Russian Osteopathic Journal最新文献

{"title":"Infl uence of osteopathic correction on range of motion and quality of life in patients with arthrosis of the shoulder joint of I–II degrees","authors":"B. K. Avzaletdinov, B. H. Akhmetov","doi":"10.32885/2220-0975-2023-2-143-154","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-2-143-154","url":null,"abstract":"Introduction. Shoulder pain in the shoulder joint arthrosis is a diffi cult problem to treat. The search for effective therapy of the shoulder region pathology is an urgent medical and socio-economic task, since the peak of morbidity is during the period of active human labor activity — 40 years. As a rule, nonsteroidal anti-infl ammatory drugs and glucocorticoid drugs are used to treat patients with shoulder pain syndrome and arthrosis of the shoulder joint of I–II degrees, but it is associated with potential risk of adverse reactions. Therefore, the search for non-drug methods of treatment is in demand. Osteopathic correction has proven itself well in the complex therapy of a number of degenerative joint diseases and pain syndrome. At the same time, there are currently few works devoted to the problem of restoring function in the shoulder joint and the life quality of a patient with the shoulder joint arthrosis of I–II degrees from the position of osteopathic correction. The aim of the study was to investigate the effect of osteopathic correction on the motion range and life quality of patients with the shoulder joint arthrosis of I–II degrees.Materials and methods. The study involved 26 patients with arthrosis of the shoulder joint of I–II degrees. The study was conducted from January 2020 to December 2021 at the «Tuya» Center of Traditional Medicine, Ufa. Using the method of randomization envelopes in a ratio of 1:1, there were formed two groups: control (13 patients) and main (13 patients too). All participants received standard conservative treatment. The participants of the main group additionally received a course of osteopathic correction (3 sessions, an interval is 2–3 weeks, and the duration of treatment is 1–2 months). Before and after the treatment, there were assessed the pain syndrome intensity using a 10-point visual-analog scale, the motion range in the diseased joint using a goniometer, the severity of pain syndrome and limitations in the shoulder joint using the Oxford Shoulder Score questionnaire, the life quality using the SF-36 questionnaire, and the osteopathic status according to approved clinical recommendations.Results. Standard treatment of patients in the control group was accompanied by a statistically signifi cant (p<0,05) decrease of the pain syndrome intensity, an increase of the motion range in the shoulder joint and a decrease of restrictions in the shoulder joint area. The inclusion of a osteopathic correction course in the treatment was accompanied by a statistically signifi cant (p><0,05) more pronounced positive dynamics in all of these indicators. In addition, patients of the main group were characterized by a signifi cant (p><0,05) improvement in the life quality by all indicators according to the SF-36 questionnaire. In most of the examined patients, the regional somatic dysfunctions (SD) of the thoracic region (structural and visceral components), and the dura mater region were revealed. In 100 % of patie","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132571561","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}

{"title":"Phenotypic signs of connective tissue dysplasia in adolescents","authors":"V. R. Shashmurina, O. L. Mishutina, M. Postnikov, A. Shashmurina, E. V. Dmitrieva, R. V. Parfenov","doi":"10.32885/2220-0975-2023-2-119-133","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-2-119-133","url":null,"abstract":"Introduction. Connective tissue dysplasia (СTD) is a group of polymorphic pathological conditions caused by hereditary or congenital defects in collagen synthesis and accompanied by a violation of the functions of the musculoskeletal system and internal organs, which is considered as a factor in the development of pathology of the maxillofacial region in children: dystrophic forms of periodontal diseases; anomalies of shape, size, teething; pathology of the temporomandibularthe mandibular joint. There are diffi culties in determining the pathogenetic relationship between CTD and individual nosological forms of dental diseases, which is important for determining the prognosis of their course and the choice of methods of rehabilitation of children. It is important to improve the methodology of preventive examinations in relation to the early detection of phenotypic signs of CTD, including in the maxillofacial region. Substantiation of the connection of CTD with dental diseases will make it possible to develop examination and medical examination schemes, increase the effectiveness of comprehensive prevention of dental diseases and rehabilitation of adolescents with combined pathology.The aim is to study the incidence of CTD in adolescents and its relationship with dental diseases in order to develop a scheme of examinations and medical examinations, increase the effectiveness of comprehensive prevention of dental diseases and rehabilitation of adolescents with combined pathology.Materials and methods. A survey of 140 male adolescents aged 15–18 years, students of schools in Smolensk was conducted. When examining the somatic status, generally accepted markers of CTD were taken into account: bone (asthenic type of constitution, scoliotic deformity of the spine, hallux valgus, chest deformities), skin (increased skin extensibility of more than 3 cm), articular (hypermobility of joints) and visceral (changes from the cardiovascular system — prolapses of the heart valves, abnormally located chords; changes from the respiratory organs — polycystic lung disease, trachiobronchial dyskinesia; changes from the urinary system — nephroptosis, kidney doubling; changes from the gastrointestinal tract — visceroptosis, gallbladder anomaly; changes from the blood system — thrombocytopathy, hemoglobinopathy). When examining the dental status, the following generally accepted markers of CTD were taken into account: malocclusion (prognathia, deep bite, their combination), narrowing of the dentition, anomalies of the position of individual teeth, anomalies of soft tissue attachment, gum recession, chronic gingivitis. The diagnosis of CTD and the health group was established by a pediatrician on the basis of clinical recommendations and the order of the Ministry of Health of the Russian Federation № 621 dated 30.12.2003 «On a comprehensive assessment of the health status of children». Factor analysis was used to form a set of signs combining signs of CTD and dental disea","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"20 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123579618","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}

