Manual therapies – Massage and Osteopathy

Manual therapies – Massage and Osteopathy

اسلاید 1: www.tabaye.ir

اسلاید 2: Manual therapies - Massage and Osteopathy*** Note: you are responsible for slide material including the notes under slides 5, 14, 15, and 16

اسلاید 3: Recognized forms of Manual TherapiesChiropracticMassage therapyTragerFeldenkrais methodReikiRolfingOsteopathyCranial OsteopathyTherapeutic TouchAlexander TechniqueChinese Qigong[ Physical Therapy & more with acupuncture ]

اسلاید 4: Massage therapy formsSwedish; deep tissue; sports; neuromuscular; acupressure; shiatsu (Japanese form of acupressure); manual lymph drainage; cranio-sacralAlso a Zero-balancing massage form re structural body balancing with external “unseen” energy

اسلاید 5: Massage therapy (MT) evidenceFelix re infants & premature infants treated with MT gain more weight, less time in hospital – same with MT and cocaine exposed babiesSome studies support adult decreased depression measures with MTEndorphin production inducement with massage esp successful with fibromyalgia patientsLymph drainage MT found important to reduce lymphedema post radical mastectomyLots of studies re changes with MT on physiological measures like HR, BP and skin temp

اسلاید 6: 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 inconclusiveRe 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 low-back pain, 2006, main confirmation], esp when massage is combined with education and stretching

اسلاید 7: MT – harm ?Contraindicated for advanced heart diseases, embolism, kidney failure, some cancers (damages fragile tissue from chemo)Also, caution during pregnancy, osteoporosis, diabetesLogic of not doing local areas for eczema, arthritis

اسلاید 8: Massage TherapyUse 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

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اسلاید 13: Logo ofCdn College of Osteopathy

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اسلاید 15: 3 main principles of osteopathy : 1. Structure and function are interdependent ~ structure can have significant impact on bodily function2. “The rule of the artery is supreme” 3. The unity of the human being *

اسلاید 16: DO’s and MD’sDOs 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 bodys 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.

اسلاید 17: How does Osteo WorkThe Osteopaths 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 jointsIn addition, the areas being treated require proper positioning to assist the bodys ability to regain normal tissue function - called Osteopathic Manual Medicine (OMM) * note techniques posted under this slide on web site [strain-counterstrain, thrust etc]*

اسلاید 18: Pub Med re Osteomanipulation

اسلاید 19: Evidence & Research re Efficacay of OsteopathyClincal studies showing dramatic lowering of BP in hypertensive patientsNumerous studies comparing chiro, allopathic and osteo treatments for acute LBP; general endorsement for osteoEv 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

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اسلاید 24: Pennsylv

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اسلاید 26: M i d - t e r mE x a mYour comments ?

اسلاید 27: Next DayDr Robert Taylor, OsteopathRead chapter 8, 166-176

اسلاید 28: 460 ~ 9 march 2006OSTEOPATHY ~ Robert Taylor

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اسلاید 30: Midterm ExamYou can take up the exam, check # of correct Q’s etc with Tom10:30-1:00 today & next Thursday ONLY (his regular office hours) room 210 this buildingBring your back pageInformation re the “ALL” answers accepted; and re the 7 questions on back page of course outline correlating with 41 of the 50 exam questionsQuestions for review after each week for this part of the course

اسلاید 31: Chiropractic Career NightTuesday March 14thSocial Sciences Building 3014

اسلاید 32: Robert Taylor

اسلاید 33: HISTORY OF OSTEOPATHYDr Andrew Taylor Still founder of osteopathy 1874

اسلاید 34: History of OsteopathyDr. Andrew Taylor Still an American physician is credited as the founder of OsteopathyHe developed the methods and applications of osteopathy in 1874 and founded the first osteopathy school on Kirksville USA.

اسلاید 35: “…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.

اسلاید 36: Dr William Garner Sutherland 1873-1954

اسلاید 37: Dr William Garner SutherlandPupil of Dr. Andrew Taylor at Kirksville has been credited as the founder of cranial osteopathy.

اسلاید 38: Dr Philippe Druelle

اسلاید 39: 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

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اسلاید 41: Founder of First school in MontrealCollege D”Etudes Osteopathiques de Montreal 1981College of osteopathy Toronto 1992Colleges have currently opened in Halifax, Vancouver, WinnipegEngland, France, Belgium, Russia, Germany, Italy , Switzerland.

اسلاید 42: Pre-RequisitesIn 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.

اسلاید 43: Thomas Schooley and Anne Wales

اسلاید 44: 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 .

اسلاید 45: What is Osteopathy?Osteopathy is a natural medicine that views the individual as a whole unitOsteopaths assess and treat movement restrictions in your bodyOsteopaths focus on the cause of the pain and dysfunction rather than concentrating only on the symptoms

اسلاید 46: What is osteopathic palpation?It is a well defined sense of touch that allows the practitioner to feel restrictions within the bodyIt is a hands on approach used to identify structural changes and rhythms of the bodyIt is a gentle contact with powerful resultsIt is a skill that takes many years to developIt sets the osteopathic approach apart from other forms of manual therapy

اسلاید 47: Who can benefit from Osteopathy?Newborns , infants and toddlersAdolescentsAthletesPregnant womenAccident victimsAdults SeniorsIndividuals with physical and mental challengesTerminal illness patients

اسلاید 48: What are the benefits of Osteopathic treatment?Removes the underlying cause of the pain. Osteopaths are taught to think global not local.Relieves chronic painHelps women adapt to hormonal changes of their pregnancyReduces scars and adhesionsTreats accidents and sports injuriesEncourages the body to heal itself

اسلاید 49: Treatment techniquesGentle osteo-articular correctionsVisceral mobilizationCranial osteopathyMyofascial tensionMuscle energyStrain counter strainEndocranial

اسلاید 50: ChildrenInfectionsChildhod asthmaPostural and mobility abnomalitiesSevere physical and developmental problemsChildhood migraineEar problemsRespiratory and breathing problems

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اسلاید 52: SportsRunning, track and fieldContact sports, rugby hockey and soccerWrestling, judo karateInjuries such as;joint problems, recurring muscular pain, strains and muscular pullsChronic injuries, shin splints, plantar fascitiis, tibia posterior tendonitis and Achilles tendonitis.

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اسلاید 54: Pregnancy and new borns

اسلاید 55: Birthing process

اسلاید 56: Complications at birthColic 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

اسلاید 57: Osteopathy problems

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اسلاید 59: Illustrations © 2004 Jeffrey Burch. All rights reserved. Used with permission from Jeffrey Burch.  For more information on his work, visit www.jeffreyburch.com/

اسلاید 60: 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

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اسلاید 62: http://www.osteopathiecollege.com