Does osteopathic manipulative therapy of the thoracic spin have an effect on peak systolic flow volume of the brachial artery?
Item
- Title
- Does osteopathic manipulative therapy of the thoracic spin have an effect on peak systolic flow volume of the brachial artery?
- Author(s)
- Martinot, E
- Abstract
- Introduction The aim of this study was to establish if osteopathic manipulative therapy of thoracic vertebra T1-T4 had an effect on sympathetic output to the heart, measured via peak systolic flow volume of the brachial artery. There was a long term objective to see if osteopathy could be part of an adjunct treatment for cardiovascular patients. Method A two-tailed, randomised, controlled trial - groups were matched in age, weight and body mass index. Groups included both genders, a mean age of 25.9 (±5.7) and body mass index of 20.6kg/m2 (±3.1). Primary outcome measures of peak systolic flow volume were calculated via sonograms of flow rate and brachial artery diameter captured by the MicroMaxx SonoSite® Ultrasound System. Secondary measures of systolic and diastolic blood pressure, and blood pressure pulse width were measured with a sphygmomanometer and stethoscope. Variance and distribution were analysed with a Leven F-test and Shapiro-Wilk test set at alpha level p=>0.05. Comparison of the mean was analysed using a Wilcoxon or Mann-Whitney U test for non-parametric data, and t-test for parametric data (both of which were set at p=<0.05 with a confidence interval of 95%). Rezeroing percentage change of primary outcome measurements were tested at p=<0.01, confidence interval 99%. Results There was no statistically significant difference in any of the secondary outcome measures in either intragroup or intergroup analysis. Primary outcome measures of the treatment group showed a significant difference at p=0.0023, and the control group did not have a significant at p=0.5518. Rezeroing showed p=0.055. Conclusion Osteopathic manipulative therapy does appear to have an effect on peak systolic flow volume of the brachial artery; the literature discussed states that this could be due to a parasympathetic rather than a sympathetic response, possibly as a result of a somatovisceral reflex. Further research is suggested to determine which neurological pathways are involved.
- presented at
- European School of Osteopathy
- Date Accepted
- 2014
- Date Submitted
- 20.1.2015 16:43:40
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15509
- Inst-Identifier
- 1229
- Keywords
- HVLAT, Doppler, Vessel diameter.
- Recommended
- 0
- Item sets
- Thesis
Martinot, E, “Does osteopathic manipulative therapy of the thoracic spin have an effect on peak systolic flow volume of the brachial artery?”, Osteopathic Research Web, accessed May 17, 2024, https://www.osteopathicresearch.com/s/orw/item/655