Effect of different osteopathic techniques on the tone and electrical activity of the sternocleidomastoid muscles
V. I. Popova,
No information about this author
V. Е. Kondratev,
No information about this author
A. S. Vedyashkina
No information about this author
et al.
Russian Osteopathic Journal,
Journal Year:
2025,
Volume and Issue:
1, P. 102 - 113
Published: March 24, 2025
Introduction.
At
an
osteopathic
doctor’s
appointment,
musculoskeletal
neck
pain
is
the
most
common
reason
for
consultation,
reaching
60
%.
Osteopathic
doctors
use
a
wide
range
of
manual
techniques
to
diagnose
and
correct
somatic
dysfunction,
including
articulation
muscle-energy
(MET).
Both
types
can
increase
cervical
spine
mobility,
decrease
muscle
tone,
alter
viscoelastic
properties
soft
tissue,
in
asymptomatic
individuals.
No
studies
on
effect
MET
tone
according
surface
electromyography
(SEMG)
were
found.
Comparison
different
bioelectrical
activity
muscles
one
group
subjects
was
also
not
conducted.
The
aim
study
:
compare
muscle-energetic
young
people
with
no
complaints
pain.
Materials
methods.
From
December
2023
March
2024,
conducted
at
Department
Osteopathy
I.
Mechnikov
NWSMU
(Saint-Petersburg)
30
participants
aged
22
44
years
(median
27
years),
17
women
13
men.
time
examination,
they
actively
did
present
Inclusion
criteria
presence
diseases
and/or
conditions
that
absolute
contraindications
correction,
history
trauma;
metal
structures
spine;
taking
medications
affecting
study;
neuromuscular
diseases.
Each
participant
treated
twice:
first
stage
second
least
month
neck.
Before
immediately
after
treatment,
sternocleidomastoid
(SCMM)
palpatory
examined
average
amplitude
their
electrical
A
av.
(pV)
rest
recorded
using
SEMG,
which
performed
Kolibri
wireless
electrophysiologic
signal
monitoring
complex
(«Neurotech»,
Russia).
Recordings
made
synchronously
from
right
left
sides
body,
then
asymmetry
calculated
as
modulus
difference
between
sides.
Results.
During
examination
before
exposure
both
stages,
SCMM
often
evaluated
normal
or
elevated.
After
application
articulation,
number
persons
hypertonus
statistically
significantly
decreased
increased
normotonus
(
p
=0,02),
while
groups
these
differ
each
other
>0,05).
articulations
decreased,
indicating
tone.
There
significant
this
index
stages
MET,
there
tendency
SCMM,
but
changes
=0,11).
=0,032).
Conclusion.
single
equally
reduces
and,
accordingly,
muscles.
same
time,
additionally
reduce
muscles,
i.
e.
normalize
more
harmoniously.
To
objectify
doctor
patient
such
important
result
correction
reduction
its
asymmetry,
method
EMG
recommended.
If
electrode
followed,
gives
reliable
repeatable
results,
basis
objective
proving
effectiveness
techniques.
Language: Английский
Evaluation of the clinical effectiveness of osteopathic gallbladder drainage techniques
V. O. Belash,
No information about this author
E. Yu. Zavadsky,
No information about this author
A. I. Zueva
No information about this author
et al.
Russian Osteopathic Journal,
Journal Year:
2024,
Volume and Issue:
3, P. 47 - 57
Published: Sept. 14, 2024
Introduction
.
In
recent
decades,
a
lot
of
new
materials
about
etiology
and
pathogenesis
biliary
system
diseases
have
been
obtained
effective
drugs
introduced.
But,
despite
this,
there
remains
much
unrecognized
controversial
in
etiopathogenesis
principles
treatment
the
disease.
Moreover,
frequency
complicated
forms
disease
overall
incidence
pathology
continues
to
grow,
which
clearly
shows
need
search
for
approaches
diagnosis
these
conditions.
The
leading
causes
tract
formation,
actual
problems
pharmacotherapy
(allergic
reactions,
side
effects,
polypragmasy),
certain
aspects
comorbid
make
clinicians
pay
closer
attention
non-medicament
methods,
including
osteopathic
correction.
Previous
studies
already
demonstrated
good
clinical
effect
correction
patients
with
disorders.
At
same
time,
most
osteopathy
present
an
assessment
possibility
using
nosological
forms.
But
no
less
important,
our
opinion,
is
conduct
aimed
at
evaluating
effectiveness
(efficiency)
individual
techniques.
aim
study:
investigate
techniques
gallbladder
drainage.
Materials
methods.
study
was
conducted
2022–2023
on
basis
Polyclinic
Federation
Independent
Trade
Unions
Russia
(Moscow)
City
Mariinsky
Hospital
(St.
Petersburg).
