Pub Date : 2022-09-27DOI: 10.32885/2220-0975-2022-3-54-63
E. Nenashkina
Introduction. The development of pregnancy is accompanied by a number of regular structural and functional changes in a woman′s body, which, in turn, can both reduce the level of life quality and serve as a background or a cause for the formation of somatic dysfunctions, the level of manifestation and severity of which depend on the compensatory capabilities of the female body. Therefore during this period a woman needs to ensure a high level of life quality. At the present stage the pregnancy′s support dictates the need to use an integrated approach to solving the issues of preventing the development of complications during pregnancy, as well as reducing perinatal risks for the mother and fetus. At the same time, issues of the life quality of pregnant women are often not given due attention. This dictates the need to search for methods (primarily non-drug) that contribute to improving the life quality.The aim of the study was to evaluate the impact of osteopathic correction on the life quality of pregnant women.Materials and methods. A prospective controlled randomized study conducted in the period from 03.2018 to 03.2022 on the basis of the Mokhov Institute of Osteopathy LLC Medical Clinic included 90 somatically healthy pregnant women aged 25–45 years, whose gestation period was 13–27 weeks. All pregnant women, depending on the used correction technique, were divided by a randomization envelopes method into three groups: the main (30 people), control (30 people) and comparison group (30 people). The patients of the main group received osteopathic correction (3 procedures with an interval of 10–14 days). The control group patients used physical exercises 2 times a week for 1,5 months as prescribed by a physical therapy doctor. The patients of the third group were dynamically monitored. Before and after the correction an osteopathic examination of all pregnant women was conducted with the formation of an osteopathic conclusion, and also their life quality was assessed according to the criteria of the SF-36 questionnaire.Results. For pregnant women, as the pregnancy period increases, a decrease in both the physical and psychological components of the life quality is characteristic. In the main group, compared with the control group, after osteopathic correction, there was a statistically significant increase in the indicators of the physical and psychological components of the life quality (p=0,0024). The use of physical therapy exercises by healthy pregnant women leads to the fact that quality of life indicators tend to increase as pregnancy progresses.Conclusion. The development of pregnancy is accompanied by a number of regular structural and functional changes in a woman′s body, which in turn can reduce the quality of life. The use of osteopathic correction during pregnancy makes it possible to improve the life quality of pregnant women, and so it can be used to improve medical care for this contingent of the population.
{"title":"The impact of osteopathic correction on the life quality of pregnant women","authors":"E. Nenashkina","doi":"10.32885/2220-0975-2022-3-54-63","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-54-63","url":null,"abstract":"Introduction. The development of pregnancy is accompanied by a number of regular structural and functional changes in a woman′s body, which, in turn, can both reduce the level of life quality and serve as a background or a cause for the formation of somatic dysfunctions, the level of manifestation and severity of which depend on the compensatory capabilities of the female body. Therefore during this period a woman needs to ensure a high level of life quality. At the present stage the pregnancy′s support dictates the need to use an integrated approach to solving the issues of preventing the development of complications during pregnancy, as well as reducing perinatal risks for the mother and fetus. At the same time, issues of the life quality of pregnant women are often not given due attention. This dictates the need to search for methods (primarily non-drug) that contribute to improving the life quality.The aim of the study was to evaluate the impact of osteopathic correction on the life quality of pregnant women.Materials and methods. A prospective controlled randomized study conducted in the period from 03.2018 to 03.2022 on the basis of the Mokhov Institute of Osteopathy LLC Medical Clinic included 90 somatically healthy pregnant women aged 25–45 years, whose gestation period was 13–27 weeks. All pregnant women, depending on the used correction technique, were divided by a randomization envelopes method into three groups: the main (30 people), control (30 people) and comparison group (30 people). The patients of the main group received osteopathic correction (3 procedures with an interval of 10–14 days). The control group patients used physical exercises 2 times a week for 1,5 months as prescribed by a physical therapy doctor. The patients of the third group were dynamically monitored. Before and after the correction an osteopathic examination of all pregnant women was conducted with the formation of an osteopathic conclusion, and also their life quality was assessed according to the criteria of the SF-36 questionnaire.Results. For pregnant women, as the pregnancy period increases, a decrease in both the physical and psychological components of the life quality is characteristic. In the main group, compared with the control group, after osteopathic correction, there was a statistically significant increase in the indicators of the physical and psychological components of the life quality (p=0,0024). The use of physical therapy exercises by healthy pregnant women leads to the fact that quality of life indicators tend to increase as pregnancy progresses.Conclusion. The development of pregnancy is accompanied by a number of regular structural and functional changes in a woman′s body, which in turn can reduce the quality of life. The use of osteopathic correction during pregnancy makes it possible to improve the life quality of pregnant women, and so it can be used to improve medical care for this contingent of the population.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"17 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":"121492489","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 : 2022-09-27DOI: 10.32885/2220-0975-2022-3-45-53
