{"title":"Strain Relief – Teil 5: Technische Ausführung","authors":"Hartwig Liedtke","doi":"10.1016/S1615-9071(25)00013-9","DOIUrl":"10.1016/S1615-9071(25)00013-9","url":null,"abstract":"<div><div>Bone is a hierarchically structured composite (collagen type I → procollagen → tropocollagen → triple helix → fibrils → mineralization of the fibrils → ossification), which consists in the nanometer range as a combination of a stiff inorganic mineral phase of 45 % hydroxyapatite together with a softer organic phase of 30 % (of which 95 % are collagen type I) and 25 % water, and is therefore elastic and malleable within certain limits. However, if a bone does not return to its former position after trauma, chronic traction, excessive pressure or torsion, pain will remain in the bone and in the non-stretchable fasciae, tendons, capsule and ligament structures involved.</div><div>Following the introduction of the theoretical basis of the new manual method for the treatment of chronic pain in the musculoskeletal system in part 1 [<span><span>1</span></span>] and the practical application of this technique in part 2 [<span><span>2</span></span>] on the lower limbs, in part 3 [<span><span>3</span></span>] on the upper limbs and in part 4 [<span><span>4</span></span>] on the pelvic ring, the hip joint and lower back pain, this time it is demonstrated how Strain Relief can be used to return pathologically deformed bones in the ventral and dorsal thorax, in the upper thoracic aperture and the neck region to their tension-free, anatomical starting position and thus relieve the ligamentous and muscle structures firmly anchored to them in order to eliminate chronic pain, pulmonological, cardiological and neurological dysfunctions.</div></div>","PeriodicalId":100996,"journal":{"name":"Osteopathische Medizin","volume":"26 1","pages":"Pages 23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549016","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":"Embryologie und Wirbelsäule – Teil 1","authors":"Arthur Wojtowicz, Brian Freeman, Piet Dijs","doi":"10.1016/S1615-9071(24)00107-2","DOIUrl":"10.1016/S1615-9071(24)00107-2","url":null,"abstract":"<div><div>The early embryonic segmentation and vertebral column arise from the genetic material of the somites and, as in every other organ in the human body, they are part of, and inseparable from, the overall development of the embryo. The first somites and their subcomponents arise from the end of the 3rd week of development in a constructively logical succession as a gradual differentiation of the unsegmented mesenchyme. Following the development of the somites, a closed series of formative processes then leads to the development of the vertebral column. Resegmentation of somites does not occur in the formation of the vertebral column. This is the first time that we have described the basic embryological principles according to Blechschmidt in this way.</div></div>","PeriodicalId":100996,"journal":{"name":"Osteopathische Medizin","volume":"25 4","pages":"Pages 26-31"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653597","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}
Torsten Liem, Lucas Bohlen, Anna-Moyra Jung, Samira Hitsch, Tobias Schmidt
{"title":"Osteopathische herzfokussierte Palpation und Herzfrequenzvariabilität – Teil 2","authors":"Torsten Liem, Lucas Bohlen, Anna-Moyra Jung, Samira Hitsch, Tobias Schmidt","doi":"10.1016/S1615-9071(24)00108-4","DOIUrl":"10.1016/S1615-9071(24)00108-4","url":null,"abstract":"<div><div>Does osteopathic heart-focused palpation change heart rate variability in people with musculoskeletal pain? Part 1 of the two-part article in the previous issue described the aims, material and methods as well as the participants of the randomized, controlled pilot study; this 2nd part is dedicated to the results.</div><div>A total of 33 adults (47.7 ± 13.5 years old) with stress and musculoskeletal pain completed the trial with acceptable rates of recruitment (8.25 subjects per site/month), retention (100 %), adherence (100 %), and adverse events (0 %). Heart-focused palpation (HFP; n = 18), but not SHAM (n = 15), significantly increased the root mean square of successive RR interval differences (p = 0.036), standard deviation of the NN intervals (p = 0.009), and ratio of the low-frequency to high-frequency power band (p = 0.026). HFP and SHAM significantly decreased the heart rate (p < 0.001, p = 0.009) but not the stress index and ratio of the Poincaré plot standard deviation along and perpendicular to the line of identity (p > 0.05). A power analysis calculated 72 participants. Taken together, the study was feasible and HFP improved HRV in stressed subjects with musculoskeletal pain, suggesting a parasympathetic effect</div></div>","PeriodicalId":100996,"journal":{"name":"Osteopathische Medizin","volume":"25 4","pages":"Pages 32-39"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653598","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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