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Rehman Y, Kirsch J, Wang MYF, Ferguson H, Bingham J, Senger B, Swogger SE, Johnston R, Snider KT. Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: systematic review and meta-analysis. J Osteopath Med 2023; 123:91-101. [PMID: 36220009 DOI: 10.1515/jom-2022-0119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 08/31/2022] [Indexed: 01/27/2023]
Abstract
CONTEXT Osteopathic manipulative treatment (OMT) has been utilized by osteopathic clinicians as primary or adjunctive management for dizziness caused by neuro-otologic disorders. To our knowledge, no current systematic reviews provide pooled estimates that evaluate the impact of OMT on dizziness. OBJECTIVES We aimed to systematically evaluate the effectiveness and safety of OMT and analogous techniques in the treatment of dizziness. METHODS We performed a literature search in CINAHL, Embase, MEDLINE, Allied and Complementary Medicine Database (AMED), EMCare, Physiotherapy Evidence Database (PEDro), PubMed, PsycINFO, Osteopathic Medicine Digital Library (OSTMED.DR), and Cochrane Central Register of Controlled Trials (CENTRAL) from inception to March 2021 for randomized controlled trials (RCTs) and prospective or retrospective observational studies of adult patients experiencing dizziness from neuro-otological disorders. Eligible studies compared the effectiveness of OMT or OMT analogous techniques with a comparator intervention, such as a sham manipulation, a different manual technique, standard of care, or a nonpharmacological intervention like exercise or behavioral therapy. Assessed outcomes included disability associated with dizziness, dizziness severity, dizziness frequency, risk of fall, improvement in quality of life (QOL), and return to work (RTW). Assessed harm outcomes included all-cause dropout (ACD) rates, dropouts due to inefficacy, and adverse events. The meta-analysis was based on the similarities between the OMT or OMT analogous technique and the comparator interventions. The risk of bias (ROB) was assessed utilizing a modified version of the Cochrane Risk of Bias Tool for RCTs and the Cochrane Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) for observational studies. The quality of evidence was determined utilizing the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. RESULTS There were 3,375 studies identified and screened, and the full text of 47 of them were reviewed. Among those, 12 (11 RCTs, 1 observational study, n=367 participants) met the inclusion criteria for data extraction. Moderate-quality evidence showed that articular OMT techniques were associated with decreases (all p<0.01) in disability associated with dizziness (n=141, mean difference [MD]=-11, 95% confidence interval [CI]=-16.2 to -5.9), dizziness severity (n=158, MD=-1.6, 95% CI=-2.4 to -0.7), and dizziness frequency (n=136, MD=-0.6, 95% CI=-1.1 to -0.2). Low-quality evidence showed that articular OMT was not associated with ACD rates (odds ratio [OR]=2.2, 95% CI=0.5 to 10.2, p=0.31). When data were pooled for any type of OMT technique, findings were similar; however, disability associated with dizziness and ACD rates had high heterogeneity (I2=59 and 46%). No studies met all of the criteria for ROB. CONCLUSIONS The current review found moderate-quality evidence that treatment with articular OMT techniques was significantly associated with decreased disability associated with dizziness, dizziness severity, and dizziness frequency. However, our findings should be interpreted cautiously because of the high ROB and small sample sizes in the eligible studies.
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Affiliation(s)
- Yasir Rehman
- Health Research Methodology and Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Ontario, Canada; and Medical Sciences for the Canadian Academy of Osteopathy, Hamilton, Ontario, Canada.,Medical Science, Canadian Academy of Osteopathy, Hamilton, Ontario, Canada.,Research Consultant, A.T. Still University Research Institute- Kirksville College of Osteopathic Medicine, Kirksville, MO, USA
| | - Jonathon Kirsch
- Department of Osteopathic Manipulative Medicine, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, MO, USA.,Medical Science, Canadian Academy of Osteopathy, Hamilton, Ontario, Canada
| | - Mary Ying-Fang Wang
- Department of Research Support, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, MO, USA
| | - Hannah Ferguson
- Medical Science, Canadian Academy of Osteopathy, Hamilton, Ontario, Canada
| | - Jonathan Bingham
- Department of Osteopathic Manipulative Medicine, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, MO, USA
| | - Barbara Senger
- Department of Osteopathic Manipulative Medicine, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, MO, USA
| | - Susan E Swogger
- David W. Howe Memorial Library, University of Vermont, Burlington, VT, USA
| | - Robert Johnston
- Medical Science, Canadian Academy of Osteopathy, Hamilton, Ontario, Canada
| | - Karen T Snider
- Assistant Dean for Osteopathic Principles and Practice Integration and Department of Osteopathic Manipulative Medicine, A.T. Still University - Kirksville College of Osteopathic Medicine, Kirksville, MO, USA
