Reviewing our current understanding of the Primary Respiratory Mechanism.
Item
- Title
- Reviewing our current understanding of the Primary Respiratory Mechanism.
- Author(s)
- Rastelli, A
- Abstract
- Background: osteopathy rn the cranial field (ocF) is decidedly a controversial topic. Lack of recognized mechanisms and vague evidence regarding treatment efficacy have agitated this field since the beginning of the 20th century. The primary respiratory mechanism (PRM), centralto the cranial concept, has been explained with different theories that try and justify its physiological foundation. This lack of clarity warranted a review process which aimed at producing an overview on the topic.Objective: ldentify relevant theories regarding the PRM, determine level of evidence, compare and contrast the several models and to give indications for research. Design : Structured review. Methods: Two independent and blinded reviewers performed searches on PubMed, Science Direct, lndex to chiropractic literature, Cochrane Library, PEDro and BioMed Central with relevant keywords. lnclusion criteria: English language, concerning cranial manipulation, presenting a model for the PRM; Exclusion criteria: presenting a non-physiologicaltheory, reports/comments on previous models, full-text unavailability. Data extraction comprised Oxford levels of evidence, analytical data regarding referencing, summary of models, cranial rhythmic impulse (CRl) rate ranges, rhythmicity generator, interpretation of palpatory findings, aetiology of cranial dysfunction and explanation for poor inter-examiner reliability. Results: All the nine reviewed papers classified as level 5 - expert opinion. Most models implied the involvement of the cardiovascular system in the generation of the PRM. CRI rates varied from 0.6 to 14 cycles per minute. Explanation of palpatory findings, aetiology of dysfunction and poor interexaminer reliability were not consistently reported and demonstrated significant variability with one another. Discussion: The levels of evidence, the journal impact factor and the statistical data regarding referencing only offer an insight as to how well support the articles are. The PRM and rraube-Hering-Mayer (THM) oscillations share a number of features. Evidence is presented which links THM waves with autonomic nervous system balance. The relationship between THM and PRM is explored. Some account is given in regards to the inconsistency in CRI palpation. Conclusion: The PRM is believed to be in closed relationship with TMH oscillations by most authorities with preliminary data that entertain this possibility. However, the low level of evidence requires further research to be conducted in order to verify this concept.
- presented at
- European School of Osteopathy
- Date Accepted
- 2016
- Date Submitted
- 2.12.2016 17:29:04
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15959
- Inst-Identifier
- 1229
- Keywords
- Primary Respiratory Mechanism, cranial osteopathy.
- Recommended
- 0
- Item sets
- Thesis
Rastelli, A, “Reviewing our current understanding of the Primary Respiratory Mechanism.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.com/s/orw/item/522