There
were
30
people
(9
men
21
women)
aged
18
59
years
(mean
age
40,4±2,3
years)
without
gastrointestinal
(biliary
tract)
who
agreed
participate
study.
All
participants
underwent
fasting
volume
study,
followed
by
one
hour
after
eating
trial
breakfast
(TB).
One
week
first
another
then
(OC)
Thus
two
observation
groups
formed:
1
(TB)
—
function
before
taking
breakfast;
2
drainage
Participants
did
not
receive
other
treatments
during
respondents
examination
ultrasound
motor
score
(MFS)
performed.
Outcomes
this
defined
as
changes
size
motility.
Results.
No
global
level
somatic
dysfunction
identified
participants.
Regional
biomechanical
disorders
separate
local
dysfunctions
more
typical
them.
However,
it
possible
identify
any
predominant
dysfunctions,
all
them
detected
single
cases.
After
exposure
completed,
status
re-evaluated.
analysis
showed
that
statistically
significant
detection
main
both
observations
(p>0,05).
observed
respondents,
abnormalities
basic
beginning
revealed.
stimulation
differences
(length
width)
within
between
registered
(p>0,05),
but
dynamics
form
decrease
response
(p<0,05)
when
TB
OC.
assessed
measure
(MFS).
case
(TB),
MFS
value
0,66±0,09
0,58±0,07,
corresponds
normal
functional
activity.
Compared
use
breakfast,
slightly
pronounced
function,
Conclusion
Osteopathic
manipulations
activity
comparable
breakfast.
Language: Английский
Comparison of osteopathic and reflexotherapeutic diagnostic results in patients with cervical dorsopathy
Russian Osteopathic Journal,
Journal Year:
2024,
Volume and Issue:
4, P. 21 - 33
Published: Dec. 17, 2024
Introduction.
The
main
direction
of
conservative
treatment
patients
with
dorsopathies
remains
drug
therapy,
but
most
clinicians
agree
that
even
the
«best»
therapy
does
not
always
help
to
achieve
desired
results,
and
in
addition
is
without
a
number
known
problems
—
allergic
reactions,
side
effects,
polypragmasy,
impossibility
use
due
presence
comorbid
pathology.
Therefore,
recent
years
there
has
been
an
increase
interest
various
non-medicamentous
methods
dorsopathies:
massage,
physical
physiotherapy,
manual
osteopathy,
reflexotherapy.
Previous
work
demonstrated
clinical
effectiveness
both
reflexotherapy
osteopathic
correction
dorsopathies.
Both
osteopathy
reflexology
are
disciplines
actively
position
holistic
approach
human
body
subsequent
treatment.
But
at
same
time,
question
coincidence
or
inconsistency
results
diagnostic
protocols
two
«fundamental»
non-medicinal
approaches
studied
before.
All
above
predetermined
purpose
this
study.
aim
study:
compare
reflexotherapeutic
diagnostics
dorsopathy
cervical
spine.
Materials
.
cross-blind
study
was
conducted
on
basis
medical
clinic
LLC
«Mokhov
Institute
Osteopathy»
(Saint-Petersburg)
period
from
September
2018
December
2022.
110
(68
women
42
men)
spine
were
under
observation.
underwent
one-stage
assessment
status
electropuncture
diagnosis
according
method
I.
Nakatani,
level
pain
syndrome
measured.
measurements
performed
by
different
specialists,
which
allowed
«blinding»
obtained.
Results.
Somatic
dysfunctions
(SD)
global
revealed
19
(17
%)
people
represented
mainly
disorder
cranial
rhythmic
impulse
production
psychovisceral-somatic
disorder.
SD
regional
majority
examined
(98
people,
89
%).
typical
following
regions:
neck
(structural
component),
thoracic
pelvis
visceral
components),
dura
mater.
Local
diagnosed
all
(110
patients,
100
Among
local
frequently
separate
vertebralmotor
segments,
joints
skull,
sacrum,
knee
joint,
ankle
joint.
Pain
moderate
severity
characteristic
for
patients.
Electropuncture
Nakatani
estimate
state
acupuncture
meridians
so-called
representative
points.
According
data
obtained
hypofunction
lung
meridian
hyperfunction
heart,
bladder
kidney
meridians.
In
accordance
set
goal
we
evaluated
conjugation
between
diagnostics.
A
medium
association
found
between:
Lung
corresponding
(conjugation
coefficient
0,58),
small
intestine
0,52).
high
strength
pericardial
ligament
(contiguity
0,78),
liver
0,74),
0,8).
Conclusion.
Patients
primarily
characterised
levels.
connections
(both
independent
«structure»
biomechanical
disorders)
course
potentially
allow
us
speak
about
comparability
At
it
interesting
findings
comparable
only
Language: Английский