Russian Osteopathic Journal最新文献

{"title":"Application of infrared thermography in the study of the osteopathic correction results in patients with amputation defects of the lower extremities","authors":"N. Y. Kolyshnitsyn, D. Mokhov, L. M. Smirnova, E. Fogt, T. Ermolenko","doi":"10.32885/2220-0975-2022-4-70-82","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-4-70-82","url":null,"abstract":"Introduction. The main medical consequences of amputations are: phantom pain syndrome, degenerative changes in soft tissues, increased muscle tone of the stump, deterioration of microcirculation in the amputated limb. Methods of rehabilitation of such patients are physical therapy, physiotherapy, psychotherapy, mechanotherapy. The search for new methods of rehabilitation of patients with amputation of the lower limb is constantly underway due to the social significance of this disease. Osteopathic correction has proven effects of normalization of muscle tone, improvement of blood circulation, which can be assessed using infrared thermography.Aims: to evaluate the effect of osteopathic correction on blood circulation in the stump in patients with transtibial amputation.Materials and methods. The study includes 30 patients (21 men and 9 women) with transtibial amputation, undergoing diagnostic examination using infrared thermography on an outpatient basis in Albrecht Federal Scientific Centre of Rehabilitation of the Disabled. Patients were divided in two groups in random: main group (n=15), receiving osteopathic correction, and control group, receiving sham therapy. Both groups were divided in subgroups depending on amputation cause: cardiovascular diseases and trauma. Regardless the group infrared thermography was performed before and after first session of therapy or osteopathic correction and before and after second session. On thermograms, the temperature of the distal part of the stump was evaluated, the second limb — in the projection of the distal part of the stump.Results. The method of infrared thermography objectively confirmed the positive effect of osteopathic correction on blood flow in the lower leg stump: in patients with traumatic and vascular genesis of amputation — in the form of a decrease in the severity of distal hypothermia after the first, before the second and after the second session of osteopathic correction compared to the data before osteopathic correction. In the control group, there was also a statistically significant increase in the temperature of the distal part of the stump after the first session and the second sessions of sham therapy, 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 blood circulation in the truncated limb, confirmed by an increase in the temperature of the stump in patients with transtibial amputation of traumatic and vascular genesis, which underwent osteopathic correction.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121118842","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":"Effects of osteopathic correction and the possibility of their study","authors":"Y. Potekhina, E. Tregubova, D. Mokhov","doi":"10.32885/2220-0975-2022-4-8-29","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-4-8-29","url":null,"abstract":"The article describes the main objects of osteopathic influence in the body and the caused effects. The effects of osteopathic correction can occur at different times after the session and can be recorded using various clinical and instrumental methods. This should be taken into account when prescribing a re-examination of the patient to confirm the treatment results. A brief review of randomized controlled trials proving the efficacy of osteopathic correction in various diseases is also presented.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132899615","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":"Substantiation of the possibility of using osteopathic correction in the complex treatment of patients with shoulder-shoulder pain syndrome","authors":"Ch. K. Emelyanova, O. V. Zolkova, N. Kozlova","doi":"10.32885/2220-0975-2022-4-42-53","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-4-42-53","url":null,"abstract":"Introduction. Shoulder pain is one of the most common causes of disability in the population. Modern approaches to the treatment of shoulder pain syndrome give preference to the use of drug therapy. However, frequent side effects remain relevant the wider introduction of non-pharmacological methods of treatment. Osteopathy is one of such promising method. In this regard, the assessment of the effectiveness of osteopathic correction of patients with humeroscapular pain syndrome is in demand.The aim to substantiate the possibility of using osteopathic correction in the complex treatment of patients with shoulder pain syndrome.Materials and methods. The study involved 40 patients with shoulder pain syndrome. By the method of randomization using randomization envelopes, the 20 patients were included in the control group and the 20 patients in the main group. Participants of the control group received standard drug and physiotherapy treatment, participants of the main group additionally received a course of osteopathic correction. In both groups, before and after treatment, there were assessed the osteopathic status, the severity of pain syndrome by a 10-point visual analogue scale, the state (functioning) of the shoulder joints, and daily life activities by a 30-point Swanson scale. The duration of temporary disability in