{"title":"Physical health level and osteopathic status of students","authors":"A. A. Tyuleneva, Y. Potekhina","doi":"10.32885/2220-0975-2023-2-91-104","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-2-91-104","url":null,"abstract":"Introduction. Many studies have noted negative trends in the state of students′ health in higher education institutions. Consequently, there is a need to monitor the students′ physical health in order to improve the health preserving and strengthening technologies. The concept of somatic dysfunction (SD) is close to the category of pre-disease. It is a borderline condition, in which the functional reserves of the body are depleted, and it cannot be called healthy, but the detectable by routine diagnostic tools organic changes are not determined in such a person. There was not possible to fi nd works in which the level of physical health and osteopathic status were compared.The aim of the study is to research the physical health level and osteopathic status of the III–IV courses students.Materials and methods. The cross-sectional study from March to November 2022 involved the 82 III–IV year students from different Universities in Yekaterinburg. 50 of them were women and 32 were men. Inclusion criteria: age 19–21 years, no complaints, no acute diseases, chronic diseases in persistent remission, no pregnancy. So the examined can be called relatively healthy people. Each person was examined once. Students fi lled out a questionnaire developed by the authors, where they noted the presence of chronic diseases, and the motor activity level. Then they underwent an osteopathic examination according to an approved protocol with a description of the osteopathic status and identifi cation of the dominant somatic dysfunction. After that, there was conducted Introduction. Many studies have noted negative trends in the state of students′ health in higher education institutions. Consequently, there is a need to monitor the students′ physical health in order to improve the health preserving and strengthening technologies. The concept of somatic dysfunction (SD) is close to the category of pre-disease. It is a borderline condition, in which the functional reserves of the body are depleted, and it cannot be called healthy, but the detectable by routine diagnostic tools organic changes are not determined in such a person. There was not possible to fi nd works in which the level of physical health and osteopathic status were compared. The aim of the study is to research the physical health level and osteopathic status of the III–IV courses students.Materials and methods. The cross-sectional study from March to November 2022 involved the 82 III–IV year students from different Universities in Yekaterinburg. 50 of them were women and 32 were men. Inclusion criteria: age 19–21 years, no complaints, no acute diseases, chronic diseases in persistent remission, no pregnancy. So the examined can be called relatively healthy people. Each person was examined once. Students fi lled out a questionnaire developed by the authors, where they noted the presence of chronic diseases, and the motor activity level. Then they underwent an osteopathic examination according to an approved ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126988104","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}

{"title":"Somatic Dysfunction. Clinical Guidelines 2023","authors":"D. Mokhov, V. Belash, I. A. Aptekar, E. Nenashkina, Y. Potekhina, E. Tregubova, A. F. Belyaev","doi":"10.32885/2220-0975-2023-2-8-90","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-2-8-90","url":null,"abstract":"The aim is to present for osteopaths the modern ideas about somatic dysfunctions as potentially reversible structural and functional disorders in the human body, and about its diagnostics and the correction possibilities.A specifi c subject of osteopathic infl uence is a group of palpable phenomena, which are called somatic dysfunctions. Somatic dysfunctions are included in the International Classifi cation of Diseases, Injuries and Conditions Affecting Health, 10th Revision (ICD-10). Somatic dysfunction (SD) is a potentially reversible structural and functional disorder in tissues and organs, manifested by palpation-determined limitations of various types of movements and mobility. Reversibility is one of the main characteristics of SD, associated with the ability to obtain the effect of changing/eliminating the identifi ed disorders in response to various methods of osteopathic correction. Impaired mobility, that is, SD, can have several components that can be combined with each other and have different degrees of severity — biomechanical, hydrodynamic (rhythmogenic) and neurodynamic. SD can manifest itself at the global, regional and local levels, and can have an acute or chronic character. The leading role in the pathogenesis of SD formation belongs to the connective tissue. Based on anamnestic data, physical examination, as well as using the algorithm of palpation diagnostic techniques, osteopaths determine the relative position of the body structures and their symmetry, as well as the qualitative state of the tissues. In addition to the generally accepted formulation of the diagnosis, an osteopathic conclusion includes the indication of biomechanical, rhythmogenic and neurodynamic disorders at the global, regional and local levels, as well as the dominant SD, the correction of which will be the logical ultimate goal of the osteopathic session. In accordance with the current regulatory framework, the osteopathic physician at the appointment fi lls out the form «Primary examination by an osteopathic physician» or the form «Examination by an osteopathic physician (observation in dynamics)». These medical documents are an insert in the Registration Form № 025/u, approved by the order of the Ministry of Health of Russia dated December 15, 2014 № 834n. The restoration of mobility is the goal of osteopathic treatment techniques applying and leads to the normalization of the functional state of tissues. The practice of osteopathy is to release the elements of the musculoskeletal system, internal organs, to restore the proper functioning of all body systems, including the nervous, circulatory and lymphatic systems. In the absence of contraindications (absolute or relative), the treatment regimen is determined individually in accordance with the issued osteopathic conclusion, including the defi ning of the number, nature (type) of techniques and the sequence of their use in a given session. The effectiveness of osteopathic correction of SD has been p","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126961676","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}

