rojournalРоссийский остеопатический журналRussian Osteopathic Journal2220-09752949-3064All-Russian Public Organization «Russian Osteopathic Association» (ROsA)10.32885/2220-0975-2016-3-4-105-116rojournal-72Research ArticleСтатьиКонтрольное cравнение мануального лимфатического картирования подошвенного лимфотока и стандартных физиологических карт с использованием лимфодренажной терапии / остеопатической лимфатической техникиA Controlled Comparison between Manual Lymphatic Mapping of Plantar Lymph flow and Standard Physiologic Maps Using Lymph Drainage Therapy / Osteopathic Lymphatic TechniqueЧиклиБруноChiklyBrunobrunochikdo@gmail.comКуагхеберЙоргенQuaghebeurJörgenoffice@osean.comУитриолВальтерWitryolWalternoemail@neicon.ruИнститут здоровья ЧиклиРоссияChikly Health InstituteRussian FederationФландрский международный колледж остеопатии (FICO)РоссияFlanders International College of Osteopathy (FICO)Russian FederationНаучный отделРоссияDepartment of ResearchRussian Federation20163012201603-4105116Copyright © Чикли Б., Куагхебер Й., Уитриол В., 20162016Чикли Б., Куагхебер Й., Уитриол В.Chikly B., Quaghebeur J., Witryol W.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rojournal.elpub.ru/jour/article/view/72

Введение. Опытные практикующие врачи утверждают, что способны определить специфическое направление поверхностной или глубокой лимфатической циркуляции посредством использования неинвазивной техники под названием «мануальное лимфатическое картирование». Последнее является новой прогрессивной техникой мануальной терапии, компонентом лимфодренажной терапии / остеопатической лимфатической техники.Цель. Оценка потенциала квалифицированных специалистов при пальпации поверхностного лимфотока. Метод. Каждый участник выполнял картирование подошвы у здорового добровольца (отдела, который никогда ранее не изучался). Были сопоставлены результаты картирования у квалифицированных (опытных) и неопытных операторов, а также было проведено сравнение с физиологическими лимфатическими схемами.Результаты. Опытные участники ( n =393) гораздо правильнее выполнили картирование (правильных ответов - 245), чем неопытные ( n =411, правильных ответов - 11), |2=329,54, р <0,05 и OR =60,20, р <0,05. Заключение. Опытные участники, в отличие от неопытных, выполняли картирование лимфотока, которое соответствовало стандартным физиологическим лимфатическим картам. Эти выводы в будущем должны быть подтверждены исследованиями, целью которых будет проведение картирования посредством пальпации.

Background. Trained practitioners claim to identify the specific direction of superficial or deep lymphatic circulation using a non-invasive technique called Manual Lymphatic Mapping (MLM). MLM is a recent advance in manual therapy, a component of Lymph Drainage Therapy / Osteopathic Lymphatic Technique.Objective. Assess the potential of trained practitioners to palpate superficial lymphatic flow.Method. Each practitioner mapped the sole of the foot of a healthy volunteer, a region never previously studied. The results of the mapping were compared between trained and untrained practitioners and physiologic lymph charts. Results. Trained practitioners ( n =393) provided significantly more correct mappings (correct answers - 245) than untrained practitioners ( n =411, correct answers - 11), |2=329,54, p <0,05 and OR =60,20, p <0,05.Conclusion. Trained practitioners, but not untrained practitioners, mapped pedal flow by palpation, consistent with standard physiologic lymphatic maps. Flow studies, by imaging in individual subjects mapped by palpation, must further test this finding.

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