both groups was also recorded.Results. At the start of the study, a number of regional (most often — the neck region, structural component, and the chest region — visceral and structural component) and local (most often — the shoulder joint and temporomandibular joint) somatic dysfunctions were detected in patients with humeroscapular syndrome. After treatment in the main group, a statistically significant (p<0,05) positive dynamics was recorded in relation to disorders of the neck region (structural component), thoracic region (visceral and structural component), and pelvic region (structural component). In the control group, significant positive dynamics was observed only in relation to disorders of the thoracic region (visceral component). The groups began to differ significantly (p<0,05) by the disorders detection frequency of the neck and pelvis region (structural component). Also a statistically significant (p<0,05) positive dynamics was recorded in relation to disorders of the shoulder joint and temporomandibular joint in the main group, and in the control group it was detected only in relation to the shoulder joint disorders. At the start of the study, patients in both groups were characterized by a fairly intense pain syndrome (mean score over seven in both groups). After treatment, significant (p<0,05) positive dynamics was observed in both groups, but in the main group the result was significantly (p<0,05) more pronounced: 1,6±0,89 points in the main group versus 2,7±0,86 points in the control group. The shoulder joints state and the daily life activity at the study start moment were characterized by relatively low rates ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132620966","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 treatment of cervicalgia in dentists experiencing prolonged professional overloads","authors":"B. Usupbekova, S. A. Mombekova","doi":"10.32885/2220-0975-2022-4-30-41","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-4-30-41","url":null,"abstract":"Introduction. Among dentists, the prevalence of major occupational diseases is higher than among medical professionals in general. Thus, under the influence of professional physical exertion, functional and structural changes occur in the joints, changing their mobility. More than 50 % of dentists have various types of musculoskeletal pathology, and at least half of them are disorders in the cervical spine. A number of studies have demonstrated the effectiveness of the osteopathic correction in the treatment of cervical pain syndromes. However, the possibility of osteopathic correction in the treatment of occupational diseases among medical workers has not been specifically considered.The aim of the study is to evaluate the effectiveness of osteopathic treatment of cervicalgia in dentists experiencing prolonged professional overload.Materials and methods. Under observation there were 30 patients — dentists (13 men and 17 women, age 35–55 years) with a previously established diagnosis of Cervicalgia (duration of the disease 1–5 years). The patients were divided into the main (15 people) and control (15 people) groups. The control group of patients received a set of physical therapy exercises. The main group of patients additionally received three sessions (1 every 10 days, duration 45 min) of osteopathic correction. Before and after the course of treatment, the detection frequency of somatic dysfunctions, life quality (a short version of the World Health Organization questionnaire WHOQOL-BREF was used), pain syndrome severity (by a 100-point visual analog scale), and active movements volume in the cervical spine (by a medical goniometer) were evaluated.Results. At the study beginning in the both groups there were most often detected somatic dysfunctions in the following regions: cranio-cervical region (sphenobasillary synchondrosis (SBS), С0–I, СII–III and СVI–VII vertebralmotor segments (VMS) of the cervical spine), pelvic region (sacrum, pubic joint), thoracic region (diaphragm, sternoclavicular joint, ThVI–VII and ThII–III VMS of the thoracic spine). After the treatment, positive statistically significant (p<0,05) dynamics was observed in the main group for all of the above dysfunctions, and in the control group only for disorders of SBS, VMS С0–I, sacrum, VMS ThVI–VII. There were significant (p<0,05) difference between groups by the detection frequency of SBS, pubic articulation and diaphragm dysfunctions. After the treatment, patients in both groups had a statistically significant (p<0,05) improvement in the life quality by the «physical and mental well-being» domain, and in the main group these changes were statistically significantly (p<0,05) more pronounced. After the therapy course completion, the pain intensity in patients of the main group decreased to an average of 6 points, in 13 patients the pain symptom was completely eliminated. In the control group, the pain syndrome intensity decreased to an average of 35 points, none of the pati","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132374024","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":"Study of the possibility of osteopathic correction inclusion in the complex therapy of pelvic pain syndrome in women at the late postpartum period","authors":"I. B. Chumakova, R. N. Nasibullina, E. Nenashkina","doi":"10.32885/2220-0975-2022-4-54-69","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-4-54-69","url":null,"abstract":"Introduction. Pain during childbirth