O. Uspenskaya, M. L. Zhdanova, E. Kostrova, Y. Potekhina
Introduction. Due to the high prevalence of caries, the monitoring of enamel and dentin state remains an actual problem in dentistry and contributes to the development of new methods for diagnosing and predicting a cariogenic situation in the oral cavity. One of these methods is the study of the remineralization and demineralization processes in the oral cavity and of the microelements′ and macroelements′ level in the oral fluid.The aim of the study is to research the level of macroand microelements in the oral fluid in patients with different intensity of dental caries.Materials and methods. 13 people aged 21 to 35 were examined, including 10 women and 3 men. Based on the results of the dental examination, 2 groups of subjects were formed: 1st (n=4) healthy individuals and patients with a compensated form of caries; 2st (n=9) patients with decompensated form of caries. The subjects collected oral fluid by spitting into a test tube on an empty stomach, after brushing their teeth and rinsing their mouth three times with distilled water. Three samples were taken from each subject on different days, a total of 39 samples. The content of elements (Na, K, Ca, Mg, Fe, P, Mn) was determined by inductively coupled plasma atomic emission spectrometry.Results. An increase in the content of most microand macroelements (Na, K, Ca, Mg and P) in the oral fluid was found in patients with decompensated caries compared with the compensated form and healthy people (p<0,05). Perhaps, in the absence of a carious process or compensated caries, the mineral components are concentrated in hard tissues and the remineralization-restoration processes of the tooth mineral structures prevail.Conclusion. The study of the content of Na, K, Ca, Mg and P in the oral fluid can be used to diagnose and predict the course of the carious process.
{"title":"The content of microand macroelements in the oral fluid at different intensity of dental caries","authors":"O. Uspenskaya, M. L. Zhdanova, E. Kostrova, Y. Potekhina","doi":"10.32885/2220-0975-2022-3-45-53","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-45-53","url":null,"abstract":"Introduction. Due to the high prevalence of caries, the monitoring of enamel and dentin state remains an actual problem in dentistry and contributes to the development of new methods for diagnosing and predicting a cariogenic situation in the oral cavity. One of these methods is the study of the remineralization and demineralization processes in the oral cavity and of the microelements′ and macroelements′ level in the oral fluid.The aim of the study is to research the level of macroand microelements in the oral fluid in patients with different intensity of dental caries.Materials and methods. 13 people aged 21 to 35 were examined, including 10 women and 3 men. Based on the results of the dental examination, 2 groups of subjects were formed: 1st (n=4) healthy individuals and patients with a compensated form of caries; 2st (n=9) patients with decompensated form of caries. The subjects collected oral fluid by spitting into a test tube on an empty stomach, after brushing their teeth and rinsing their mouth three times with distilled water. Three samples were taken from each subject on different days, a total of 39 samples. The content of elements (Na, K, Ca, Mg, Fe, P, Mn) was determined by inductively coupled plasma atomic emission spectrometry.Results. An increase in the content of most microand macroelements (Na, K, Ca, Mg and P) in the oral fluid was found in patients with decompensated caries compared with the compensated form and healthy people (p<0,05). Perhaps, in the absence of a carious process or compensated caries, the mineral components are concentrated in hard tissues and the remineralization-restoration processes of the tooth mineral structures prevail.Conclusion. The study of the content of Na, K, Ca, Mg and P in the oral fluid can be used to diagnose and predict the course of the carious process.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"95 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":"132953020","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 : 2022-09-27DOI: 10.32885/2220-0975-2022-3-157-166
L. Schenone
Due to the high incidence of non-specific low back pain in the world population that don′t present a response with conventional tools, a quantitative register is sought, through a Balanced Ligamentous Osteopathic Technique, that responds to its effectiveness on the ligaments iliolumbar elongated by the vertebral injury, that is, the correction of a second-degree injury of the 5th lumbar. The purpose of this study was to determine if there is a decrease in local pain and an increase in trunk flexion movement in Lumbosacral Hinge after applying the Balanced Ligament Osteopathic Technique on the transverse apophysis of the 5th lumbar and to emphasize the importance of the treatment of ligament structures in the specific biomechanical integration of the entire spine. This design consisted of two groups, an experimental one that received the treatment detailed in the present work, while the second group was the control group, which received a placebo intervention. It was made up of two groups, one of an experimental type, of 72 participants, who received the treatment detailed in the present work, while the second group of other 72 participants, was the control group, which received a placebo intervention. Quantitative pain values were taken through the Algometer (local pain) and the ground finger test to record the presence of the limits that pain generates for the trunk flexion movement. The ground finger test resulted in an increase of 62,6 % for the experimental group and 6.7% for the control group, before and after the intervention. The same occurred in the Algometer record before and after the intervention, giving a 133 % increase in tolerance to pressure in the experimental group and in the control group it did not exceed 1 %.
