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Periferik Arter Hastalığı Tanılı Hastalarda Tek Seans Osteopatik Manuel Tedavinin Femoral Arter Çapı ve Debisine Etkisi

Year 2024, Volume: 46 Issue: 2, 165 - 173, 18.03.2024
https://doi.org/10.20515/otd.1388125

Abstract

Bu çalışmanın amacı (Periferik Arter Hastalığı) PAH tanılı hastalarda tek bir osteopatik manuel tedavi (OMT) seansının femoral arter çapı ve debisi üzerine etkisini araştırmaktır. Çalışmaya PAH tanısı alan 15 hasta (11 erkek, 4 kadın) dahil edildi. Katılımcılara tek seans olarak OMT dolaşım modeli uygulandı. Uygulama öncesi ve sonrası femoral arter çapı ve debisi radyolog tarafından değerlendirildi. Etkilenen ekstremiteye göre çap ve debi parametreleri değerlendirildiğinde, tüm hastalarda femoral arter çapı ve akım değerlerinin artış gösterdiği bulundu; ancak aradaki fark istatistiksel olarak anlamlı değildi. Tüm hastalarda çap ve debi parametreleri karşılaştırıldığında sol ve sağ femoral arter çapı ve akışında artış olduğu görüldü. Sağ femoral arter çapı parametresi OMT uygulanmadan önceki parametreye göre istatistiksel olarak anlamlı farklılık gösterdi (p=0,014) Tek seans OMT ile, etkilenen ekstremitelerdeki arter çapı ve debisinde istatistiksel olarak anlamlı sonuçlar olmazken, klinik olarak artışlar sağlanmıştır.

