OsteoHealthBlog

Effectiveness of osteopathic interventions for chronic non-specific neck pain

Effectiveness of osteopathic interventions for chronic non-specific neck pain

Dal Farra etl al 2021 used a systematic review and meta-analysis to investigate whether osteopathic manipulation can lead to a reduction in pain and an improvement in functional status in patients with non-specific neck pain (NS-NP).
A systematic review and meta-analysis according to PRISMA 2020 was conducted.
Randomized controlled trials (RCTs) were searched in five databases, assessed using a standardized form and graded using the 13-point Cochrane Risk of Bias (RoB) tool.
Post-treatment effect sizes were calculated and the quality of the evidence was assessed using the GRADE criteria.
Five articles were included in the review, none of which were assessed as having a low risk of bias.
Four were included in the meta-analysis.
Osteopathic interventions compared with no intervention/sham treatment showed statistically significant results for pain intensity and functional status.
The quality of evidence was ‘very low’ for all outcomes assessed.
CONCLUSIONS Osteopathic interventions may lead to improvement in pain levels and functional status in adults with NS-NP.
However, these results are influenced by very low quality evidence.
Further high-quality RCTs are needed to improve the quality of the evidence and generalize the results. Dal Farra F, Buffone F, Risio RG, Tarantino AG, Vismara L, Bergna A. Effectiveness of osteopathic interventions in patients with non-specific neck pain: A systematic review and meta-analysis.
Complement Ther Clin Pract.
2022 Nov;49:101655.
doi: 10.1016/j.ctcp.2022.101655.
Epub 2022 Aug 11. PMID: 35986986.

Geriatric Osteopathy: Treat the ankle!

This systematic review and meta-analysis highlights the effectiveness of manual therapy in improving ankle range of motion and stability among older adults.
An average increase of 11.3 degrees in ankle mobility and enhancements in monopodal and static balance were observed.
While the study supports the use of manual therapy, it emphasizes the need for further research on dosage parameters and calls for individualized treatment approaches in clinical practice to optimize outcomes for older patients.

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Growth dynamics of the craniocervical junction

This study delves into the growth dynamics of the craniocervical junction (CCJ) from birth to 18 years, using advanced geometric modeling techniques.
By analyzing age-related changes, covariation patterns, and suture closure, the research provides crucial insights into the coordinated growth between skull and neck structures.
These findings could significantly enhance early diagnosis and the development of patient-specific models for treating abnormalities in craniofacial and cervical spine development.

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