{"title":"Pathogenetic prerequisites for the use of osteopathic correction in chronic tonsillitis","authors":"A. S. Vedyashkina, Y. Potekhina, D. Mokhov","doi":"10.32885/2220-0975-2023-1-109-119","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-109-119","url":null,"abstract":"Chronic tonsillitis is a very common disease in which conventional methods of treatment could be not effective enough. The review describes in detail the etiology and pathogenesis of chronic tonsillitis, as well as anatomical features of the neck region. Based on the knowledge about the mechanisms of the therapeutic effect of osteopathic correction (OC), there are indicated the elements of pathogenesis that can potentially be affect by OC in this disease.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122154692","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}

{"title":"Russian Osteopathic Journal: the main stages of development in 2012–2022","authors":"E. Tregubova, R. A. Plokhov, Y. Potekhina, V. Belash","doi":"10.32885/2220-0975-2023-1-8-19","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-8-19","url":null,"abstract":"One of the important attributes of a medical specialty is the availability of the specialized scientific and practical journal that allows professionals to conduct an open scientific discussion. The osteopaths of Russia have such a journal appeared in 2010 — the Russian Osteopathic Journal (ROJ). The development p of the journal and its achievements to date has been traced in detail in the article. The content and scientometric indicators of erysipelas were compared with Russian and foreign medical journals, including those publishing articles on osteopathy. ROJ has become the mouthpiece of the specialty and meets the high international and Russian standards.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116616946","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}

{"title":"The possibilities of using osteopathic correction for chronic pelvic pain syndrome","authors":"I. N. Sharapov, E. Nenashkina","doi":"10.32885/2220-0975-2023-1-86-94","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-86-94","url":null,"abstract":"The urgency of the chronic pelvic pain syndromes problem is due both to their relatively high prevalence and, in general, to the significant complexity of their diagnosis and treatment. Pain in the pelvic region, according to different authors, affects from 2,1 to 24% of women worldwide, occurring approximately twice as often as in men. Despite the sufficient knowledge of the problem, curation of patients with chronic pelvic pain syndrome still has difficulties both at the stage of diagnosis and at the stages of treatment. Among chronic pelvic pain syndromes, neuropathy of the pudendal nerve — n. pudendus, due to its specific symptoms, is both one of the most painful for the patient and a diagnostically and therapeutically difficult disease. The problems of isolated use and mutual compatibility of various non-drug methods are still not well understood, and the use of drugs often does not bring the desired effect, contributing to the chronicity of the process. However, according to previous studies, osteopathic correction is pathogenetically substantiated and effective in the treatment of patients with tunnel neuropathies of other localization and can be used both as part of complex treatment and as monotherapy. A case report about the isolated use (monotherapy) of osteopathic correction in a patient with pudendal neuropathy is presented.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125441889","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}

