The influence of the osteopathic treatment on the vegetative neural system.The technique “Compression of the 4th ventricle“ influences brain activity, bloodpressure, heart rate and respiration rate.

Item

Title
The influence of the osteopathic treatment on the vegetative neural system.The technique “Compression of the 4th ventricle“ influences brain activity, bloodpressure, heart rate and respiration rate.
Author(s)
Winkler Wilhelm, Brandstötter Ludwig
Abstract
Keywords: CV4, Compression 4th ventricle, influence vegetative neural system, blood pressure, respiration

Design: Quasi experimental study design, comparison of a control group with a treatment group, both groups 50 clients, age of clients between 18 and 40 years.

Objective: It was the objective of the study to observe how the technique “Compression of the 4th ventricle“ influences brain activity, blood pressure, heart rate and respiration rate.

Hypothesis: The technique “Compression of the 4th ventricle“ influences brain activity, blood pressure, heart rate and respiration rate.

Relevance for clients: For clients with vegetative symptoms in the field of blood pressure and breath,

Relevance for Osteopathy: Basic testing with the intention to evaluate objectively the vegetative changes during a CV4 technique and therefore give a measured feedback to what the osteopathic therapist may feel subjectively. As osteopathic medicine in Austria still is trying to find it´s place in the health care system objective measurements of treatment effects like we tried in this study be essential in the accreditation process.

Method: We measured continuously 24 different vegetative parameters with an intensive care monitor to be able to observe vegetative changes during and after the CV4 technique.
We measured the following parameters:
? Heartrate minimal
? Heartrate maximal
? Non invasive bloodpressure systolic
? Non invasive bloodpressure - diastolic
? Non invasive bloodpressure - mean
? Respiratory frequency,
? Oxygen saturation in %
? Amplitude left and right
? Alpha left and right
? Beta left and right
? Delta left and right
? Theta left and right
? Spectral edgefrequency left and right
? Meanfrequency left and right
? Burst Suppression Rate left and right

The treatment measurement had 5 treatmentsteps
- Step 0 Forerun
- Step 1 Beginning of the CV4 technique
- Step 2 Stillpoint
- Step 3 Restart of the Cranio Sacral Rhythm
- Step 4 Time of rest after the CV4 technique


Results in analysis of variance and analysis of interaction

In general the number of parameters, that show significant differences decreased from step 0 to step 3 and increased again in step 4:
Treatmentstep Step 0 Step 1 Step 2 Step 3 Step 4
Significant parameters of 24
14
11
7
2
12

We could split up the 24 parameters in 7 different reaction groups.


Results in analysis of interaction with specific lesions and parameters:

We compared the vegetative reactions of clients with and without specific lesions with each other. We analyzed the following lesions and parameters:
- SSB Compaction
- Compaction and Translation of C0, C1, C2
- Compaction and Translation Th3, 4
- Sensitivity to changes in the weather
- Comparison of normal treatment with bluff- and music treatment

When we analysed clients with and without SSB Compaction and Compaction and Translation of C0, C1, C2 there were more significant differences compared to the other analysed lesions and parameters.


Results in analysis of interaction comparing osteopath 1 and 2:
Here we analysed how the values of the treatmentstep 4 of control- and test measurement relate to each other by comparing two different osteopaths.

As we devided the whole client group in half we already received two different starting values. Therefore the analysis can only be seen as a relative result. Principally the evaluation showed similar results concerning the gradient tendencies and “therapy effect”.


Critical reflection, perspective, conclusion:
By including the test design with only two groups the result of all the measured parameters really seems to be difficult for our interpretation. Although we tried to avoid outer influence it is again difficult to differentiate between the true influence of the CV4 technique and the influence of touch, of a more aware and observing state of the client during the CV4 technique and of reactions caused by different expectations of the client. To get an objective result there would have been the necessity of a different design with three groups:
? One group for control of the veg. neural system
? One group for a bluff CV4 technique and
? One group for a real CV4 technique

The idea of continuously measuring the changes in the organism during an osteopathic treatment still seems very fascinating. Therefore this paper can be seen as a fertile basis for other future tests in a more clear design. In addition a long term study of the effect would make sense as the clients of our practices should be seen in that perspective.
Abstract
Date Accepted
2007
Date Submitted
1.9.2007 00:00:00
Type
osteo_thesis
Language
English
Number of pages
56
Submitted by:
62
Pub-Identifier
12325
Inst-Identifier
781
Keywords
Blood Pressure,Heart Rate,Respiration
Recommended
0
Medium
BrandstoetterLudwig.pdf
Item sets
Thesis

Winkler Wilhelm, Brandstötter Ludwig, “The influence of the osteopathic treatment on the vegetative neural system.The technique “Compression of the 4th ventricle“ influences brain activity, bloodpressure, heart rate and respiration rate.”, Osteopathic Research Web, accessed April 20, 2024, https://www.osteopathic-research.com/s/orw/item/3057