References

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  • 3. Robbin S, Cotran R, Kumar V, Collins T. Pathological basis of disease. Har Cocert Asia: Saunders Company; 1999.
  • 4. Kannel WB, Wilson PW. An update on coronary risk factors. Med Clin North Am. 1995;79(5):951-71.
  • 5. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. 2017;69(11):1465-508.
  • 6. Conte SM, Vale PR. Peripheral Arterial Disease. Heart Lung Circ. 2018;27(4):427-32.
  • 7. Jardine WM, Gillis C, Rutherford D. The effect of osteopathic manual therapy on the vascular supply to the lower extremity in individuals with knee osteoarthritis: A randomized trial. International Journal of Osteopathic Medicine. 2012;15(4):125-33.
  • 8. Lombardini R, Marchesi S, Collebrusco L, Vaudo G, Pasqualini L, Ciuffetti G, et al. The use of osteopathic manipulative treatment as adjuvant therapy in patients with peripheral arterial disease. Man Ther. 2009;14(4):439-43.
  • 9. Thomaz SR, Teixeira FA, de Lima A, Cipriano Junior G, Formiga MF, Cahalin LP. Osteopathic manual therapy in heart failure patients: A randomized clinical trial. J Bodyw Mov Ther. 2018;22(2):293-9.
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  • 13. Degenhardt BF, Kuchera ML. Update on osteopathic medical concepts and the lymphatic system. J Am Osteopath Assoc. 1996;96(2):97-100.
  • 14. Oktar SO, Yucel C, Karaosmanoglu D, Akkan K, Ozdemir H, Tokgoz N, et al. Blood-flow volume quantification in internal carotid and vertebral arteries: comparison of 3 different ultrasound techniques with phase-contrast MR imaging. AJNR Am J Neuroradiol. 2006;27(2):363-9.
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  • 16. Seffinger MA, Rich J. Lymphatic Pump OMT Releases Cytokines Into Central Circulation. Journal of the American Osteopathic Association. 2014;114(7):587-8.
  • 17. Noll DR. Short-term hematologic and hemodynamic effects of osteopathic lymphatic techniques. J Am Osteopath Assoc. 2009;109(3):121-2; author reply 2-3.
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  • 20. Anderson Z, Nuno V, Pierce-Talsma S. An Osteopathic Approach to Stasis Dermatitis and Chronic Venous Insufficiency. J Am Osteopath Assoc. 2018;118(12):e204-e5.
  • 21. McCaffrey K, Zuniga DJ. Myofascial Release Combined With Physical Therapy Improves Venous Blood Flow. Journal of the American Osteopathic Association. 2012;112(10):657-.
  • 22. Huff JB, Schander A, Downey HF, Hodge LM. Lymphatic pump treatment augments lymphatic flux of lymphocytes in rats. Lymphat Res Biol. 2010;8(4):183-7.
  • 23. Hodge LM. Osteopathic lymphatic pump techniques to enhance immunity and treat pneumonia. Int J Osteopath Med. 2012;15(1):13-21.
  • 24. Cerritelli F, Carinci F, Pizzolorusso G, Turi P, Renzetti C, Pizzolorusso F, et al. Osteopathic manipulation as a complementary treatment for the prevention of cardiac complications: 12-Months follow-up of intima media and blood pressure on a cohort affected by hypertension. J Bodyw Mov Ther. 2011;15(1):68-74.
  • 25. Backer M, Hammes MG, Valet M, Deppe M, Conrad B, Tolle TR, et al. Different modes of manual acupuncture stimulation differentially modulate cerebral blood flow velocity, arterial blood pressure and heart rate in human subjects. Neurosci Lett. 2002;333(3):203-6.
  • 26. Salamon E, Zhu W, Stefano GB. Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic manipulative medicine (Review). Int J Mol Med. 2004;14(3):443-9.
  • 27. Stefano GB, Goumon Y, Bilfinger TV, Welters ID, Cadet P. Basal nitric oxide limits immune, nervous and cardiovascular excitation: human endothelia express a mu opiate receptor. Prog Neurobiol. 2000;60(6):513-30.
  • 28. Cadet P, Mantione K, Benz D, Zhu W, Stefano G. Tonal nitric oxide and health: anti-bacterial and-viral actions and implications for HIV. Medical Science Monitor. 2002;8(2):RA27-RA31.
  • 29. Cadet P, Mantione K, Benz D, Zhu W, Stefano G. Tonal nitric oxide and health--a free radical and a scavenger of free radicals. Medical Science Monitor. 2002;8(1):RA1-RA4.
  • 30. Stefano GB, Fricchione GL, Slingsby BT, Benson H. The placebo effect and relaxation response: neural processes and their coupling to constitutive nitric oxide. Brain Res Brain Res Rev. 2001;35(1):1-19.
  • 31. Hoffman JW, Benson H, Arns PA, Stainbrook GL, Landsberg GL, Young JB, et al. Reduced sympathetic nervous system responsivity associated with the relaxation response. Science. 1982;215(4529):190-2.
  • 32. Eck JC, Circolone NJ. The use of spinal manipulation in the treatment of low back pain: a review of goals, patient selection, techniques, and risks. J Orthop Sci. 2000;5(4):411-7.

The Effect of One Session Osteopathic Manuel Treatment on Femoral Artery Diameter and Flow in Patients Diagnosed with Peripheral Arterial Disease

Year 2024, Volume: 46 Issue: 2, 165 - 173, 18.03.2024
https://doi.org/10.20515/otd.1388125

Abstract

The aim of this study is to investigate the effect of a single osteopathic manuel treatment (OMT) session on femoral artery diameter and flow in patients diagnosed with (Peripheral Arterial Disease) PAD. 15 patients, diagnosed with PAD, (11 male, 4 female) were included in the study. The OMT circulation model was applied to the participants for one session. Before and after the application, femoral artery diameter and flow were evaluated by radiologist. Evaluating the diameter and flow parameters according to affected extremity, it was found that femoral artery diameter and flow values showed an increase in all patients; however, the difference was not found to be statistically significant. However, comparing diameter and flow parameters in all patients showed an increase in left and right femoral artery diameter and flow. Right femoral artery diameter parameter was found to have a statistically significant difference when compared to the parameter before the application of OMT (p=0,014). While a single session of OMT did not yield statistically significant results in artery diameter and flow in affected extremities, clinically increases were detected.

