Francisco Bautista Aguirrea PT, DO , Juan José Boscá Gandíaa PT-DO-MRO , Vicente Hervás Brizb MD , Jesús Oliva Pascual-Vacaa PT
{"title":"Influencia de la thumb move de C7/T1 combinada con el stretching del ligamento anular del carpo sobre el área de sección transversal del nervio mediano en un caso de STC bilateral","authors":"Francisco Bautista Aguirrea PT, DO , Juan José Boscá Gandíaa PT-DO-MRO , Vicente Hervás Brizb MD , Jesús Oliva Pascual-Vacaa PT","doi":"10.1016/S1886-9297(11)70005-4","DOIUrl":"10.1016/S1886-9297(11)70005-4","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the use of the osteopathic approach in carpal tunnel syndrome (CTS) and in particular cervicothoracic junction manipulation and stretching of the annular ligament of the carpus.</p></div><div><h3>Clinical characteristics</h3><p>A 43-year-old woman sought osteopathic treatment with a 2-month history of predominantly left incipient bilateral CTS unresponsive to drug therapy.</p></div><div><h3>Intervention and results</h3><p>Five treatment sessions were carried out in which the thumb move technique was applied to C7/T1 combined with stretching of the carpal ligament for 5 minutes, both on a bilateral basis. The cross-sectional area of the median nerve changed from 10.8 to 5.0<!--> <!-->mm<sup>2</sup> for the left nerve and from 10.6 to 7.8<!--> <!-->mm<sup>2</sup> for the right nerve, values consistent with a change from CTS to normal status. Increases in both manual grip strength and pain threshold to pressure on the carpal tunnel nerve were achieved.</p></div><div><h3>Conclusions</h3><p>The satisfactory results obtained in this patient and the improvement in the variables analyzed highlights the importance of osteopathy and, specifically, of the techniques used in the treatment of mild and moderate CTS.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"6 1","pages":"Pages 35-43"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(11)70005-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83354972","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":"Alteraciones en las concentraciones de amonio sérico después de la aplicación de la técnica osteopática sobre el hígado según Ralph-Faylor","authors":"Leandro Alberto de Sousa PT, DO","doi":"10.1016/S1886-9297(11)70003-0","DOIUrl":"10.1016/S1886-9297(11)70003-0","url":null,"abstract":"<div><h3>Objective</h3><p>To demonstrate that Ralph Faylor's liver pumping technique does not reduce plasma ammonia levels in individuals with levels above 45<!--> <!-->μMol/L to levels considered normal.</p></div><div><h3>Patients, materials and methods</h3><p>We performed a single-blind randomized clinical trial in 31 patients with ammonia levels above 45<!--> <!-->μMol/L, divided in two groups. There were 16 patients in the treatment group and 15 in the control group. In both groups, ammonia levels were measured at five distinct time points: test 1, before the first intervention; test 2, within 7 to 10<!--> <!-->min after the first intervention; test 3, 24<!--> <!-->h after the first intervention; test 4, 7 days after the first intervention; and test 5, within 7 to 10<!--> <!-->min after the fourth intervention (one intervention per week) following the pre-established protocol.</p></div><div><h3>Results</h3><p>Statistical analysis revealed that the technique and/or its simulation produced no change in serum ammonia levels (P<!--> <!-->><!--> <!-->.05).</p></div><div><h3>Conclusion</h3><p>In patients with plasma ammonia levels above 45<!--> <!-->μMol/L, Ralph Failor's liver pumping technique cannot reduce blood concentrations of this metabolite.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"6 1","pages":"Pages 19-29"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(11)70003-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88183709","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}
Antonio Mata Guerrero PT, CO, Ramón Punzano Rodríguez PT, CO
{"title":"Técnica semidirecta de thrust para una disfunción somática no neutra en ERS izquierda de la tercera vértebra cervical","authors":"Antonio Mata Guerrero PT, CO, Ramón Punzano Rodríguez PT, CO","doi":"10.1016/S1886-9297(11)70004-2","DOIUrl":"10.1016/S1886-9297(11)70004-2","url":null,"abstract":"<div><p>Etymologically, “cervical pain” means “neck pain”, which is common reason for consultation in osteopathic practice. Most people can expect to experience some degree of neck pain in their lifetime. The aim of the thrust technique for C3 left ERS somatic dysfunction is to restore mobility and function of the vertebra. Knowing the benefits and risks of this procedure is as important as knowing how to perform it. After an exhaustive diagnosis, cervical mobility can be restored and pain can be decreased.