Accademia Italiana Osteopatia Tradizionale AIOT

Pescara, Italy

Accademia Italiana Osteopatia Tradizionale AIOT

Pescara, Italy
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Ruffini N.,Accademia Italiana Osteopatia Tradizionale AIOT | D'Alessandro G.,Accademia Italiana Osteopatia Tradizionale AIOT | Mariani N.,Accademia Italiana Osteopatia Tradizionale AIOT | Pollastrelli A.,Accademia Italiana Osteopatia Tradizionale AIOT | And 2 more authors.
Frontiers in Neuroscience | Year: 2015

Context: Heart Rate Variability (HRV) indicates how heart rate changes in response to inner and external stimuli. HRV is linked to health status and it is an indirect marker of the autonomic nervous system (ANS) function. Objective: To investigate the influence of osteopathic manipulative treatment (OMT) on cardiac autonomic modulation in healthy subjects, compared with sham therapy and control group. Methods: Sixty-six healthy subjects, both male and female, were included in the present 3-armed randomized placebo controlled within subject cross-over single blinded study. Participants were asymptomatic adults (26.7±8.4y, 51% male, BMI 18.5±4.8), both smokers and non-smokers and not on medications. At enrollment subjects were randomized in 3 groups: A, B, C. Standardized structural evaluation followed by a patient need-based osteopathic treatment was performed in the first session of group A and in the second session of group B. Standardized evaluation followed by a protocoled sham treatment was provided in the second session of group A and in the first session of group B. No intervention was performed in the two sessions of group C, acting as a time-control. The trial was registered on clinicaltrials.gov identifier: NCT01908920. Main Outcomes Measures: HRV was calculated from electrocardiography before, during and after the intervention, for a total amount time of 25 minutes and considering frequency domain as well as linear and non-linear methods as outcome measures Results: OMT engendered a statistically significant increase of parasympathetic activity, as shown by High Frequency power (p<0.001), expressed in normalized and absolute unit, and possibly decrease of sympathetic activity, as revealed by Low Frequency power (p<0.01); results also showed a reduction of Low Frequency/High Frequency ratio (p<0.001) and Detrended fluctuation scaling exponent (p<0.05). Conclusions: Findings suggested that OMT can influence ANS activity increasing parasympathetic function and decreasing sympathetic activity, compared to sham therapy and control group. © 2015 Ruffini, D'Alessandro, Mariani, Pollastrelli, Cardinali and Cerritelli.


Pizzolorusso G.,European Institute for Evidence Based Osteopathic Medicine EBOM | Cerritelli F.,European Institute for Evidence Based Osteopathic Medicine EBOM | Accorsi A.,European Institute for Evidence Based Osteopathic Medicine EBOM | Lucci C.,European Institute for Evidence Based Osteopathic Medicine EBOM | And 6 more authors.
Evidence-based Complementary and Alternative Medicine | Year: 2014

Result. Hospital stay was shorter in infants receiving late OMT (-2.03; 95% CI -3.15, -0.91; P<0.01) than controls. Subgroup analysis of infants receiving early and moderately early OMT resulted in shorter LOS (early OMT: -4.16; -6.05, -2.27; P<0.001; moderately early OMT: -3.12; -4.36, -1.89; P<0.001). Costs analysis showed that OMT significantly produced a net saving of €740 (-1309.54, -170.33; P=0.01) per newborn per LOS.Conclusions. This study shows evidence that the sooner OMT is provided, the shorter their hospital stay is. There is also a positive association of OMT with overall reduction in cost of care.Introduction. Little research has been conducted looking at the effects of osteopathic manipulative treatment (OMT) on preterm infants.Aim of the Study. This study hypothesized that osteopathic care is effective in reducing length of hospital stay and that early OMT produces the most pronounced benefit, compared to moderately early and late OMT. A secondary outcome was to estimate hospital cost savings by the use of OMT.Methods. 110 newborns ranging from 32- to 37-week gestation were randomized to receive either OMT or usual pediatric care. Early, moderately early, and late OMT were defined as <4, <9, and <14 days from birth, respectively. © 2014 Gianfranco Pizzolorusso et al.


PubMed | European Institute for Evidence Based Osteopathic Medicine EBOM, Pescara Public Hospital, Accademia Italiana Osteopatia Tradizionale AIOT and Macerata Public Hospital
Type: | Journal: Evidence-based complementary and alternative medicine : eCAM | Year: 2014

Introduction. Little research has been conducted looking at the effects of osteopathic manipulative treatment (OMT) on preterm infants. Aim of the Study. This study hypothesized that osteopathic care is effective in reducing length of hospital stay and that early OMT produces the most pronounced benefit, compared to moderately early and late OMT. A secondary outcome was to estimate hospital cost savings by the use of OMT. Methods. 110 newborns ranging from 32- to 37-week gestation were randomized to receive either OMT or usual pediatric care. Early, moderately early, and late OMT were defined as <4, <9, and <14 days from birth, respectively. Result. Hospital stay was shorter in infants receiving late OMT (-2.03; 95% CI -3.15, -0.91; P < 0.01) than controls. Subgroup analysis of infants receiving early and moderately early OMT resulted in shorter LOS (early OMT: -4.16; -6.05, -2.27; P < 0.001; moderately early OMT: -3.12; -4.36, -1.89; P < 0.001). Costs analysis showed that OMT significantly produced a net saving of 740 (-1309.54, -170.33; P = 0.01) per newborn per LOS. Conclusions. This study shows evidence that the sooner OMT is provided, the shorter their hospital stay is. There is also a positive association of OMT with overall reduction in cost of care.

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