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Rehman Y, Kirsch J, Bhatia S, Johnston R, Bingham J, Senger B, Swogger S, Snider KT. Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: Protocol for systematic review and meta-analysis. INT J OSTEOPATH MED 2021. [DOI: 10.1016/j.ijosm.2021.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Buscemi A, Coco M, Rapisarda A, Frazzetto G, Di Rosa D, Feo S, Piluso M, Presente LP, Campisi SS, Desirò P. Tongue stretching: technique and clinical proposal. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2021; 19:487-491. [PMID: 34364317 DOI: 10.1515/jcim-2020-0101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 07/11/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The tongue is an organ with multiple functions, from sucking to phonation, from swallowing to postural control and equilibrium. An incorrect position or mechanics of the tongue can causes sucking problems in the newborn or atypical swallowing in the adult, with repercussions on the position of the head and neck, up to influencing upright posture and other problems. Tongue dysfunctions are quite frequent (10-15%) in the population. For the manual therapist, this frequency indicates one to two subjects every 30 patients. Exercises have been proposed to improve the tone and strength of the swallowing muscles but the results are not so clear in the literature. The aim of this study is to describe and provide a tongue muscle normalization technique that helps the manual therapist in the treatment of problems related to it. METHODS The literature has been investigated through pubmed, Google scholar of the last 10 years, the keywords used and combined with the Boolean operators AND and OR, are: "tongue, tongue habits, tongue diseases, taste disorder, neck pain, posture, postural balance, atypical swallowing, muscle stretching exercise, tissue expansion, soft tissue therapy, osteopathic manipulative treatment". RESULTS AND CONCLUSIONS The technique is possible to be executed even in a sitting position, in the case the patient is unable to assume a supine position, the subject should provides immediate feedback that allows the therapist to understand if the technique has been correctly executed. The simplicity of execution and application of the technique makes it a possible and immediate therapeutic tool in the clinical setting.
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Affiliation(s)
- Andrea Buscemi
- Department of Research, Italian Osteopathy Study Center, Catania, Italy.,Horus Social Cooperative, Ragusa, Italy
| | - Marinella Coco
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
| | | | | | | | | | | | | | | | - Paolo Desirò
- Fascia Didactics, Osteopathic Spine Center Education, Bologna, Italy
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Coco M, Di Corrado D, Ramaci T, Di Nuovo S, Perciavalle V, Puglisi A, Cavallari P, Bellomo M, Buscemi A. Role of lactic acid on cognitive functions. PHYSICIAN SPORTSMED 2019; 47:329-335. [PMID: 30615538 DOI: 10.1080/00913847.2018.1557025] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objectives: The aim of this research was to establish cognitive changes in relation to blood lactate levels obtained during slow performance of a regimen of exercise sessions. Methods: A total of 15 male professional bodybuilders participated in the study; CrossFit® professionals performed the Workout 15.5, Week 5 Open 2015 consisting of 27-21-15-9 repetitions for time of Row (calories) and Thrusters, with 1-min recovery. Blood lactate, blood glucose, reaction time (RT), execution time of a dual cognitive task, number of errors, and number of omissions were measured at rest, at conclusion of the session, and after recovery for 15 min. Results: The bodybuilders had slightly elevated basal lactate levels than in untrained individuals. The bodybuilders showed significantly increased lactacidemia and decreased RT after completing the training session. Need to define what onset of blood lactate accumulation (OBLA) means. Conclusion: We conclude that bodybuilding fitness regimens lead to an increase in basal lactate levels to 3.16 mmol/L and that acute training sessions can improve attentional performance in relation to lactacidemia, suggesting pro-cognitive effects of a workout.
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Affiliation(s)
- Marinella Coco
- Department of Biomedical a Biotechnological Sciences, University of Catania , Catania , Italy
| | | | - Tiziana Ramaci
- Department of Sport Sciences, Kore University , Enna , Italy
| | - Santo Di Nuovo
- Department of Educational Sciences, University of Catania , Catania, Italy
| | - Vincenzo Perciavalle
- Department of Biomedical a Biotechnological Sciences, University of Catania , Catania , Italy
| | - Angela Puglisi
- Department of Biomedical a Biotechnological Sciences and Department of Educational Sciences, University of Catania , Catania, Italy
| | - Paolo Cavallari
- Department of Pathophysiology and Transplantation, Human Physiology Section, University of Milan , Milan , Italy
| | - Maria Bellomo
- Department of Sport Sciences, Kore University , Enna , Italy
| | - Andrea Buscemi
- Horus Social Cooperative, Ragusa and Department of Research, Center Studies of Osteopathy , Catania , Italy
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