Introduction. The quality of diagnostics in various branches of medicine including the use of complex and expensive equipment leaves much to be desired. In any case, the doctor evaluates the patient′s examination results and makes a diagnosis, which may be wrong. In manual medicine the main tool is the hands of the doctor and it makes the diagnostic process even more subjective. There are few studies confi rming the reliability of manual diagnostic methods; the reproducibility estimates in the most cases do not satisfy the evidencebased medicinerequirements, and in some cases are simply absent. One of the indicators characterizing the diagnostics quality is the indicator of the diagnoses matches or discrepancies frequency.

The goal of research — to determine the coincidence frequency of the osteopathic diagnostics results (osteopathic conclusions) formulated by the osteopathic doctors working as teachers of one osteopathic school.

Materials and methods. The cross-blind study involved 6 osteopaths-teachers of the Institute Osteopathy of Saint-Petersburg. Their experience as an osteopathic doctor was from 3 to 14 years (median 7.5 years). The osteopaths were randomly divided into two «triples». Each triple worked on the same day on the same contingent of subjects (students of the Osteopathy Institute). A total of 75 people aged 22 to 58 years (median 35 years) were examined, including 36 women and 39 men. Each person was examined by three osteopaths with completinga standard osteopathic conclusion. Osteopaths carried out only osteopathic diagnosis without taking a history and analysis of the additional examinations results. All subjects fi lled out an anamnestic questionnaire in which they noted the regions where there were operations or injuries, or the problem was identifi ed by objective examination methods (there was a diagnosis). Statistical processing of the results was performed using nonparametric statistics by a specialist who did not know who specifi cally performed the osteopathic diagnosis.

Results. The following patterns were revealed after comparing the osteopathic conclusions made by three osteopathic doctors examining one group of patients. For 12 regions of the body (including variants of somatic (soma) and visceral (viscera) components), 8 regions showed agreement on the presence or absence of biomechanical somatic dysfunctions (SD) by the results of groups comparing according to the Friedman criterion p>0,05. In the head and chest (soma) regions in both triplets there was the greatest coincidence of diagnoses, and in the lower back (viscera) region — the least, perhaps the latter region is the most diffi cult for osteopathic examination. Regional neurodynamic SD was detected rarely, from 1 to 3 per group, and so there was almost complete negative consent among osteopathic doctors, perhaps these SD are very rare. Global SD either were not detectedby the osteopaths, or the detected global SD did not match in most cases, perhaps the global SD identifi cationis the most diffi cult part of the osteopathic examination. For the most cases (84 % in the fi rst triple and 60 % in the second triples), 2 osteopaths out of 3 revealed the same dominant SD, and the original diagnoses were from 28,9 % to 53,3 %. In 73 % of the subjects the localization of the dominant SD coincided with the localization of the problems indicated in the questionnaire (a history of trauma or surgery; a diagnosis confi rmed by objective examination methods). These results are very important for confi rming the osteopathic diagnosisobjectivity, since SD is likely to form at the site of an injury or operation (i. e. acute infl ammation).

Conclusion. The obtained results of osteopathic diagnostics can be regarded as quite good and acceptable, especially in comparison with the so-called objective methods (ultrasound, MRI, etc.). 

Introduction. Headache is one of the most common outpatient complaints from patients. According to various authors, annually 90 % of adult women and 83 % of adult men suffer from headaches; its frequency reaches 200 cases per 1000 population and does not tend to decrease. Herewith the tension headache (TH) is the most common variant of headaches in the general population. Modern methods of tension headache treating suggest the long-term use of antidepressants and muscle relaxants. And it may not give a lasting effect in some cases. Also, due to the small number of TH diagnoses by doctors among the population, people have to save themselves from a headache. As a result, the majority of the population suffering from TH takes analgesics uncontrollably. It fi nally leads to another severe type of headache — abusal headache. All these dictate the necessary of searching new methods of treatment, primarily non-medication, one of which could be osteopathy.

The goal of research — to evaluate the clinical efficacy of the global osteopathic treatment of patients with tension headache.

