Dissertations / Theses: 'Osteopathic manipulation'

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Bortolazzo, Gustavo Luiz 1980. "Efeitos da manipulação na articulação sacroilíaca e transição lombossacral sobre os sinais de indivíduos portadores de instabilidade do tornozelo." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290681.

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Orientador: Delaine Rodrigues Bigaton
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-24T17:15:09Z (GMT). No. of bitstreams: 1 Bortolazzo_GustavoLuiz_D.pdf: 1200256 bytes, checksum: d8f50a900626544be31afd4b832b338b (MD5) Previous issue date: 2014
Resumo: A manipulação articular é uma técnica utilizada na área de reabilitação física com o objetivo de aumentar a mobilidade articular e gerar respostas reflexas para diminuir a dor, melhorar o controle motor e a flexibilidade. Indivíduos com instabilidade do tornozelo apresentam alteração do controle motor no membro inferior homolateral ao tornozelo instável e alteração do controle postural, o que pode alterar a simetria entre os músculos posturais. A tese está apresentada em formato alternativo, com apresentação de 3 artigos, que têm como objetivos avaliar o efeito da técnica de manipulação articular na sacroilíaca e transição lombossacral sobre a atividade elétrica dos músculos que movem o tornozelo e a coluna lombar, sobre o limiar de dor à pressão, sobre a flexibilidade e sobre a assimetria dos músculos paravertebrais lombares ao nível de L5. Vinte voluntários foram divididos aleatoriamente em grupo experimental (n=10), em que os voluntários receberam manipulação na articulação sacroilíaca e transição lombossacral e grupo placebo (n=10), em que os voluntários receberam manobra sem efeitos terapêuticos. Foi realizada avaliação eletromiográfica dos músculos paravertebrais lombares ao nível de L5, do tibial anterior e fibular longo homolaterais ao tornozelo instável. Foi realizado teste de dor à pressão com algômetro no processo espinhoso de L5, tubérculo de S1, cabeça da fíbula e maléolo lateral, bilateralmente e foram realizados testes de flexibilidade com banco de Wells, teste de Schober, teste de Stibor e teste de elevação do membro inferior estendido. Foram encontrados, na análise intragrupo, para o GE, na condição de isometria dos paravertebrais, aumento significativo da simetria entre os paravertebrais direitos e esquerdos na comparação entre os períodos pré intervenção e pós tardio (p= 0,03) e na comparação entre os períodos pós imediato e pós tadio (p= 0,04) e efeitos moderados da técnica sobre o sinal elétrico de músculos estudados, porém não houve alteração na flexibilidade e na algometria. O aumento da simetria entre os paravertebrais ocorreu, provavelmente, por dois efeitos da manipulação. Houve estímulo dos mecanorreceptores articulares, que, via neurológica, podem melhorar o controle motor dos músculos inervados pelo nível manipulado e provavelmente houve melhora postural dos voluntários, o que pode gerar diminuição das assimetrias dos músculos posturais. Conclui-se que a manipulação aumentou a simetria dos paravertebrais lombares, alterou o sinal elétrico de músculos estudados, não melhorou a flexibilidade e não alterou a algometria em indivíduos que apresentam instabilidade do tornozelo
Abstract: Joint manipulation has been used in physical therapy to increase joint mobility and generate reflexive responses for a consequent reduction in pain and improvement in motor control and flexibility. Individuals with ankle instability exhibit altered motor control in the lower limb ipsilateral to the unstable ankle as well as altered postural control, which can affect the symmetry of postural muscles. The aim of these three studies was to evaluate the effect of the manipulation of the sacroiliac joint and lumbosacral transition on electrical activity in the muscles that move the ankle and lumbar spine, the pain pressure threshold, flexibility and asymmetry of the lumbar paravertebral muscles at L5. Twenty volunteers were allocated to either an experimental group (n = 10), which was submitted to manipulation of the sacroiliac joint and lumbosacral transition, or a control group (n = 10), which was submitted to a maneuver with no therapeutic effect. Electromyographic evaluations were performed of the L5 paravertebral, tibialis anterior and fibularis longus muscles ipsilateral to the unstable ankle. The pressure pain threshold was determined using an algometer over the L5 spinous process, S1 tubercle, head of the fibula and lateral malleolus bilaterally. Flexibility was determined with the Wells battery of tests, Schober test, Stibor test and elevation of the extended lower limb. Moderate effect size were found in the electromyographic signal of two muscles studied, no significant changes were found on flexibility or algometry. In the intra-group analysis, however, a significant increase in the symmetry of the right and left paravertebral muscles was found in the experimental group during isometric contraction between the pre-intervention and late post-intervention evaluations (p = 0.03) as well as between the immediate post-intervention and late post-intervention evaluations (p = 0.04). This increase in symmetry in the paravertebral muscles likely occurred due to two effects of manipulation: 1) the stimulus of joint mechanoreceptors, which improved the motor control of the innervated muscles at the level manipulated through the neurological pathway; and 2) an improvement in posture, which led to a reduction in the asymmetry of the postural muscles. In conclusion, manipulation of the sacroiliac joint and lombosacral transition led to an improvement in the symmetry of lumbar paravertebral muscles in individuals with ankle instability, alters the electromyographic signal of two muscles studied, but exerted no effects on flexibility or the pressure pain threshold
Doutorado
Anatomia
Doutor em Biologia Buco-Dental

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Latter, Macy Little. "The Use of Osteopathic Manipulation in a Clinic and Home Setting to Address Pulmonary Distress as Related to Asthma in Southwest Virginia." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/26189.

