Osteopathic manual therapy in heart failure patients: A randomized clinical trial

Sergio R. Thomaz, Felipe A. Teixeira, Alexandra C.G.B. de Lima, Gerson Cipriano Júnior, Magno F. Formiga, Lawrence P Cahalin

Research output: Contribution to journalArticle

Abstract

Background: Heart Failure (HF) patients usually present with increased arterial resistance and reduced blood pressure (BP) leading to an impaired functional capacity. Osteopathic Manual Therapy (OMT) focused on myofascial release techniques (MRT) and in the balancing of diaphragmatic tensions, has been shown to improve blood flow in individuals using the resistive index (RI). However, its effects in HF patients have not been examined. Purpose: To evaluate the acute response of selected osteopathic techniques on RI, heart rate (HR), and BP in patients with HF. Methods: Randomized-controlled clinical trial of HF patients assigned to MRT (six different techniques with three aimed at the pelvis, two at the thorax, and one at the neck for 15 min) or Control group (subjects in supine position for 15 min without intervention). The RI of the femoral, brachial and carotid arteries was measured via doppler ultrasound while HR and BP were measured via sphygmomanometry before and after a single MRT or control intervention. Results: Twenty-two HF patients equally distributed (50% male, mean age 53 years; range 32-69 years) (ejection fraction = 35.6%, VO2peak: 12.9 mL/kg-1 min-1) were evaluated. We found no intra or inter group differences in RI of the carotid (δMRT: 0.07% vs δ Control:11.8%), brachial (δMRT:0.17% vs δControl: 2.9%), or femoral arteries (δMRT:1.65% vs δControl: 0.97%) (P > 0.05) and no difference in HR or BP (δMRT:0.6% vs δControl: 3%), (P > 0.05). Conclusion: A single MRT session did not significantly change the RI, HR, or BP of HF patients.

Original languageEnglish (US)
JournalJournal of Bodywork and Movement Therapies
DOIs
StateAccepted/In press - 2017

Fingerprint

Musculoskeletal Manipulations
Randomized Controlled Trials
Heart Failure
Blood Pressure
Heart Rate
Femoral Artery
Doppler Ultrasonography
Brachial Artery
Supine Position
Pelvis
Carotid Arteries
Arm
Neck
Thorax
Control Groups

Keywords

  • Blood flow
  • Blood pressure femoral
  • Brachial and carotid artery
  • Fascia
  • Heart failure
  • Manual therapy
  • Osteopathy
  • Ultrasound

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Complementary and alternative medicine

Cite this

Osteopathic manual therapy in heart failure patients : A randomized clinical trial. / Thomaz, Sergio R.; Teixeira, Felipe A.; de Lima, Alexandra C.G.B.; Cipriano Júnior, Gerson; Formiga, Magno F.; Cahalin, Lawrence P.

In: Journal of Bodywork and Movement Therapies, 2017.

Research output: Contribution to journalArticle

Thomaz, Sergio R. ; Teixeira, Felipe A. ; de Lima, Alexandra C.G.B. ; Cipriano Júnior, Gerson ; Formiga, Magno F. ; Cahalin, Lawrence P. / Osteopathic manual therapy in heart failure patients : A randomized clinical trial. In: Journal of Bodywork and Movement Therapies. 2017.
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abstract = "Background: Heart Failure (HF) patients usually present with increased arterial resistance and reduced blood pressure (BP) leading to an impaired functional capacity. Osteopathic Manual Therapy (OMT) focused on myofascial release techniques (MRT) and in the balancing of diaphragmatic tensions, has been shown to improve blood flow in individuals using the resistive index (RI). However, its effects in HF patients have not been examined. Purpose: To evaluate the acute response of selected osteopathic techniques on RI, heart rate (HR), and BP in patients with HF. Methods: Randomized-controlled clinical trial of HF patients assigned to MRT (six different techniques with three aimed at the pelvis, two at the thorax, and one at the neck for 15 min) or Control group (subjects in supine position for 15 min without intervention). The RI of the femoral, brachial and carotid arteries was measured via doppler ultrasound while HR and BP were measured via sphygmomanometry before and after a single MRT or control intervention. Results: Twenty-two HF patients equally distributed (50{\%} male, mean age 53 years; range 32-69 years) (ejection fraction = 35.6{\%}, VO2peak: 12.9 mL/kg-1 min-1) were evaluated. We found no intra or inter group differences in RI of the carotid (δMRT: 0.07{\%} vs δ Control:11.8{\%}), brachial (δMRT:0.17{\%} vs δControl: 2.9{\%}), or femoral arteries (δMRT:1.65{\%} vs δControl: 0.97{\%}) (P > 0.05) and no difference in HR or BP (δMRT:0.6{\%} vs δControl: 3{\%}), (P > 0.05). Conclusion: A single MRT session did not significantly change the RI, HR, or BP of HF patients.",
keywords = "Blood flow, Blood pressure femoral, Brachial and carotid artery, Fascia, Heart failure, Manual therapy, Osteopathy, Ultrasound",
author = "Thomaz, {Sergio R.} and Teixeira, {Felipe A.} and {de Lima}, {Alexandra C.G.B.} and {Cipriano J{\'u}nior}, Gerson and Formiga, {Magno F.} and Cahalin, {Lawrence P}",
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T1 - Osteopathic manual therapy in heart failure patients