{"title":"Results of osteopathic correction according to the stabilography data in patients with lower limb amputation at the transtibial level","authors":"N. Y. Kolyshnitsyn, D. Mokhov, L. M. Smirnova, E. Fogt, T. Ermolenko","doi":"10.32885/2220-0975-2023-1-67-78","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-67-78","url":null,"abstract":"Introduction. In the comprehensive rehabilitation of patients with lower limbs amputations (LLA), there are currently used: physical therapy, mechanotherapy, physiotherapy. Despite the availability of rehabilitation methods, full correction of postural balance in patients with lower limbs amputations remains an urgent medical problem. Osteopathy has not been used in the rehabilitation of such patients until recently, despite the proven effect of normalizing muscle tone, neurohumoral system, as well as improvement of blood circulation and lymphatic outflow after osteopathic correction.Aims: To study the effect of osteopathic correction on postural balance in patients with lower limb amputations at the transtibial level.Materials and methods. 59 patients (37 men and 22 women, average age 57 years) with LLA at the transtibial level were examined using stabilography in outpatient on the basis of the Albrecht Federal Scientific Center for Rehabilitation of the Disabled. The patients were randomly divided into 2 groups: the main group (n=32) receiving osteopathic correction and the control group (n=27) receiving sham therapy. Both groups were divided into subgroups depending on the cause of amputation: traumatic and vascular. All patients underwent stabilography 4 times: before and after the first session of osteopathic correction or sham therapy, as well as before and after the second session. The stability of the position was assessed by the amplitude of the 1st maximum of the spectrum in the sagittal and frontal component, statokinesiogram area, work expended indicator, speed deviation of the center of pressure, standard deviation of the center of pressure in the sagittal and frontal planes.Results. The method of stabilography objectively confirmed the positive effect of osteopathic correction on postural balance in patients with traumatic and vascular genesis of amputation — in the form of stability increase after the 1st, before the 2nd and after the 2nd session of osteopathic correction compared to the data before osteopathic correction for all studied parameters (p<0,05). Patients from the control group of vascular genesis also had a statistically significant increase in stability after the 1st session and the 2nd sessions of sham therapy in terms of work expended, which returned to its original values before the second session, which indicates the short-term nature of the changes.Conclusion. The study showed an improvement in postural balance according to stabilography data in patients with lower limbs amputations of traumatic and vascular genesis who underwent osteopathic correction.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133972468","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}

{"title":"Osteopathic rehabilitation of patients after community-acquired pneumonia","authors":"B. Usupbekova, S. S. Sartmyrzaeva, S. Murzakhmetova","doi":"10.32885/2220-0975-2023-1-57-66","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-57-66","url":null,"abstract":"Introduction. During the COVID-19 pandemic, the effective medical rehabilitation of patients who have suffered community-acquired pneumonia is crucial, and the osteopathic correction can take its rightful place along with other rehabilitation methods. The studies of osteopathic approaches in the treatment of pneumonia are described in available sources for the inpatient stay of patients. The issues of the effectiveness of osteopathic correction in more distant periods of rehabilitation after community-acquired pneumonia are poorly covered and therefore became the basis for the presented work.The aim of the study is to research the effectiveness of the osteopathic correction inclusion in the outpatient rehabilitation program for patients after community-acquired pneumonia.Materials and methods. A prospective, controlled, randomized study was conducted at the Clinic of the Eurasian Institute of Osteopathic Medicine (Bishkek, Kyrgyz Republic) from January to June 2021. 30 patients who have suffered community-acquired pneumonia of mild and moderate severity were examined, including 15 people of the main group who received osteopathic correction every 7 days for 3–4 weeks and simultaneously performed the recommended set of exercises of physical therapy (exercise therapy); 15 people of the control group, without osteopathic correction, only a set of exercise therapy exercises was recommended for these patients. The evaluation of the effectiveness of osteopathic correction was carried out on the basis of the analysis of spirometry, pulse oximetry, functional tests of the Stange and Genchi, and the life quality by the MOS SF-36 questionnaire.Results. The study showed that the inclusion of osteopathic correction in the rehabilitation of patients who have suffered community-acquired pneumonia significantly (p<0,05) improves the indicators of the external respiration function, namely, the vital capacity of the lungs, increases the body′s resistance to hypoxia and hypercapnia, and improves the life quality.Conclusion. The obtained results allow us to reasonably recommend the inclusion of osteopathic correction in outpatient rehabilitation programs for patients who have suffered community-acquired pneumonia.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130201200","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}

{"title":"Method for correcting somatic dysfunctions","authors":"I. A. Aptekar","doi":"10.32885/2220-0975-2023-1-79-85","DOIUrl":"https://doi.org/10.32885/2220-0975-2023-1-79-85","url":null,"abstract":"The development of methods for timely and effective correction of the body somatic dysfunctions is currently one of the urgent tasks of medicine. The article, presented in the form of a lecture, summarizes the results of previous studies of the human connective tissue adaptive reactions to external influences. There are considered histological and biochemical mechanisms of formation of structural and functional adaptation of connective tissue, main cells and intercellular matrix, underlying in particular in the formation of somatic dysfunction. Markers of venous circulatory disorders in the form of hypercapnia, a marker of arterial circulation in the form of hypoxia and a marker of functional disorders of innervation and mobility in the form of compression were selected as environmental factors in the study. As an example, based on the laboratory studies results, a method of somatic dysfunctions correction is proposed. It includes a certain order of osteopathic, manual actions on the body or body parts aimed at eliminating the effects of compression, hypercapnia (excess carbon dioxide) and hypoxia (oxygen deficiency). Also the justification of this method use in medical rehabilitation is proposed.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133800219","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}