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Osteopathic Manipulative Therapy (OMT) is underutilized in addressing lung function and symptoms in asthma patients. The objective of this study was to determine if a single session of OMT can improve lung function and symptoms in patients suffering from asthma, and if patients can be taught a self-administered home OMT protocol to control their symptoms, in order to develop a protocol by which physicians can apply OMT to address lung disease in patients. This was a purposive randomized controlled quasi-experimental study which took place in family practice, pulmonology, and asthma specialist offices in southwest Virginia. The intervention was a ten-minute semi-individualized OMT protocol and a self administered home OMT education session. Variable baseline, within-subject study design was utilized, allowing each person to serve as his or her own control. Pre and posttest measurements included: participant spirometry FEV1, FVC, and PEF; thoracic excursion upper and lower rib cage motion; and a five-question rating scale to determine current asthma symptoms. A ten-minute OMT session included an individualized thoracic and rib screening and treatment, suboccipital release, diaphragm release, and thoracic pump. Comparison between pre- and post-OMT lung function and symptoms portrayed change. For the second part of the study, the participants were divided into two groups with group two receiving a ten-minute home OMT education session and a handout of the home OMT techniques. All participants returned two weeks later for a follow up lung function assessment. Statistically significant (p<.05) improvements after initial OMT were documented for 8 of 10 measurements. Only two spirometry values, FEV1 and PEF, did not significantly improve. The group who participated in the home OMT education session had statistically significant improvements in 3 of 10 measurements, including the upper and lower thoracic excursion measurements and the overall asthma symptoms rating. With a simple, easy to repeat, 10 minute semi-individualized OMT session, researchers demonstrated improved lung function and symptoms in this group of participants in Southwest Virginia. The addition of a home OMT education session was demonstrated to be at least partially beneficial. Future studies should expand on this pilot study with the researchers recommending using a larger patient population including patients with lower pre-treatment spirometry values in order to accurately monitor potential for change.
Ph. D.

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Keurentjes, Amy Elizabeth. "Relationship of Osteopathic Manipulative Treatment During Labor and Delivery on Selected Maternal Morbidity Outcomes: A Randomized Controlled Trial." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/26177.

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Osteopathic Manipulative Treatment (OMT) has been used for more than 100 years to enhance the physiologic process of labor and delivery by normalizing pelvic structures and providing adequate blood supply to the uterus. Since maternal morbidity and mortality is a major health concern for developing countries, it was desirable to explore the benefits of OMT. After IRB approval by the Virginia College of Osteopathic Medicine and Virginia Tech, the research was conducted in Santo Domingo, Dominican Republic at Hospital Maternidad Nuestra SeÃ±ora de la Altagracia to determine the relationship of OMT during labor and delivery on rates of cesarean section and perineal lacerations/ episiotomies. Qualifying candidates received the next sequentially numbered envelope with a randomized number assigning her to either the treatment or control group. Staff physicians at the hospital provided care to women in the control group according to their standard protocol. Four Osteopathic Physicians and one pre-doctoral OMM fellow performed OMT on women during the first and second stages of labor and performed their deliveries. There were 33 parturients in the OMT Treatment group and 32 in the control, for a total of 65 in the trial. The results of a logistic regression analysis using Wald criterion, with a statistical significance of alpha = 0.05, indicated treatment group reduction of rates of episiotomies in the primiparous (P = .04) and marginal significance in the combined primiparous and multiparous population (P = .05). The percentage of episiotomies in the primiparous treatment group was 35.29% and 75% in the control group. The percentage of episiotomies in the combined primiparous and multiparous groups were 15.15% in the treatment group and 37.5% in the control group. The cesarean rate for the treatment group was 9.09% and 18.75% for the control group (P = 0.098). The percentages of grade I & II perineal lacerations were 15.15% for the treatment group and 12.5% for the control group (P = 0.55) due to the extensive use of episiotomies in the control group. There were composite calculations made of the total number of parturients who had either a cesarean section, an episiotomy, or a perineal laceration so that overall maternal morbidity in each group could be compared. In the combined groups, there were fourteen total parturients (42.42%) who had undergone one of the three outcomes measures in the treatment group and twenty-one (65.63%) in the control group. This brings an odds ratio of 0.200 and a significant P value of 0.0235. Though cross-cultural issues made it difficult to perform the research as originally intended, there is evidence that Osteopathic Obstetrics provides benefit to parturients. A multi-institutional randomized controlled trial is proposed as the next step for the evaluation of OMT during labor and delivery.
Ph. D.

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Salem, Walid. "La colonne cervicale de la physiologie intersegmentaire tridimensionnelle à la manipulation ostéopathique par haute vitesse basse amplitude études in vivo." Doctoral thesis, Universite Libre de Bruxelles, 2013. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209564.

