction and/or central sound conduction in children with sensorineural hearing loss. The question of the possibility of using osteopathic correction in the rehabilitation of children with pathologies of hearing and speech function (since, in addition to the consequences of highly invasive surgical intervention, children who have undergone CI, as a rule, have delayed speech development), seems promising for study.The aim was to study the results of the use of osteopathic correction in the rehabilitation of children who have undergone CI.Materials and methods. A randomized controlled prospective study was conducted from March 2022 to December 2022 on the basis of the Federal State Budgetary Institution RNTSCAiS FMBA of Russia, FSBI NMCIO FMBA of Russia. 36 children aged from 17 to 37 months were under observation. Depending on the treatment used, all observed patients were divided into 2 groups using a simple randomization method: main (20 people) and control (16 people). Patients in both the main and control groups received standard rehabilitation treatment. Each patient of the main group additionally underwent a single session of osteopathic correction lasting from 45 to 60 minutes. All patients were assessed for osteopathic status, time of connection and adjustment of the cochlear implant, and quality of life.Results. In children after CI, global neurodynamic disorders and regional biomechanical disorders in the regions of the head, neck, and dura mater were most often detected. After treatment, only patients in the main group showed a statistically significant (p<0,05) decrease in the frequency of detection of both global neurodynamic and the above-mentioned regional biomechanical disorders. A single session of osteopathic correction contributes to a significant reduction in the time of connection and adjustment of the cochlear implant, which can be considered as a favorable factor for subsequent rehabilitation measures. Against the background of the ongoing rehabilitation, a statistically significant increase in the level of quality of life was obtained in both g
{"title":"Osteopathic correction in complex rehabilitation of children who have undergone cochlear implantation","authors":"V. Belash, M. B. Revina","doi":"10.32885/2220-0975-2024-1-20-30","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-20-30","url":null,"abstract":"Introduction. Currently, the only way to rehabilitate patients with deafness is cochlear implantation (CI). CI includes not only surgery, but also rehabilitation carried out by a whole group of specialists. This is a multi- stage, labor-intensive, complex, long-term process of developing and maintaining speech function, so there is a constant search for new approaches and methods that could increase the effectiveness of ongoing rehabilitation measures. Previous studies have demonstrated that osteopathic correction in preschool children reduces the severity of speech disorders, contributes to the regression of speech therapy disorders, and helps in the correction of certain forms of dysarthria. Of particular interest is the work in which the authors demonstrated the existence of relationships between certain somatic disfunctions and the presence of disturbances in peripheral sound conduction and/or central sound conduction in children with sensorineural hearing loss. The question of the possibility of using osteopathic correction in the rehabilitation of children with pathologies of hearing and speech function (since, in addition to the consequences of highly invasive surgical intervention, children who have undergone CI, as a rule, have delayed speech development), seems promising for study.The aim was to study the results of the use of osteopathic correction in the rehabilitation of children who have undergone CI.Materials and methods. A randomized controlled prospective study was conducted from March 2022 to December 2022 on the basis of the Federal State Budgetary Institution RNTSCAiS FMBA of Russia, FSBI NMCIO FMBA of Russia. 36 children aged from 17 to 37 months were under observation. Depending on the treatment used, all observed patients were divided into 2 groups using a simple randomization method: main (20 people) and control (16 people). Patients in both the main and control groups received standard rehabilitation treatment. Each patient of the main group additionally underwent a single session of osteopathic correction lasting from 45 to 60 minutes. All patients were assessed for osteopathic status, time of connection and adjustment of the cochlear implant, and quality of life.Results. In children after CI, global neurodynamic disorders and regional biomechanical disorders in the regions of the head, neck, and dura mater were most often detected. After treatment, only patients in the main group showed a statistically significant (p<0,05) decrease in the frequency of detection of both global neurodynamic and the above-mentioned regional biomechanical disorders. A single session of osteopathic correction contributes to a significant reduction in the time of connection and adjustment of the cochlear implant, which can be considered as a favorable factor for subsequent rehabilitation measures. Against the background of the ongoing rehabilitation, a statistically significant increase in the level of quality of life was obtained in both g","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"21 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-106-117
K. Nikitina, I. T. Vykhodets, T. Abramova, T. Nikitina