Materials and methods. A prospective, controlled, randomized trial was performed from 01.2018 to 03.2019 on the basis of the «Clinic of Regenerative Medicine» (Shakhty town) and V. I. Lenin MBUZ GBSMP. There were of 36 patients with a verifi ed diagnosis of chronic tension headache aged 20 to 40 years under supervision. Patients depending on the used treatment methodology were divided by the simple randomization method (using the envelopes method) into two groups: the main (20 people) and control (16 people). Patients of the main group received traditional therapy including medication, massage of the back and cervical-collar zone, physical exercises, and physiotherapy treatment. And in addition to these treatment methods patients of the main group received global osteopathic treatment, 3 procedures with an interval of 5–7 days. Patients in the control group received only standart therapy according to the same described above scheme. All the patients, regardless of the group, underwent an osteopathic examination before and after the course of therapy, with the formation of an osteopathic conclusion, and the severity of pain and asthenia was assessed.

Results. The decreasing of regional and local somatic dysfunctions quantity in patients of the main group was observed during the treatment. Statistically signifi cant differences were obtained in the occurrence frequencies of somatic dysfunctions: region of the head, region of the neck, region of the dura mater; vertebral-motor segments СVII–DIII, abdominal diaphragm, I rib (p<0,05). A statistically signifi cant decrease in the pain severity and asthenic conditions (p<0,05) was also recorded after the treatment in the main group. There were no signifi cant changes of these indicators in the control patients group.

Conclusion. Based on the study, it can be concluded that osteopathic correction in the complex treatment of patients with chronic tension headache can increase the clinical effectiveness of traditional treatment regimens. The obtained results propose a further deeper study of the osteopathic correction possibilities in the treatment of this patients group. 

Introduction. The arbitrary control of the human posture is an important physiological function of the body. The pose includes, in fact, an integrated set of biomechanical, neurophysiological and neuropsychiatric phenomena that affect each other and are mutually compensated at each point in time. Studying the postural balance of the body can give a huge amount of information about emotions and self-perception of personality.

The goal of research — is to identify the psychological characteristics of the persons with the different types of postural organization, which determine the variability of behavior in different life situations and the peculiarities of interaction with the world.

Materials and methods. The study was conducted on the basis of the Kamchatka State University Vitus Bering in 2017–2018. The study involved 75 respondents aged 20 to 32 years, including 40 men and 35 women. Study design: open, cohort, empirical. A visual analysis of the person′s static posture was carried out using the Barre vertical to determine their postural organization type. To determine the psychological personality characteristics the following methods were used: the «Coping strategy indicator» methodology to determine the prevailing coping strategy, the Plutchik–Kellerman–Conte questionnaire «Life Style Index» (LSI) to determine the leading defense mechanisms, and their general tension, a time perspective questionnaire F. Zimbardo (ZTPI) for determining the temporal orientation of a person, the Dembo–Rubinstein technique modified by A. M. Prikhozhan for studying self-esteem and emotional saturation of life. For each of the methods, scoring was carried out and, further, a statistical analysis. Differences were considered statistically significant at p<0,05.

Results. The results of the study revealed the psychological characteristics of respondents with different types of postural organization. The respondents of the front type of postural organization group are characterized by a wider range of psychological defenses, a tendency to compensation and hypercompensation. Respondents with this type of body organization evaluate themselves as confident, happy and successful, through an assessment of their involvement in life. They assess their life as filled with events, but at the same time, the self-confidence indicator in this group is lower than in groups 2 and 3. It can be assumed that the respondents in this group tend to keep their lives under control and worry about achieving future goals, and it is indicated by lower, in comparison with groups 2 and 3, indicators of self-confidence. The respondents of the posterior type of postural organization are characterized by a smaller spectrum of psychological defenses, the predominance of compensation, and the emotional richness of life is important for them. The assessment of oneself as more selfconfident is characteristically. They also consider their life not eventful enough. Respondents with a harmonious type of postural organization are characterized by the variability of protective mechanisms, a balanced time perspective, cognitive fl exibility and attitude to difficulties as an opportunity to draw experience for personal growth and development. In addition, it is likely that the harmonious type of bodily organization is an indicator of the psychological harmony of the personality, which, first of all, is manifested in building relationships in the man—world system, through an adequate assessment of oneself.

