Author: Massimo Armeni
Graduated in Postural Osteopathy, T.O.P. Expert
I.S.S.A. (I) Staff Member of Board Examination, M.A.C.S.M.
Abstract
MASSIMO ARMENI. Can Postural Osteopathic Treatment Influence Cardiac Hemodynamics in Submaximal Lower Train Endurance Exercise?
Objective: to examine the effects of an osteopathic treatment session with the T.O.P. on cardiac hemodynamics in subjects with pain falling within the inclusion criteria.
Methods: This study consisted of an analysis of subjects included (No. = 6), 4 males and 2 females, with pain of unknown etiology, treated osteopathically with the T.O.P. The control group consisted of subjects (No. = 6), 4 males and 2 females, treated with placebo. The subjects were measured before treatment at rest and under exertion, and after treatment at rest and under exertion, at a rate of 5 ± 1 day. The applied cardiovascular prognostic and diagnostic indices respected the Official Position and the Principles enunciated by the American College of Sports Medicine (ACSM), the manual evaluation and corrective procedures respected the principles of the Italian Academy of Postural Osteopathic Therapy (AITOP), biomechanics applied to the resistance exercise of the lower train complied with the guidelines expressed by the International Sports Sciences Association-I (ISSA Italy), the statistical analyzes were carried out with Excel 2003 software, XLSTAT 2008 software and one-way ANOVA variance examination. Statistical significance was conventionally set at P <0.05 for post-treatment and exercise tests.
Results: there was a statistically significant change in the parameters of the Heart Rate with P = 0.02, and of the Diastolic Pressure with P = 0.01. Pain perception and Active Daily Living (ADL) improved significantly in all subjects after just one treatment session.
Conclusions: due to the few scientific data in the literature, the small number of subjects tested and the inter-examiner limits, the TOP treatment seems to directly influence only the parameter of HR and Diastolic Pressure; as regards the other indices it is not no statistically significant improvement was shown.The Rate-Pressure Product (RPP) decreased only in some subjects, 2 ± 1, probably due to evident difficulties in the voluntary expression of the required effort intensity, therefore it was not judged statistically relevant. Other studies are needed to highlight a relationship between Postural Osteopathic Therapy and any influences on the cardiovascular system during lower train resistance exercise. Keywords: HEMODYNAMICS, POSTURAL OSTEOPATHIC THERAPY, SUBMAXIMAL RESISTANCE EXERCISE, ABI, RPP
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Massimo Armeni
Specialist in body composition analysis and in prescription of rehabilitative physical exercise
Morlupo (RM)