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Ce travail de thèse porte sur des études de la cinématique 3D de la colonne cervicale in vivo chez des sujets asymptomatiques (N=30); il se divise en quatre parties. La colonne cervicale de tous les sujets est reconstruite en 3D à partir des images de tomodensitométrie dans différentes positions :position neutre, rotation axiale gauche et droite et lors du positionnement pré-manipulatif de la tête.

La première partie de ce travail a comme objectif fondamental de déterminer la cinématique 3D inter-segmentaire de la colonne cervicale, lors de la rotation axiale maximale de la tête. Les valeurs déterminées pour tous les paramètres cinématiques 3D vont nous servir comme base de données de référence.

Dans la deuxième partie, nous souhaitons contribuer à une meilleure compréhension du rôle des ligaments alaires lors de la rotation axiale. Pour cela, nous avons déterminé la cinématique 3D de l’os occipital par rapport à l’axis. Même s’il est inhabituel d’ignorer l’atlas, il nous a semblé plus juste de considérer les segments osseux qui livrent les principales insertions des ligaments alaires. La biomécanique de ces ligaments dépend des mouvements de l’os occipital par rapport à l’axis.

La troisième partie est orientée vers l’objectif principal de la thèse qui vise à déterminer les amplitudes articulaires inter-segmentaires lors de la position pré-manipulative de la colonne cervicale. Cette étude va nous permettre de comparer les amplitudes atteintes lors de la mise en position pré-manipulative avec celles des mouvements physiologiques.

La dernière partie a pour objectif principal de déterminer la longueur du trajet de l’artère vertébrale en position neutre, et ensuite de comparer la variation de longueur du trajet de l’artère vertébrale entre la position en rotation axiale maximale de la tête d’une part, et la position pré-manipulative d’autre part, donc lors de l’application d’une technique manipulative à composantes multiples telle qu’utilisée régulièrement en ostéopathie.

En comparant la position pré-manipulative à la rotation physiologique, les résultats les plus importants de ce travail sont :(1) les amplitudes segmentaires sont inférieures pour la position pré-manipulative et (2) l’artère vertébrale est moins allongée lors de cette mise en position que lors de la rotation physiologique. Ces deux faits, jusque-là inédits, sont importants en clinique ostéopathique courante et montrent l’importance d’un choix judicieux de la technique manipulative et de son exécution.

Doctorat en Sciences de la motricité
info:eu-repo/semantics/nonPublished

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Schultz, Jon, Eleni O'Donovan, Diana L. Heiman, Paula Mackrides, Paula Raguckas, Kenneth Bielak, Ali Abdallah, Mary Boyce, Parul Chaudhri, and Sarah Cole. "Integrating Osteopathic Manipulative Medicine into the Family Medicine Residency: An Introduction." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/8155.

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This pre-conference workshop is designed to provide a foundation in osteopathic principles and practice and basic skills in osteopathic diagnosis and manipulative treatment for medical students, residents and family medicine faculty with little to no training in osteopathic medicine. It is also an excellent opportunity for doctors of osteopathic medicine (DOs) to refresh their skills. Upon completion of this session, participants should be able to: Understand the four tenets of osteopathic medicine and their applicability to allopathic as well as osteopathic medicine. Demonstrate the basic osteopathic assessment and treatment of 3–4 common diagnoses that present in outpatient and inpatient family medicine settings. Produce an outline of a training curriculum in osteopathic assessment and treatment for non-DOs within his/her own program using the tools provided by the workshop.

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Lucas, S. B., J. Phillips, Amanda Stoltz, and Ivy A. Click. "Improving Osteopathic Manipulative Treatment Clinic Referrals in a Family Medicine Residency Clinic." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6391.

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Cairo, Herbert. "Les manipulations articulaires en médecine : leur place au sein de l'opinion médicale." Montpellier 1, 1999. http://www.theses.fr/1999MON11046.

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Rebain, Richard. "The straight leg raise test : its role in osteopathic diagnosis and high velocity manipulative treatment of lumbar disc herniation." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272060.

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Dahdouh, Fadi. "L'ostéopathie, quel chemin vers une profession de santé ?" Thesis, Montpellier, 2015. http://www.theses.fr/2015MONTD001.

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L’ostéopathie, depuis la loi du 4 mars 2002, n’est plus considérée comme un exercice illégal de la médecine. Néanmoins, le législateur a créé avec les décrets de 2007 un titre partagé entre des médecins et des non-médecins, sans créer une profession de santé. Sa nature controversée et son régime ambigu rendent l’ostéopathie en position inédite dans le paysage sanitaire français. Les textes définissent un titre, et non une profession ; les recommandations de l’organisation mondiale de la santé encouragent vers une reconnaissance d’une médecine complémentaire et l’Europe incite via ses directives à reconnaître une profession réglementée. En France, la règle est souvent née de la pratique et la réalité du terrain doit être confrontée à la règle. Sans oublier que le patient doit rester avant tout le moteur, l’axe principal ainsi que le repère qui doit animer les juristes, les professionnels et les législateurs
Osteopathy is no longer considered as an illegal practice of medicine after the Act of the 4th of March 2002. However, following the 2007 decrees, the legislature created a shared title be-tween physicians and non-physician, without creating a health profession. Its controversial nature and its ambiguous regime have put the osteopathy in unique position in the French health landscape. The texts define a title, not a profession. The recommendations of the World Health Organization encourage the recognition of complementary medicine and Europe via its guidelines incites to recognize a pro-regulated profession. In France, the rule is often born of practice and the reality must be faced by the rule. Without forgetting the fact that the patient must remain primarily the engine, the main axis and the benchmark that should animate law-yers, professionals and legislators

