Osteopathic Correction of Mild Myopia in 7-10 Years Old Children

Introduction. In paediatric population the prevalence of refraction pathology, including astigmatism of more than 0,75 diopters, exceeds 30 % in average. Visual perception disorder with underlying non-corrected ametropia in children, especially in sensitive period of visual system development, can manifest itself in amblyopia, strabismus, binocular and stereoscopic vision dyspoiesis. Astigmatism of more than 0,75 diopters requires a mandatory correction, even at 1 year age, to provide conditions for the complete vision formation. It is possible that if we try osteopathic methods on astigmatism triggers, it will decrease the astigmatism degree in infants.Goal of research — to explore the opportunities of osteopathic treatment for infants with refraction disorders based on age, and develop recommendations for pediatric ophthalmologists.Materials and methods. 37 infants from 3 to 11 month were divided in two groups. An experimental group consists of 21 infant, and control group consists of 16 infants. Before starting the study, an ophthalmologic and osteopathic examination was done to all infants. «Plusoptix A09» pediatric autorefractometer was used to determine the refraction. Osteopathic treatment for the experimental group included 4–6 sessions with an interval of 7–14 days. The control group did not receive osteopathic treatment, they were just observed. Observation period was 6–12 months.Results. For all the examined children with astigmatism, regional somatic head dysfunctions were determined and characteristic. Regional somatic dysfunction of dura mater was detected in 75– 90,9 % of cases. Regional somatic dysfunctions of the neck were found in 60–75 % of cases. It was found that in experimental group, astigmatism rate was decreased by 2,2 times in infants less than 6 months of life and by 1,4 times in infants older than 6 months due to osteopathic correction of somatic dysfunctions. In control group, no signifi cant changes in astigmatism rate were observed at the end of the observation period. Statistically signifi cant differences with a high confi dence level between the degree of astigmatism severity and somatic dysfunctions of the head and dura mater regions were revealed.Conclusion. Osteopathic treatment should be recommended for infants with astigmatism under 1 year old.

Opportunities for osteopathic correction for treatment infants with refraction disorders

Bakhtiyarova¹,

Stenkova

2019

Сhange in the functional activity of fibroblasts in the process of modelling of compression, hypercapnia and hypoxia

Aptekar

Kostolomova

Sukhovey³

2019

Introduction. In the genesis of the formation of somatic dysfunction, the leading role belongs to the reactions of the organism in the whole and of the connective tissue in particular. The main connective tissue cells are fibroblasts, possessing the full basic properties of cells.Goal of research — to examine changes in the functional activity of fibroblasts in the process of modelling of compression, hypercapnia and hypoxia.Materials and methods. During the experiment (in vitro), simulation of compression, hypercapnia and hypoxia in human fibroblast culture was carried out.Results. In response to simulated changes in environmental conditions, fibroblasts changed their local habitat (intercellular substance) by changing the balance of elastin and collagen, and adapted morphologically (by changing their shape). Compression and hypercapnia had the most damaging effect on the main cells of the connective tissueConclusion. Determining of the dependence of the reaction of fibroblasts on damaging effects can form the basis for justifying the sequence of the use of methods aimed to eliminate connective tissue disorders in the process of osteopathic correction (decompression, reduction of edema and hypoxia).

Osteopathic correction of somatic dysfunctions in preschool children with delayed speech development

Abramova

Aptekar

2020

Introduction. Speech disorders are currently observed in an average of 30 % of children of the fi rst grade of school. It means that objectively during the preschool period, one third of the entire population of children have speech function that does not reach the norm and requires additional correction by specialists. In recent years birth injury has been considered one of the possible reasons for the high frequency of speech disorders. As practice shows, the possibilities of drug therapy for children with speech disorders are very limited. That is why it is relevant to expand non-drug methods for the restoration of speech functions. The goal of research — to justify the use of osteopathic correction of somatic dysfunctions in order to improve sound pronunciation in preschool children.Materials and methods. In the period from 2012 to 2018, a prospective controlled randomized study was performed on the basis of Tyumen Institute of Manual Medicine. The work is based on the results of examination and treatment of 98 preschool children with delayed speech development. 18 people were excluded from the study in accordance with exclusion criteria. Depending on the treatment method used, all patients were divided by simple randomization using the envelope method into two comparable groups (main and control) of 40 people. Patients of both groups underwent a complete speech therapy correction and training course, which included individual lessons. Patients of the main group underwent the same speech therapy, as well as the osteopathic treatment in accordance with the developed algorithm. All patients underwent osteopathic examination and a combined assessment of the severity of speech disorders before and after the treatment.Results. The study showed that the presence of global, regional and local somatic dysfunctions was typical for children of preschool age with a delay in speech development. Somatic dysfunctions of head, neck and thoracic regions were most often observed. In the course of the treatment, patients of the main group showed a statistically significant decrease in the frequency of detection of somatic dysfunctions of head, neck, and thoracic regions, of local somatic dysfunctions of the cranial sutures and the thoracoabdominal diaphragm (p<0,05). In patients of the control group, there was no statistically significant decrease in the number of somatic dysfunctions. In children with impaired speech development who underwent complex therapy, which included osteopathic correction and individual lessons with a speech therapist, there was a significant decrease in the severity of speech disorders compared with patients of the control group (p<0,00001).Conclusion. Osteopathic correction of somatic dysfunctions (with a certain sequence of techniques aimed to treat connective tissue disorders, including decompression, elimination of edema and hypoxia in children with delayed speech development), allows to achieve a statistically signifi cant improvement in children′s condition compared with standard treatment.