{"title":"Effects of Balanced Ligamentous Osteopathic Technique over LV in low back pain","authors":"L. Schenone","doi":"10.32885/2220-0975-2022-3-157-166","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-157-166","url":null,"abstract":"Due to the high incidence of non-specific low back pain in the world population that don′t present a response with conventional tools, a quantitative register is sought, through a Balanced Ligamentous Osteopathic Technique, that responds to its effectiveness on the ligaments iliolumbar elongated by the vertebral injury, that is, the correction of a second-degree injury of the 5th lumbar. The purpose of this study was to determine if there is a decrease in local pain and an increase in trunk flexion movement in Lumbosacral Hinge after applying the Balanced Ligament Osteopathic Technique on the transverse apophysis of the 5th lumbar and to emphasize the importance of the treatment of ligament structures in the specific biomechanical integration of the entire spine. This design consisted of two groups, an experimental one that received the treatment detailed in the present work, while the second group was the control group, which received a placebo intervention. It was made up of two groups, one of an experimental type, of 72 participants, who received the treatment detailed in the present work, while the second group of other 72 participants, was the control group, which received a placebo intervention. Quantitative pain values were taken through the Algometer (local pain) and the ground finger test to record the presence of the limits that pain generates for the trunk flexion movement. The ground finger test resulted in an increase of 62,6 % for the experimental group and 6.7% for the control group, before and after the intervention. The same occurred in the Algometer record before and after the intervention, giving a 133 % increase in tolerance to pressure in the experimental group and in the control group it did not exceed 1 %.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"341 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":"133151760","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 : 2022-09-27DOI: 10.32885/2220-0975-2022-3-114-130
Y. Novikov, A. Akopian, F. A. Amigues
The new coronavirus infection probably affects the pathomorphosis of the disease, aggravating the course of the tension headache that the patient previously had. In the above clinical observation, the high effectiveness of the complex treatment of TH and autonomic dysfunction with central thermoregulation disorder in the framework of postcovid syndrome with the use of osteopathic correction, acupuncture and drug treatment was noted. The effectiveness of osteopathic techniques can be reinterpreted and explained through the identification of the glymphatic system. Further studies are needed to clarify the main mechanisms of action of osteopathy in patients with the consequences of a coronavirus infection.
{"title":"Multidisciplinary approach in the treatment of chronic tension headache on the background of COVID-19","authors":"Y. Novikov, A. Akopian, F. A. Amigues","doi":"10.32885/2220-0975-2022-3-114-130","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-114-130","url":null,"abstract":"The new coronavirus infection probably affects the pathomorphosis of the disease, aggravating the course of the tension headache that the patient previously had. In the above clinical observation, the high effectiveness of the complex treatment of TH and autonomic dysfunction with central thermoregulation disorder in the framework of postcovid syndrome with the use of osteopathic correction, acupuncture and drug treatment was noted. The effectiveness of osteopathic techniques can be reinterpreted and explained through the identification of the glymphatic system. Further studies are needed to clarify the main mechanisms of action of osteopathy in patients with the consequences of a coronavirus infection.","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":"129071740","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 : 2022-09-26DOI: 10.32885/2220-0975-2022-3-8-32
D. Mokhov, Y. Potekhina, A. A. Gurichev
The article presents the main osteopathic tests that allow identifying and differentiating biomechanical, hydrodynamic and neurodynamic components of somatic dysfunctions and choosing adequate techniques for osteopathic correction. For each test, an anatomical and physiological justifi cation is given and the principle of its implementation is described.