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Mason, Jesse. "The use of ideomotor therapy in the treatment of chronic neck pain : a single systems research design. A research project submitted in partial requirement for the degree of Master of Osteopathy, UNITEC Institute of Technology [i.e. Unitec New Zealand] /." Diss., 2008. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1021&context=unitec_hs_di.

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Hutchinson, James R. "An investigation into the efficacy of strain-counterstrain technique to produce immediate changes in pressure pain thresholds in symptomatic subjects. A research project submitted in partial fulfillment for the requirements for the degree of Master of Osteopathy at Unitec [New Zealand] /." Diss., 2007. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1008&context=unitec_hs_di.

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Wood, Lewis. "An investigation into the effects of a posterior-to-anterior lumbar mobilisation technique on neurodynamic mobility in the lower limb. A research project submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy at Unitec Institute of Technology [i.e. Unitec New Zealand] /." Diss., 2008. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1014&context=unitec_hs_di.

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Gabin, Marshall. "An investigation into the effects of manual technique targeted towards psoas major muscle on lumbar range of motion. A research project submitted in partial fulfilment for the requirements for the degree of Master of Osteopathy at Unitec /." Diss., 2008. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1019&context=unitec_hs_di.

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CHEN, RONG-CAI, and 陳榮財. "The study of Development Potential of Traditional Osteopathic Manipulation in kaohsiung city." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/b3bb4h.

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碩士
大仁科技大學
休閒事業管理研究所
107
Abstract The early Traditional osteopathic manipulation in kaohsiung city folk custom massage adjusts is enrolls in the disciple of a master advertisement majority of is called “the country technique hall” or “sets a broken bone the institute and sets a broken bone the courtyard”.At present in kaohsiung city is engaged in the traditional reduction folk custom massage recuperation for example to set a broken bone folk custom recuperations and so on massage, entire keel, qigong, cupping, the population reaches as high as more than 100,000 people, in order to the effective tube , all induces in the health bureau these people into “the traditional reduction massage”.In present law not bright under, is engaged in the traditional reduction folk custom massage recuperation in these several ten thousand human of in kaohsiung city work rights and interests, long-term is neglected and the discrimination, but in kaohsiung city is engaged in the traditional reduction folk custom massage recuperation all to penetrate the laborer who in kaohsiung city is connected to meet or the association occupation training obtains the graduation certificate, is not having the card which the government correlation unit recognized to illuminate. Therefore the Traditional osteopathic manipulation in kaohsiung city folk custom massage adjusts cultural the inheritance and the folk custom recuperation tests according to becomes the important topic.In addition, whether the Traditional osteopathic manipulation in kaohsiung city folk custom massage recuperation will future have the opportunity to become the famous doctrine which another concurrently leisure will take care of health?Has the opportunity and other industrial union? Whether future might even borrow in kaohsiung city Trade union or integrity of cooperation strength the association organization, suggested the government inspect the existing laws and regulations, will achieve the traditional reduction folk custom massage recuperation and consumers win-win environment. Has drawn up three research questions in this research:(1) Traditional osteopathic manipulation in kaohsiung city folk custom to adjust the difficult position which the jobholders face.(2) Traditional osteopathic manipulation in kaohsiung city folk custom to adjust the jobholders to prove according to obtains the question.(3) Traditional osteopathic manipulation in kaohsiung city folk custom to recuperate the personnel future the prospect and the opportunity.This research is take the Traditional osteopathic manipulation in kaohsiung city folk custom massage recuperation in massage reduction as the investigation and the object of study, if will massage the reduction correlation trade union or associations person in charge perhaps the member take in kaohsiung city as the interview object, the penetration literature discussion and the depth interview analyzes the Traditional osteopathic manipulation in kaohsiung city folk custom massage recuperation to test according to the system the future opportunity.This findings discovered the in kaohsiung city correlation profession the traditional reduction folk custom massage recuperation view is quite consistent, they need to have set of complete testing according to the system, after guards against the Traditional osteopathic manipulation in kaohsiung city folk custom massage recuperation works the power to deprive.Therefore, in this research suggested lets in kaohsiung city Correlation Trade union or the association participates in the proposition, provides this specialized knowledge to let the fatigue commission do for the reference, then causes to test has the fairness according to the test question and the specialty. Key words: Folk custom therapy, traditional osteopathic manipulation, development potential, depth interview law.

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CHANG, CHAO-JUNG, and 張兆榮. "The study for Micro - Entrepreneur of Traditional Osteopathic Manipulation In Kaohsiung City." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/a3nf2w.

