Psychological assessment of asymptomatic subjects following a by whitecheese

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									Effects of a general osteopathic treatment approach on well-being and body flexibility: a randomised
study on asymptomatic subjects.

Authors
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P.-M. Dugailly, S. Fassin, L. Evers, V. Feipel, P. Klein
Reasearch Unit For Manual Therapies, Department of Physical Therapy and Rehabilitation, Erasmus Hospital
Université Libre de Bruxelles

Introduction
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In the scientific literature, osteopathic approaches are commonly considered regarding manipulative techniques
as well as for asymptomatic subjects than for patients. However, several techniques such as muscle energy,
myofascial or functional techniques are reported and used by practitioners in the osteopathic methodology. In
addition, most reported studies concerning osteopathic techniques are focussed on biomechanical,
neurophysiological as well as clinical aspects but psychological assessment is often lacking. The objectives of
this study are to assess subject well-being and body flexibility after one single session of a general osteopathic
treatment (GOT).

Methods
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To conduct this study, thirty four asymptomatic female
volunteers have participated and were randomised into two
groups. Subjects were allocated to general osteopathic
treatment (OG) (one GOT session that corresponded in
global mobilisations of upper and lower limb segments as
well as the cervical and lumbar spine, figure1) or control
group (resting session consisting in lying on a practical
table in a relax position). Each intervention was performed
during 30 minutes in similar conditions (surroundings,
ambiance…).
Before and after session, each subject flexibility, well-
being and anxiety was assessed by the same operator. Well-
being and anxiety factors were appreciated using different
auto questionnaires reported in the literature such as the
                                                                Figure1 : Example of GOT techniques on upper limb, lower
state-trait anxiety inventory (STAI) and body image             limb, pelvis and cervical spine.
assessment (BIA). Also, subjects flexibility was evaluated
according different tests reported in the literature such as Schober (ST) and modified Schober test (MST), seat
and reach (SR), fingertip-to-floor (FTF), hand up behind neck (HN) and down behind back (HB).

Results
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At baseline, no significant difference was observed between groups for all questionnaires (p=0,413) whereas
significantly flexibility difference was observed for ST and HBL (two-way ANOVA, p=0.027). After
intervention, significant improvement was demonstrated regarding BIA, STAI (p<0.001) for both groups.
Analysis of relative score differences (%) have shown significant larger decrease for OG compared to controls
for STAI (p<0.018) and BIA (p<0.022). In contrast, no significant influence of intervention was demonstrated
for both groups and no significant interaction effect as well.

Conclusion
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In this study, no significant influence of intervention has been demonstrated on flexibility for both groups. Also,
such flexibility tests are commonly criticised in the literature regarding their validity and reproducibility.
In contrast, we have demonstrated that a single session of GOT has a significant effect on different psychological
factors such as anxiety and body image. This single intervention seems to be more effective than after one
resting session. These results suggest meaning of global joint and soft tissues mobilization as well as touching
features in treating patients with anxiety and body image dissatisfaction.

Implication
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Further attempts are needed for analysing efficacy of osteopathic methods on psychological factors for larger
asymptomatic samples and for patients as well.

Keywords
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Osteopathic treatment, psychological assessment, anxiety, well-being, flexibility

								
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