Towards a Rosetta Stone of manual therapeutic methodology

Standley, Paul R.

doi:10.1016/j.jbmt.2014.06.004

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…In the end, we settled to include research on massage techniques, which employ similar parameters than the STT. Future research might consider not examining manual techniques (e.g., MET, MRT, and STT) but rather their biophysical parameters (e.g., stretch, compression, shear, and torque forces) to ensure optimal comparability [152, 153]. Furthermore, the manual techniques were applied for five minutes, which appears brief but seems to be sufficient for one muscle to be treated with one technique (because the therapists perceived palpatory signs of release/relaxation).…”

Section: Discussionmentioning

confidence: 99%

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Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Preprint

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Background: Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. Methods: A 3x3 factorial randomised trial was performed to investigate the immediate-term effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. Primarily, we assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (main effect) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (interaction effect) using the MyotonPRO (at rest). Data were analysed using descriptive (mean, standard deviation, quantiles, and simple effect) and inductive statistics (Bayesian ANOVA). Results: 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n=20; n=20; n=19 and n=17, respectively). The CS produced frequent measurement errors and was excluded from analysis. The main effect changed significantly for F (-0.163 [0.060]; p=0.008), S (-3.060 [1.563]; p=0.048), R (0.594 [0.141]; p<0.001), and C (0.038 [0.017]; p=0.028) but not for D (0.011 [0.017]; p=0.527). The interaction effect did not change significantly (p>0.05). No adverse events were reported. Conclusion: OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable) at immediate term. However, the effect on HRMT was not modulated by muscle-technique interaction.

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Section: Discussionmentioning

confidence: 99%

“…to ensure optimal comparability [152,153]. Furthermore, the manual techniques were applied for five minutes, which appears brief but seems to be sufficient for one muscle to be treated with one technique (because the therapists perceived palpatory signs of release/relaxation).…”

Section: Box 6 | Cs Characteristicsmentioning

confidence: 99%

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…In the end, we settled to include research on massage techniques, which employ similar parameters than the STT. Future research might consider not examining manual techniques (e.g., MET, MRT, and STT) but rather their biophysical parameters (e.g., stretch, compression, shear, and torque forces) to ensure optimal comparability 148 , 149 . Furthermore, the manual techniques were applied for five minutes, which appears brief but seems to be sufficient for one muscle to be treated with one technique (because the therapists perceived palpatory signs of release/relaxation).…”

Section: Discussionmentioning

confidence: 99%

Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Sci Rep

View full text Add to dashboard Cite

Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. A 3 × 3 factorial randomised trial was performed to investigate the effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. We assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (primary objective) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (secondary objective) using the MyotonPRO (at rest). Ancillary, we investigate if these putative effects may differ between the sexes. Data were analysed using descriptive (mean, standard deviation, and quantiles) and inductive statistics (Bayesian ANOVA). 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n = 20; n = 20; n = 19–2). The CS produced frequent measurement errors and was excluded from analysis. OMT significantly changed F (−0.163 [0.060]; p = 0.008), S (−3.060 [1.563]; p = 0.048), R (0.594 [0.141]; p < 0.001), and C (0.038 [0.017]; p = 0.028) but not D (0.011 [0.017]; p = 0.527). The effect was not significantly modulated by muscle-technique pairings (p > 0.05). Subgroup analysis revealed a significant sex-specific difference for F from baseline to follow-up. No adverse events were reported. OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable). However, the effect on HRMT was not modulated by muscle–technique interaction and showed sex-specific differences only for F.Trial registration German Clinical Trial Register (DRKS00020393).

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“…Modern scientifi c publication on manipulative methods began with Travell [ 50 ] and quickly progressed to include the benefi ts of combined therapies, such as manipulation and local anesthetic infi ltration [ 51 ]. The results of subsequent work have been published by investigators in multiple disciplines, often using different terms for essentially the same maneuvers [ 52 ]. This is one reason it has been diffi cult to demonstrate the short-and long-term benefi ts of these techniques [ 53 ].…”

Section: Manual Medical Treatmentsmentioning

confidence: 99%