{"title":"Modern approaches to osteopathic diagnostics, its theoretical and practical foundations","authors":"D. Mokhov, Y. Potekhina, A. A. Gurichev","doi":"10.32885/2220-0975-2022-3-8-32","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-8-32","url":null,"abstract":"The article presents the main osteopathic tests that allow identifying and differentiating biomechanical, hydrodynamic and neurodynamic components of somatic dysfunctions and choosing adequate techniques for osteopathic correction. For each test, an anatomical and physiological justifi cation is given and the principle of its implementation is described.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116570095","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 : 2022-09-26DOI: 10.32885/2220-0975-2022-3-33-44
A. Orel, O. Semenova
Introduction. The increase in the number of elderly and senile people is recognized as a global problem, therefore, the development of new indicators that objectively reflect the aging of the human body is an urgent and significant task. However, the available quantitative indicators and methods used in the field of aging, according to WHO estimates, are limited and do not provide a deep understanding of the key aspects of healthy aging. This article offers information about the possibilities of studying the panoramic X-ray image of the entire spine for developing some new indicators and evaluating the age-related changes observed.The purpose of the work: to investigate the age-related spine changes on the basis of previously developed criteria for quantitative and qualitative assessment of the shape and position of the spine structures.Materials and methods. X-ray images of all spine parts were examined in the sagittal projection for 141 patients, 57 men and 84 women with dorsopathies. The selection of patients was carried out randomly. The cohort of patients was divided into 4 groups: 1st — 21–44 years (average age 32,7 years) — 31 people, 2st — 45–59 years (average age 52,6 years) — 39 people, 3st — 60–74 years (average age 66,8 years) — 50 people and 4st — 75–88 years (average age — 81,1 years) — 21 people. The study was carried out on a personal computer screen, without the participation and additional irradiation of patients. A digital X-ray image of the whole spine in the sagittal plane was obtained for each patient. On the combined digital radiograph the occipital vertical was drown starting from the outer hillock of the occipital bone along all spine parts. The anteroposterior axes of CV–TV vertebrae (r axes) were drawn and the tangent line segments were applied on the contours of the base and dorsal planes of the sacral image. The angles were measured between the occipital vertical and the perpendiculars restored to these lines at the points of their intersection with the occipital vertical. Statistical processing of the data obtained was carried out.Results. In the course of statistical processing on the basis of the data obtained, some distinctive features of the studied structures were identified, methods of their quantitative assessment were proposed and boundaries of the proposed indicator registration were determined. The peculiarities of changes in the position of the spine depending on age are revealed: for people over 70 years, the occipital vertical most often passes anteriorly from the anterior contours of the bodies or crosses the bodies of the thoracic vertebrae; for people over 60 years, the cervical-thoracic transition at the CVII–TIII level more often has the form of enhanced kyphosis («Bear withers» or «Buffalo hump» type), and the head is in a forward position (FHP); for people over 70 years, the sacrum more often has an upright position.Conclusion. The proposed diagnostic method made it possible to determine position typ
{"title":"Age-related trend of spine changes","authors":"A. Orel, O. Semenova","doi":"10.32885/2220-0975-2022-3-33-44","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-3-33-44","url":null,"abstract":"Introduction. The increase in the number of elderly and senile people is recognized as a global problem, therefore, the development of new indicators that objectively reflect the aging of the human body is an urgent and significant task. However, the available quantitative indicators and methods used in the field of aging, according to WHO estimates, are limited and do not provide a deep understanding of the key aspects of healthy aging. This article offers information about the possibilities of studying the panoramic X-ray image of the entire spine for developing some new indicators and evaluating the age-related changes observed.The purpose of the work: to investigate the age-related spine changes on the basis of previously developed criteria for quantitative and qualitative assessment of the shape and position of the spine structures.Materials and methods. X-ray images of all spine parts were examined in the sagittal projection for 141 patients, 57 men and 84 women with dorsopathies. The selection of patients was carried out randomly. The cohort of patients was divided into 4 groups: 1st — 21–44 years (average age 32,7 years) — 31 people, 2st — 45–59 years (average age 52,6 years) — 39 people, 3st — 60–74 years (average age 66,8 years) — 50 people and 4st — 75–88 years (average age — 81,1 years) — 21 people. The study was carried out on a personal computer screen, without