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Osteopathy and Emergency: A Model of osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Brief and Useful Guide—Part 2

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Health 2018年第7期10卷 1597-1608页

作者： Luca Collebrusco Simone Fabri Antonio Furfaro Ilaria Tanini Rita Lombardini Andrea Rizza Paolo Zavarella Rehabilitation Unit National Health Service of Umbria Perugia Italy Research Department CROMON EDUCAM School Rome Italy Department of Medicine University of Perugia Perugia Italy

This work aims to describe a well standardized therapeutic path in reference to the article “Osteopathy and Emergency: A Model of osteopathic Treatment Aimed at Managing the Post-Traumatic Stress—Part 1 in the form of a practical guide for manual therapist, Open Journal of Therapy and Rehabilitation, Vol. 10, No. 7, July 2018, https://***/10.4236/health.2018.107074”. The osteopathic manipulative treatment (OMT) approach we propose can be complementary to the psychological therapy in use today, and consists of ten standardized techniques directed to the anatomical structures more involved in the stress answer. This protocol was designed to improve and sustain the management of subjects exposed to extraordinary exogenous stress or post-traumatic stress disorder patients (PTSD).

关键词： Post-Traumatic Stress Disorder osteopathic Manipulative Treatment Visceral osteopathic Osteopathy Cranial Field Myofascial and Musculoskeletal Techniques

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The indeterminable resilience of the fascial system

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Journal of Integrative Medicine 2017年第5期15卷 337-343页

作者： Bruno Bordoni Fabiola Marelli Bruno Morabito Beatrice Sacconi Department of Cardiology Institute of Hospitalization and Care with Scientific AddressFoundation Don Carlo Gnocchi IRCCSMilan 20100Italy Department of Fascial osteopathic Research:FORe School of Osteopathic Centre for Research and StudiesCRESOGorla Minore(VA)21055Italy Department of Fascial osteopathic Research:FORe School of Osteopathic Centre for Research and StudiesCRESOFano(Pesaro Urbino)61032Italy Departmente of Neurology Foundation Polyclinic University A.Gemelli University Cattolica del Sacro CuoreRome 00168Italy Department of Radiological Oncological and Anatomopathological SciencesSapienza University of RomeRome 00185Italy

The most recent information on fascial tissue indicates that there are not fascial layers, but polyhedral microvacuoles of connective tissue, which connect the body systems and, by hosting specialized cells, permit several functions, such as motor, nervous, vascular and visceral. These microvacuoles（a repetition of polyhedral units of connective fibrils） under internal or external tension change shape and can manage the movement variations, regulating different body functions and ensuring the maintenance of efficiency of the body systems. Their plasticity is based on perfect functional chaos： it is not possible to determine the motion vectors of the different fibrils, which differ in behavior and orientation; this strategy confers to the fascial continuum the maximum level of adaptability in response to the changing internal and external conditions of the cell. The present commentary deals with this concept, providing clinical examples of different disease patterns, providing contrary examples in which this adaptability does not occur, and lastly suggesting considerations for the approach to manipulative therapy of the fascial tissue. The fascial continuum is like a flock of birds flying together without a predetermined logic and maintaining their individuality at the same time.

关键词： fascia osteopathic manual therapy fibroblast fascial continuum

New Proposal of Evaluation of the Thoracic Outlet

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Open Journal of Therapy and Rehabilitation 2018年第2期6卷 17-42页

作者： Bordoni Bruno Marelli Fabiola Morabito Bruno Sacconi Beatrice Foundation Don Carlo Gnocchi IRCCS Department of Cardiology Institute of Hospitalization and Care with Scientific Address Milan Italy CRESO School of Osteopathic Centre for Research and Studies Aprile Italy CRESO School of Osteopathic Centre for Research and Studies Fano (Pesaro Urbino) Italy Foundation Polyclinic University A. Gemelli University Cattolica del Sacro Cuore Rome Italy Sapienza University of Rome Radiological Oncological and Anatomopathological Sciences Rome Italy

The present article comprehensively reviews the thoracic outlet syndrome (TOS), its etiology and assessment, with reference to the usual conservative treatment and surgical therapy, highlighting new definitions and reporting obsolete tests. The syndrome affects about 8% of the population, with higher prevalence in females, and rarely affects the children. Conservative, non-surgical treatment produces good results, and it becomes important to know which specific areas need to be treated. Currently, there is no rehabilitation scheme, either osteopathic or chiropractic, considered as a valid tool for a precise localization of the pathologic condition, probably due to the lack of a manual assessment process to evaluate bones and muscular components of the thoracic outlet. In this situation, the manual treatment performed is usually generic. The present article proposes a manual evaluation that can be used to identify the anatomical area which needs to be treated. This hypothesis of assessment should be carried out after the clinician has ruled out the necessity of surgery with instrumental examinations.

关键词： Thoracic Outlet Syndrome Physiotherapy osteopathic Chiropractic Pain Manual Evaluation Fascia

An Alternative Approach to the Gastroesophageal Reflux Disease: Manual Techniques and Nutrition

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Open Journal of Therapy and Rehabilitation 2017年第3期5卷 98-106页

作者： Luca Collebrusco Rita Lombardini Giovanna Censi Rehabilitation Unit-National Health Service of Umbria Perugia Italy Department of Medicine-University of Perugia Perugia Italy INRCA University Polytechnic of Marche Ancona Italy

Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that affects a growing number of people in the world and is one of the most common gastric complaints that prompts an individual to consult a doctor. Heartburn and regurgitation are the most predominant esophageal symptoms of GERD, but patients with the disease may also have extra esophageal symptoms, such as epigastric pain, bronchospasm, and chronic cough. All of these symptoms may compromise health-related quality of life with modification of eating habits and sleep pattern that have a great impact on the normal daily. Furthermore, GERD is a multifactorial disease that can be complicated and difficult to treat. Mechanical, chemical, physiopathologic, and functional factors that predispose patients to the disease are still under investigation. A simple treatment plan for manual therapists is presented based on current evidence-based literature;it is designed to reduce symptoms of GERD through somatovisceral approach and the nutrition.

关键词： Gastroesophageal Reflux Disease Lower Esophageal Sphincter Chronic Visceral Pain osteopathic Manipulative Treatment Nutrition

Regional Interdependence: A Practical Guidance in Rehabilitation Clinic—Part 2

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Open Journal of Therapy and Rehabilitation 2017年第1期5卷 11-28页

作者： Luca Collebrusco Rita Lombardini Giovanna Censi Research Department C.R.O.M.O.N. EDUCAM School Rome Italy Rehabilitation Unit National Health Service of Umbria Perugia Italy Department of Medicine University of Perugia Perugia Italy INRCA University Polytechnic of Marche Ancona Italy

Background: This work has the purpose of describing a well standardized therapeutic path in reference to the article “Regional Interdependence: A model that needs to be integrated in the functional evaluation and Physiotherapy treatment—Part. 1,(***/10.4236/ojtr.2016.43010)” in the form of practical guidance in reference to Figure A1. The approach we describe provides standardized techniques for each joint regional quadrant in order to be used in rehabilitation clinic. Therapeutic techniques will also be classified according to the type of maneuver as classified in the literature.

关键词： Physical Therapy Regional Interdependence Rehabilitation Visceral osteopathic osteopathic Treatment

Manipulation of the spine, thorax and pelvis 3rd ed.

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