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Fascia - key for stability, sensomotor function and symmetry

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2008/01, Pages: 82, type of study: randomized controlled trial

Free full text   (https://www.osteopathic-research.com/s/orw/item/2938)

Keywords:

fascia [261]
musculoskeletal system [28]
msc thesis [22]
randomized controlled trial [710]
WSO [433]

Abstract:

Study Design: The study is a single-blind, randomized controlled study. In order to guarantee validity each sample group comprises 25 test persons. The third group serves as control group to take a possible learning effect into account. Outline/Problem Definition By means of three independent sample groups it is evaluated how different treatment methods influence the parameters symmetry, stability and sensomotoric function. Research Question & Objective The present paper looks at the effects of fascial treatment on the body and in how far it can influence symmetry, stability and sensomotoric function of a person in upright stance. The aim of the study is to find out how orthopathic treatment according to the fascia distortion model (FDM) affects stability sensomotoric function and symmetry. Hypothesis Hypothesis 1: The treatment of the lateral triggerband of the thigh according to the principles of the fascia distortion model of Dr. Stephen Typaldos D.O. will significantly improve the stability in the upright stance on both legs. Hypothesis 2: The treatment of the lateral triggerband of the thigh according to the principles of the fascia distortion model of Dr. Stephen Typaldos D.O. will significantly improve the sensomotoric function in the upright stance on both legs. Hypothesis 3: The treatment of the lateral triggerband of the thigh according to the principles of the fascia distortion model of Dr. Stephen Typaldos D.O. will significantly improve the symmetry in the upright stance on both legs. Relevance for the Patients It is possible that the participation in this fundamental study will grant the patient an efficient treatment of his fascial tissues. However, the success of the treatment cannot be guaranteed. Also the probability of how efficient the treatment method will be in the individual patient cannot be predicted. Relevance for Osteopathy The objective of this study is to show that orthopathic treatment has an effect on the parameters symmetry, stability and sensomotoric function and to inform authorized practitioners like doctors and osteopaths about the effectiveness of the evaluated technique. Methodology The study is a randomized controlled study. By means of three independent sample groups it is evaluated how different treatment methods influence the parameters symmetry, stability and sensomotoric function. In order to guarantee validity each sample group comprises 25 test persons. The third group serves as control group to take a possible learning effect into account. The three groups are independent samples. By drawing of lots the test persons were randomly attributed to one of the three groups: experimental group, comparison group and control group. In order to be recruited for the study the participants had to have no symptoms and the exclusion criteria were regarded. Results The present study showed that not all of the original hypotheses concerning the effect of orthopathic treatment on the parameters stability, sensomotoric function and symmetry could be confirmed. The statistical analysis showed a significant improvement of the variable sensomotoric function in the second measurement in the experimental group, but the variance analysis showed that no significant difference could be detected between the three groups at both measurements. This means that it did not matter to which group the participants belonged, no improvement could be observed with regard to sensomotoric function. Critical Reflection/Perspectives/Conclusions Since the test persons for the overall sample were recruited under the condition that they had “no symptoms” and since the age was set between 18 and 45 years, the search for appropriated participants was carried out in the immediate environment of the author. The result was a high number of physical therapy students (49 test persons), which comprised 65.3 percent of the overall sample. The big influence of the group of “physical therapy students” among the test persons was underestimated and should be considered in further studies. It would have been desirable to have an approximately equal number of male and femal participants. Unfortunately, the ratio in this study was 53 women to 22 men. However, the repeated measures analysis of variance showed that the gender did not matter because the results for the variables stability, sensomotoric function and symmetry were not significant.In the case history the participants had to answer additional questions regarding fractures, ligament or tendon tears and the data was also put in relation with the test results. The repeated measures analysis of variance did not show any significant difference for patients with fracture or ligament tears in the lower extremities with regard to the three variables stability, sensomotoric function and symmetry. The significant result regarding the feeling of comfort immediately after the treatment can be explained by the fact that the orthopathic triggerband treatment is considerably more painful than friction massage. Since the comfort rating after ten minutes rest did not show a significant difference, it can be concluded that the discomfort is a temporary phenomenon.


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