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碩士
大仁科技大學
休閒運動管理系休閒事業管理碩士班
107
According to a recent survey conducted by the Global Entrepreneurship Monitor(GEM) for entrepreneurial environment in Taiwan, it indicates that there were 8% of related entrepreneurial behavior uring Year 2010~2013. This number means that there were 8 out of 100 persons started developing their own business. Also the survey report of Common Wealth Magazine regarding to entrepreneurial on May in Y2013 indicates that there were 73% of people had ever thought to develop their own business as entrepreneurs. Peoplewith 36% in ratio of this survey had investment capital less than a million NT dollar, ittells usthe micro-entrepreneur ialbecomes a trend. It seems it’s easy and low thresholds to run business of Traditional Osteopathic Manipulation, actually it has profoundknowledge for further study. At the preliminary stage of entrepreneurial, the main uncertainty is the amount of customers and income.Entrepreneursput effort to make business successful by improving their professional knowledge and core skill.In this study report, the methodology usedis based on qualitative research by collecting and analyzing related research papers anddeep interviewing with micro-entrepreneurs for detail discussion regarding to the challenge they face to. By reviewing analysis dataof related research papers and interviewing with successful micro-entrepreneursof traditionalosteopathic manipulation about their personal motivation, successful experience and key factors, thensummarizes the result and key points of successful micro-entrepreneurial. This study report concludes the motivation of micro-entrepreneurs oftraditionalosteopathic manipulation is to pursue and achieve personal ideal and objective. For considering the key successful factors of micro-entrepreneurial, entrepreneurs should possess professional core skill of traditionalosteopathic manipulationand provide quality and satisfaction service, meanwhile, be capable to manage capital and cost.

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Naysmith, Nicholas R. "Cavitation of the cervical spine using rotational high velocity / low amplitude thrusts : finding consistency, relationships and beliefs. A thesis submitted for the degree of Master of Osteopathy at Unitec, Auckland, New Zealand /." Diss., 2009. http://hdl.handle.net/10652/1414.

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Hamilton, Luke. "The effect of high-velocity, low-amplitude manipulation on suboccipital tenderness." Thesis, 2005. https://vuir.vu.edu.au/821/.

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High-velocity, low-amplitude (HVLA) manipulation is commonly advocated by manual therapists to relieve spinal pain and dysfunction. The aim of this controlled, single blinded study was to investigate whether HVLA manipulation of the occipito-atlantal (OA) joint had any lasting effect on pressure pain thresholds (PPT) in the suboccipital musculature in an asymptomatic population. HVLA manipulation of the OA joint did not significantly change the PPT of the suboccipital muscles in asymptomatic participants. HVLA produced a greater mean increase in PPT and effect size compared to the control group over both time intervals, and therefore investigation of the effect of this technique with a symptomatic population is warranted. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Cowan, Lewis. "Effect of fatigue on proprioceptive acuity in the asymptomatic untrained male knee. A research project submitted in partial requirement for the degree of Master of Osteopathy at Unitec New Zealand] /." Diss., 2009. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1020&context=unitec_hs_di.

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Morgan, Larissa. "The effect of pain associated with delayed onset muscle sorenss on the autonomic nervous system as measured by heart rate variability. A dissertation submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy, Unitec Institute of Technology New Zealand [i.e. Unitec New Zealand] /." Diss., 2008. http://www.coda.ac.nz/cgi/viewcontent.cgi?article=1010&context=unitec_hs_di.

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Wallis, Craig. "The effect of manipulation on pressure pain thresholds in the lumbar spine in asymptomatic participants." Thesis, 2004. https://vuir.vu.edu.au/901/.

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High-velocity, low amplitude manipulation is commonly advocated by manual therapists for the treatment of low back pain (LBP), however there is little evidence to support its efficacy. This study examined the immediate effects of a single manipulation intervention on pressure pain thresholds (PPT) in the lumbar spine in an asymptomatic population. Sixty-four asymptomatic participants (45 female, 19 male, aged 18-39) were recruited from an osteopathic student population. Participants were screened by palpation for the lumbar spinous process most sensitive to manual pressure, which was marked with a skin pencil. Three pre-intervention PPT measurements were recorded at the marked lumbar segment using a pressure algometer. Participants were randomly allocated into either a treatment group or a sham treatment control. The treatment group received a single application of high-velocity low amplitude (HVLA) manipulation. A post intervention PPT measurement was recorded immediately following the treatment. A small mean increase in PPT was demonstrated in the manipulation group. A dependent t-test revealed this change to be not significant, and a small pre-post effect size was determined. The sham treatment group mean PPT decreased significantly and produced medium effect size. An independent t-test reveled a significant difference between the changes in the control and manipulation group. All pre-post changes were found to be within the error range of the testing procedure. Manipulation of the lumbar spine in asymptomatic participants did not produce a statistically significant change in PPT. Research using symptomatic subjects is recommended for future studies. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Williams, Kevin. "An investigation of the lasting effects of thoracic manipulation and rib raising on spirometric measurements of asymptomatic participants." Thesis, 2003. https://vuir.vu.edu.au/933/.