Conclusion. The study confirms the fact of the individual psychological characteristics relationship with the type of postural organization. Studying the postural balance of the body can provide significant information about self-perception of the personality and the type of psychological interaction with the world. In this regard, it seems promising to expand the spectrum of the personality psychological characteristics study in conjunction with bodily organization, its features with different somatic manifestations, as well as non-verbal communication phenomena. 

Introduction. A complete and systematic x-ray examination of all parts of the spine at the same time in elderly and senile people has not yet been carried out. On the other hand, radiography can identify spinal statics disorders that are typical for this category of people.

The goal of research — describe the types of spinal statics disorders in young, elderly and senile people.

Materials and methods. Digital radiography of all parts of the spine was performed in 103 patients with dorsopathies. The first group included 50 patients aged 60–74 years; men 16, women 34. The second study group included 21 patients aged 75–88 years, 6 men and 15 women. The third control group included 32 randomly selected people aged 21 to 45 years, 15 men and 17 women. The study belongs to the group of a posteriori x-ray processing and was carried out without the participation and additional irradiation of patients. On the screen of a personal computer, using the methods developed by the author, unified digital x-ray images of all parts of the spine of each patient were obtained. From the INION point, a vertical line occipital vertical descended along all the structures of the spine. Using the midpoint of the front and rear contour x-ray image of the vertebral body of the TII and TXII the front-rear axes were passed through until they intersect with the occipital vertical at the back and intersect with each other at the front. A qualitative assessment of the occipital vertical passage relative to the structures of the spine and a quantitative assessment of the angles of inclination and the angle of intersection of the front-rear axes of the TII and TXII vertebrae was carried out..

Results. Five types (from 0 to 4) of spine statics were described and criteria for their qualitative and quantitative assessment were determined. It was found that in the control group, the most common type of spine statics was zero (0), while type 3 and 4 were not determined. In contrast, 3 and 4 types of spinal statics were most frequently observed in second group of patients. In the first group of patients, types 1 and 2 of spine statics were most often revealed, and other types of spine statics also occurred. Among the entire group of examined patients n=103 0 type of spinal statics disorder was detected in 27 (26,2 %) patients, type 1 in 35 (34 %), type 2 in 22 (21,3 %), type 3 in 11 (10,7 %) and type 4 in 8 patients (7,8 %). In patients with type 0 spinal statics, the angle of inclination of the front-rear axis of the TII vertebra was 16,67±8,49º, and of the TXII vertebra was 18,33±4,33º. In type 1 statics of the spine, the angle of inclination of the front-rear axis of the TII vertebra was 26,66±6,73º, and of the TXII vertebra was 21,17±4,92º. In type 2 spinal statics, the angle of inclination of the front-rear axis of the TII vertebra was 32,95± 6,82º, and of the TXII vertebra was 19,68±5,4º. In type III spinal statics, the angle of inclination of the front-rear axis of the TII vertebra was 41,09±9,22º, and of the TXII vertebra 26±11,05º. Type 4 statics of the spine were diagnosed in the presence of type 1–3 statics, in addition to which a pathological fracture or multiple compression fractures were detected in any part of the spine, or the vertebral bodies took the form of fish vertebrae.

Conclusion. The study demonstrated the presence of characteristic prevailing types of spinal statics in young, elderly and senile people. These qualitative and quantitative criteria allow us to evaluate them. Based on the results of the study, an application for the utility patent of the Russian Federation «The Method for Evaluating Spine Statics», № 2019144992, priority dated 30.12.2019 was issued and filed. The identified qualitative and quantitative indicators can be used to develop criteria for determining the biological age of a person, which will contribute to improving the evidence-based approach to medicine. 

Introduction. Temporomandibular joint (TMJ) dysfunction is the second most common musculoskeletal disease, affecting up to 33 % of people during their lifetime. The multicomponent etiopathogenesis of the disease actualizes the use of diagnostic criteria for the early symptoms of developing functional disorders. The algorithm for preclinical examination of the TMJ must be used already in the dentist′s office, which will allow to avoid the unpredictable results of dental rehabilitation and in time to attract other specialists to the complex therapy of the patient. The etiopathogenesis of TMJ dysfunction indicates the need for a closer study of the mutual infl uence of structural imbalances in the body and dentition, the determination of the primary disorder, which will help to develop a system for the prevention of TMJ dysfunctions, and may also affect the sequence, volume and nature of the treatment for this pathology.