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"6 1","pages":"Pages 30-34"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(11)70004-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74851517","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":"Efectos neuroFisiológicos de la manipulación vertebral","authors":"Joel G. Pickar","doi":"10.1016/S1886-9297(11)70002-9","DOIUrl":"10.1016/S1886-9297(11)70002-9","url":null,"abstract":"<div><h3>Background context</h3><p>Despite clinical evidence for the benefits of spinal maniputation and the apparent wide usage of it, the biological mechanisms underlying the effects of spinal manipulation are not known. Although this does not negate the clinical effects of spinal manipulation, it hinders acceptance by the wider scientific and health-care communities and hinders rational strategies for improving the delivery of spinal manipulation.</p></div><div><h3>Purpose</h3><p>The purpose of this review article is to examine the neurophysiological basis for the effects of spinal manipulation.</p></div><div><h3>Study design</h3><p>A review article discussing primarily basic science literature and clinically oriented basic science studies.</p></div><div><h3>Methods</h3><p>This review article draws primarily from the peer-reviewed literature available on Medline. Several textbook publications and reports are referenced. A theoretical model is presented describing the relationships between spinal manipulation, segmental biomechanics, the nervous system and end-organ physiology. Experimental data for these relationships are presented.</p></div><div><h3>Results</h3><p>Biomechanical changes caused by spinal manipulation are thought to have physiological consequences by means of their effects on the inflow of sensory information to the central nervous system. Muscle spindle afferents and Golgi tendon organ afferents are stimulated by spinal manipulation. Smaller-diameter sensory nerve fibers are likely activated, although this has not been demonstrated directly. Mechanical and chemical changes in the intervertebral foramen caused by a herniated intervertebral disc can affect the dorsal roots and dorsal root ganglia, but it is not known if spinal manipulation directly affects these changes. Individuals with herniated lumbar discs have shown clinical improvement in response to spinal manipulation. The phenomenon of central facilitation is known to increase the receptive field of central neurons, enabling either subthreshold or innocuous stimuli access to central pain pathways. Numerous studies show that spinal manipulation increases pain tolerance or its threshold. One mechanism underlying the effects of spinal manipulation may, therefore, be the manipulation's ability to alter central sensory processing by removing subthreshold mechanical or chemical stimuli from paraspinal tissues. Spinal manipulation is also thought to affect reflex neural outputs to both muscle and visceral organs. Substantial evidence demonstrates that spinal manipulation evokes paraspinal muscle reflexes and alters motoneuron excitability. The effects of spinal manipulation on these somatosomatic reflexes may be quite complex, producing excitatory and inhibitory effects. Whereas substantial information also shows that sensory input, especially noxious input, from paraspinal tissues can reflexively elicit sympathetic nerve activity, knowledge about spinal manipulation's effects ","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"6 1","pages":"Pages 2-18"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(11)70002-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79635945","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}
Rafael Corrêa Vieira da Silva PT, DO , Tomás Navarro-Rodríguez MD , Ángel Oliva Pascual-Vaca PT, DO, PhD , Cleofás Rodríguez Blanco PT, DO, PhD
{"title":"La enfermedad por ref ujo gastroesofágico y la unión esofagogástrica. Revisión de la literatura","authors":"Rafael Corrêa Vieira da Silva PT, DO , Tomás Navarro-Rodríguez MD , Ángel Oliva Pascual-Vaca PT, DO, PhD , Cleofás Rodríguez Blanco PT, DO, PhD","doi":"10.1016/S1886-9297(10)70016-3","DOIUrl":"10.1016/S1886-9297(10)70016-3","url":null,"abstract":"<div><h3>Objectives</h3><p>With the aim of presenting a global view on gastroesophageal reflux disease (GERD) and allow the growth of knowledge about this disease, we review the issue to serve even as a basis for developing further research on the subject, results to be published later.</p></div><div><h3>Material and methods</h3><p>We make a literature review and subsequent comment by a series of recent articles on GERD and gastroesophagic junction (GEJ).</p></div><div><h3>Results</h3><p>There are a number of articles with the aim of the study and understanding of GERD including its consequences, its etiology, treatment and control of symptoms. Despite the various possibilities, the scientific community demonstrates the concern to understand the functioning of the GEJ and try to correct the changes to solve the problem of reflux.</p></div><div><h3>Conclusions</h3><p>GERD shows great impact on quality of life (QoL) and the economics of modern society. Understanding the structure related to reflux may provide alternatives to the scientific community to propose and improve treatment strategies for GERD.