*** Note: you are
responsible for slide
material including the
notes under slides 5, 14,
15, and 16
Recognized forms of Manual
Therapies
•
•
•
•
Chiropractic
Massage therapy
Trager
Feldenkrais
method
• Reiki
• Rolfing
•
•
•
•
Osteopathy
Cranial Osteopathy
Therapeutic Touch
Alexander
Technique
• Chinese Qigong
• [ Physical Therapy
& more with
acupuncture ]
Massage therapy forms
• Swedish; deep tissue; sports;
neuromuscular; acupressure; shiatsu
(Japanese form of acupressure);
manual lymph drainage; craniosacral
• Also a Zero-balancing massage form
re structural body balancing with
external “unseen” energy
Massage therapy (MT)
evidence
• Felix re infants & premature infants treated with
MT gain more weight, less time in hospital –
same with MT and cocaine exposed babies
• Some studies support adult decreased
depression measures with MT
• Endorphin production inducement with massage
esp successful with fibromyalgia patients
• Lymph drainage MT found important to reduce
lymphedema post radical mastectomy
• Lots of studies re changes with MT on
physiological measures like HR, BP and skin
temp
From: The Cochrane Database of
Systematic Reviews 2006 Issue 1
• “Aromatherapy and massage for symptom relief in patients with
cancer” by Fellowes & others – 1322 studies [ most common
study re massage ~ anxiety ], only 8 met RCT criteria – results
inconclusive
• Re LBP: One of the oldest forms of health care now has
Cochrane evidence of benefit. In the newly updated Cochrane
review of massage for low back pain, there is now some
evidence to show overall benefit …
• New, “high quality trials” show that massage gives some relief
from back pain that has continued for many weeks or months and the benefit may continue at least a year after the course of
massage is over [ meta analysis by Furlan, Massage for lowback pain, 2006, main confirmation], esp when massage is
combined with education and stretching
MT – harm ?
• Contraindicated for advanced heart
diseases, embolism, kidney failure,
some cancers (damages fragile tissue
from chemo)
• Also, caution during pregnancy,
osteoporosis, diabetes
• Logic of not doing local areas for
eczema, arthritis
Massage Therapy
• Use of essential oils in massage is called
aromatherapy – rose, sandalwood, aloe
vera et
• Article “Shiatsu, Swedish Muscle Massage,
and Trigger Point Suppression in Spinal
Pain Syndrome” from Journal of Pain
Management posted under Module V as
“massage therapy research article”
• Also, Text chapter 11 covers a range of
body-centered therapies – yoga,
meditation, tai chi, Qigong, Feldenkrais,
and massage – all very briefly
Logo of
Cdn
College
of
Osteopathy
3 main principles of
osteopathy :
• 1. Structure and function are
interdependent ~ structure can have
significant impact on bodily function
• 2. “The rule of the artery is supreme”
• 3. The unity of the human being
*
DO’s and MD’s
• DOs and MDs are both fully licensed physicians
who are authorized to prescribe medication and
perform surgery. While attending their own
medical schools, DOs are responsible for the
same academic discipline as their MD
colleagues and receive an additional 300 to 500
hours in the study of the body's
musculoskeletal system. Physicians who wish
to pursue the field of Cranial Osteopathy must
train an additional five years in practice to be
certified in this area of expertise.
How does Osteo Work
*
• The Osteopath's job is to "set" the body up to
heal itself. To restore this normal function, the
Osteopath gently applies a precise amount of
force to promote movement of the bodily fluids,
eliminate dysfunction in the motion of the
tissues, and release compressed bones and
joints
• In addition, the areas being treated require
proper positioning to assist the body's ability to
regain normal tissue function - called
Osteopathic Manual Medicine (OMM) * note
techniques posted under this slide on web site
[strain-counterstrain, thrust etc]
Pub Med re Osteo
manipulation
Evidence & Research re Efficacay
of Osteopathy
• Clincal studies showing dramatic lowering of BP in
hypertensive patients
• Numerous studies comparing chiro, allopathic and
osteo treatments for acute LBP; general endorsement
for osteo
• Ev for cold virus relief with cranial osteopathy manipul
(sinus drainage?)