Introduction. The positive effect of physical activity on the state of bone has been proven by many researchers. Professional sports activity is a model of the constant impact of physical activity on the human body, acting as the most powerful mechanism for activating and mobilizing the functional reserves of an athlete, which, against the background of a progressive increase in the volume, intensity and duration of exposure, shows an increase in the incidence of injuries and stress fractures, one of the leading causes of which is a decrease in bone mineral density (BMD) up to the development of osteoporosis. The risk factors for the development of the pathology of the musculoskeletal system, which have a direct impact on the formation of the BMD, in elite sports include the volume and intensity of training loads, the stereotype of the main competitive exercise, the daily balance of energy intake.The aim is to study is to analyze modern scientific publications on the impact of professional sports activities on bone mineral density.Materials and methods. The review is based on publications from the PubMed, Google Scholar, Cyberleninka, eLIBRARY databases. Preference was given to articles published in refereed sources over the past 10 years.Results. The specificity of the main competitive exercise determines the presence of asymmetry in the distribution of the BMD in athletes, in addition, the level of BMD is higher in the leading limb compared to the opposite. Increasing the qualifications, experience and age of an athlete shows a positive impact on the performance of the BMD, with the exception of certain specializations. A different effect of sports with a high osteogenic effect of shock and weight load on the state of the BMD was noted compared to the general population. Power athletes, combat and game sports athletes have higher levels BMD compared to representatives of cycling, swimming, rowing, triathlon and long-distance running, characterized by the limitation of gravitational (shock) load or a large amount of low-intensity training exposure. Lower BMD were noted in athletes in sports specializations with weight categories, aesthetic and cyclic sports, where the problem of a relative energy deficiency in sport, which negatively affects bone metabolism.Conclusions. In athletes, the volume and intensity of training loads, the stereotype of performing the main competitive exercise, the daily balance of energy intake have a direct impact on the formation of the BMD with the allocation of risk groups for the pathology of the musculoskeletal system in elite sports.
{"title":"Influence of professional sports activities on bone mineral density (literature review)","authors":"K. Nikitina, I. T. Vykhodets, T. Abramova, T. Nikitina","doi":"10.32885/2220-0975-2024-1-106-117","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-106-117","url":null,"abstract":"Introduction. The positive effect of physical activity on the state of bone has been proven by many researchers. Professional sports activity is a model of the constant impact of physical activity on the human body, acting as the most powerful mechanism for activating and mobilizing the functional reserves of an athlete, which, against the background of a progressive increase in the volume, intensity and duration of exposure, shows an increase in the incidence of injuries and stress fractures, one of the leading causes of which is a decrease in bone mineral density (BMD) up to the development of osteoporosis. The risk factors for the development of the pathology of the musculoskeletal system, which have a direct impact on the formation of the BMD, in elite sports include the volume and intensity of training loads, the stereotype of the main competitive exercise, the daily balance of energy intake.The aim is to study is to analyze modern scientific publications on the impact of professional sports activities on bone mineral density.Materials and methods. The review is based on publications from the PubMed, Google Scholar, Cyberleninka, eLIBRARY databases. Preference was given to articles published in refereed sources over the past 10 years.Results. The specificity of the main competitive exercise determines the presence of asymmetry in the distribution of the BMD in athletes, in addition, the level of BMD is higher in the leading limb compared to the opposite. Increasing the qualifications, experience and age of an athlete shows a positive impact on the performance of the BMD, with the exception of certain specializations. A different effect of sports with a high osteogenic effect of shock and weight load on the state of the BMD was noted compared to the general population. Power athletes, combat and game sports athletes have higher levels BMD compared to representatives of cycling, swimming, rowing, triathlon and long-distance running, characterized by the limitation of gravitational (shock) load or a large amount of low-intensity training exposure. Lower BMD were noted in athletes in sports specializations with weight categories, aesthetic and cyclic sports, where the problem of a relative energy deficiency in sport, which negatively affects bone metabolism.Conclusions. In athletes, the volume and intensity of training loads, the stereotype of performing the main competitive exercise, the daily balance of energy intake have a direct impact on the formation of the BMD with the allocation of risk groups for the pathology of the musculoskeletal system in elite sports.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"102 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-57-66
M. V. Ryauzova, A. A. Dmitriev, E. Nenashkina
