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Effect of global osteopathic treatment on functional mobility in the parkinsonian patient: A quasi-experimental study

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA9. doi: Subito , type of study: pretest posttest design

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

mobility [93]
OMT [3779]
osteopathic manipulative treatment [3799]
pretest posttest design [221]

Abstract:

Background: Modifications in posture, gait and overall functional mobility are observed with Parkinson's disease progression. Some studies have reported that an osteopathic treatment focused on the musculoskeletal or cranial systems can produce a significant improvement in motor function and gait in this patient population. However, functional aspect of mobility received little attention despite the fact it is an important issue for Parkinsonians. Objectives: Evaluate the effect of global osteopathic treatment on functional mobility in patients with Parkinson’s disease. Methods: Twenty patients diagnosed with Parkinson’s disease (Heohn and Yahr stages I to IV) participated in this quasi-experimental time-series study. Functional mobility was assessed 1) twice using the Timed Up and Go test (TUG) during the first three weeks of the study before treatment was introduced, 2) before and after each of three osteopathic treatments carried out at one-week intervals and 3) at one and three weeks after the end of the treatment period. Osteopathic treatments were specifically adjusted to the persons’ needs assessed during the initial evaluation and included musculoskeletal, craniosacral and visceral manipulations. An analysis of variance was used to assess evolution of functional mobility over time. Results: Functional mobility was stable across baseline measurements taken prior to treatment. A significant improvement in functional mobility reflected by an increased speed in execution of the TUG was observed with time (p=0.001). Bonferroni post-hoc test showed that the changes were significant when the baseline results of the week preceding the introduction of treatment were compared to the results from the week which followed the treatment period (p=0.05). No significant improvement was observed when comparing the results of the TUG before and after each osteopathic treatment. Conclusion: These data suggest that three global osteopathic treatments can improve functional mobility of patients with Parkinson’s disease. More research is needed to confirm these results.


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