and pain after childbirth are unavoidable. Most often, the occurrence of pelvic pain syndrome after childbirth is associated with the manifestation of physiological changes in the joints and bones of the pelvis during pregnancy and during childbirth. The musculoskeletal system of a woman after childbirth passes to normal functioning gradually, and some stages of this process may be accompanied by pain syndrome of various localization and severity. In the late postpartum period and during lactation, non-drug treatment of pain syndrome is preferable. One of the promising non-drug approaches may be the timely application of osteopathic correction methods. However, the available scientific literature presents relatively few studies on the possibility of osteopathic methods using for the pelvic pain syndrome correction in women at the postpartum period.The aim of the study was to research the possibility of osteopathic correction inclusion in the complex therapy of pelvic pain syndrome in women at the late postpartum period.Materials and methods. A group of women after physiological childbirth was randomly formed homogeneous by age, parity of childbirth. The study involved 40 primiparous women aged 30–40 years with no organic diseases, and with the presence of pelvic pain syndrome, which first appeared in the late postpartum period (2–8 weeks after physiological birth through the natural birth canal). Two groups were formed by the randomization envelopes method: the main group (20 participants) and the control group (20 participants). In both groups, the patients received therapy in the form of applications of anesthetic ointments (gels), the use of the Lyapko applicator, elements of therapeutic physical culture (static gymnastic exercises in the supine position). Patients of the main group additionally received osteopathic correction (3 sessions with an interval of 10–14 days). Before and after treatment, osteopathic status, quality of life according to the MOS-SF-36 questionnaire, and intensity of pain syndrome according to the visual analog scale (VAS) were assessed in both groups.Results. Prior to the treatment start in the both groups, patients had biomechanical disorders of the neck region (structural component — in 50 % of the participants in the main group and 40 % of the control group), thoracic region (structural component — in 55 and 60 %, respectively), lumbar region (structural component — 95 and 55 %, and the visceral component — 45 and 20 %), the pelvic region (structural component — 100 and 95 %). In the main group, regional biomechanical disorders of the pelvic region were also detected, the visceral component — in 50 % of the participants. After the treatment, the patients of both groups had no regional biomechanical disorders of the thoracic region (structural component), the lumbar region (visceral component), and the pelvic region (visceral component). In the main group, in addition, there was ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115212262","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":"Substantiation of the economic efficiency of the author′s manual repositioning method of the shoulder joint","authors":"M. A. Slabospitskii, D. Mokhov, V. V. Limarev, P. V. Tkachenko, A. N. Tkachenko, D. Mansurov, V. M. Khaydarov","doi":"10.32885/2220-0975-2022-3-103-113","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-103-113","url":null,"abstract":"Introduction. Shoulder joint′s dislocation stands first among all dislocations. Assistance to patients with dislocation of the shoulder carries out both outpatient and inpatient. The cost of inpatient treatment is many times higher than that of outpatient care.The aim of the study is to substantiate the economic efficiency of the author′s manual technique for shoulder dislocation repositioning.Materials and methods. The study is longitudinal from 2013 to 2020 inclusive, the sample is continuous, the place of the study is the trauma center of the City Hospital № 1 N. I. Pirogov. Criteria for inclusion of patients in the study — primary dislocation of the shoulder. Diagnosis closed traumatic dislocation of the shoulder in total — 1 968 people. Non-inclusion criteria — secondary dislocation. Successful repositioning of shoulder dislocation on an outpatient basis was performed in 1 159 (58,9 %) patients; after unsuccessful repositioning, 809 (41,1 %) patients were hospitalized with shoulder dislocation. Outpatient patients were randomly divided into 2 groups: group 1 — patients (n=1 552) underwent reduction of the dislocation using traditional methods using local anesthesia, in group 2 patients (n=416) the author′s manual technique was used without local anesthesia. There were no statistically significant differences in gender, age, and type of dislocation in both groups. The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was repositioned in 807 patients), the rest of the patients were treated in an inpatient setting. The use of manual techniques was effective in 84,6 % of cases (352 people), 64 people were hospitalized (15,4 %).Results. Comparison of the cost of treatment was carried out on the basis of the Tariff Agreement in the compulsory medical insurance system of the Sevastopol city dated December 20, 2021: the cost of treating one patient with shoulder dislocation in the traumatology department (13 582,49 rubles) is 13,3 times more than in the trauma center (1 019,5 rub). The effectiveness of the author′s manual technique is 1,63 times higher than the use of standard reduction methods using local anesthesia.Conclusion. The use of the author′s manual technique in patients with shoulder dislocation on an outpatient basis has a higher efficiency compared to traditional methods due to the fact that more patients receive assistance on an outpatient basis, the cost of this service is much cheaper than inpatient treatment. