{"title":"Comparison of the osteopathic status of children in the fi rst six months of life with regurgitation with functional disorders of the digestive system or perinatal damage of the nervous system","authors":"E. A. Eremina, T. B. Serdyukova, Y. Kuzmina","doi":"10.32885/2220-0975-2022-2-98-110","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-98-110","url":null,"abstract":"Introduction. Recently, the prevalence of functional disorders of the digestive system (FD DS) in children has increased. Regurgitation is one of the most common manifestations of FD DS, but also one of the symptoms of perinatal damage to the nervous system (PD NS). The most diffi cult diagnosis of FD DS is in newborns and children of the fi rst half of life, since there are age restrictions in the use of instrumental research methods. Osteopathic diagnostics of somatic dysfunctions can complement clinical and instrumental research methods in such children. No studies have been conducted to assess the osteopathic status of children in the fi rst six months of life with FD DS and PD NS. The aim of the study is to assess the osteopathic status of children in the fi rst six months of life with regurgitation and to compare the osteopathic status in children with functional disorders of the digestive system or perinatal NS damage.Materials and methods. There were examined 50 children aged 1 to 6 months with regurgitation. The patients were divided into 2 groups of 25 people in accordance with the criteria for inclusion in the study — the presence of a diagnosed FD DS or PD NS, vegeto-visceral syndrome. Anamnestic information was collected. A single osteopathic examination was conducted, according to the results of which the osteopathic status of children of both groups was compared.Results. It was found that regional somatic dysfunction of the neck region (somatic component) and local somatic dysfunctions of the thoracic diaphragm and sigmoid colon are the most common in the group of children with FD DS. Regional somatic dysfunctions of the head and neck region are the most common in patients with PD NS and vegeto-visceral syndrome, which could be associated with the development of central nervous system pathology.Conclusion. The obtained results allow to recommend the osteopathic diagnostics to clarify the possible cause of regurgitation with an aim to its subsequent osteopathic correction in children of the fi rst six months of life with FD DR and PD NS.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"227 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":"133305126","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":"The possibility of osteopathic correction methods in the treatment of facial pain","authors":"A. Popov","doi":"10.32885/2220-0975-2022-2-125-132","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-125-132","url":null,"abstract":"The problem of the headaches occurrence is currently relevant among medical specialists of various profi les due to the fact that this symptom does not have a clear etiopathogenetic picture, and when patients come in with such a complaint, it sometimes requires a rather complex differential diagnosis. This is especially true for certain types of headaches (for example, facial pain — prosopalgia), the diagnosis of the causes of which is diffi cult due to the possible involvement of the ENT organs, the organ of vision, the dentoalveolar system and, of course, due to the complex system of innervation. Despite the fact that a lot of attention has been paid to this issue in the literature, there are still many such patients, and in a large number of cases this reduces not only their ability to work and life quality, but also brings signifi cant socio-economic damage to the whole society. The question of competent and effective care for this category of patients remains open, since often complex drug treatment does not bring the desired result, or it brings a temporary positive effect, and all these open up opportunities for the introduction of non-drug approaches, both in the form of monotherapy and in the form of combined treatment, taking into account features of the pain syndrome course and its occurrence causes in each patient individually. The article describes a clinical case from practice devoted to the isolated use of osteopathic correction in a patient with symptoms of prosopalgia.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"1 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":"124398375","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":"Comparative analysis of osteopathic correction and standard comprehensive rehabilitation of patients with posttraumatic contractures of the upper limb joints","authors":"A. R. Zamanov, D. .. Miroshnichenko","doi":"10.32885/2220-0975-2022-2-64-74","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-64-74","url":null,"abstract":"Introduction. Prolonged immobilization of the upper limb after various injuries leads to persistent contracture. Contractures of the upper limb joints are a severe orthopedic pathology that leads to a long-term decrease in working capacity and permanent disability. In the absence of treatment, the persistent changes in the articular elements can develop. Patients with contractures of the upper limb joints get treatment for a long time in polyclinics and hospitals, but the treatment does not always lead to the desired results. At the same time, an essential condition for treatment in outpatient medical institutions is the possibility of