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Although research has been undertaken into the effects of manual intervention on common respiratory conditions, very little research has been undertaken into whether manual therapy can produce a significant improvement in the respiratory function of asymptomatic volunteers one week after the manual intervention. To test whether a relationship exists between the effects of thoracic HVLA and rib raising (RR) on the pulmonary function of asymptomatic volunteers one week after the manual intervention, 38 participants (males = 25, females = 13) were randomly assigned to either a HVLA (n=11), RR (n=14) or a HVLA + RR group (n=13). Statistically significant increases were observed in both FVC (p=0.005) and FEV1 (p=0.002) within each of the three groups over time (pre-test, post-test, 1 week). However, no significant increases were found neither in the chest diameter values within the three treatment groups with respect to time nor between the three groups at any of the three time periods. The greatest increases in percentage change occurred in FEV1 and FVC values at the 1 week time period, particularly for the HVLA + RR and the RR group in which respective FEV1 increases of 10.5% and 7.41% occurred. The results of this study suggest that HVLA and rib raising ought to be equally effective in improving the pulmonary function of asymptomatic individuals , given that no statistically significant difference was found between the mean FEV1 and FVC values within the 3 groups over time. Since previous research shows that rib raising produces within subject increases in both FEV1 and FVC over time that are statistically significant in asthmatics, it may be possible to infer that HVLA may be as useful an adjunct as rib raising in the long-term management of stable asthma. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Mudge, Patrick. "The effect of thoracolumbar high velocity low amplitutde manipulation on gross trunk rotational range of motion: is the position of the technique important?" Thesis, 2004. https://vuir.vu.edu.au/853/.

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High velocity low amplitude (HVLA) thrust manipulation is commonly used by manual therapists to treat motion restrictions in the spine. In the thoracolumbar spine, there are two ways that the manipulation is usually carried out: one with the patient lying on their side and another with the patient lying on their back. The aim of this controlled, single blinded study was to investigate the effect of these two thrust manipulations on the gross trunk rotational range of motion (GTR) of the spine in an asymptomatic population. Ninety subjects (57 female, 33 male) aged 18 to 40 years were randomly allocated into three intervention groups; receiving either a HVLA manipulation in the side-lying position, a HVLA manipulation in the supine position, or a sham treatment (control) allegedly consisting of functional technique. GTR measurements were made with the Axial Rotation Measuring Device No.3, utilising three-dimensional magnetometry. Measurements were recorded immediately before, immediately after and 30 minutes after treatment intervention. HVLA manipulation of the thoracolumbar spine produces significant increases in GTR in asymptomatic subjects. The positioning of the HVLA manipulation does not significantly affect the changes seen in GTR following intervention. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Moritz, Sabine. "Identifying the major issues of rural osteopathic practice from the practitioner's perspective." Thesis, 2004. https://vuir.vu.edu.au/851/.

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The lack of appropriate healthcare services in rural areas has been well documented. As osteopaths are primary care practitioners, they can play a significant role in primary health care in geographic areas where there is a shortage of health care practitioners. Until now, there has been no research exploring the background of rural osteopaths in Australia and the specific issues of rural osteopathic practice. The aim of this research was to identify the major issues as described by rural osteopathic practitioners themselves. A subsidiary aim was to explore whether there was an association between a rural background and a rural ostepath's coice to practice in a rural area. Findings indicate that rural osteopaths are more likely to be male, and generally older than their counterparts in the urban areas, as well as most other rural AHPs. The rural osteopathic workforce is still relatively inexperienced in rural osteopathy, with over 57% of rural osteopaths having been in rural practice for less than 10 years. Professional satisfaction in the variety of work, autonomy of practice, social and personal satisfaction, the feeling of doing an important job, and the community of care given to patients were all seen as benefits of rural practice. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Jones, David. "The effect of osteopathic manipulative therapy applied to the lumbar spine on postural stability: a pilot study." Thesis, 2004. https://vuir.vu.edu.au/835/.

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Lumbar spine dysfunction has been shown to decrease postural stability. It has been hypothesized that applying manual therapy to the lumbar spine may have an effect on improving postural stability. The aim of this study was to investigate the effects of an osteopathic manipulative therapy (OMT) treatment protocol applied to the lumbar spine on postural stability as measured by average centre of pressure velocity (COPV) on a vertical force platfrom measurement system. Significant reduction in average COPV was demonstrated during tandem stance for the intervention group with both eyes-open and eyes-closed. No significant changes in average COPV were observed during bipedal or unipedal stance for either group. Results of this study suggest that OMT applied to the lumbar spine may have an effect on postural stability. Further research with a larger sample size, symptomatic patients and a longer-term treatment protocol is needed to extrapolate these findings into the clinical setting. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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"Osteopathic manipulative medicine in pregnancy: Acute physiological and biomechanical effects." UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH, 2009. http://pqdtopen.proquest.com/#viewpdf?dispub=3352782.

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"Cardiovascular Response to Vertebral Osteopathic Manipulative Treatment (OMT), On Asymptomatic Human Subjects." Master's thesis, 2014. http://hdl.handle.net/2286/R.I.27492.