References

  • 1. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33 Suppl 1(1, Supplement):S1-75.
  • 2. Mascarenhas JV, Albayati MA, Shearman CP, Jude EB. Peripheral arterial disease. Endocrinol Metab Clin North Am. 2014;43(1):149-66.
  • 3. Robbin S, Cotran R, Kumar V, Collins T. Pathological basis of disease. Har Cocert Asia: Saunders Company; 1999.
  • 4. Kannel WB, Wilson PW. An update on coronary risk factors. Med Clin North Am. 1995;79(5):951-71.
  • 5. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. 2017;69(11):1465-508.
  • 6. Conte SM, Vale PR. Peripheral Arterial Disease. Heart Lung Circ. 2018;27(4):427-32.
  • 7. Jardine WM, Gillis C, Rutherford D. The effect of osteopathic manual therapy on the vascular supply to the lower extremity in individuals with knee osteoarthritis: A randomized trial. International Journal of Osteopathic Medicine. 2012;15(4):125-33.
  • 8. Lombardini R, Marchesi S, Collebrusco L, Vaudo G, Pasqualini L, Ciuffetti G, et al. The use of osteopathic manipulative treatment as adjuvant therapy in patients with peripheral arterial disease. Man Ther. 2009;14(4):439-43.
  • 9. Thomaz SR, Teixeira FA, de Lima A, Cipriano Junior G, Formiga MF, Cahalin LP. Osteopathic manual therapy in heart failure patients: A randomized clinical trial. J Bodyw Mov Ther. 2018;22(2):293-9.
  • 10. DiGiovanna EL, Schiowitz S, Dowling DJ. An osteopathic approach to diagnosis and treatment: Lippincott Williams & Wilkins; 2005.
  • 11. Association AO. Foundations of osteopathic medicine: Lippincott Williams & Wilkins; 2010.
  • 12. Kuchera ML, Kuchera ML, Do F, Kuchera WA. Osteopathic considerations in systemic dysfunction: Greyden Press LLC; 1994.
  • 13. Degenhardt BF, Kuchera ML. Update on osteopathic medical concepts and the lymphatic system. J Am Osteopath Assoc. 1996;96(2):97-100.
  • 14. Oktar SO, Yucel C, Karaosmanoglu D, Akkan K, Ozdemir H, Tokgoz N, et al. Blood-flow volume quantification in internal carotid and vertebral arteries: comparison of 3 different ultrasound techniques with phase-contrast MR imaging. AJNR Am J Neuroradiol. 2006;27(2):363-9.
  • 15. Walkowski S, Singh M, Puertas J, Pate M, Goodrum K, Benencia F. Osteopathic manipulative therapy induces early plasma cytokine release and mobilization of a population of blood dendritic cells. PLoS One. 2014;9(3):e90132.
  • 16. Seffinger MA, Rich J. Lymphatic Pump OMT Releases Cytokines Into Central Circulation. Journal of the American Osteopathic Association. 2014;114(7):587-8.
  • 17. Noll DR. Short-term hematologic and hemodynamic effects of osteopathic lymphatic techniques. J Am Osteopath Assoc. 2009;109(3):121-2; author reply 2-3.
  • 18. Kilgore T, Malia M, Di Giacinto B, Minter S, Samies J. Adjuvant Lymphatic Osteopathic Manipulative Treatment in Patients With Lower-Extremity Ulcers: Effects on Wound Healing and Edema. J Am Osteopath Assoc. 2018;118(12):798-805.
  • 19. Hodge LM, Bearden MK, Schander A, Huff JB, Williams A, Jr., King HH, et al. Lymphatic pump treatment mobilizes leukocytes from the gut associated lymphoid tissue into lymph. Lymphat Res Biol. 2010;8(2):103-10.
  • 20. Anderson Z, Nuno V, Pierce-Talsma S. An Osteopathic Approach to Stasis Dermatitis and Chronic Venous Insufficiency. J Am Osteopath Assoc. 2018;118(12):e204-e5.