• Good ev re relief of hyperactivity, low back pain
( latter now endorsed by health agencies in US )
• Only meta analysis (2005) found was re low
amplitude, high velocity spinal treatment for relief of
dysmenorrhoea symptoms – no better than sham
Pennsylv
Your comments ?
Next Day
• Dr Robert Taylor, Osteopath
• Read chapter 8, 166-176
~ Robert Taylor
Midterm Exam
• You can take up the exam, check # of correct Q’s
etc with Tom
• 10:30-1:00 today & next Thursday ONLY (his
regular office hours) room 210 this building
• Bring your back page
• Information re the “ALL” answers accepted; and
re the 7 questions on back page of course outline
correlating with 41 of the 50 exam questions
• Questions for review after each week for this part
of the course
Chiropractic Career Night
• Tuesday March 14th
• Social Sciences Building 3014
Robert Taylor
HISTORY OF OSTEOPATHY
• Dr Andrew Taylor Still founder of
osteopathy 1874
History of Osteopathy
• Dr. Andrew Taylor Still an American
physician is credited as the founder
of Osteopathy
• He developed the methods and
applications of osteopathy in 1874
and founded the first osteopathy
school on Kirksville USA.
“…to be an Osteopath you must study and
know the exact construction of the human
body, the exact location of every bone,
nerve, fiber, muscle, and organ, the origin,
the course and flow of all the fluids of the
body, the relation of each to the other, and
the function each is to perform in
perpetuating life and health. In addition
you must have the skill and ability to
enable you to detect the exact location of
every obstruction to the regular
movements of this grand machinery of
life.”
A.T. Still, 1901.
Dr William Garner Sutherland
1873-1954
Dr William Garner Sutherland
• Pupil of Dr. Andrew Taylor at
Kirksville has been credited as the
founder of cranial osteopathy.
Dr Philippe Druelle
Traditional Osteopathy, as presented by the
Canadian College of Osteopathy, is
defined as:
“A natural medicine which aims to restore
function in the body by treating the
causes of pain and imbalance. To achieve
this goal the Osteopath relies on the
quality and finesse of his/her palpation
and works with the position, mobility and
quality of the tissues.”
Philippe Druelle, DO
Founder of First school in Montreal
• College D”Etudes Osteopathiques de
Montreal 1981
• College of osteopathy Toronto 1992
• Colleges have currently opened in
Halifax, Vancouver, Winnipeg
• England, France, Belgium, Russia,
Germany, Italy , Switzerland.
Pre-Requisites
In order to enrol directly in the Traditional Osteopathy program, the
applicant must meet three criteria.
1a) Hold a university degree in the Human Sciences, Health Sciences
or an equivalent health science OR
1b) Hold a degree in Medicine, Nursing, Dentistry, Naturopathy,
Physiotherapy, Occupational Therapy, Athletic Therapy, or
Chiropractic. AND
2) Be a member in good standing and hold an up-to-date licence,
registration or certificate in a medical or manual therapy based
practice. AND
3) Have a strong vocation to treat people. Those applicants lacking a
university degree in the Health or related Sciences are eligible to
enrol in the pre-admissions program. All admissions are subject to
review by the Admissions Committee. The immediate enrolment
and successful completion of the pre-admissions program ensures
that the applicant may begin the Traditional Osteopathy program
in the same year as those who have all the pre-requisites.
