Can Postural Osteopathic Treatment influence Cardiac Hemodynamics in the Lower Train's Sub-Maximum Endurance Exercise?

Author: Massimo Armeni

Graduated in Postural Osteopathy, TOP Expert

ISSA (I) Staff Member of Board Examination, MACSM

Abstract

MASSIMO ARMENI. Can Postural Osteopathic Treatment influence Cardiac Hemodynamics in the Lower Train's Sub-Maximum Endurance Exercise?

Objective: to examine the effects of an osteopathic treatment session with TOP methodology on cardiac hemodynamics in subjects with algia covered by the inclusion criteria.

Methods: this study consisted of an analysis of included subjects ( N = 6), 4 males and 2 females, with algae of unknown etiology, treated osteopathically with TOP methodology. The control group consisted of subjects ( N = 6), 4 males and 2 females, treated with placebo. Subjects were measured before treatment at rest and under stress, and after treatment at rest and under stress, at a rate of 5 ± 1 day. The applied cardiovascular prognostic and diagnostic indices have respected the Official Position and the Principles enunciated by the American College of Sports Medicine (ACSM), the manual evaluation and corrective procedures have respected the principles of the Italian Academy of Postural Osteopathic Therapy (AITOP), the biomechanics applied to the resistance exercise of the lower train, it complied with the guidelines expressed by the International Sports Sciences Association-I (ISSA Italy), the statistical analyzes were performed with Excel 2003 software, XLSTAT 2008 software and one-way ANOVA variance examination. Statistical significance was established by convention at P <0.05 for tests after treatment and under stress.

Results: a statistically significant change in the parameters of Cardiac Frequency with P = 0.02 and of Diastolic Pressure with P = 0.01 was shown. In all subjects the perception of pain and the Active Daily Living (ADL) significantly improved after only one treatment session.

Conclusions: due to the few scientific data in the literature, the small number of subjects tested and the inter-examiner limits, TOP treatment seems to directly influence exclusively the parameter of CF and Diastolic Pressure; as for the other indices, no statistically significant improvement was demonstrated. The Rate-Pressure Product (RPP) decreased only in some subjects, 2 ± 1, probably due to evident difficulties in the voluntary expression of the intensity of effort required, therefore it was not judged to be statistically significant. Other studies are necessary to highlight a relationship between Postural Osteopathic Therapy and any influences on the cardiovascular system during the exercise of the lower train's resistance. Key words: HEMODYNAMICS, POSTURAL OSTEOPATHIC THERAPY, SUBMASSIMAL RESISTANCE EXERCISE, ABI, RPP