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treating of this category of patients.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130206645","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":"Study of the effectiveness of osteopathic correction of the Ist toe valgus deformity of the I–II degree","authors":"A. L. Minakova, A. Ustinov","doi":"10.32885/2220-0975-2022-3-75-90","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-75-90","url":null,"abstract":"Introduction. Valgus deformity of the Ist toe (hallux valgus) is a multicomponent deformity of the forefoot, which is the most common reason for visiting orthopedic surgeons. By now, there is idea that the hallux valgus development has a complex polyetiological and polypathogenetic nature. It makes a complex approach to treatment with the inclusion of methods focused on a holistic approach to body′s complex biomechanical systems in demand. One of such well-established and validated approach is osteopathy.The aim of the study is to investigate the effectiveness of osteopathic correction of hallux valgus of the Ist toe of the I–II degree.Materials and methods. The study involved 52 patients with valgus deformity of I toe, aged from 18 to 40 years. Two groups were formed by randomization envelopes method: the main group (26 participants who received osteopathic correction) and the control group (26 participants who received imitation of osteopathic correction). At the beginning and at the end of the study, the osteopathic status and severity of clinical manifestations of hallux valgus of the first finger were assessed (using the AOFAS questionnaire and the clinical-radiological Grulier scale, as well as radiography of the feet with a load in a direct projection).Results. Patients with valgus deformity of the Ist toe are characterized by the presence of global postural disorders, regional biomechanical disorders of the head, neck regions (structural and visceral component), lumbar and pelvic regions (structural and visceral component), as well as dura mater. Local somatic dysfunctions of the musculoskeletal system (tarsal-metatarsal and metatarsal-phalangeal joints, diaphragm, foot bones) and craniosacral system (temporomandibular joint, TMJ, skull sutures) were also revealed. Osteopathic correction is accompanied by a statistically significant (p<0,05) decrease in the frequency of detection of all listed regional disorders (except for the lumbar region, structural component) and most local (except for local TMJ dysfunctions). Global postural disorders are not detected after the correction. The clinical manifestations severity of valgus deformity of the first finger decreases statistically significantly (p<0,05), by such parameters as the interplatarsal angle value (from 12 to 11,4 degrees on average) and the valgus deviation of I finger angle (from 21 to 20,3 angles on average); the AOFAS questionnaire indicators also improve (from 56,4 to 77,5 points on average) and the Grullier scale (from 48,2 to 67,7 points on average) too.Conclusion. The results obtained during the study allow to consider the possibility of recommending the inclusion of osteopathic correction in the complex conservative treatment of hallux valgus of the Ist toe.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130992307","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":"Justifi cation of the use of osteopathic correction in the planned preparation of patients for general anesthesia with tracheal intubation","authors":"V. L. Kurnoskin, O. I. Kurbatov","doi":"10.32885/2220-0975-2022-3-64-74","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-64-74","url":null,"abstract":"Introduction. The risk of unsuccessful intubation is a signifi cant problem during elective surgical operations with general anesthesia and tracheal intubation. Taking in consideration the trend towards the development of short-stay surgical hospitals, and the rather low availability of endoscopy services, the search for alternative methods of preparing patients for successful tracheal intubation is in demand. A normal tone of the muscles involved in the work of the temporomandibular joints as well as the tone of the muscles above the hyoid bone and the muscles below the hyoid bone are necessary for successful intubation of the trachea. Based on modern ideas, it can be assumed that an adequate osteopathic effect on the mentioned anatomical structures can provide a decrease in muscle tone. However, there are no publications in the available literature on osteopathic correction of patients at high risk of intubation in order to reduce the risk degree.The aim of the research is to substantiate the use of osteopathic correction in the planned preparation of patients for general anesthesia with tracheal intubation.Materials and methods. The study involved 30 patients with chronic surgical pathology of internal organs who had to undergo elective surgery. The patients were distributed into the control and main groups (15 participants each) by the method of randomization envelopes. The participants of the control group followed the instructions