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Fundamental study of a visceral pericardial osteopathic protocol on heart physiology

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA26. doi: Subito , type of study: randomized controlled trial

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

heart rate variability [61]
physiology [50]
randomized controlled trial [880]
visceral osteopathy [81]

Abstract:

Background: Research into scientific aspects of viscera in the field of osteopathy is in its early stages. It is important to define physiological mechanisms underlying osteopathic manipulations, such as heart rate variability (HRV) that reflects autonomous nervous system activity and consequently physical and mental well-being. Objectives: This study aims to examine the effects of an osteopathic protocol for visceral thoracic manipulations (i.e. 5 techniques aimed to release the tensions on the fibrous pericardium (phreno-, sterno and vertebro-pericardial ligaments)) on aspects of HRV. Methods: Sixty-four healthy subjects, between 25 and 35 years old, were randomly and evenly distributed into three groups: control (n=21), placebo (n=21) and experimental (n=22). The HRV measurements were carried out over four weeks in order to assess the effect of this osteopathic protocol over time and on several dependent variables. More specifically, the HRV-frequency-domain values were analyzed, such as the low frequency (LF) and high frequency (HF) and the LF/HF ratio. Results: Repeated measures revealed significant (p < 0.05) differences over time for LF/HF in the experimental group (pre-post and initial and final measurement differences) in comparison placebo. Moreover, it was noticed that the experimental group could a posteriori be analyzed as a result of two sub-groups based on LF/HF initial measurements. Conclusion: For the first time, an investigation to correlate heart physiology outcomes to repeated osteopathic manipulations directed to the fibrous pericardium, has been carried out, suggesting the possibility for self-regulation according to his/her own physiology. This fundamental study is a first step towards understanding the physiological mechanisms underlying self-regulation resulting from osteopathic techniques. Even if these results were obtained out of a clinical framework, they could be useful for daily osteopathic practice. Future research will be directed to examining the benefits of such approach with patients presenting heart pathological symptoms or sternotomy thoracic surgery.


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