daily self-care and independent movement of the patient, as well as daily visits to a medical institution, but it is not always possible. In this regard, the search for treatment methods with comparable effectiveness, but requiring a signifi cantly smaller number of medical procedures and, accordingly, visits to specialized institutions, is relevant. Osteopathic correction could potentially be among these methods.The aim of the study is to compare the effectiveness of osteopathic correction and standard complex rehabilitation of patients with post-traumatic contractures of the upper limb joints.Materials and methods. The study involved 40 patients suffering from post-traumatic contractures of the upper extremities. Two groups were formed by the method of simple randomization: the main group (20 people who received osteopathic correction — 3 sessions with a frequency of 1 time in 7 days), and the control group (20 people who received standard complex rehabilitation, which included physiotherapy, physiotherapy exercises and mechanotherapy, daily for 10 days). The osteopathic status, the motion range of the upper limbs joints, and the hand muscles strength were assessed in all patients at the beginning and at the end of the study.Results. A statistically signifi cant (p<0,05) increase in the motion range and the hand muscles strength was found in both groups at the end of the study. In patients of the main group, receiving osteopathic correction, a statistically signifi cant decrease (p<0,05) in the detection frequency of some regional and local somatic dysfunctions was observed.Conclusion. The obtained results indicate the comparable results of the osteopathic correction of the upper limb joints post-traumatic contractures, and of the standard complex rehabilitation. Since osteopathic correction of post-traumatic contractures is carried out once every 7–10 days, it can be recommended for patients who, for various reasons, cannot regularly visit outpatient rehabilitation departments for a long time.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"29 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":"133879157","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":"Method of quantitative assessment of the shape of the lumbar-thoracic spine","authors":"A. Orel, O. K. Semenova","doi":"10.32885/2220-0975-2022-2-40-52","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-40-52","url":null,"abstract":"Introduction. The presence of deformation of the lumbar-thoracic spine in the sagittal plane is the main factor determining the health status of adult patients. The studies of the features of human posture with or without spinal deformities in statics and movement have been in the focus of clinician attention for a long time. Recent studies offer a unifi ed approach to assessing the position of the vertebrae. However, no such studies have been conducted to analyze the lumbar-thoracic junction. The purpose of the work — to develop a method of qualitative and quantitative assessment of the vertebra positions in lumbar-thoracic junction. Issues: to develop a schematic model of the lumbar-thoracic spine; to develop a typology of the lumbar-thoracic transition; to develop an objective indicator refl ecting the features of the lumbar-thoracic transition in the patient; to characterize the age characteristics of this area of the spine.Materials and methods. A study of digital radiographs for all spine parts in sagittal projection for 141 patients with dorsopathies, 57 men and 84 women aged from 21 to 88 years, was conducted. The study was performed on a personal computer screen, without patient participation. A single digital X-ray image of the spine in the sagittal projection was obtained for each patient. The occipital vertical and anteroposterior axes of TIX–LV (LVI) vertebrae (r axes) were applied to the combined radiograph. At the intersection points of the axes with the occipital vertical, the perpendiculars to the r axes were restored, and the angles between the perpendiculars and the occipital vertical (angles r) were measured. Statistical analysis was carried out using the Microsoft Offi ce Excel 2007 software package.Results. Schematic models of the lumbar-thoracic junction for all cases were constructed on the basis of the data obtained. The models were used to compare the vertebra positions and describe three form types of lumbar-thoracic junction: normal, straightened and reinforced. An aggregated ArTL indicator is proposed and the boundaries of this indicator were determined for the quantitative assessment of each case. It is demonstrated that the age features for this part of the spine are expressed not in a monotonous change in the average value of ArTL with age, but in an increase in the proportion of patients with straightened and enhanced kyphosis, and it is especially noticeable in the group of people over 75 years old.Conclusion. The proposed technology for assessing the position of the vertebrae of the lumbar-thoracic spine was developed to satisfy the needs of osteopaths and specialists in restorative medicine, and this technology is presented for the fi rst time. In the course of the study, schematic models of the spine of each patient were developed; an ArTL indicator was proposed to quantify the type of the lumbar-thoracic region shape. The boundaries for the diagnosis of each type were determined and a study was conducted to ident","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"64 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":"114954456","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}