the participation and additional irradiation of patients. A digital X-ray image of the whole spine in the sagittal plane was obtained for each patient. On the combined digital radiograph the occipital vertical was drown starting from the outer hillock of the occipital bone along all spine parts. The anteroposterior axes of CV–TV vertebrae (r axes) were drawn and the tangent line segments were applied on the contours of the base and dorsal planes of the sacral image. The angles were measured between the occipital vertical and the perpendiculars restored to these lines at the points of their intersection with the occipital vertical. Statistical processing of the data obtained was carried out.Results. In the course of statistical processing on the basis of the data obtained, some distinctive features of the studied structures were identified, methods of their quantitative assessment were proposed and boundaries of the proposed indicator registration were determined. The peculiarities of changes in the position of the spine depending on age are revealed: for people over 70 years, the occipital vertical most often passes anteriorly from the anterior contours of the bodies or crosses the bodies of the thoracic vertebrae; for people over 60 years, the cervical-thoracic transition at the CVII–TIII level more often has the form of enhanced kyphosis («Bear withers» or «Buffalo hump» type), and the head is in a forward position (FHP); for people over 70 years, the sacrum more often has an upright position.Conclusion. The proposed diagnostic method made it possible to determine position typ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122588409","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 : 2022-06-27DOI: 10.32885/2220-0975-2022-2-53-63
L. V. Valiullova, G. R. Gilmutdinova, A. A. Safiullina
Introduction. Pain in the chest area is characterised by the high prevalence in the population and the complexity of the differential diagnosis of the causes that induce this condition. The treatment of patients with pectalgic syndrome is mainly complex, more focused on drug therapy. At the same time, certain disadvantages of pharmacotherapy (potentially possible side effects, not always fully sufficient effectiveness) determine the relevance of the search for additional non-drug methods of influence. Osteopathic correction can also be one of these methods. From the standpoint of vertebroneurology, the causes of pectalgic syndrome are degenerative-dystrophic changes in the spine: at the cervical level the uncovertebral joints blockades have importance, and at the thoracic level — of the costovertebral joints. From an osteopathic point of view, the pain of the anterior chest wall is not limited by the spine pathology. It may be associated with dysfunction of the sternocostal joint, diaphragm, sternum, heart, pleura, liver, gallbladder, as well as disorders of other anatomical formations, including some structures located remotely from the initial localization of the pain syndrome. In students, pectalgic syndrome is not uncommon, and it is associated with certain features of their lifestyle, namely, prolonged static loads. Therefore, the study of possible additional non-drug, including osteopathic, methods for correcting this problem is especially important for this category of the population.The aim of the study is to evaluate the osteopathic correction effectiveness of pectalgic syndrome in students.Materials and methods. The study involved 40 young people, male and female, aged 18 to 22 years, suffering from pectalgic syndrome. Two groups were formed by simple randomization: the main group (20 people who received osteopathic correction) and the control group (20 people who received drug therapy, physiotherapy and exercise therapy). In both groups, at the beginning and at the end of the study, the osteopathic status, the severity of the pain syndrome, and the level of anxiety and depression were assessed.Results. Study participants suffering from pectalgic syndrome were mostly characterized by the presence of regional biomechanical disorders (breast region, structural component — 100 % prevalence; neck region and lumbar region, structural components — prevalence of at least 50 %). Also, the study participants were characterized by a fairly pronounced pain syndrome (about 5–6 points by the 10-point VAS scale), and a subclinical level of anxiety (about 8 points by the HADS). After an osteopathic correction course, the main group participants were characterized by a statistically signifi cant (p<0,05) more pronounced decrease of the detection frequency of regional biomechanical disorders (chest region, structural component), the pain intensity, and the anxiety and depression level.Conclusion. Osteopathic correction resulted in a signifi cant reduction