Introduction. Regular exercise requires the child′s body to function optimally and be resistant to constant high loads. The state of health of karateka athletes is monitored by sports medicine doctors with the establishment of a diagnosis according to the International Classification of Diseases (ICD), which, as a rule, indicates already existing organic changes. Intense physical activity in childhood against the background of the child′s continued growth can lead to the development of preclinical (prepathological) conditions that are not reflected in the ICD. Understanding the specifics of functional changes occurring in the body of a child professionally engaged in karate will serve as the basis for the competent construction of the training process in order to prevent the depletion of the adaptive reserve of the child′s body.The aim of the study was to assess the osteopathic status of child athletes engaged in traditional karate, depending on the level of training of the athletes.Materials and methods. The cross-sectional cohort study, conducted in the period from November 2021 to March 2023 on the basis of the Karatenomichi Sports Club «Team Ryauzov» (Severodvinsk), included 92 children born in 2010–2012 engaged in traditional karate, of various levels of training. All athletes underwent a unified osteopathic examination with the formation of an osteopathic conclusion.Results. Somatic dysfunctions of the pelvic region were identified as dominant in children who had been engaged in karate for a long time, which, in all likelihood, was associated with regular stereotyped sports load (specifics of kicking and methods of movement), in contrast to children who were at the initial stage of karate training, for whom dominant somatic dysfunctions of the thoracic region were significantly more characteristic (p=0,03).Conclusion. Functional changes that occur in the body of a child professionally engaged in karate have specifics associated with the duration of the training process.
{"title":"Osteopathic status of children doing karate","authors":"M. V. Ryauzova, A. A. Dmitriev, E. Nenashkina","doi":"10.32885/2220-0975-2024-1-57-66","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-57-66","url":null,"abstract":"Introduction. Regular exercise requires the child′s body to function optimally and be resistant to constant high loads. The state of health of karateka athletes is monitored by sports medicine doctors with the establishment of a diagnosis according to the International Classification of Diseases (ICD), which, as a rule, indicates already existing organic changes. Intense physical activity in childhood against the background of the child′s continued growth can lead to the development of preclinical (prepathological) conditions that are not reflected in the ICD. Understanding the specifics of functional changes occurring in the body of a child professionally engaged in karate will serve as the basis for the competent construction of the training process in order to prevent the depletion of the adaptive reserve of the child′s body.The aim of the study was to assess the osteopathic status of child athletes engaged in traditional karate, depending on the level of training of the athletes.Materials and methods. The cross-sectional cohort study, conducted in the period from November 2021 to March 2023 on the basis of the Karatenomichi Sports Club «Team Ryauzov» (Severodvinsk), included 92 children born in 2010–2012 engaged in traditional karate, of various levels of training. All athletes underwent a unified osteopathic examination with the formation of an osteopathic conclusion.Results. Somatic dysfunctions of the pelvic region were identified as dominant in children who had been engaged in karate for a long time, which, in all likelihood, was associated with regular stereotyped sports load (specifics of kicking and methods of movement), in contrast to children who were at the initial stage of karate training, for whom dominant somatic dysfunctions of the thoracic region were significantly more characteristic (p=0,03).Conclusion. Functional changes that occur in the body of a child professionally engaged in karate have specifics associated with the duration of the training process.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"69 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-92-105
D. I. Lebedeva, E. Turovinina, A. N. Marchenko, I. A. Aptekar, Yu. I. Raspopova, A. Suvorov, S. M. Bychenko
The article presents a description of the effectiveness of complex rehabilitation of a patient after a severe of Gaff′s disease with an osteopathic diagnosis: Global neurodynamic disorder (impaired production of the cranial rhythmic impulse). The patient was assigned a rehabilitation plan, the objectives of which were to increase exercise tolerance up to 30 minutes, as well as adaptation to aerobic exercise: osteopathic correction; locomotor regimen; active verticalization; breathing exercises, exercise therapy, articular exercises, cardiac loading, as well as the expansion of the locomotor regimen after consulting of the therapist and physician. The rehabilitation helped to improve the general condition, reduce the severity of ataxic syndrome and stabilize hemodynamics. Osteopathic assistance provided within the framework of interdisciplinary cooperation allowed to improve blood circulation and innervation, which, in turn, increased the effectiveness of rehabilitation measures. Patients after a severe course of Gaff′s disease are shown to carry out rehabilitation measures with the involvement of osteopathic doctors as part of the rehabilitation team.