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abstract: Objective: Examine cardiovascular response to OMT via central and peripheral measurements. Methods: Central and peripheral cardiovascular signals of asymptomatic human subjects were monitored during a procedure with alternating rest and active phases. Active phases included systemic perturbations and application of controlled vertebral pressure (OMT) by an experienced osteopathic physician. Pulse plethysmograph and laser Doppler flow sensors measured peripheral flow from index and middle fingers bilaterally. A three-lead EKG monitored cardiac activity. The biosignals were recorded continuously, in real time, and analyzed in time and frequency domains. Results from the control group (n=11), without OMT, and active group (n=16), with OMT, were compared. Peripheral (n=5) and central responders (n=6), subsets of the active group showing stronger peripheral or central response, were examined. In an additional effort, a modified clinical device recorded spectral Doppler ultrasound signals of the radial and dorsalis pedis arteries of clinically asymptomatic human subjects. Controlled physiologic provocations (limb occlusion and elevation), were performed. Time domain and spectral analyses were completed. Results: In the human subject study, the time wave characteristics and spectral analysis resulted in similar trends. Peripheral blood flow attenuated in the control group over time, while it was maintained in the active group, and increased specifically during OMT in the responder groups. Heart rate remained around 65 BPM in the control group, fluctuated between 64-68 BPM in the active group, and dropped 4 and 3 BPM in the peripheral and central responder groups, respectively. The effect in the OMT group was statistically significant compared to no-OMT, however, was not statistically significant within-groups. For the preliminary spectral ultrasound Doppler study, segmental flow was successfully monitored. A prototype "Quick Assessment" tool was developed, providing instant post-processing results for clinical use. Conclusions: OMT along the vertebral column may influence autonomic processes that regulate heart rate and peripheral vascular flow.
Dissertation/Thesis
Masters Thesis Bioengineering 2014

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Jones, David. "The effect of osteopathic manipulative therapy applied to the lumbar spine on postural stability: a pilot study." 2004. http://eprints.vu.edu.au/835/1/Jones_et.al_2004.pdf.

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Lumbar spine dysfunction has been shown to decrease postural stability. It has been hypothesized that applying manual therapy to the lumbar spine may have an effect on improving postural stability. The aim of this study was to investigate the effects of an osteopathic manipulative therapy (OMT) treatment protocol applied to the lumbar spine on postural stability as measured by average centre of pressure velocity (COPV) on a vertical force platfrom measurement system. Significant reduction in average COPV was demonstrated during tandem stance for the intervention group with both eyes-open and eyes-closed. No significant changes in average COPV were observed during bipedal or unipedal stance for either group. Results of this study suggest that OMT applied to the lumbar spine may have an effect on postural stability. Further research with a larger sample size, symptomatic patients and a longer-term treatment protocol is needed to extrapolate these findings into the clinical setting. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Buttigieg, Della. "Forces generated in high velocity, low amplitude manipulations of both the dominant and non-dominant rib 1 costotransverse joints: a pilot study." Thesis, 2004. https://vuir.vu.edu.au/758/.

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Objective: To determine the force/time characteristics of prone rib 1 High Velocity, Low Amplitude (HVLA) manipulations. Conclusions: Preload and peak thrust force closely related to each other and the production of a joint cavitation. No significant differences between the force/time characteristics of thrusts to dominant and non-dominant sides, other than post-thrust dip. The practical relevance of this parameter however, is questionable. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Andersen, Skye. "The effect of talo-crural joint manipulation on range of motion at the ankle joint in subjects with a history of ankle injury." Thesis, 2003. https://vuir.vu.edu.au/905/.

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There is little research available on the effects of peripheral joint manipulation. Only a few studies have examined the effect of manipulation on ankle range of motion, with conflicting results. This study aimed to determine whether a single high-velocity, low amplitude (HVLA) thrust manipulation to the talocrural joint altered ankle range of motion in subjects with a history of lateral ligament sprain. Male and female volunteers with a history of lateral ligament sprain were randomly assigned into either an experimental group or a control group. Those in the experimental group received a single HVLA thrust to the talo-crural joint, whilst those in the control group received no treatment intervention. Pre-test and post-test measurements of passive dorisflexion range of motion were taken. No significant changes in dorisflexion range of motion were detected between manipulated ankles and those of control subjects using dependent and independent t-tests. Ankles that cavitated displayed a greater mean DFR and large effect size compared to those that did not gap and cavitate, but analysis with ANOVA revealed these differences to be not significant. HVLA manipulation of the ankle did not increase dorisflexion range of motion in subjects with a history of lateral ligament sprain. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Nawrocki, Simon. "A comparison between muscle energy technique and high velocity low amplitude thrust technique on gross trunk rotation range of motion." Thesis, 2004. https://vuir.vu.edu.au/854/.