{"title":"Study of the osteopathic correction effectiveness of pectalgic syndrome in students","authors":"L. V. Valiullova, G. R. Gilmutdinova, A. A. Safiullina","doi":"10.32885/2220-0975-2022-2-53-63","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-53-63","url":null,"abstract":"Introduction. Pain in the chest area is characterised by the high prevalence in the population and the complexity of the differential diagnosis of the causes that induce this condition. The treatment of patients with pectalgic syndrome is mainly complex, more focused on drug therapy. At the same time, certain disadvantages of pharmacotherapy (potentially possible side effects, not always fully sufficient effectiveness) determine the relevance of the search for additional non-drug methods of influence. Osteopathic correction can also be one of these methods. From the standpoint of vertebroneurology, the causes of pectalgic syndrome are degenerative-dystrophic changes in the spine: at the cervical level the uncovertebral joints blockades have importance, and at the thoracic level — of the costovertebral joints. From an osteopathic point of view, the pain of the anterior chest wall is not limited by the spine pathology. It may be associated with dysfunction of the sternocostal joint, diaphragm, sternum, heart, pleura, liver, gallbladder, as well as disorders of other anatomical formations, including some structures located remotely from the initial localization of the pain syndrome. In students, pectalgic syndrome is not uncommon, and it is associated with certain features of their lifestyle, namely, prolonged static loads. Therefore, the study of possible additional non-drug, including osteopathic, methods for correcting this problem is especially important for this category of the population.The aim of the study is to evaluate the osteopathic correction effectiveness of pectalgic syndrome in students.Materials and methods. The study involved 40 young people, male and female, aged 18 to 22 years, suffering from pectalgic syndrome. Two groups were formed by simple randomization: the main group (20 people who received osteopathic correction) and the control group (20 people who received drug therapy, physiotherapy and exercise therapy). In both groups, at the beginning and at the end of the study, the osteopathic status, the severity of the pain syndrome, and the level of anxiety and depression were assessed.Results. Study participants suffering from pectalgic syndrome were mostly characterized by the presence of regional biomechanical disorders (breast region, structural component — 100 % prevalence; neck region and lumbar region, structural components — prevalence of at least 50 %). Also, the study participants were characterized by a fairly pronounced pain syndrome (about 5–6 points by the 10-point VAS scale), and a subclinical level of anxiety (about 8 points by the HADS). After an osteopathic correction course, the main group participants were characterized by a statistically signifi cant (p<0,05) more pronounced decrease of the detection frequency of regional biomechanical disorders (chest region, structural component), the pain intensity, and the anxiety and depression level.Conclusion. Osteopathic correction resulted in a signifi cant reduction","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131580968","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 : 2022-06-27DOI: 10.32885/2220-0975-2022-2-27-39
V. Belash, E. O. Gritsay, T. S. Musina
Introduction. Acute disorders of cerebral circulation - strokes - are the most important medical and social problem, due to their high proportion in the structure of morbidity and mortality of the population, signifi cant indicators of temporary labor losses and primary disability. In this regard, one of the main tasks of Russian healthcare is to slow down the increase in the disability of the population, which is carried out through the active development of the rehabilitation system in our country, including neurorehabilitation. Osteopathic correction can become one of the new areas of rehabilitation for this group of patients. There have already been made previous attempts to study the osteopathic status in patients with acute cerebrovascular accident and to assess the possible contribution of somatic dysfunctions to the pathogenesis of this disease. At the same time, there are no publications in the available scientifi c literature about the possibility of osteopathic correction using in the rehabilitation of patients with acute cerebrovascular accident in the early recovery period. All of the above predetermined the purpose of the study.The aim of the study is to substantiate the possibility of osteopathic correction methods using in the complex rehabilitation of patients with acute cerebrovascular accident in the early recovery period.Materials and methods. A prospective randomized controlled study was conducted from February 2019 to March 2020 on the basis of the neurorehabilitation department of the State Clinical Hospital № 11 (Omsk). 40 patients with a diagnosis of acute cerebrovascular accident, early recovery period were under observation. The sample was entire. Patients, depending on the method of used treatment, were divided with using the method of simple randomization into two comparable groups of 20 people: main and control. All patients received complex rehabilitation treatment, which included drug therapy, physiotherapy, kinesiotherapy, massage, and acupuncture. Additionally, patients of the main group received osteopathic correction (3 sessions). All patients, regardless of the group, before the start, as well as after the completion of the rehabilitation course, were assessed for osteopathic status, the level of self-care, daily activity and mobility of patients was determined using functional scales, and muscle strength of the hands was studied using dynamometry.Results. Patients with ischemic stroke in the early recovery period are characterized by the presence of somatic dysfunctions, mainly at the global and regional levels. 100 % of the examined participants had a global rhythmogenic cranial disorder. The most characteristic regional somatic dysfunctions were of the neck region, the structural component (29 %), and of the dura mater region (24 %). After completion of rehabilitation, global rhythmogenic cranial somatic dysfunction remained in all patients (100 %), however, in the group that received osteopathic correction,