{"title":"Rehabilitation after severe haff disease","authors":"D. I. Lebedeva, E. Turovinina, A. N. Marchenko, I. A. Aptekar, Yu. I. Raspopova, A. Suvorov, S. M. Bychenko","doi":"10.32885/2220-0975-2024-1-92-105","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-92-105","url":null,"abstract":"The article presents a description of the effectiveness of complex rehabilitation of a patient after a severe of Gaff′s disease with an osteopathic diagnosis: Global neurodynamic disorder (impaired production of the cranial rhythmic impulse). The patient was assigned a rehabilitation plan, the objectives of which were to increase exercise tolerance up to 30 minutes, as well as adaptation to aerobic exercise: osteopathic correction; locomotor regimen; active verticalization; breathing exercises, exercise therapy, articular exercises, cardiac loading, as well as the expansion of the locomotor regimen after consulting of the therapist and physician. The rehabilitation helped to improve the general condition, reduce the severity of ataxic syndrome and stabilize hemodynamics. Osteopathic assistance provided within the framework of interdisciplinary cooperation allowed to improve blood circulation and innervation, which, in turn, increased the effectiveness of rehabilitation measures. Patients after a severe course of Gaff′s disease are shown to carry out rehabilitation measures with the involvement of osteopathic doctors as part of the rehabilitation team.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-45-56
A. S. Vedyashkina, D. E. Mokhov, E. Bezrukova, S. Artyushkin
Introduction. The relevance of the problem of chronic tonsillitis is due to the wide spread of the disease and the occurrence of complications associated with it, which, in turn, contributes to the appearance of pain and a decrease in the quality of life. Available information about the role of the palatine tonsils as an important organ of the immune system makes conservative treatment methods more preferable. Conventional conservative treatment is reduced to episodic implementation of individual techniques and remains insufficiently effective. Obtaining in-depth knowledge about the mechanisms of development of chronic tonsillitis necessitates the search for an integrated approach to treatment including non-drug methods. Often, questions about the severity of pain in patients that affect the level of quality of life are not given due attention.The aim is to study the effect of complex treatment including osteopathic correction on the quality of life and intensity of pain in patients with chronic tonsillitis.Materials and methods. In a prospective controlled randomized study conducted at the Department of Osteopathy and the Department of Otorhinolaryngology of the North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia in the period from 06.2022 to 06.2023, 60 patients with a diagnosis of chronic tonsillitis were included. All patients, depending on the treatment, were divided using the randomization envelope method into two groups — main (n=30) and control (n=30). Patients in both groupsreceived otorhinolaryngological treatment in the form of lavage of the palatine tonsils (five rinsing procedures using an antiseptic solution, the interval between procedures was 2 days). Patients in the main group additionally received osteopathic correction (three procedures with an interval of 14 days). In all patients, before and after completion of treatment, the intensity of pain was assessed using a visual analogue scale (VAS) and quality of life using the SF-36 questionnaire.Results. In patients of both the main and control groups, there was a statistically significant decrease in the intensity of sore throat (p<0,05) after treatment. The increase in the level of quality of life in terms of both physical and psychological components of health was statistically significant (p<0,001) in patients of the main group. The level of quality of life in patients in the control group increased only due to the psychological component (p<0,001) of health, and the indicators of the physical component did not change (p=0,092).Conclusion. The inclusion of osteopathic correction in the complex therapy of patients with chronic tonsillitis in the inter-relapse period helps to reduce the pain and improve the physical component of quality of life compared to traditional conservative treatment alone. The study should be continued with a larger sample.