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Muscle energy technique (MET) and high velocity low amplitude (HVLA) thrust technique are two techniques commonly used by osteopaths and other musculoskeletal therapists. Despite their widespread use, there has been very limited research to compare the efficacy of HVLA and MET for increasing gross trunk rotation range of motion (ROM). Ninety volunteers (age range 18-40) were randomly assigned to either treatment (MET or HVLA) or control groups, and blinded pre-, immediately post- and thirty minutes post-active trunk rotation measures were recorded using a reliable measuring device. Volunteers in the treatment groups received a single application of either thoracolumbar MET or HVLA in the direction of the side (right or left), with the least ROM. Although demonstrating a statistically significant difference in gross trunk ROM immediately and 30 minutes following a single application of MET or HVLA, this was meaningless as it was within the error range of the test equipment. Overall this study failed to show a significant benefit in the use of these osteopathic treatment techniques in increasing gross trunk rotation ROM. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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McIver, S. "The effect of manipulation on pressure pain thresholds in the thoracic spine." Thesis, 2003. https://vuir.vu.edu.au/924/.

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A controlled, single blinded study investigated the effect of high velocity manipulation on pressure-pain threshold (PPT) in the thoracic spine in an asymptomatic population. Participants were randomly allocated into intervention groups, and received either a single extension thrust or thirty seconds of sham treatment consisting of 'laser accupuncture". PPT measurements were made using an electric pressure algometer immediately before and after intervention application. Pre- and post-manipulation PPT values were analyzed using a dependent t-test, and emonstrated a significant improvement in the manipulated group (P=0.04) but not in the control group (P=0.88). This study found that a single manipulation did increase thoracic PPT. Further research is warranted to investigate the effect of manipulation on thoracic pain. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Strachan, Donovan. "The effect of high velocity low amplitude manipulation on the amelioration of cervical spine rotation asymmetries: is the cavitation important?" Thesis, 2004. https://vuir.vu.edu.au/717/.

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Background: High velocity low amplitude (HVLA) thrust techniques are commonly used by manual therapists. One of the primary goals of these techniques is to increase the range of motion within spinal segments. Still, there is much contention about the outcomes of the audible release or cavitation associated with these techniques. This study is to investigate the effect that HVLA thrust techniques has on total cervical ROM asymmetries with and without cavitation. Conclusion: HVLA thrust technique to the AA joint with cavitation produced a significant amelioration in total cervical rotation asymmetry immediately post-manipulation. A significant amelioration in toal cervical rotation asymmetries was not found when HVLA failed to produce a cavitation. The reduction in the asymmetry immediately post-manipulation had reduced or returned to the pre-manipulation level at 30 minutes post-manipulation. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Caneva, Damien De. "The effect of manipulation to the proximal tibiofibular joint and talocrural joint on ankle dorsiflexion range of motion." Thesis, 2004. https://vuir.vu.edu.au/790/.

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Peripheral joint manipulation is an intervention used by manual therapists for a wide array of musculoskeletal problems. There is conflicting evidence on the effect of manipulations on passive ankle dorisflexion range of motion (DFR). A treatment regimen of manipulation of the proximal tibiofibular joints and talocrural joints and traction of the talocrural joint in asymptomatic patients was not effective in increasing ankle dorisflexion range of motion. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Olarenshaw, Adam. "Lasting effects of atlanto-axial manipulation on edge light pupil cycle time." Thesis, 2004. https://vuir.vu.edu.au/715/.

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Background: Edge Light Pupil Cycle Time (ELPCT) is a light reflex of the eye, which is controlled via the automatic nervous system. Studies have shown ELPCT to be a measurable constant, unaffected by visual acuity, refractive error, eye colour, pupil size or gender. Recent studies have shown that high-velocity manipulation of the upper cervical spine causes an immediate decrease in ELPCT on the same side as the manipulation. This change is presumed to me mediated in part by alterations in the autonomic tone following mauipulative intervention, therefore suggesting that unilateral manipulation produces an immdeiate unilateral change in the autonomic nervous system. Objective: To investigate the lasting effects (up to 1 hour) of C1-2 high velocity low amplitude manipulation upon ELPCT. Design: A two group blind, randomized study, with a control group. Conclusion: This suggests that ELPCT, which is mediated by the autonomic nervous system, can be directly influenced by high-velocity manipulation to the atlanto-axial joint and these changes occur on the same side as the manipulation (i.e. unilateral manipulation produces unilateral physiological change). Over a one-hour time frame these changes are still significant at 20-minutes post-manipulation but only slightly evident at one-hour post manipulation. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Fuller, Luke. "The effect of thoracolumbar high velocity low amplitude manipulation on gross trunk range of motion: is the direction of thrust important?" Thesis, 2004. https://vuir.vu.edu.au/813/.

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High Velocity Low Amplitude (HVLA) is a form of spinal manipulation commonly used by Osteopaths and other manual medicine practitioners. Despite its widespread use, there is little experimental evidence that supports the efficacy of HVLA in the thoracolumbar region or whether the direction of thrust is important in altering rotation range of motion (ROM). This study investigated whether a single application of thoracolumbar HVLA, either into or away from the restrictive rotation barrier, could significantly increase an asymptomatic volunteer's gross trunk rotation ROM. Thoracolumbar HVLA performed either into or away from the restrictive rotation barrier, had no significant effect on active, seated trunk rotation in asymptomatic volunteers with no fixed asymmetry. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Dissertations / Theses on the topic 'Osteopathic manipulation'

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