{"title":"The use of osteopathic correction in the complex rehabilitation of patients with acute cerebrovascular accident","authors":"V. Belash, E. O. Gritsay, T. S. Musina","doi":"10.32885/2220-0975-2022-2-27-39","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-27-39","url":null,"abstract":"Introduction. Acute disorders of cerebral circulation - strokes - are the most important medical and social problem, due to their high proportion in the structure of morbidity and mortality of the population, signifi cant indicators of temporary labor losses and primary disability. In this regard, one of the main tasks of Russian healthcare is to slow down the increase in the disability of the population, which is carried out through the active development of the rehabilitation system in our country, including neurorehabilitation. Osteopathic correction can become one of the new areas of rehabilitation for this group of patients. There have already been made previous attempts to study the osteopathic status in patients with acute cerebrovascular accident and to assess the possible contribution of somatic dysfunctions to the pathogenesis of this disease. At the same time, there are no publications in the available scientifi c literature about the possibility of osteopathic correction using in the rehabilitation of patients with acute cerebrovascular accident in the early recovery period. All of the above predetermined the purpose of the study.The aim of the study is to substantiate the possibility of osteopathic correction methods using in the complex rehabilitation of patients with acute cerebrovascular accident in the early recovery period.Materials and methods. A prospective randomized controlled study was conducted from February 2019 to March 2020 on the basis of the neurorehabilitation department of the State Clinical Hospital № 11 (Omsk). 40 patients with a diagnosis of acute cerebrovascular accident, early recovery period were under observation. The sample was entire. Patients, depending on the method of used treatment, were divided with using the method of simple randomization into two comparable groups of 20 people: main and control. All patients received complex rehabilitation treatment, which included drug therapy, physiotherapy, kinesiotherapy, massage, and acupuncture. Additionally, patients of the main group received osteopathic correction (3 sessions). All patients, regardless of the group, before the start, as well as after the completion of the rehabilitation course, were assessed for osteopathic status, the level of self-care, daily activity and mobility of patients was determined using functional scales, and muscle strength of the hands was studied using dynamometry.Results. Patients with ischemic stroke in the early recovery period are characterized by the presence of somatic dysfunctions, mainly at the global and regional levels. 100 % of the examined participants had a global rhythmogenic cranial disorder. The most characteristic regional somatic dysfunctions were of the neck region, the structural component (29 %), and of the dura mater region (24 %). After completion of rehabilitation, global rhythmogenic cranial somatic dysfunction remained in all patients (100 %), however, in the group that received osteopathic correction, ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"22 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116858023","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 : 2022-06-27DOI: 10.32885/2220-0975-2022-2-133-148
L. Maroye, P. Klein, Christophe Dethier, P. Dugailly
Objectives. The study aims to conduct a systematic literature review about effi ciency of osteopathic care on health problems of the infants, from birth to the age of two, as well as to list eventual associated side-effects.Materials and methods. An independent author realized a systemic literature review among 10 data-bases. Studies investigating the effi ciency of osteopathy on troubles affecting premature babies, newborns, and infants, as well as associated adverse effects were included as long as they were written in French or in English. Case studies and experts′ point of view were excluded.Results. 12 studies out of 62 could be included. They looked at infant′s obstructive apnoea, lingth of stay and gastrointestinal disorders of the premature infant, positional asymmetry, infantile colic, and breastfeeding disorders. Mild side-effects are the only ones recorded to this day, although there is a lack of data on that count.Conclusion. To this day, there is a lack of studies with adequate methodology allowing to demonstrate the effi ciency of osteopathic care on aforementioned troubles. However, the experimental protocols in some of the studies found will provide a good basis to develop future randomized controlled studies investigating: troubles cared for, type of care provided, effects and potentially related adverse effects.
