Articoli scientifici

Post-sternotomy pain syndrome following cardiac surgery: case report

2017-06-01T11:44:36+00:00

Post-sternotomy pain syndrome following cardiac surgery: case report Abstract Over 2 million people undergo sternotomy worldwide for heart surgery each year, and many develop post-sternotomy pain syndrome (PSPS) which persists in the anterior thorax. In some patients, PSPS lasts for many years or suddenly reappears a long time after the sternotomy. The exact etiology of PSPS is unknown. This article presents a case report of a patient with a diagnosis of PSPS (after cardiac

Emotions in Motion: Myofascial Interoception

2017-06-05T14:08:38+00:00

Emotions in Motion: Myofascial Interoception Abstract There are numerous articles in the literature dealing with the myofascial system, on the physiological, pathological, macroscopic and microscopic level; yet, we still do not have a thorough knowledge of its functions, just as there is still no shared vision of how to classify it. Many professional manual practitioners are involved in its treatment and there are many emerging therapeutic approaches. What is still missing is the awareness

Osteopathic Manipulative Treatment Improves Heart Surgery Outcomes: A Randomized Controlled Trial

2017-06-01T09:05:03+00:00

Osteopathic Manipulative Treatment Improves Heart Surgery Outcomes: A Randomized Controlled Trial Abstract BACKGROUND: Controlling sternal pain after heart surgery is important to reduce the risk of postoperative complications, but pain is often undertreated because of contraindications and side effects of analgesic drugs. Recently, osteopathic manipulative treatment (OMT) was demonstrated to reduce pain in different clinical contexts, suggesting its potential utility after cardiac surgery. The aim of this open-label, controlled study is to assess

Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report

2017-06-01T08:55:41+00:00

Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report Abstract This study deals with an osteopathic approach used for a patient with left-ventricular assist device (L-VAD) affected by left brachialgia. Clinical examination revealed the presence of thoracic outlet syndrome and pectoralis minor syndrome, with compression of the left proximal ulnar nerve, related to the surgical sternotomy performed. The osteopathic techniques used can be classified as indirect and

Referral to cardiac rehabilitation of patients with left ventricular assist devices in Italy

2017-06-01T09:13:51+00:00

Referral to cardiac rehabilitation of patients with left ventricular assist devices in ItalyAbstract In recent years, the lack of heart donors caused an increase in the proportion of patients undergoing left ventricular assist device (LVAD) implantation. The clinical complexity of these devices requires a multidisciplinary approach to be extended after hospital discharge. The lack of shared care pathways for these patients may result in an impairment of both of short- and long-term results. Available

Manual evaluation of the diaphragm muscle

2017-06-01T09:13:29+00:00

Manual evaluation of the diaphragm muscle Abstract The respiratory diaphragm is the most important muscle for breathing. It contributes to various processes such as expectoration, vomiting, swallowing, urination, and defecation. It facilitates the venous and lymphatic return and helps viscera located above and below the diaphragm to work properly. Its activity is fundamental in the maintenance of posture and body position changes. It can affect the pain perception and emotional state. Many authors

A review of analgesic and emotive breathing: a multidisciplinary approach

2017-06-01T09:19:10+00:00

A review of analgesic and emotive breathing: a multidisciplinary approachAbstract The diaphragm is the primary muscle involved in breathing and other non-primarily respiratory functions such as the maintenance of correct posture and lumbar and sacroiliac movement. It intervenes to facilitate cleaning of the upper airways through coughing, facilitates the evacuation of the intestines, and promotes the redistribution of the body's blood. The diaphragm also has the ability to affect the perception of pain and

Failed back surgery syndrome: review and new hypotheses

2017-06-05T14:17:14+00:00

Failed back surgery syndrome: review and new hypotheses Abstract Failed back surgery syndrome (FBSS) is a term used to define an unsatisfactory outcome of a patient who underwent spinal surgery, irrespective of type or intervention area, with persistent pain in the lumbosacral region with or without it radiating to the leg. The possible reasons and risk factors that would lead to FBSS can be found in distinct phases: in problems already present in the

The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment

2017-06-05T14:19:30+00:00

The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment Abstract Chronic heart failure is a progressive, debilitating disease, resulting in a decline in the quality of life of the patient and incurring very high social economic costs. Chronic heart failure is defined as the inability of the heart to meet the demands of oxygen from the peripheral area. It is a multi-aspect complex disease which impacts negatively

Reflections on osteopathic fascia treatment in the peripheral nervous system

2017-06-05T14:11:06+00:00

Reflections on osteopathic fascia treatment in the peripheral nervous system Abstract The peripheral nerve is composed of several layers of fascia tissue, which can become a source of pain if the way they slide is impeded. It is only recently that fascial osteopathy research has been aimed at understanding what happens to the fascia following treatment, and as a result of previous studies, we are able to highlight some of the benefits, including a