Yu. A. Milutka, E. V. Basieva, N. A. Tarasov, A. V. Silin, D. Mokhov
{"title":"Study of cervico-oral synergies in patients undergoing orthodontic treatment","authors":"Yu. A. Milutka, E. V. Basieva, N. A. Tarasov, A. V. Silin, D. Mokhov","doi":"10.32885/2220-0975-2022-2-111-124","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-111-124","url":null,"abstract":"Introduction. The use of orthodontic treatment is becoming more and more common in the modern world. At the same time, it becomes acute to develop methods for identifying patients with an increased risk of undesirable side effects of treatment (pain, dysfunction of the temporomandibular joint, root resorption, etc.). The aim of the study is to investigate cervical-oral synergies in patients undergoing orthodontic treatment and compare it with their osteopathic status.Materials and methods. 154 patients examined by an orthodontist were selected for the study and divided into 2 groups: Norm and Dyskinesia — according to the difference in the mouth opening width (the opening width in the extensional position minus the width in the neutral position of the head, E–N). The mouth opening width was measured by a caliper with thin lips. The Norm group included 86 people with a positive E–N difference, and the Dyskinesia group included 68 with a negative E–N difference. The patients age was the same in both groups (p>0,05). There were 31 % of men in the Norm group, and 16 % in the Dyskinesia group. In both groups, the angle of neck extension with open and closed mouth was measured, and the osteopathic status was assessed. At the same time, the osteopathic physician did not know which group the patients belonged to.Results. The groups differed signifi cantly by the difference of the width mouth opening (p<0,000001), and it indicates the correctness of the choice of this sign for the groups separation. The absolute value of the mouth opening width in the neutral position did not differ statistically signifi cantly between the groups, and it was slightly below the norm of 49–50 mm (42 mm in the Norm group and 39 mm in the Dyskinesia group). The difference in the extension of the cervical spine with an open and closed mouth was also calculated (the angle of extension with an open mouth minus the angle of extension with a closed mouth). A statistically signifi cant difference between the groups was obtained (p<0,0001). Absolute values of neck extension did not differ statistically signifi cantly in the two groups. During the osteopathic examination, there was found a statistically signifi cant (p<0,05) difference of the detection frequency of the following somatic dysfunctions (SD): SD of the neck region, the somatic component, in the Norm group in 34,1 % and in the Dyskinesia group in 57,4 %; as well as global SD: in the Norm group there were diagnosed only in 3,5 %, and in the Dyskinesia group — in 14,7 %.Conclusion. Thus, patients with a negative E–H difference (the Dyskinesia group) differ statistically signifi cantly from patients with a positive E–H difference in the difference of the movements′ volume in the neck, and by the set of somatic dysfunctions. The osteopathic status of these patients may cause a disorder of cervical-oral synergies. The measuring the width of the mouth opening in different positions of the head and calculating the difference in E–H co","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"254 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":"132710735","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}
A. S. Bobrova, A. M. Shkryabina, A. Khatkevich, E. Nenashkina
{"title":"Osteopathic status of maternity patients after spinal anesthesia and the possibility of its correction","authors":"A. S. Bobrova, A. M. Shkryabina, A. Khatkevich, E. Nenashkina","doi":"10.32885/2220-0975-2022-2-84-97","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-84-97","url":null,"abstract":"Introduction. Spinal anesthesia (SA) is one of the most versatile and reliable methods used for pain relief in obstetric patient groups. However, like any other method of anesthesia, spinal anesthesia in some cases can be associated with the risk of complications and side effects. These effects may include developing functional disorders (somatic dysfunctions), timely diagnosis and correction of which can prevent the development of pathology. Evaluation of the impact of SA on the osteopathic status of patients, as well as the use of non-drug methods (including osteopathic correction) for treating side effects after using SA, taking in consideration the lack of the possibility of using drug correction methods in the postpartum period, has an interest to the practitioner. The aim of the study is to study the osteopathic status of maternity patients (puerperas) after spinal anesthesia and the possibility of its osteopathic correction.Materials and methods. The study involved 140 women aged 20 to 30 years with a pregnancy of 38–41 weeks. Three groups were formed by simple randomization: the main group (50 people, participants received spinal anesthesia during childbirth and osteopathic correction after childbirth), the control group (50 people, participants did not receive spinal anesthesia during childbirth, but received osteopathic correction after childbirth), and comparison group (40 people, participants received spinal anesthesia during childbirth, but did not receive osteopathic correction after childbirth). All participants