{"title":"The effect of complex treatment including osteopathic correction on pain intensity and quality of life in patients with chronic tonsillitis","authors":"A. S. Vedyashkina, D. E. Mokhov, E. Bezrukova, S. Artyushkin","doi":"10.32885/2220-0975-2024-1-45-56","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-45-56","url":null,"abstract":"Introduction. The relevance of the problem of chronic tonsillitis is due to the wide spread of the disease and the occurrence of complications associated with it, which, in turn, contributes to the appearance of pain and a decrease in the quality of life. Available information about the role of the palatine tonsils as an important organ of the immune system makes conservative treatment methods more preferable. Conventional conservative treatment is reduced to episodic implementation of individual techniques and remains insufficiently effective. Obtaining in-depth knowledge about the mechanisms of development of chronic tonsillitis necessitates the search for an integrated approach to treatment including non-drug methods. Often, questions about the severity of pain in patients that affect the level of quality of life are not given due attention.The aim is to study the effect of complex treatment including osteopathic correction on the quality of life and intensity of pain in patients with chronic tonsillitis.Materials and methods. In a prospective controlled randomized study conducted at the Department of Osteopathy and the Department of Otorhinolaryngology of the North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia in the period from 06.2022 to 06.2023, 60 patients with a diagnosis of chronic tonsillitis were included. All patients, depending on the treatment, were divided using the randomization envelope method into two groups — main (n=30) and control (n=30). Patients in both groupsreceived otorhinolaryngological treatment in the form of lavage of the palatine tonsils (five rinsing procedures using an antiseptic solution, the interval between procedures was 2 days). Patients in the main group additionally received osteopathic correction (three procedures with an interval of 14 days). In all patients, before and after completion of treatment, the intensity of pain was assessed using a visual analogue scale (VAS) and quality of life using the SF-36 questionnaire.Results. In patients of both the main and control groups, there was a statistically significant decrease in the intensity of sore throat (p<0,05) after treatment. The increase in the level of quality of life in terms of both physical and psychological components of health was statistically significant (p<0,001) in patients of the main group. The level of quality of life in patients in the control group increased only due to the psychological component (p<0,001) of health, and the indicators of the physical component did not change (p=0,092).Conclusion. The inclusion of osteopathic correction in the complex therapy of patients with chronic tonsillitis in the inter-relapse period helps to reduce the pain and improve the physical component of quality of life compared to traditional conservative treatment alone. The study should be continued with a larger sample.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"114 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-78-91
O. P. Raenko, D. A. Vinogradova, Y. Potekhina, Yu. A. Milutka
Introduction. Research by foreign scientists often present the results of studies of the effects of specific osteopathic techniques on the body. Myofascial techniques are dynamic low-amplitude techniques in which the myofascial complex of tissues is rhythmically stretched in areas where their mobility is limited. In one study of paravertebral muscles using surface electromyography (sEMG) before and after myofascial techniques, a statistically significant (p<0,05) decrease in their electrical activity was obtained. No publications devoted to the study of the effect of myofascial techniques on the electrical activity of the neck muscles were found.The aim is to study the effect of myofascial techniques on the electrical activity of the neck muscles in individuals with increased tone of these muscles.Materials and methods. A prospective study was conducted in the Department of Osteopathy of Mechnikov North-West State Medical University in which 30 apparently healthy volunteers who did not present active complaints, aged from 23 to 35 years, took part, with a median of 25 years. Inclusion criteria were palpation-determined increased tone of the sternocleidomastoid and upper trapezius muscles. Non-inclusion criteria were the presence of diseases and/or conditions that are an absolute contraindication to osteopathic correction, a history of neck injuries; taking medications that affect muscle tone at the time of the study; neuromuscular diseases. At the beginning of the study, all volunteers underwent palpation of the upper trapezius and sternocleidomastoid muscles on both sides. The degree of increase in muscle tone was assessed in points: 1 — weak; 2 — medium; 3 — strong; 0 — normal tone. Next, they underwent myofascial mobilization techniques: longitudinal and unilateral lateral mobilization of the soft tissues of the neck, separate mobilization of the sternocleidomastoid muscles. Before, immediately after, and three days after the session, muscle tone was recorded using surface electromyography (sEMG), which was performed on a wireless monitoring complex for electrophysiological signals «Kolibri» (OOO NMF «Neurotech», Russia). At rest, the average and maximum amplitude of electrical activity of the sternocleidomastoid and upper trapezius muscles was measured. The recording was made synchronously from the right and left sides of the body.Results. The sEMG indices of muscles with different tone based on the results of subjective assessment were statistically highly significant (p=0,0001). Moreover, according to the A(avg) indicator, the range diagrams either did not intersect or intersected only slightly. The electrical activity of the sternocleidomastoid muscles after myofascial mobilization techniques decreased statistically significantly and remained at the same level for 3 days (p=0,01). Such dynamics were observed in both the average and maximum amplitude of electrical activity. The amplitude of electrical activity of the right sternocleidomasto
