The short-term effect of induction technique on the pericardial fascia upon cervical spine rotation.

Item

Title
The short-term effect of induction technique on the pericardial fascia upon cervical spine rotation.
Author(s)
Laurens, A S
Abstract
The short-term effect of induction technique on the pericardial fascia upon cervical spine rotation. Introduction: Neck pain is a very common complaint leading to osteopathic consultation. However osteopaths, as holistic health-care practitioners, look at the body as a whole and therefore recognise that the cause may be distant from the site of pain and seek the origin of the problem. A branch of osteopathy specialises in visceral manipulations in order to find balance in the body when visceral restriction is thought to be the primary cause of dysfunction. The present study's aim was to investigate the effect of an induction technique of the pericardia} fascia as described by Barral and Mercier (1988) upon the cervical spine measuring neck rotation. Method: 40 participants (all 3rd and 4th year E.S.O. students) between 19 and 41 years of age were randomly attributed to either a treatment or a control group so that each group comported 10 males and 10 females. Measurement of the CROM was taken using a CROM device by an examiner other than the practitioner before and after application of the technique followed by a 2 minutes rest period (or after a 7 minutes period rest for the control group subjects). The study design was non"blinded and non-cross-over. Statistical analysis was calculated using mainly Microsoft Office Excel 2007 and included F tests, KS tests, a Mann-Whitney U test, paired and Results: A significant decrease in range of rotation bilaterally was found after a 7 minute rest period (p = O,0567 for left rotation; p = O,0177 for right rotation). A much more significant increase was found bilaterally after the application of an induction technique on the pericardia} fascia (p = O,00 17 for left rotation; p = O,0011 for right rotation). The difference in range of left rotation before and after intervention was found significantly larger for the treatment group compared to the control group (U = 301 .5). The difference in range of right rotation before and after intervention was not found statistically significantly bigger for the treatment group (p- O,24998), although there was an increase of an average of 3.6 degrees for the treatment group and a decrease of an average of 2.1 degrees for the control group. Discussion: The small sample size as well as the sampling method meant that the sample population was not very representative of the population. Moreover the power for most of the statistical tests was quite low. Whether the practitioner was actually working on the pericardia} fascia was also an issue due to the nature of the technique. Hypothesises explaining the results with other effects were reviewed.Possible mechanisms of action were also given. Conclusion: Further research with a larger sample size obtained with stratified sampling would be indicated to increase the power of the study and obtain more definite and reliable results. However it seems .th~t induction technique of the pericardial fascia might be, when indicated, an effective technique to increase range of cervical rotation.
presented at
European School of Osteopathy
Date Accepted
2011
Date Submitted
22.1.2013 16:23:35
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15281
Inst-Identifier
1229
Keywords
Cervical spine rotation; Induction technique; Fascia.
Recommended
0
Item sets
Thesis

Laurens, A S, “The short-term effect of induction technique on the pericardial fascia upon cervical spine rotation.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathicresearch.com/s/orw/item/784