{"title":"Osteopathic treatment of newborns and infants: effi ciency and associated risks (a systematic review of literature in English and in French)","authors":"L. Maroye, P. Klein, Christophe Dethier, P. Dugailly","doi":"10.32885/2220-0975-2022-2-133-148","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-133-148","url":null,"abstract":"Objectives. The study aims to conduct a systematic literature review about effi ciency of osteopathic care on health problems of the infants, from birth to the age of two, as well as to list eventual associated side-effects.Materials and methods. An independent author realized a systemic literature review among 10 data-bases. Studies investigating the effi ciency of osteopathy on troubles affecting premature babies, newborns, and infants, as well as associated adverse effects were included as long as they were written in French or in English. Case studies and experts′ point of view were excluded.Results. 12 studies out of 62 could be included. They looked at infant′s obstructive apnoea, lingth of stay and gastrointestinal disorders of the premature infant, positional asymmetry, infantile colic, and breastfeeding disorders. Mild side-effects are the only ones recorded to this day, although there is a lack of data on that count.Conclusion. To this day, there is a lack of studies with adequate methodology allowing to demonstrate the effi ciency of osteopathic care on aforementioned troubles. However, the experimental protocols in some of the studies found will provide a good basis to develop future randomized controlled studies investigating: troubles cared for, type of care provided, effects and potentially related adverse effects.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125432536","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 : 2022-06-27DOI: 10.32885/2220-0975-2022-2-75-83
T. V. Vinitskaya
Introduction. The provision of medical care in the fi eld of osteopathy is a relatively new product on the Russian medical services market. And there are practically no studies on the problems of developing and increasing the competitiveness of osteopathic clinics, the impact on customer loyalty and minimizing possible claims to the services of osteopathic doctors.The aim of the work is to assess the characteristics of consumer behavior when patients choose osteopathy as a method of treatment and a medical institution and the perception of quality in the osteopathic services market.Materials and methods. The study included in-depth interviews with parents of children under the age of 14 who applied for treatment of their child. A total of 100 in-depth interviews were conducted. The in-depth interview research methodology included developing a scenario with questions, and interviewing respondents in compliance with the conditions of anonymity and the requirements for conducting marketing research of the international ESOMAR code. Projective questions and methods of working with metaphorical maps according to Zaltman were used to identify deep values and motivation for turning to osteopathic services. The assessment of the signifi cance of the identifi ed factors in assessing consumer requirements was carried out by ranking them using a score on a 10-point scale (10 points — maximum signifi cance, 1 point — no signifi cance).Results. Most respondents perceive osteopathy as a scientifi cally proven method, systemic, complex therapy aimed at fi nding the causes of the disease and their solution, in which the result of treatment is completely dependent on the doctor. To meet the expectations of clients, the most signifi cant parameters are related to the personality of the osteopath, his competence, behavior during the procedure and his reputation, as well as the safety, convenience and comfort of staying in the clinic, especially for children. The organization of the work of an osteopathic clinic, taking into account the above, will ensure a high level of consumer demand and organize a marketing policy and promotion of medical services in osteopathy, taking into account current trends.Conclusion. Key patterns of consumer behavior of clients and motives for seeking osteopathic treatment have been identifi ed. The results of the study will allow more effective interaction with people who seek treatment, as they give an understanding of what they are guided by when applying, what is important to them in terms of values and rational benefi ts, what expectations they have from visiting an osteopath.
{"title":"A study of consumer expectations and requirements for the quality of osteopathic services in parents of minor patients","authors":"T. V. Vinitskaya","doi":"10.32885/2220-0975-2022-2-75-83","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-75-83","url":null,"abstract":"Introduction. The provision of medical care in the fi eld of osteopathy is a relatively new product on the Russian medical services market. And there are practically no studies on the problems of developing and increasing the competitiveness of osteopathic clinics, the impact on customer loyalty and minimizing possible claims to the services of osteopathic doctors.The aim of the work is to assess the characteristics of consumer behavior when patients choose osteopathy as a method of treatment and a medical institution and the perception of quality in the osteopathic services market.Materials and methods. The study included in-depth interviews with parents of children under the age of 14 who applied for treatment of their child. A total of 100 in-depth interviews were conducted. The in-depth interview research methodology included developing a scenario with questions, and interviewing respondents in compliance with the conditions of anonymity and the requirements for conducting marketing research of the international ESOMAR code. Projective questions and methods of working with metaphorical maps according to Zaltman were used to identify deep values and motivation for turning to osteopathic services. The assessment of the signifi cance of the identifi ed factors in assessing consumer requirements was carried out by ranking them using a score on a 10-point scale (10 points — maximum signifi cance, 1 point — no signifi cance).Results. Most respondents perceive osteopathy as a scientifi cally proven method, systemic, complex therapy aimed at fi nding the causes of the disease and their solution, in which the result of treatment is completely dependent on the doctor. To meet the expectations of clients, the most signifi cant parameters are related to the personality of the osteopath, his competence, behavior during the procedure and his reputation, as well as the safety, convenience and comfort of staying in the clinic, especially for children. The organization of the work of an osteopathic clinic, taking into account the above, will ensure a high level of consumer demand and organize a marketing policy and promotion of medical services in osteopathy, taking into account current trends.Conclusion. Key patterns of consumer behavior of clients and motives for seeking osteopathic treatment have been identifi ed. The results of the study will allow more effective interaction with people who seek treatment, as they give an understanding of what they are guided by when applying, what is important to them in terms of values and rational benefi ts, what expectations they have from visiting an osteopath.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134190383","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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