{"title":"The effect of myofascial techniques on the electrical activity of the neck muscles","authors":"O. P. Raenko, D. A. Vinogradova, Y. Potekhina, Yu. A. Milutka","doi":"10.32885/2220-0975-2024-1-78-91","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-78-91","url":null,"abstract":"Introduction. Research by foreign scientists often present the results of studies of the effects of specific osteopathic techniques on the body. Myofascial techniques are dynamic low-amplitude techniques in which the myofascial complex of tissues is rhythmically stretched in areas where their mobility is limited. In one study of paravertebral muscles using surface electromyography (sEMG) before and after myofascial techniques, a statistically significant (p<0,05) decrease in their electrical activity was obtained. No publications devoted to the study of the effect of myofascial techniques on the electrical activity of the neck muscles were found.The aim is to study the effect of myofascial techniques on the electrical activity of the neck muscles in individuals with increased tone of these muscles.Materials and methods. A prospective study was conducted in the Department of Osteopathy of Mechnikov North-West State Medical University in which 30 apparently healthy volunteers who did not present active complaints, aged from 23 to 35 years, took part, with a median of 25 years. Inclusion criteria were palpation-determined increased tone of the sternocleidomastoid and upper trapezius muscles. Non-inclusion criteria were the presence of diseases and/or conditions that are an absolute contraindication to osteopathic correction, a history of neck injuries; taking medications that affect muscle tone at the time of the study; neuromuscular diseases. At the beginning of the study, all volunteers underwent palpation of the upper trapezius and sternocleidomastoid muscles on both sides. The degree of increase in muscle tone was assessed in points: 1 — weak; 2 — medium; 3 — strong; 0 — normal tone. Next, they underwent myofascial mobilization techniques: longitudinal and unilateral lateral mobilization of the soft tissues of the neck, separate mobilization of the sternocleidomastoid muscles. Before, immediately after, and three days after the session, muscle tone was recorded using surface electromyography (sEMG), which was performed on a wireless monitoring complex for electrophysiological signals «Kolibri» (OOO NMF «Neurotech», Russia). At rest, the average and maximum amplitude of electrical activity of the sternocleidomastoid and upper trapezius muscles was measured. The recording was made synchronously from the right and left sides of the body.Results. The sEMG indices of muscles with different tone based on the results of subjective assessment were statistically highly significant (p=0,0001). Moreover, according to the A(avg) indicator, the range diagrams either did not intersect or intersected only slightly. The electrical activity of the sternocleidomastoid muscles after myofascial mobilization techniques decreased statistically significantly and remained at the same level for 3 days (p=0,01). Such dynamics were observed in both the average and maximum amplitude of electrical activity. The amplitude of electrical activity of the right sternocleidomasto","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"114 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140380017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.32885/2220-0975-2024-1-67-77
I. A. Aptekar, E. Kostolomova, Y. Sukhovey, V. I. Aptekar, E. V. Abramova
Introduction. In the genesis of the formation of somatic dysfunction, the leading role is given to adaptive reactions on the part of the body as a whole and connective tissue in particular. The main cells of connective tissue are fibroblasts, which have an important role in the formation of the structural and functional characteristics of connective tissue. There is an opinion that after a coronavirus infection, the adaptive activity of fibroblasts changes in response to external influences.The aim is to study changes in the functional activity of fibroblasts during a simulated compression effect on a culture of fibroblasts obtained from patients who suffered coronavirus infection 3–6 months before the experiment.Materials and methods. Under experimental conditions (in vitro), compression conditions were simulated in relation to a culture of fibroblasts taken from patients who had suffered a coronavirus infection (with a history of SARS-CoV-2) and patients who had no history of coronavirus infection.Results. Under experimental conditions, it was found that fibroblasts from patients who have suffered coronavirus infection have altered functional activity, manifested by a decrease in secreted glycosaminoglycans, elastin and collagen in response to in vitro modeling of the compression factor.Conclusion. The established response of fibroblasts to compression allows us to justify the need for priority elimination of this factor as part of osteopathic correction in patients who have suffered coronavirus infection during treatment and rehabilitation.