Thomas Schooley and Anne Wales
The Regulation of Osteopathy in OntarioThe regulation of
Osteopathy in the province of Ontario is complicated by
several factors. This complication is due to the
recognition of the title Osteopathic Physician, by The
College of Physicians and Surgeons of Ontario . Osteopathic
Physicians are those individuals who have trained in the
United States and who hold a medical degree from a
college approved by the American Osteopathic
Association. In addition to being licensed physicians,
they also have osteopathic manual training. In Canada
the Canadian College of Osteopathy provides an education
in Traditional Osteopathic Manual Practice. Although,
The College of Physicians and Surgeons of Ontario
recognizes Osteopathic Physicians, the manual practice
of Osteopathy is not regulated in Ontario . Fortunately
there is an organization – the Ontario Association of
Osteopaths (OAO) – that was founded in 1999, by the
students and graduates of the CCO. The OAO is actively
working on a submission to the Ontario government to
have manual Osteopathy become regulated in Ontario .
What is Osteopathy?
• Osteopathy is a natural medicine that
views the individual as a whole unit
• Osteopaths assess and treat
movement restrictions in your body
• Osteopaths focus on the cause of the
pain and dysfunction rather than
concentrating only on the symptoms
What is osteopathic palpation?
• It is a well defined sense of touch that
allows the practitioner to feel restrictions
within the body
• It is a hands on approach used to identify
structural changes and rhythms of the
body
• It is a gentle contact with powerful results
• It is a skill that takes many years to
develop
• It sets the osteopathic approach apart
from other forms of manual therapy
Who can benefit from Osteopathy?
•
•
•
•
•
•
•
•
Newborns , infants and toddlers
Adolescents
Athletes
Pregnant women
Accident victims
Adults
Seniors
Individuals with physical and mental
challenges
• Terminal illness patients
What are the benefits of
Osteopathic treatment?
• Removes the underlying cause of the
pain. Osteopaths are taught to think
global not local.
• Relieves chronic pain
• Helps women adapt to hormonal
changes of their pregnancy
• Reduces scars and adhesions
• Treats accidents and sports injuries
• Encourages the body to heal itself
Treatment techniques
•
•
•
•
•
•
•
Gentle osteo-articular corrections
Visceral mobilization
Cranial osteopathy
Myofascial tension
Muscle energy
Strain counter strain
Endocranial
Children
• Infections
• Childhod asthma
• Postural and
mobility
abnomalities
• Severe physical
and developmental
problems
• Childhood migraine
• Ear problems
• Respiratory and
breathing problems
Sports
• Running, track and field
• Contact sports, rugby hockey and
soccer
• Wrestling, judo karate
Injuries such as;
joint problems, recurring muscular
pain, strains and muscular pulls
Chronic injuries, shin splints, plantar
fascitiis, tibia posterior tendonitis
and Achilles tendonitis.
Pregnancy and new borns
Birthing process
Complications at birth
• Colic and other digestive problems; sleeplessness;
crying/upset/whinging babies; learning difficulties;
persistent coughs and colds; glue ear; hyperactivity:etc.
More Reasons…
Chronic Middle Ear Infections
Headaches
Learning Disabilities
Sensory Integration Problems
Trauma
Breastfeeding Difficulties
Autism
Developmental Delays
Chronic Pain
Difficult Mobility
ADD/ADHD
Cerebral Palsy
Genetic Disorders
Neurological Conditions
Osteopathy problems
Illustrations © 2004 Jeffrey Burch. All rights reserved. Used with permission from Jeffrey Burch.
For more information on his work, visit www.jeffreyburch.com/
Cranial dura sacrum
•
* Migraine Headaches
* Chronic Neck and Back Pain
* Motor-Coordination Impairments
* Colic
* Autism
* Central Nervous System Disorders
* Orthopedic Problems
* Traumatic Brain and Spinal Cord Injuries
* Scoliosis
* Infantile Disorders
* Learning Disabilities
* Chronic Fatigue
* Emotional Difficulties
* Stress and Tension-Related Problems
* Fibromyalgia and other Connective-Tissue Disorders
* Temporomandibular Joint Syndrome (TMJ)
* Neurovascular or Immune Disorders
* Post-Traumatic Stress Disorder
* Post-Surgical Dysfunction
• http://www.osteopathiecollege.com