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"5 3","pages":"Pages 84-88"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(10)70016-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72580761","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":"Objetivación de las diferencias en la movilidad del cráneo a través del rodamiento alternativo de temporales","authors":"Ginés Doménech Ratto MD, PhD , Matilde Moreno Cascales MD, PhD , Donato Martínez Mateo PT, DO, MRO","doi":"10.1016/S1886-9297(10)70015-1","DOIUrl":"10.1016/S1886-9297(10)70015-1","url":null,"abstract":"<div><h3>Objective</h3><p>The technique of “alternative rocking of temporal bones” was used to assess the different degree of mobility in the temporal bones in several age groups. Our objectives are: correlating the examiner’s subjective assessment with the objectively quantifiable data of time and power required to obtain the maximum rotation of each of the temporal bones, and understanding the relationship between the age of the patients with the time and power parameters used.</p></div><div><h3>Materials and methods</h3><p>21 subjects were divided into 3 different age groups. The Myomed 932 machine was used to obtain the time and power data.</p><p>A statistical study would allow to compare: <em>a)</em> experimenter's subjective data with objective data from Myomed machine; and <em>b)</em> objective data among different age groups.</p></div><div><h3>Results</h3><p>The time data showed no significant differences between the experimenter and the Myomed machine, but differences in the power data was showed. There are significant differences in the time data between the older and younger groups using the objectified data from Myomed machine.</p></div><div><h3>Conclusions</h3><p>The subjective assessment of the experimenter applying the technique is shared with the objectified data in our method and instrumentation.</p><p>There is an inverse relationship between the age and the time taken to apply the technique.</p><p>There are significant differences in terms of power used between the experimenter and the instrumentation used.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"5 3","pages":"Pages 76-83"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(10)70015-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83179807","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}
Alberto Marcos Heredia Rizo PT , Manuel Albornoz Cabello PT, PhD , Fernando Piña Pozo PT , Antonio Luque Carrasco PT
{"title":"La postura del segmento craneocervical y su relación con la oclusión dental y la aplicación de ortodoncia: estudio de revisión","authors":"Alberto Marcos Heredia Rizo PT , Manuel Albornoz Cabello PT, PhD , Fernando Piña Pozo PT , Antonio Luque Carrasco PT","doi":"10.1016/S1886-9297(10)70017-5","DOIUrl":"10.1016/S1886-9297(10)70017-5","url":null,"abstract":"<div><h3>Introduction</h3><p>The biomechanical relationship between the head, the cervical spine and the teeth has produced an extent scientific debate regarding its influence on several aspects. Abnormalities in the mandible rest position account for more than 90 % of population, being orthodontics a discipline increasingly demanded nowadays.</p></div><div><h3>Objectives</h3><p>To review the scientific knowledge concerning the relationship between craneocervical posture, dental occlusion and the use of orthodontics.</p></div><div><h3>Material and methods</h3><p>A databases search was carried out through Medline, Cochrane, Isi Web of Knowledge, Ovid Medline and Lilacs using the descriptors “head”, “cervical”, “spinal”, “posture”, “orthodontics”, “occlusion” and “bite”.</p></div><div><h3>Results</h3><p>Most of the studies establish a high correlation between abnormal positions of the craneocervical region and a higher incidence of malocclusions. Besides, orthodontics seems to induce a better position in the head and the neck.</p></div><div><h3>Discussion and conclusions</h3><p>It is crucial to homogenize the methodology of the studies in this area in order to build a solid scientific base. At the same time, a multidisciplinary approach to the dental sphere needs from cooperation in the therapeutic field.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"5 3","pages":"Pages 89-96"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(10)70017-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75460056","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}
Javier González Iglesias PT, DO, PhD , Luis Palomeque del Cerro PT, DO, PhD , Cleofás Rodríguez Blanco PT, DO, PhD
{"title":"Técnica de lift-off para dorsales medias (T4-T10)","authors":"Javier González Iglesias PT, DO, PhD , Luis Palomeque del Cerro PT, DO, PhD , Cleofás Rodríguez Blanco PT, DO, PhD","doi":"10.1016/S1886-9297(10)70014-X","DOIUrl":"10.1016/S1886-9297(10)70014-X","url":null,"abstract":"<div><p>The middle area of the spine (T4–T10) has a relatively frequent mobility constraints that affect the body. There is a manipulation technique decoaptación called Lift-Off, which gets back to the spinal segment mobility and reduce associated symptoms.</p></div>","PeriodicalId":100997,"journal":{"name":"Osteopatía Científica","volume":"5 3","pages":"Pages 72-75"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1886-9297(10)70014-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85468645","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}