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The use of local infrared thermometry to objectify the results of osteopathic correction in patients with cervical dorsopathy
(Применение локальной инфракрасной термометрии для объективизации результатов остеопатической коррекции у пациентов с дорсопатией шейного отдела позвоночника)
Belash, V. O. [43]
Mokhov, D. E. [36]

Journal: Russian Osteopathic Journal Date: 2026/07, 20(2):Pages: 34–45. doi: Subito , type of study: clinical trial

Full text    (https://rojournal.elpub.ru/jour/article/view/797)

Keywords:

cervical spine [310]
clinical trial [662]
diagnosis [407]
dorsopathy [16]
OMT [3878]
osteopathic manipulative treatment [3899]
temperature [11]
thermal asymmetry [1]
thermodiagnostics [1]

Abstract:

Introduction. The official recognition of osteopathy in the Russian Federation and its inclusion in clinical medicine has provided a powerful impetus for the development of the specialty. Significant changes have been noted in the general methodology of osteopathy, primarily involving a shift from a purely local paradigm for identifying areas of osteopathic damage (somatic dysfunction) to a comprehensive assessment of osteopathic status. It has been proposed to consider somatic dysfunctions (SD) at three levels of manifestation: local, regional, and global (the level of the entire organism). Global somatic dysfunctions, to put it simply, can be viewed as a combination of a certain number of regional disorders (polyregionality). However, distinguishing between regional and local SD clearly requires separate studies to confi rm the validity of this approach. Previous studies have revealed a decrease in local temperature and the presence of significant thermal asymmetry in the areas of identified regional SD. However, an assessment of changes in these parameters during osteopathic correction has not been conducted. All of the above determined the purpose of this study. The aim of the study: to analyze the change in local temperature in areas of local and regional somatic dysfunctions in patients with cervical spine dorsopathy during osteopathic treatment. Materials and methods. A prospective study was conducted from 2018 to 2025 at a specialized medical clinic in Saint-Petersburg. A total of 228 patients diagnosed with cervical dorsopathy were examined. They underwent osteopathic correction (three sessions, 10–14 days apart, each lasting approximately 45–50 min). All patients underwent an osteopathic assessment before and after treatment based on clinical guidelines. Local temperature was also measured using a portable infrared thermometer in the paravertebral neck region, symmetrically on the right and left sides.Results. Patients with regional biomechanical disorders at the neck level (structural component) were characterized by the presence of statistically significantly (p<0,05) lower local temperature (right Me 33,1, min–max 31,5–34,7, left Me 33,3, min–max 31,9–35,6) and pronounced thermal asymmetry in the neck area (Me 0,67, Min–Max 0–2) compared to patients with local dysfunctions (right Me 34,2, min–max 32–37,2, left Me 34,5, min–max 32,4–36,9, thermal asymmetry — Me 0,29, min–max 0–1,2) and without dysfunctions of this area (right Me 34,6, min–max 32,6–37, left Me 34,4, min–max 32,6–36,7, thermal asymmetry — Me 0,26, min–max 0–1,1). The osteopathic correction allowed to eliminate regional SD, which was manifested by a statistically significant (p<0,05) increase in local temperature (on the right Me 34,5, min–max 32,5–36,7, on the left Me 34,6, min–max 32,1–36,6) and a decrease in thermal asymmetry (Me 0,3, min–max 0–1,5). The obtained positive changes in the thermodiagnostics parameters were maintained 1 month after the completion of treatment, which allows us to speak about the durability of the effect of the osteopathic correction. Conclusion. In patients with cervical dorsopathies, regional cervical spinal dysfunction zones (neck region, structural component) exhibit a significant decrease in local temperature and thermal asymmetry compared to patients with localized cervical spinal dysfunction or no cervical spinal dysfunction at all. Osteopathic correction leads to a statistically signifi cant increase in local temperature in the regional spinal dysfunction zone and a reduction in functionally signifi cant thermal asymmetry. These findings support the validity of distinguishing between different levels of cervical spinal dysfunction (local and regional) and, on the other hand, provide objective evidence for the results of osteopathic treatment.

Abstract original language:
Введение. Официальное признание остеопатии в Российской Федерации и включение ее в клиническую медицину дало мощный толчок для развития специальности. В общей методологии остеопатии отмечаются серьезные изменения, которые в первую очередь включают переход от сугубо локальной парадигмы выявления зоны остеопатического повреждения — соматической дисфункции (СД) — к комплексной оценке остеопатического статуса. При этом было предложено рассматривать СД на трех уровнях проявления — локальном, региональном и глобальном (уровень целостного организма). Глобальные СД, если несколько упростить, можно рассматривать как сочетание определенного количества региональных нарушений (полирегиональность), а вот выделение СД регионального и локального уровня явно требует проведения отдельных исследований, которые могли бы подтвердить обоснованность такого подхода. Цель исследования — проанализировать изменение местной температуры в зонах локальных и регио- нальных СД у пациентов с дорсопатией шейного отдела позвоночника на фоне остеопатического лечения. Материалы и методы. Проспективное исследование проводили с 2018 г. по 2025 г. на базе профильной медицинской клиники (Санкт-Петербург). Были обследованы 228 пациентов с диагнозом дорсопатии шейного отдела позвоночника. Им проводили остеопатическую коррекцию (три сеанса с интервалом 10–14 дней, продолжительность каждого сеанса — около 45–50 мин). Всем пациентам до и после лечения оценивали остеопатический статус на основе клинических рекомендаций. Также измеряли локальную температуру с помощью портативного инфракрасного термометра в области региона шеи паравертебрально симметрично справа и слева.

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