T2 - A randomized clinical trial

AU - Thomaz, Sergio R.

AU - Teixeira, Felipe A.

AU - de Lima, Alexandra C.G.B.

AU - Cipriano Júnior, Gerson

AU - Formiga, Magno F.

AU - Cahalin, Lawrence P

PY - 2017

Y1 - 2017

N2 - Background: Heart Failure (HF) patients usually present with increased arterial resistance and reduced blood pressure (BP) leading to an impaired functional capacity. Osteopathic Manual Therapy (OMT) focused on myofascial release techniques (MRT) and in the balancing of diaphragmatic tensions, has been shown to improve blood flow in individuals using the resistive index (RI). However, its effects in HF patients have not been examined. Purpose: To evaluate the acute response of selected osteopathic techniques on RI, heart rate (HR), and BP in patients with HF. Methods: Randomized-controlled clinical trial of HF patients assigned to MRT (six different techniques with three aimed at the pelvis, two at the thorax, and one at the neck for 15 min) or Control group (subjects in supine position for 15 min without intervention). The RI of the femoral, brachial and carotid arteries was measured via doppler ultrasound while HR and BP were measured via sphygmomanometry before and after a single MRT or control intervention. Results: Twenty-two HF patients equally distributed (50% male, mean age 53 years; range 32-69 years) (ejection fraction = 35.6%, VO2peak: 12.9 mL/kg-1 min-1) were evaluated. We found no intra or inter group differences in RI of the carotid (δMRT: 0.07% vs δ Control:11.8%), brachial (δMRT:0.17% vs δControl: 2.9%), or femoral arteries (δMRT:1.65% vs δControl: 0.97%) (P > 0.05) and no difference in HR or BP (δMRT:0.6% vs δControl: 3%), (P > 0.05). Conclusion: A single MRT session did not significantly change the RI, HR, or BP of HF patients.

AB - Background: Heart Failure (HF) patients usually present with increased arterial resistance and reduced blood pressure (BP) leading to an impaired functional capacity. Osteopathic Manual Therapy (OMT) focused on myofascial release techniques (MRT) and in the balancing of diaphragmatic tensions, has been shown to improve blood flow in individuals using the resistive index (RI). However, its effects in HF patients have not been examined. Purpose: To evaluate the acute response of selected osteopathic techniques on RI, heart rate (HR), and BP in patients with HF. Methods: Randomized-controlled clinical trial of HF patients assigned to MRT (six different techniques with three aimed at the pelvis, two at the thorax, and one at the neck for 15 min) or Control group (subjects in supine position for 15 min without intervention). The RI of the femoral, brachial and carotid arteries was measured via doppler ultrasound while HR and BP were measured via sphygmomanometry before and after a single MRT or control intervention. Results: Twenty-two HF patients equally distributed (50% male, mean age 53 years; range 32-69 years) (ejection fraction = 35.6%, VO2peak: 12.9 mL/kg-1 min-1) were evaluated. We found no intra or inter group differences in RI of the carotid (δMRT: 0.07% vs δ Control:11.8%), brachial (δMRT:0.17% vs δControl: 2.9%), or femoral arteries (δMRT:1.65% vs δControl: 0.97%) (P > 0.05) and no difference in HR or BP (δMRT:0.6% vs δControl: 3%), (P > 0.05). Conclusion: A single MRT session did not significantly change the RI, HR, or BP of HF patients.

KW - Blood flow

KW - Blood pressure femoral

KW - Brachial and carotid artery

KW - Fascia

KW - Heart failure

KW - Manual therapy

KW - Osteopathy

KW - Ultrasound

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