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Osteopathic manipulative treatment in a patient with idiopathic scoliosis assessed by breathing pattern characterization using optoelectronic plethysmography and quality of life — a case report

Journal: Journal of Bodywork and Movement Therapies Date: 2025/09, 43Pages: 293-299. doi: Subito , type of study: case report

Free full text   (https://www.bodyworkmovementtherapies.com/article/S1360-8592(25)00177-9/fulltext)

Keywords:

breathing [49]
case report [725]
chest wall asymmetry [1]
female [629]
geriatrics [127]
OMT [3779]
osteopathic manipulative treatment [3799]
optoelectronic plethysmography [1]
quality of life [111]
ribs [9]
scoliosis [31]
women [582]

Abstract:

Objective This case report seeks to evaluate the effects of an osteopathic manipulative treatment (OMT) management and the advantages of optoelectronic plethysmography (OEP) for the quantification and description of asymmetrical chest wall motions associated with quality of life in a mild scoliosis patient (Cobb angle <30°). Methods A 72-year-old woman diagnosed with idiopathic scoliosis received three OMT associated with respiratory exercises in between treatment sessions. Respiratory kinematics and volumes were measured before and after each OMT session using OEP. Subjective patient's quality of life was estimated by completion of the Medical Outcomes Study Short Form 36 (SF-36) before the first and after the third interventions. Results and discussion The OEP method assessed an asymmetrical motion of the pulmonary rib cage (RCP) and abdominal rib cage (RCA) between the left and right sides. This chest wall asymmetry seemed to be associated with the direction of the scoliosis deformity. The RCP and RCA asymmetry scores decreased gradually, approaching 0 % after OMT sessions, and their variability also decreased by the end of the protocol. Conversely, quality of life increased for all eight items evaluated, indicating positive effect of OMT in the management of this scoliosis patient who experienced chronic back pains. Conclusion Results from this single case study bring a promising method to evaluate non pharmacological intervention such as OMT in the management of idiopathic scoliosis patients. OEP is an effective method to evaluate breathing patterns in scoliosis patients and can detect respiratory asymmetries that could not have been objectified by any other method.


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