The goal of research — to identify the relationship of structural imbalances in the body and temporomandibular joint dysfunction.

Materials and methods. From September to December 2019, a prospective study of 70 volunteers among university students was conducted at the Department of Orthopedic Dentistry of Omsk State Medical University. During the processing of clinical material, 6 people retired in accordance with exclusion criteria. All subjects underwent an assessment of the state of the dentofacial system, primarily the TMJ (using a short Hamburg test) and structural imbalances of the body (using the Notch Interfaces Inc. motion capture and reconstruction system). To assess the cervical-cranial relationship in the subjects who had 3–6 points according to the results of the Hamburg test, a head X-ray was make in lateral projection, and cephalometric analyzes were performed according to Rocabado and Sassuni. The presence and strength of the linear relationship between the phenomena was determined using the Pearson coefficient.

Results. According to the results of the Hamburg test, a functional norm was revealed in only 12,5 % of the examined; TMJ dysfunction was revealed in the vast majority of volunteers (57,9 %). Structural imbalances of the body were detected in 82,8 % of cases. Patients with established by the results of the Hamburg test TMJ dysfunction were underwent cephalometric analysis. Structural changes in the TMJ were not found in the subjects according to the X-ray studies results. There was a high positive relationship between functional TMJ dysfunction and pelvic hyperfl exion (ρ=0,72, p<0,05), and an average positive relationship (ρ=0,55, p<0,05) between the head and neck forward tilting. A positive weak relationship was observed between the risk of TMJ dysfunction developing (2 points according to the Hamburg test) and pelvic hyperfl exion (ρ=0,31, p<0,05).

Conclusion. The study showed a strong positive relationship between pelvic hyperfl exion and TMJ dysfunction signs; an average positive relationship between TMJ functional impairment and head and neck forward tilting. It was also found that in individuals with TMJ dysfunction signs there were no radiological signs of structural changes in the joint, which indicates the potential reversibility of the revealed disorders and the need for their timely detection and correction. This study is pilot and will be continued in a broader format. 

Introduction. Enuresis is a pathological condition, manifested by involuntary urination during sleep or in the wakeful state. It is believed that enuresis is associated with unformed or impaired self-control skills for emptying the bladder. The significance of the problem is determined by the widespread prevalence of pathology, social and psychological maladaptation of children with enuresis. An important role in this plays the development of their personality by an accentuated type often, difficult adaptability, and lack of ability to integrate into the team, especially into the semi or closed type. According to modern concepts, enuresis can be caused by the following reasons: delayed maturation of the nervous system, urological pathology and urinary tract infection, impaired activation reaction during sleep, impaired rhythm of secretion of antidiuretic hormone, adverse heredity, psychological factors and stress. The results of Russian and foreign scientists studies revealed the polyetiological character of enuresis and the impossibility, in most cases, of identifying its obvious cause. This explains the relatively wide variability of outcomes: from spontaneous cure to apparent resistance to all existing treatments. The significant prevalence of enuresis, the relative severity of this pathology and the lack of effective treatment methods necessitate the search for alternative methods of therapy or fundamentally new approaches to using existing ones, which is impossible without a thorough study of this disease etiopathogenesis.

The goal of research — is to study the neurophysiological characteristics of enuresis in children.

Materials and methods. Prospective controlled study was conducted in Kazan State Medical Academy — a branch of the RMACPE (Kazan) in the period 2003–2019 years. To study enuresis mechanisms we carried out a comprehensive clinical-electroneurophysiological examination of 93 children aged 5 to 15 years, suffering from bedwetting. The control group consisted of 40 healthy children who were comparable in age and gender to those in the main group. All patients underwent a comprehensive examination, which included the study of complaints, anamnesis, clinical and electroneurophysiological research.

Results. Clinical examination of children with enuresis revealed signs of minimal cerebral dysfunction. An electrophysiological examination made it possible to determine an increase in the refl ex excitability of brain stem structures against the background of a decrease in downward inhibitory control.

Conclusion. The predominance of excitation processes over inhibition in the central nervous system is mainly observed in children with enuresis. The weakness of the inhibitory mechanisms due to constitutional factors, pathology of the nervous system that took place earlier, allows making an assumption about the diffuse nature of the disorders of the nervous system in this urination disorder. 