{"title":"Change in the functional activity of fibroblasts in patients with coronavirus infection (history of SARS-CoV-2)","authors":"I. A. Aptekar, E. Kostolomova, Y. Sukhovey, V. I. Aptekar, E. V. Abramova","doi":"10.32885/2220-0975-2024-1-67-77","DOIUrl":"https://doi.org/10.32885/2220-0975-2024-1-67-77","url":null,"abstract":"Introduction. In the genesis of the formation of somatic dysfunction, the leading role is given to adaptive reactions on the part of the body as a whole and connective tissue in particular. The main cells of connective tissue are fibroblasts, which have an important role in the formation of the structural and functional characteristics of connective tissue. There is an opinion that after a coronavirus infection, the adaptive activity of fibroblasts changes in response to external influences.The aim is to study changes in the functional activity of fibroblasts during a simulated compression effect on a culture of fibroblasts obtained from patients who suffered coronavirus infection 3–6 months before the experiment.Materials and methods. Under experimental conditions (in vitro), compression conditions were simulated in relation to a culture of fibroblasts taken from patients who had suffered a coronavirus infection (with a history of SARS-CoV-2) and patients who had no history of coronavirus infection.Results. Under experimental conditions, it was found that fibroblasts from patients who have suffered coronavirus infection have altered functional activity, manifested by a decrease in secreted glycosaminoglycans, elastin and collagen in response to in vitro modeling of the compression factor.Conclusion. The established response of fibroblasts to compression allows us to justify the need for priority elimination of this factor as part of osteopathic correction in patients who have suffered coronavirus infection during treatment and rehabilitation.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"123 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.32885/2220-0975-2023-4-68-77
S. G. Kozhokina
Endogenous intoxication is a pathological process that develops with the predominance of the formation or intake of toxins over their excretion. Pathological changes occur in the organs of excretion: in the liver, kidneys, lungs, gastrointestinal organs, on the skin. Chronic intoxication leads to chronic inflammation and fibrosis of target organs, i. e. to a violation of the architectonics of connective tissue. Until recently fibrosis was considered as an irreversible process, and it reduced the interest to its early diagnosis. Currently, there is an opinion that fibrosis is potentially reversible at certain stages. Using ultrasound elastometry, it is possible not only to confirm the presence of fibrosis, but also to quantify the degree of its severity. The article describes a case of a decrease in the severity of liver fibrosis in a comorbid patient with chronic hepatitis C under the influence of complex treatment with the inclusion of osteopathic correction.
{"title":"The possibility of reversibility of liver fibrosis under the influence of complex treatment","authors":"S. G. Kozhokina","doi":"10.32885/2220-0975-2023-4-68-77","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-4-68-77","url":null,"abstract":"Endogenous intoxication is a pathological process that develops with the predominance of the formation or intake of toxins over their excretion. Pathological changes occur in the organs of excretion: in the liver, kidneys, lungs, gastrointestinal organs, on the skin. Chronic intoxication leads to chronic inflammation and fibrosis of target organs, i. e. to a violation of the architectonics of connective tissue. Until recently fibrosis was considered as an irreversible process, and it reduced the interest to its early diagnosis. Currently, there is an opinion that fibrosis is potentially reversible at certain stages. Using ultrasound elastometry, it is possible not only to confirm the presence of fibrosis, but also to quantify the degree of its severity. The article describes a case of a decrease in the severity of liver fibrosis in a comorbid patient with chronic hepatitis C under the influence of complex treatment with the inclusion of osteopathic correction.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"114 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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