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Effekt einer Leberbehandlung auf den Laktatwert im Blut von gesunden Erwachsenen
(The effect of an osteopathic treatment of the liver on the blood lactate level of healthy adults)

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2014/11, Pages: 121, type of study: clinical trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2854)

Keywords:

lactate [1]
liver [49]
osteopathic manipulative treatment [2973]
OMT [2951]
WSO [433]

Abstract:

Background: In osteopathy, there are hardly any studies which prove that if we pretend to treat an organ we actually affect it in its function. The liver is the largest exocrine gland in the human body and plays a central role in metabolism and energy balance. In the context of osteopathy it receives widespread attention. If it is possible to treat an inner organ, as osteopathy claims, it should also be possible to influence the metabolism of the body by means of osteopathic techniques. Aim: The aim of this study is to find out whether it is possible to influence the metabolism of the liver by means of osteopathic techniques which are applied at the level of the liver. In addition, it should be possible to measure this influence in an objective way. In the present case the role of the liver in carbohydrate metabolism was examined and lactate was used as an indicator. Study design: Twelve healthy women and nine healthy men (average age of 30 years) took part in this within subject design study. Lactate, which is metabolized via the liver, was used as a parameter. At the first appointment the study participants had a lactate performance diagnostics in order to achieve the highest possible levels of lactate. This test was carried out with 11 participants on the bicycle ergometer and 10 participants on the treadmill. Immediately after finishing the performance diagnostics lactate measurements took place. They were repeated after a three minute break. Afterwards osteopathic techniques were applied at the level of the liver. Lactate measurements were made after a further 12 and 27 minutes in order to achieve a total of 30 minutes of treatment time. At the second appointment the performance diagnostics was repeated, but this time the participants had to spend the first 12 minutes in a sitting position (again after a three minute break), and the remaining 15 minutes in a lying position. Lactate was measured as in the first appointment. For reasons of time about 50% (11 persons) of the participants were treated with osteopathic techniques in the first and 50% (10 persons) in the second session . Results: In both groups, there was no significant difference in the rate of lactate degradation. Also, it did not affect the results whether the test persons did the performance diagnostics on a bicycle ergometer or the treadmill. There were also no gender abnormalities and it also had no influence on the results whether the subjects were given the osteopathic treatment in the first or in the second session. Conclusion: It turns out that osteopathic techniques at the level of the liver for a period of 30 minutes do not show a measurable influence on the blood lactate level. The lactate degradation is not affected by the intervention.


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