Advanced search

Search results      


Results of Osteopathic Treatment of Patients with paroxysmal atrial Fibrillation

Journal: Journal of Bodywork and Movement Therapies Date: 2018/10, 22Pages: 845e872, type of study: randomized controlled trial

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S1360859218302717)

Keywords:

atrial fibrillation [2]
arrythmia [1]
heart [109]
hypertension [26]
osteopathic manipulative treatment [2973]
OMT [2951]
randomized clinical trial [26]

Abstract:

Introduction: Atrialfibrillation (AF) is one of the most widespread arrhythmias in the world. The main cause of AF is structural heart diseaseand hypertension, which lead to the structural remodeling of atrial tissue.However, the symptom burden of AF does not correlate with degree ofatrial remodeling. The initiation of AF starts from a source in the pulmo-nary veins (Haissaguerre et al 1998). The ablation of this source can suppress recurrent AF (Kirchhof et al 2016). This region of the pulmonary veinsis the point of tight attachment of the connective tissue of the pericardium.The pericardium isfixed in the thorax with ligaments that can spread thetension from different organs to the pericardium (Barrale 1991). We sug-gest that dysfunctions of other organs can affect the pulmonary veins dueto the tension in the connective tissues of ligaments and the pericardium,triggering the activation of arrhythmia. We expect that osteopathictreatment can reduce the symptoms of AF.Methods:The study included 30 patients (mean age 54,37±12,29 years)with non-valvular paroxysmal AF. All of them were on suitable anti-arrythmic therapy. Patients were randomized into 2 groups. Thefirst group(15 patients) received osteopathic treatment while the 2nd group receivedonly standard treatment. Osteopathic treatment included structural,visceral, and cranial techniques and was based on the patient's individualsomatic dysfunctions (SD). All patients had undergone osteopathic examination to assess the structure of SD according to Russian standardprotocol. The examinations also included assessment of quality of life bySF-36, a questionnaire for patients with arrhythmia, 24-hour-ECG moni-toring, and echocardiography. The assessments were made before and 3months after commencing treatment.Results:All patients with AF had somatic dysfunctions of the thorax. In thefirst group the number of SD of thorax region decreased from 5,45±1,63 to3,00±2,16 (p¼0,0336) after treatment. Osteopathic treatment led toimprovement of quality of life (р¼0,0019), reduction of paroxysms of AF,and number of atrial extrasystoles (р¼0,01). Patients with AF withouthypertension (p¼0,024) and with abdominal SD benefited more fromosteopathic treatment.Conclusion:Osteopathic treatment is a good additional support for pa-tients with paroxysmal AF, which can be helpful for prevention of parox-ysms of AF, decreasing symptoms, and improvement in quality of life.


Search results      

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_eqtdpwabhfxknysvurcj



Supported by

OSTLIB recommends