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Osteopathy in the rehabilitation of patients with recurrent musculoskeletal injuries: an experimental study

Osteopathie in der Rehabilitation von Patienten mit rezidivierenden muskuloskeletalen Verletzungen: eine experimentelle Studie

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Abstract

Objective

The aim of this study was to evaluate the effects of osteopathy as a method of rehabilitation treatment in patients with recurrent musculoskeletal injuries.

Methods

The study included 117 individuals with recurrent musculoskeletal injuries occurring during usual physical activity. The age of the subjects ranged from 20 to 49 years, with a mean of 37.3 ± 5.6 years. The osteopathy sessions were performed once a week for 1 month, after which the effects of the treatment were evaluated according to indicators of wellbeing, activity, mood, sleep quality, and quality of life (visual analog scale “Cantril’s ladder”).

Results

Osteopathy application in patients with recurrent injuries of the locomotor system increased biokinematic chain movements and reduced somatic dysfunctions and severity of pain syndrome, which resulted in an increase in patients’ activity and improvement of their wellbeing and mood. Correction of regulatory systems was manifested in normalization of sleep duration and significant improvement in quality of life. Osteopathic influence was accompanied not only by shorter recovery time, but also by a stable therapeutic effect on dynamics of observation.

Conclusion

This study suggests that application of osteopathic correction improves the overall prognosis of patients with musculoskeletal injuries. However, our results are not sufficient to recommend the use of osteopathic techniques in the rehabilitation of these patients, as their reproducibility needs to be tested in a randomized and controlled clinical trial.

Zusammenfassung

Ziel

Ziel der vorliegenden Studie war es, die Auswirkungen von Osteopathie als eine Methode der Rehabilitationsbehandlung auf Patienten mit rezidivierenden Verletzungen des Bewegungsapparats zu untersuchen.

Methoden

In die Studie wurden 117 Personen mit rezidivierenden Verletzungen des Bewegungsapparats, die während gewöhnlicher körperlicher Aktivität auftraten, einbezogen. Das Alter der Probanden betrug 20–49 Jahre, im Durchschnitt 37,3 ± 5,6 Jahre. Die Osteopathiesitzungen wurden einen Monat lang einmal pro Woche abgehalten, danach wurden die Wirkungen der Therapie anhand von Indikatoren für Wohlbefinden, Aktivität, Stimmung, Schlafqualität und Lebensqualität beurteilt (visuelle Analogskala „Cantril-Leiter“).

Ergebnisse

Die Anwendung von Osteopathie bei Patienten mit rezidivierenden Verletzungen des Bewegungsapparats führte zur Verbesserung der Abläufe in biokinematischen Ketten und verminderte somatische Dysfunktionen sowie das Ausmaß des Schmerzsyndroms, was zu zunehmender Aktivität der Patienten und zur Verbesserung ihres Wohlbefindens und ihrer Stimmung führte. Die Korrektur regulatorischer Systeme manifestierte sich in der Normalisierung der Schlafdauer und einer signifikanten Verbesserung der Lebensqualität. Der Einfluss der Osteopathie ging nicht nur mit einer kürzeren Dauer bis zur Genesung einher, sondern auch mit einer stabilen therapeutischen Wirkung auf die Dynamik der Beobachtung.

Schlussfolgerung

Der vorliegenden Studie zufolge gibt es Hinweise darauf, dass die Anwendung osteopathischer Korrekturen die Gesamtprognose von Patienten mit Verletzungen des Bewegungsapparats verbessert. Allerdings reichen diese Ergebnisse nicht aus, um den Einsatz osteopathischer Techniken in der Rehabilitation solcher Patienten zu empfehlen, da ihre Reproduzierbarkeit noch in einer randomisierten und kontrollierten klinischen Studie geprüft werden muss.

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Authors and Affiliations

  1. Department of Human Anatomy and Histology, I.M. Sechenov First Moscow State Medical University (Sechenov University), 125009, Moscow, Russian Federation

    Maria V Sankova, Vladimir N Nikolenko, Andjela D Vovkogon, Marine V Oganesyan, Aleksandra Trishina & Yury O Zharikov

  2. Department of Normal and Topographic Anatomy, Lomonosov Moscow State University, 119991, Moscow, Russian Federation

    Vladimir N Nikolenko & Marine V Oganesyan

  3. European Osteopathic Clinical Center of the Moscow Branch, Medical Academy of Osteopathic Education, 199106, Saint Petersburg, Russian Federation

    Andjela D Vovkogon

  4. Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, 119991, Moscow, Russian Federation

    Lema Babarzai & Faraidun Babarzai

  5. Department of Emergency Surgical Gastroenterology, N. V. Sklifosovsky Research Institute for Emergency Medicine, 129010, Moscow, Russian Federation

    Sevak Zh Antonyan

  6. Postgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil

    André Pontes-Silva

Authors
  1. Maria V Sankova
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Contributions

M.V. Sankova: involved in conceptualization of the manuscript, contributed to methodology, participated in the resources, analyzed data, wrote the original draft preparation, undertook review and editing; V.N. Nikolenko: contributed to methodology, involved in project administration; A.D. Vovkogon: involved in conceptualization of the manuscript, contributed to methodology, participated in the resources, involved in project administration; M.V. Oganesyan: involved in conceptualization of the manuscript, contributed to methodology, participated in resources, wrote the original draft preparation, undertook review and editing, involved in project administration; A. Trishina: involved in project administration; L. Babarzai: participated in resources, undertook review and editing; S.Z. Antonyan: involved in project administration; F. Babarzai: participated in resources, analyzed data; A. Pontes-Silva: involved in conceptualization of the manuscript, involved in project administration; Y.O. Zharikov: contributed to methodology, undertook review and editing, involved in project administration. All authors have read and agreed to the published manuscript version.

Corresponding author

Correspondence to André Pontes-Silva.

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Conflict of interest

M.V. Sankova, V.N. Nikolenko, A.D. Vovkogon, M.V. Oganesyan, A. Trishina, B. Lema, S.Z. Antonyan, B. Faraidun, A. Pontes-Silva, and Y.O. Zharikov declare that they have no competing interests.

All procedures performed in studies involving human participants or on human tissue were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Research Ethics Committee of the I.M. Sechenov First Moscow State Medical University (Sechenov University) under protocol (report number: 08-19 on 05/06/2019). Informed consent was obtained from all individual participants included in the study.

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Sankova, M.V., Nikolenko, V.N., Vovkogon, A.D. et al. Osteopathy in the rehabilitation of patients with recurrent musculoskeletal injuries: an experimental study. Manuelle Medizin (2024). https://doi.org/10.1007/s00337-024-01048-y

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