were assessed for osteopathic status and the presence of soreness during palpation at typical painful points. The examination was carried out three times: before childbirth, after childbirth, and after the course of correction in the main and control groups (in the comparison group, this was, respectively, the second postpartum examination).Results. In the postpartum period, the participants of the main group and the comparison group (who received SA) were characterized by a statistically signifi cant (p<0,05) increase in the detection frequency of global rhythmogenic cranial disorders compared with the initial (prepartum) values. At the time of the fi nal examination, there were no signifi cant differences with the initial values. During all stages of the study, biomechanical disorders of the following regions were most characteristic for its participants: thoracic (structural component), lumbar (visceral and structural component), pelvis (visceral and structural component). In the control group, there was a statistically signifi cant (p<0,05) increase in the detection frequency of somatic dysfunctions (SD) in the lumbar region (visceral component) after childbirth, compared with baseline indicators. After osteopathic correction in this group, the detection frequency of these disorders did not signifi cantly differ from the initial values. In the main and control groups, a statistically signifi cant (p<0,05) decrease in the dete","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"78 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":"124105333","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}
D. Mokhov, Y. Potekhina, E. Tregubova, A. A. Gurichev
{"title":"Osteopathy — a new direction of medicine (modern concept of Osteopathy)","authors":"D. Mokhov, Y. Potekhina, E. Tregubova, A. A. Gurichev","doi":"10.32885/2220-0975-2022-2-8-26","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-2-8-26","url":null,"abstract":"The editorial article discusses the main modern concepts and terms of osteopathy, including the concepts of preillness, somatic dysfunction and components of somatic dysfunction, and the principles of osteopathic diagnosis. The place of the «5P» concept of modern medicine in osteopathy is also considered.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133143395","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}
K. R. Valiev, I. K. Vildanov, R. R. Zyatdinov, I. R. Gainullin
{"title":"Results of osteopathic correction in children and adolescents with undifferentiated connective tissue dysplasia","authors":"K. R. Valiev, I. K. Vildanov, R. R. Zyatdinov, I. R. Gainullin","doi":"10.32885/2220-0975-2022-1-49-59","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-49-59","url":null,"abstract":"Introduction. The syndrome of undifferentiated connective tissue dysplasia (UCTD) combines a group of diseases that is heterogeneous in origin and polymorphic in clinical manifestations. UCTD is characterized by joint hypermobility and pain in the joints and back. In the last decade, osteopathic methods for the diagnosis and correction of dorsalgia and joint mobility disorders, including UCTD, have become widespread. However, the results of osteopathic correction in children and adolescents with undifferentiated dysplasia have not yet been fully investigated.The aim of the study was to research the results of osteopathic correction in children and adolescents with the syndrome of undifferentiated connective tissue dysplasia.Materials and methods. The study involved 48 children and adolescents aged 10 to 18 years. A study group and a control group were formed by the simple randomization method. Each group consisted of 24 participants: 5 boys and 19 girls in the main group; 7 boys and 17 girls in the control. The participants of the main group received osteopathic correction. The participants in the control group received drug therapy and lifestyle correction. In both groups, osteopathic status, intensity of pain syndrome, functioning of the autonomic nervous system (the predominance of sympathetic or parasympathetic influences on the cardiovascular system), the level of depression and anxiety were assessed before and after the treatment.Results. Osteopathic correction in children and adolescents with UCTD was accompanied by a statistically significant (p<0,05) decrease in the detection frequency of regional somatic dysfunctions of the head, neck, thoracic region, and pelvis. There was also a statistically significant (p<0,05) decrease in the intensity of pain syndrome, normalization of the functioning of the autonomic nervous system, which manifested in the achievement of a state of autonomic balance, assessed by the Kerdo index, a decrease in the level of depression and anxiety. Standard treatment, including drug therapy and lifestyle correction, was accompanied by the normalization of the functioning of the autonomic nervous system and a decrease in the level of depression. However, osteopathic correction led to statistically significantly more pronounced results for these indicators compared to the results of standard treatment.Conclusion. The obtained results make it possible to consider the possibility of including osteopathic correction in the complex treatment of children and adolescents suffering from undifferentiated connective tissue dysplasia, since it have a positive effect on the course of the main disease. It is advisable to conduct a study on a larger sample of patients with subsequent follow-up assessment.