Effectiveness of osteopathic interventions in patients with non-specific neck pain: A systematic review and meta-analysis

Farra, Fulvio Dal; Buffone, Francesca; Risio, Roberta Giulia; Tarantino, Andrea Gianmaria; Vismara, Luca; Bergna, Andrea

doi:10.1016/j.ctcp.2022.101655

Cited by 13 publications

(2 citation statements)

References 39 publications

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“…For example, reduced HRV (compared to HCs) was reported in patients with LBP (LF ↑, HF ↓) [12], neck pain (NP) (LF ↓, SDNN ↓), headache disorders (HF ↓, RMSSD ↓) [107], irritable bowel syndrome and inflammatory bowel disease (HF ↓, RMSSD ↓) [108], and fibromyalgia (HF ↓, SDNN ↓, LF ↑, LF/HF ↑, and no difference in LF and RMSSD) [109]. In turn, OMT was shown to improve pain and disability in patients with LBP [25] and NP [110] and seems to improve fibromyalgia [111][112][113][114][115], irritable bowel syndrome [116], and inflammatory bowel disease [117] as well as pain frequency, intensity, duration, and disability in headache disorders [118,119]. Hence, it is recommended to investigate the effect of HFP on HRV in these conditions.…”

Section: Future Directionsmentioning

confidence: 99%

Does Osteopathic Heart-Focused Palpation Modify Heart Rate Variability in Stressed Participants with Musculoskeletal Pain? A Randomised Controlled Pilot Study

Liem,

Bohlen,

Jung

et al. 2024

Healthcare

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Heart rate variability (HRV) describes fluctuations in time intervals between heartbeats and reflects autonomic activity. HRV is reduced in stressed patients with musculoskeletal pain and improved after osteopathic manipulative treatment and mind–body interventions. Heart-focused palpation (HFP) combines manual and mind–body approaches to facilitate relaxation. This randomised controlled pilot study investigated the feasibility and sample size for a future randomised controlled trial and the effect of a single treatment with HFP or sham HFP (SHAM) on short-term HRV. A total of Thirty-three adults (47.7 ± 13.5 years old) with stress and musculoskeletal pain completed the trial with acceptable rates of recruitment (8.25 subjects per site/month), retention (100%), adherence (100%), and adverse events (0%). HFP (n = 18), but not SHAM (n = 15), significantly increased the root mean square of successive RR interval differences (p = 0.036), standard deviation of the NN intervals (p = 0.009), and ratio of the low-frequency to high-frequency power band (p = 0.026). HFP and SHAM significantly decreased the heart rate (p < 0.001, p = 0.009) but not the stress index and ratio of the Poincaré plot standard deviation along and perpendicular to the line of identity (p > 0.05). A power analysis calculated 72 participants. Taken together, the study was feasible and HFP improved HRV in stressed subjects with musculoskeletal pain, suggesting a parasympathetic effect.

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Section: Future Directionsmentioning

confidence: 99%

Does Osteopathic Heart-Focused Palpation Modify Heart Rate Variability in Stressed Participants with Musculoskeletal Pain? A Randomised Controlled Pilot Study

Liem,

Bohlen,

Jung

et al. 2024

Healthcare

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“…Prior meta-analyses show signi cant effects of osteopathic manipulative medicine (OMM) for the treatment of neck and back pain, but these studies make no attempt to isolate CST modalities [13,14].…”

mentioning

confidence: 99%

Effectiveness of osteopathic craniosacral techniques: A meta-analysis

Amendolara,

Sheppert,

Powers

et al. 2024

Preprint

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Background Craniosacral osteopathic manipulative medicine—also known as craniosacral therapy (CST)—is a widely taught component of osteopathic medical education. It is included in the standard curriculum of osteopathic medical schools, despite controversy surrounding its use. This paper seeks to systematically review and conduct a meta-analysis of randomized controlled trials assessing the clinical effectiveness of CST compared to standard care, sham treatment, or no treatment in adults and children. Methods A search of Embase, PubMed, and Scopus was conducted on 10/29/2023. There was no restriction placed on the date of publication. Additionally, a Google Scholar search was conducted to capture grey literature. Backward citation searching was also implemented. All randomized controlled trials employing CST for any clinical outcome were included. Studies not available in English as well as any studies that did not report adequate data for inclusion in the meta-analysis were excluded. Multiple reviewers were used to assess for inclusions, disagreements were settled by consensus. PRISMA guidelines were followed in the reporting of this meta-analysis. Cochrane’s Risk of Bias 2 tool was used to assess for risk of bias. All data were extracted by multiple independent observers. Effect sizes were calculated using a Hedge’s G value (standardized mean difference) and aggregated using random effects models. Results The primary study outcome was the effectiveness of CST for selected outcomes as applied to non-healthy adults or children and measured by standardized mean difference effect size. Twenty-four RCTs were included in the final meta-analysis with a total of 1,613 participants. When results were analyzed by primary outcome, no significant effects were found. When secondary outcomes were included, results showed that only Neonate health, structure (g = 0.66, 95% CI [0.30; 1.02], Prediction Interval [-0.73; 2.05]) and Pain, chronic somatic (g = 0.34, 95% CI [0.18; 0.50], Prediction Interval [-0.41; 1.09]) show reliable, statistically significant effect. However, wide prediction intervals and high bias limit the real-world implications of this finding. Conclusions and Relevance: CST did not demonstrate broad significance in this meta-analysis, suggesting limited usefulness in patient care for a wide range of indications.

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Is the disappearance of the cervical flexion-relaxation phenomenon associated with cervical degeneration in healthy people?

He,

Yang,

Wang

et al. 2024

Eur Spine J

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Effectiveness of osteopathic interventions in patients with non-specific neck pain: A systematic review and meta-analysis

Cited by 13 publications

References 39 publications

Does Osteopathic Heart-Focused Palpation Modify Heart Rate Variability in Stressed Participants with Musculoskeletal Pain? A Randomised Controlled Pilot Study

Does Osteopathic Heart-Focused Palpation Modify Heart Rate Variability in Stressed Participants with Musculoskeletal Pain? A Randomised Controlled Pilot Study

Effectiveness of osteopathic craniosacral techniques: A meta-analysis

Is the disappearance of the cervical flexion-relaxation phenomenon associated with cervical degeneration in healthy people?

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