Osteopati Yaklaşımı; Bel Ve Boyun Ağrılarında yeri

Bel ve boyun ağrıları oldukça yaygın görülen, kalıcı fonksiyonel kayıplara ve iş gücü kaybına neden olan en önemli bir sağlık sorunudur. Ağrı hastaların psikolojik durumlarını önemli oranda etkilemekte, beraberinde hastaların günlük yaşam aktivitelerinde kısıtlama ve depresyona yatkınlık oluşturmaktadır. Osteopatik manuel terapi (OMT); kas iskelet sistemi hastalıklarında konvansiyonel tedaviyi tamamlamak amacıyla sıkça kullanılan, önemli bir tedavi şeklidir. OMT bedeni bir bütün olarak değerlendiren, homeostatik mekanizmaları geliştiren, yapı ve fonksiyon ilişkilerini en üst düzeye çıkarmak için tanı ve tedavi stratejileri içeren bir yaklaşımdır. OMT, kas-iskelet ağrısını azaltır, disfonksiyonun vücut sistemleri üzerindeki etkisini azaltır, solunum mekaniğini geliştirir, venöz ve lenfatik drenajı iyileştirir. OMT parietal, visseral ve kranial osteopati olmak üzere 3 sistem üzerinden etki gösterir. Parietal Osteopati; Kas iskelet sisteminden kaynaklanan ağrı ve disfonksiyonların tedavisinde kullanılır. Visseral osteopati, visseral yapılardaki problemleri tedavi ederek, bunların neden olduğu ağrı ve şikâyetleri ortadan kaldıran bir tedavi yaklaşımıdır. Kranial osteopati hassas ve hafif dokunuşlarla yapılan osteopatik bir tedavi tipidir. Hastada var olan ağrı ve şikâyetlerin ortadan kaldırılmasına yardımcı olur.

Anahtar Kelimeler:

Bel ağrıları, boyun ağrıları, osteopati

Osteopathic Approaches to Lumbar and Cervical Pain

Lumbar and cervical pain are important health problems which frequently causes functional health and labour deficits. Pain causes physicologic effects and causes depression in the patients which limits daily life activites. Osteopathic manuel therapy (OMT) in an important treatment modality which is used to complement conventional musculo-skeletal diseases. OMT is an approach which evaluates the body as a whole, improves the homeostatic mechanisms with its structure and functional bindings to the highest level and includes diagnosis and treatment strategies. OMT alleviates musculo-skeletal pain, decreases dysfunctions in the body systems, improves inspiration mechanics and the venous and lymphatic drainage. OMT has effect on 3 sistems; parietal, visceral and cranial. Parietal osteopaty is used in pain and dysfunctions that are caused from musculo-skeletal systems. Visceral osteopathy is a treatment approach that is used to diminish pain which is caused by the visceral problems. Cranial osteopathy is a treatment approach using mild and sensitive touches to the cranial structures. It is used to eliminate pain and complaints of the body as a whole.

Keywords:

Low back pain, neck pain, osteopathy,

PDF

___

1-Ay S., Evcik D. Kronik Bel Ağrılı Hastalarda Depresyon ve Yaşam Kalitesi Yeni Tıp Dergisi. 2008; 25: 228-231.
2-Almeida DC, Kraychete DC. Low back pain – a diagnostic approach. Rev Dor. São Paulo. 2017; 18: 173-7.
3-Narin S, Bozan Ö, Cankurtaran F, Bakırhan S. Kronik bel ağrılı hastalarda fizyoterapi programının fonksiyonel kapasite ve yaşam kalitesi üzerine etkisi. DEU Tıp Fakültesi Dergisi. 2008; 22: 137-43.
4-Takmaz SA. Kronik bel-boyun ağrılı hastaya yaklaşım ve değerlendirme yöntemleri. TOTBİD Dergisi. 2017; 16: 81–88.
5-Akalın E. Kronik boyun ağrılı hastada ayırıcı tanı. TOTBİD Dergisi. 2017; 16: 112–117 .
6- Guez M, Hildingsson C, Nilsson M, Toolanen G. The prevalence of neck pain, Acta Orthopaedica Scandinavica. 2002; 73 (4): 455-459.
7-Ambrose KR., Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Pract Res Clin Rheumatol. 2015; 29 (1): 120–130.
8-Licciardone JC, Minotti DE, Gatchel RJ, Kearns CM, Singh KP. Osteopathic manual treatment and ultrasound therapy for chronic low back pain:a randomized controlled trial. Ann Fam Med. 2013; 11 (2): 122-9.
9-. Cerritelli F, Cicchitti L, Martelli M, Barlafante G, Renzetti C, Pizzolorusso G et al. 0steopathic manipulative treatment and pain in preterms: study protocol for a randomised controlled trial. Trials. 2015; 16: 84.
10. Franke H,Franke JD, Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders 2014; 15: 286.
11. Licciardone JC, Kearns CM, Hodge LM, Minotti DE. Osteopathic manual treatment in patients with diabetes mellitus and comorbid chronic low back pain: subgroup results from the Osteopathic Trial. J Am Osteopath Assoc. 2013; 113: 6.
12- Chila G.A. Foundations of Osteopathic Medicine. Third Edition. 2003; 3-21.
13-Earley, B.E., Luce, H. An introduction to clinical research in osteopathic medicine. Prim Care. 2010; 37 (1): 49-64.
14-Parker J, Heinking KP, Kappler RE. Efficacy of osteopathic manipulative treatment for low back pain in euhydrated and hypohydrated conditions: a randomized crossover trial. JAOA 2012; 112 ( 5): 276-284.
15-Kuchera, M.L. Applying osteopathic principles to formulate treatment for patients with chronic pain. J Am Osteopath Assoc. 2007; 107: 28-38.
16-Orrock PJ, Myers SP. Osteopathic intervention in chronic non-specific low back pain: a systematic review. BMC Musculoskeletal Disorders 2013; 14: 129.
17. Licciardone JC, Aryal S. Clinical response and relapse in patients with chronic low back pain following osteopathic manual treatment: Results from the Osteopathic Trial. Manual Therapy. 2014; 1: 8.
18-Gamber RG, Shores JH, RussoD P, Jimenez BAC, Rubbin BR. Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: Results of a randomized clinical pilot Project. JAOA. 2002; 102 (6): 321-325.
19-Majchrzycki M, Hoffmann M, Marszałek S. Selected Osteopathic Techniques in Low Back Pain Treatment. Dysfunctions of the Locomotor System. 2010; 7-17.
20-Peeters L, Lason G. Osteopathic Medicine. The Liver and the Gallbladder. The International Academy of Osteopathy. 2013; 65-92.
21-Attali TV, Bouchoucha M, Benamouzig R. Treatment of refractory irritable bowel syndrome with visceral osteopathy: Short-term and long-term results of a randomized trial. Journal of Digestive Diseases. 2013; 14: 654-61.
22-Shi X, Rehrer S, Prajapati P, Scott T, Stoll ST, Gamber R.G, Downey HF. Effect of Cranial Osteopathic Manipulative Medicine on Cerebral Tissue Oxygenation. JAOA. 2011; 111: 12.
23. Licciardone JC, Kearns CM, CrowWT. Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: Results from the Osteopathic Trial. Manual Therapy 2014; 19: 324-330.
24-Fryer G. Somatic dysfunction: An osteopathic conundrum. International Journal of Osteopathic Medicine. 2016; 1-12.
25- World Health Organization. Benchmarks for Training in Osteopathy. 2010; 3-4.
26-Tempelhof, S. Osteopathic medicine. Orthopade. 2012; 41 (2): 106-12.
27- Schwerla F, Rother K, Rother D, Ruetz M, Resch KL. Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability: A Pragmatic Randomized Controlled Trial. J Am Osteopath Assoc. 2015; 115 (7): 416-25.
28-Oral A, Ketenci A. Radiküler Bel ağrılarının tedavisinde fiziksel tıp ve rehabilitasyon yaklaşımları: en uygun ve etkin tedavinin belirlenmesi amacıyla kanıtların gözden geçirilmesi ve güncel öneriler. Türk Fiz Tıp Rehab Derg 2013; 59: 57-68.
29- Yıldırım A. Kronik diskojenik bel ağrıları ve cerrahi dışı tedavi yöntemleri: güncelleme. Dicle Tıp Dergisi. 2016; 43 (1): 181-191.
30- Schwerla F, Bischoff ., Nürnberger A, Genter P, Guillaume J. Resch K.Osteopathic Treatment of Patients with Chronic Non-Specific Neck Pain: A Randomised Controlled Trial of Efficacy. Complementary Medicine Research. 2008; 15 (3): 138-45.
31-Galindez-Ibarbengoetxea X, Setuain I, Ramírez-Velez R, Andersen LL, González-Izal M, Jauregi A, Izquierdo M. Immediate Effects of Osteopathic Treatment Versus Therapeutic Exercise on Patients With Chronic Cervical Pain. Altern Ther Health Med. 2018; 24 (3): 24-3.
32-Williams NH, Wilkinson C, Russell I, Edwards RT, Hibbs R, Linck P, Muntz R. Randomized osteopathic manipulation study (ROMANS) pragmatic trial for spinal pain in primary care. Fam Pract. 2003; 20(6): 662-9.
33-Fryer G, Alvizatos J, Lamaro J. The effect of osteopathic treatment on people with chronic and sub-chronic neck pain: A pilot study. International Journal of Osteopathic Medicine 2005; 8 (2): 41-48.
34-Sağlık alanı sertifikalı eğitim standartları, Osteopati. 2016.