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124931391","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":"Assessment of the motivations of the professional activity of doctors at the initial stage of studying at the Institute of Osteopathy (Moscow)","authors":"V. Matvienko, A. D. Buchnov, P. A. Shklyaeva","doi":"10.32885/2220-0975-2022-1-78-86","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-78-86","url":null,"abstract":"Introduction. Motivational factors are determinants of well-being and quality of life in professional activity. Motivation of medical workers is mainly determined by such factors as the possibility of self-realization, achievement of respect and interest in the content of work.The aim to assess the motives of professional activity of future osteopathic physicians.Materials and methods. A questionnaire was administered to 62 physicians of various specialties during their first year of study according to the Educational Program for Additional Professional Education of Professional Retraining for 3 504 hours in the specialty «Osteopathy» at the Institute of Osteopathy (Moscow). The average age of those surveyed was about 37,8±7,4 years, of whom 27 individuals were male and 35 — female. And they were split into two age groups: 38 people under 40 years old and 24 people over 40 years old. All surveyed people were also divided into two groups according to their medical specialty: therapists (42 people) and surgeons (20 people). We also formed two groups based on the place of residence: those from Moscow and St. Petersburg (33 people) and those arriving from other regions (29 people). Motivational interviewing was performed using a software psychodiagnostic complex APC Multipsychometer. The «Motivational Profile» psychological questionnaire was used to assess professionally significant motives of professional activity. The assessed indicators were: money, career, relationships with management, relationships with colleagues, intrinsic (inner) motivation, recognition, success, responsibility and interesting work. Mathematical processing of the obtained research materials was carried out on a PC using Statistica 6.0 application software packages. In psychophysiology, it is generally accepted to translate «raw» grades (scores) into standard «sten» (sn) grades using tables. Linear conversion of «raw» scores into standardized scales (stens) was carried out using Statistica 6.0 and Excel.Results. The highest values of the indicators were noted on the scales of interesting work and intrinsic motivation (over 7 sn). Success and responsibility scales also showed high values (6,3–6,8 sn). The career and relations with management values (4,3 sn) were below the average alongside with the relations with colleagues scales (3,6 sn). The results of factor analysis showed that in 68,4 % cases the linear combination of initial attributes of surveyed doctors was determined by 3 main factors: responsibility (35,2 %), attitude to recognition and career (17 %) and the level of relationships with colleagues (16,2 %). Responsibility for professional performance was more pronounced for men (19,3 %; p<0,03) than for women. For women, however, the motif of relations with colleagues had greater value by 28,1 % (p<0,03). In the age group up to 40 years old, the values of the career indicator were greater by 33,3 % (p<0,05), compared to those aged 41 and over, where the expression of","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"33 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120815606","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 techniques of balancing SEB and separating the front-ethmoid suture in children with narrow palate","authors":"B. M. Quesada","doi":"10.32885/2220-0975-2022-1-121-133","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-121-133","url":null,"abstract":"The use of the disjunction by dentists, to solve the problem of narrow palate, allows to maintain flexible tissues and permeable sutures. The opening of the palatal suture by means of the dental disjunction confers greater freedom of movement to the upper jaw and the palatine but given the close relationship of this bones with the vomer, the ethmoid and even the spheno-basilar synchondrosis, it is hypothesized that osteopathy could contribute not only to accelerate the process of disjunction, but also to avoid the recurrences of it. The maneuvers proposed here take into consideration the cranial structures that are in direct relation with the bony palate.The aim is to analyze whether the osteopathic maneuver of the balancing of the spheno-basilar synchondrosis and the front-ethmoidal separation influence the angle of the sella turcica, the joint angle and the distance between the central fossae in children with narrow palate who use a disjunction.A controlled, randomized, longitudinal and double-blind clinical trial was conducted; with experimental group and control group and two external evaluators. Measurements have been made prior to treatment, and after 45. It was shown that the two osteopathic maneuvers used were sufficient to cause significant increases in the angle of the sella turcica and the joint, and the distance between fossa and fossa of the first permanent molars. Osteopathic interventions were performed before placing the circuit breaker, 15 days and 35 days later.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"285 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116107464","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}