  • 21. McCaffrey K, Zuniga DJ. Myofascial Release Combined With Physical Therapy Improves Venous Blood Flow. Journal of the American Osteopathic Association. 2012;112(10):657-.
  • 22. Huff JB, Schander A, Downey HF, Hodge LM. Lymphatic pump treatment augments lymphatic flux of lymphocytes in rats. Lymphat Res Biol. 2010;8(4):183-7.
  • 23. Hodge LM. Osteopathic lymphatic pump techniques to enhance immunity and treat pneumonia. Int J Osteopath Med. 2012;15(1):13-21.
  • 24. Cerritelli F, Carinci F, Pizzolorusso G, Turi P, Renzetti C, Pizzolorusso F, et al. Osteopathic manipulation as a complementary treatment for the prevention of cardiac complications: 12-Months follow-up of intima media and blood pressure on a cohort affected by hypertension. J Bodyw Mov Ther. 2011;15(1):68-74.
  • 25. Backer M, Hammes MG, Valet M, Deppe M, Conrad B, Tolle TR, et al. Different modes of manual acupuncture stimulation differentially modulate cerebral blood flow velocity, arterial blood pressure and heart rate in human subjects. Neurosci Lett. 2002;333(3):203-6.
  • 26. Salamon E, Zhu W, Stefano GB. Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic manipulative medicine (Review). Int J Mol Med. 2004;14(3):443-9.
  • 27. Stefano GB, Goumon Y, Bilfinger TV, Welters ID, Cadet P. Basal nitric oxide limits immune, nervous and cardiovascular excitation: human endothelia express a mu opiate receptor. Prog Neurobiol. 2000;60(6):513-30.
  • 28. Cadet P, Mantione K, Benz D, Zhu W, Stefano G. Tonal nitric oxide and health: anti-bacterial and-viral actions and implications for HIV. Medical Science Monitor. 2002;8(2):RA27-RA31.
  • 29. Cadet P, Mantione K, Benz D, Zhu W, Stefano G. Tonal nitric oxide and health--a free radical and a scavenger of free radicals. Medical Science Monitor. 2002;8(1):RA1-RA4.
  • 30. Stefano GB, Fricchione GL, Slingsby BT, Benson H. The placebo effect and relaxation response: neural processes and their coupling to constitutive nitric oxide. Brain Res Brain Res Rev. 2001;35(1):1-19.
  • 31. Hoffman JW, Benson H, Arns PA, Stainbrook GL, Landsberg GL, Young JB, et al. Reduced sympathetic nervous system responsivity associated with the relaxation response. Science. 1982;215(4529):190-2.
  • 32. Eck JC, Circolone NJ. The use of spinal manipulation in the treatment of low back pain: a review of goals, patient selection, techniques, and risks. J Orthop Sci. 2000;5(4):411-7.
There are 32 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery, Physical Medicine and Rehabilitation
Journal Section ORİJİNAL MAKALE
Authors

Muhammet Ayhan Oral 0000-0001-8618-9817

Nevin Atalay Güzel 0000-0003-0467-7310

İlke Keser 0000-0001-6999-4056

Koray Akkan 0000-0002-1186-1258

Dilek Erer 0000-0002-1186-1258

Publication Date March 18, 2024
Submission Date November 8, 2023
Acceptance Date December 20, 2023
Published in Issue Year 2024 Volume: 46 Issue: 2

Cite

Vancouver Oral MA, Atalay Güzel N, Keser İ, Akkan K, Erer D. The Effect of One Session Osteopathic Manuel Treatment on Femoral Artery Diameter and Flow in Patients Diagnosed with Peripheral Arterial Disease. Osmangazi Tıp Dergisi. 2024;46(2):165-73.


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