Influence of increased tension of the suspensory apparatus of the stomach on the functional concatenation of disorders of the musculoskeletal system
Authors:
Štolc L.
Authors‘ workplace:
Rehabilitace ŠL, Libina
Published in:
Rehabil. fyz. Lék., 29, 2022, No. 3, pp. 112-121.
Category:
Original Papers
doi:
https://doi.org/10.48095/ccrhfl2022112
Overview
Summary: The pilot study focuses on the influence of increased tension of the suspensory apparatus of the stomach on the functional concatenation of disorders in the musculoskeletal system. Primarily, the study aims at objectively assessing the effect of an increased tension of the gastric suspensory apparatus on the considered pattern of functional disorder concatenation. Secondarily, it aims at evaluating the effect of manual treatment of the gastric suspensory apparatus on the inhibition of the sensitive nociceptive components of the musculoskeletal system. The study relies on a testing survey of 60 deliberately selected subjects who had to simultaneously display the following characteristics: right pelvic tilt, a positive spine sign, and a lesser ratio of the left lower ribs expanding while inhaling. The assessment is based on the comparison of three groups of subjects with a positive pattern. A group of subjects who received manual treatment of the gastric suspensory apparatus was compared with a second group consisting of subjects receiving manual therapy of the musculoskeletal system segments that are neurophysiologically concatenated to the stomach, and, finally, with the group of subjects without any treatment. The statistical survey results confirmed the validity of the observed pattern of functional concatenation (P < 0.0001) and the influence on the level of pain in the musculoskeletal system (P < 0.0001). The main benefit of the study lies in the confirmation of the pattern of functional concatenation associated with increased tension of the suspensory apparatus of the stomach, which can improve the diagnostics and therapy of viscerosomatic-based disorders.
Keywords:
Stomach – suspensory apparatus of the stomach – functional concatenation of disorders – intensity of pain
Sources
1. Čihák R. Anatomie 2. 3. vyd. Praha: Grada Publishing 2013.
2. Stecco C, Sfriso MM, Porzionato A et al. Microscopic anatomy of the visceral fasciae. J Anat 2017; 231(1): 121–128. doi: 10.1111/joa.12617.
3. Paoletti S. Fascie: anatomie, dysfunkce, léčení. Olomouc: Poznání 2009.
4. Platzer W. Atlas topografické anatomie. Praha: Grada Publishing 1996.
5. Barral JP, Mercier P. Viscerální terapie. Kroměříž: Zapletal Stanislav 2006.
6. Hudák R, Kachlík D et al. Memorix anatomie. 1. vyd. Praha: Triton 2013.
7. Helsmoortel J et al. Visceral osteopathy: the peritoneal organs. Seattle: Eastland Press 2010.
8. Tichý M. Dysfunkce kloubu VII. Řetězení a viscerovertebrální vztahy. Praha: Miroslav Tichý 2009.
9. Jandová D. Balneologie. Praha: Grada Publishing 2009.
10. Bitnar P. Viscerální rehabilitace. In: Rokyta R, Hoschl C (eds). Bolest a regenerace v medicíně. Praha: Axonite 2015: 226–233.
11. Rychlíková E, Lewit K. Functional disorders of the spine and reflex changes in peptic ulcer of adolescents. Vnitr Lek 1976; 22(4): 326–335.
12. Rychlíková E. Manuální medicína. 3. vyd. Praha: Maxdorf 2004.
13. Lewit K. Manipulační léčba v myoskeletární medicíně. 5. přeprac. vyd. Praha: Sdělovací technika 2003.
14. Hebgen EU. Visceral manipulation in Osteopathy. 3rd ed. New York: Thieme 2011.
15. Bitnar P. Viscerosomatické a somatoviscerální vztahy. In: Kolář P (ed). Rehabilitace v klinické praxi. Praha: Galén 2012.
16. Bitnar P. Bolesti břicha u dětí. Umění fyzioterapie 2019; 4(8): 15–25.
17. De Koning AJ. Visceral manipulation: The abdomen 1. Praha, The Barral Institute, kurz 27.–30. 8. 2009.
18. De Koning AJ. Visceral manipulation: The abdomen 2. Praha, The Barral Institute, kurz 16.–19. 4. 2010.
19. Tichý M. Dysfunkce kloubu II. Pánev. Praha: Miroslav Tichý 2006.
20. Kolář P. Rehabilitace v klinické praxi. Praha: Galén 2012.
21. Shahid A, Wilkinson K, Marcu S et al. STOP, THAT and one hundred other sleep scales. Springer 2012: 399–400.
22. Štolc L, Havlová J. Vliv zvýšeného napětí ligamenta pubovesicale na funkční zřetězení. Fyzioterapia – vzdelánie a prax. Sborník příspěvků 2. mezinárodní vědecké konference, Bratislava: SZU 2017: 207.
23. Štolc L. Možnost ovlivnění zvýšené frekvence mikce manuálním ošetřením ligamenta pubovesicale. Rehabil Fyz Lék 2018; 25(3): 91–98.
24. de Oliveira Silva AC, Biasotto-Gonzales DA, Oliveira FH et al. Effect of osteopathic visceral manipulation on pain, cervical range of motion, and upper trapezius muscle activity in patients with chronic nonspecific neck pain and functional dyspepsia: a randomized, double-blind, placebo-controlled pilot study. Evid Based Complement Alternat Med 2018; 2018: 4929271. doi: 10.1155/2018/4929271.
25. Tozzi P, Bongiorno D, Vitturini C et al. Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility. J Bodyw Mov Ther 2012; 16(3): 381–391. doi: 10.1016/j.jbmt.2012.02.001.
26. Mcsweeny TP, Thomson OP, Johnston R. The immediate effects of sigmoid colon manipulation on pressure pain thresholds in the lumbar spine. J Bodyw Mov Ther 2012; 16(4): 416–423. doi: 10.1016/j.jbmt.2012.02.004.
27. Fernandes WVB, Blanco CR, Politti F et al. The effect of a six-week osteopathic visceral manipulation in patients with non-specific chronic low back pain and functional constipation: study protocol for a randomized controlled study. Trials 2018; 19(151): 151. doi: 10.1186/s13063-018-2532-8.
28. Dvořák R, Holibka V. Strukturální a funkční spojení bránice a svalů břišní stěny. Rehabilitácia 2006; 43(2): 75–78.
29. Vojta V, Annegret P. Vojtův princip. Překlad 3. zcela přeprac. vyd. Praha: Grada Publishing 2010.
30. Kolář P. Systematizace svalových dysbalancí z pohledu vývojové kineziologie. Rehabil Fyz Lék 2001; 8(4): 152–164.
31. Suchomel T. Stabilita v pohybovém systému a hluboký stabilizační systém – podstata a klinická východiska. Rehabil Fyz Lék 2006; 13(3): 112–124.
32. Bastlová P, Krobot A, Mikova M et al. Strategie rehabilitace po frakturách proximálního humeru. Rehabil Fyz Lék 2004; 11(1): 3–18.
33. Schmidt RF, Willis WD. Encyklopedia of pain. Berlin: Springer 2007.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2022 Issue 3
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