given by the anesthetist, the participants of the main group received additionally a month before the operation two sessions of osteopathic correction with an interval of 14 days. In both groups, the osteopathic status was assessed before the start of the corresponding treatment. The degree of intubation risk and the incision distance were also assessed. After completion of the corresponding treatment, the osteopathic status was re-evaluated in both groups. In the main group, the risk of intubation and the incision distance were re-evaluated.Results. At the beginning of the study, both groups were characterized by a high detection frequency of the following regional biomechanical disorders: neck, thoracic region and dura mater. At the completion of the study, a statistically signifi cant (p<0,05) decrease in the detection frequency of all these disorders was observed in the main group. There was no signifi cant dynamics in the control group. Also in the main group there was a statistically signifi cant (p<0,05) decrease in the intubation risk and an increase in the incision distance value.Conclusion. The obtained results allow recommending the appointment of an osteopath consultation and osteopathic correction during the planned preparation of patients with a high risk of intubation. At the same time, it is recommended to continue the study on a larger sample.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133863887","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 status in people who have had a new coronavirus infection, 3–6 months after the disease","authors":"I. A. Aptekar, E. V. Abramova","doi":"10.32885/2220-0975-2022-3-91-102","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-91-102","url":null,"abstract":"Introduction. According to Russian and foreign studies, the frequency of clinical manifestations that are character for post-COVID syndrome continues to grow in people who have undergone a new coronavirus infection. In this regard, an urgent task is to increase the volume of available treatment methods, including non-drug ones, and their reasonable inclusion in medical rehabilitation.The aim of the study was to assess the osteopathic status and complaints in people who had a new coronavirus infection 3-6 months after the disease and their changes after osteopathic correction.Materials and methods. In the period from May 2020 to September 2021, a prospective study was carried out at the bases of the medical part of the rotational camp of the Yamal-Nenets Autonomous Okrug and ANO «Tyumen Institute of Manual Medicine», Clinic of Family Osteopathy of Doctor Aptekar′. The work is based on the results of osteopathic correction of 218 patients aged 27–54 years (average age — 42,3±3,2 years) who had a new coronavirus infection 3–6 months before the start of the study and who have clinical symptoms that are character for post-COVID syndrome. All patients underwent an assessment of osteopathic status, and there was an analysis of medical records.Results. During the process of osteopathic diagnosis in the examined group, prior to treatment, there were revealed dominant somatic dysfunctions of the regions of the head, thoracic and lumbar. The following most significant local disorders were diagnosed in regional somatic dysfunctions: compression of sphenobasilar synchondrosis (29,8 %), somatic dysfunction of the dura mater of the Brain sag type (25,2 %), somatic dysfunctions of the abdominal (6,9 %) and pelvic (6 %) diaphragms, sigmoid colon (6,9 %) and pericardial ligaments (15,1 %). At the same time, patients had complaints indicating a violation of cognitive functions, disorders of the nervous, cardiovascular, respiratory systems and the musculoskeletal system. After the completion of osteopathic correction, the detection frequency of the above dysfunctions decreased statistically significantly (p≤0.05), and there was obtained a statistically significant (p≤0,05) positive dynamics in complaints. Positive dynamics persisted 3 months after the completion of the osteopathic correction course.Conclusion. This study made it possible to establish that in people who had a new coronavirus infection, in the period 3–6 months after the disease, the compression of sphenobasilar synchondrosis, somatic dysfunction of the dura mater (according to the Brain sag type), somatic dysfunction of the thoracic and pelvic diaphragms, sigmoid colon and pericardial ligaments were the most often detected. After the osteopathic correction, patients showed a statistically significant (p≤0,05) decrease of the detection frequency of these somatic dysfunctions, and a positive trend in complaints.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122788173","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":"Piriformis syndrome","authors":"V. Belash, E. Petrova","doi":"10.32885/2220-0975-2022-3-131-156","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-131-156","url":null,"abstract":"Currently, back pain ranks fourth among the causes of disability of the population. Lumbar pain and pain in the lower back are the most common among the pain syndromes. Tunnel neuropathies of the pelvic girdle including piriformis syndrome are among the particular manifestations of this pathology. The purpose of this article was to summarize modern ideas about the etiology and pathogenesis, diagnosis and treatment of piriformis syndrome.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127536343","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}