Introduction. The presence of somatic diseases during pregnancy leaves a serious imprint on the emotional state of a woman, significantly worsens the quality life indicators and affects the clinical characteristics of pregnancy. One of these diseases is chronic pyelonephritis. There are a fairly large number of recommendations for the treatment of this pathology. However the focus is mainly on drug therapy. At the same time the existing restrictions on the number of drugs using during pregnancy, the problem of polypragmasia, and the increase in the number of allergic complications of drugs using dictate the need to search alternative methods of treatment, primarily non-drug ones. Moreover, the problems of pregnant women life quality with chronic pyelonephritis during complex drug therapy are often not given due attention.

The goal of research — to assess the impact of osteopathic correction on the psycho-emotional state and life quality of pregnant women with concomitant pathology of the urinary system.

Materials and methods. A prospective controlled randomized study was conducted in the period 03.2016– 01.2018 on the basis of medical clinics of LLC «Mokhov Institute of osteopathy» and LLC «Vasileostrovskaya clinic of reproduction and genetics». There were observed work 48 pregnant women with chronic pyelonephritis aged 25–45 years, with a gestation period 13–27 weeks. During the processing of the clinical material, 8 patients were eliminated. As a result of the selection process, a group of 40 people was formed. All pregnant women with chronic kidney disease, depending on the used treatment method, were divided into two groups using a simple randomization method with a random number generator. There was formed the main group (20 people), and the control group (20 people). Patients of the main group received medication and osteopathic correction (3 procedures with an interval of 7–10 days). Patients in the control group received only traditional drug therapy. All pregnant women with chronic pyelonephritis had an osteopathic examination before and after treatment with forming an osteopathic conclusion, and the assessment of the pain syndrome severity by a visual analog scale (VAS), the general psycho-emotional state (the method of rapid assessment of health, activity and mood — HAM), and the level of life quality (Questionnaire Medical Outcomes Study — Short Form).

Results. Pregnant women with chronic pyelonephritis were characterized by a weak pain syndrome, a psychoemotional state violations in the categories «well-being» and «activity», and a decrease in both the physical and mental components of life quality. After the complex treatment including the additional to traditional drug therapy osteopathic correction methods, the statistically significant decrease of the pain severity degree (p=0,001), increase of psychoemotional state rates in the category of «activity» (p=0,05) and the increase of physical and mental components of life quality (p=0,02) were observed in the main group compared with the control.

Conclusion. Chronic pathology of the kidneys during pregnancy affects the emotional state of a woman, significantly worsens life quality indicators. The use of osteopathic correction as a part of the complex therapy of pregnant women with chronic pyelonephritis can improve the emotional state and life quality; reduce the pain severity, and so can be used to improve medical care for this population category. 

Introduction. One of the widespread and massively practiced martial arts is a Kendo — a system of fencing with a Japanese sword. Herewith the training process imposes very high requirements on athletes practicing martial arts. Large physical and psychological loads often lead to overstrain of various organism systems. This worsens the functional state of the organism and causes various injuries. But very often athletes in this situation continue training and take part in competitions. As a result a further deterioration of the condition and delayed recovery of the functional state of the organism takes place, and it negatively affects sports results. In Russia, this type of martial arts is massively engaged in the first generation of athletes, so today there are no methods of treatment, recovery and medical support specially developed for this sport. Osteopathy can be a promising method of drug-free recovery and maintenance that does not require the use of complex equipment, and this method has already proved itself well in some other sports.

The goal of research — to identify the somatic dysfunctions that are typical for kendoists and can affect their sports results, and to study the impact of osteopathic correction on the osteopathic status and the kendoists organism′ functional state, which determine the athletes performance.

Materials and methods. 30 athletes practicing Kendo were selected to participate in the study. A simple randomization method was used to form an experimental group (15 people) who had osteopathic correction of somatic dysfunction (SD), and a control group (15 people) in which there were no any manipulations. At the beginning of the study both groups underwent osteopathic examination and assessment of the organism functional state by the Harvard step test and a breath-holding test (Genchi test). Osteopathic correction of SD in the experimental group was performed once a month for 9 months. Then the osteopathic examination and functional assessment were repeated in both groups. The obtained results were compared both within the respective groups (using the Wilcoxon test) and between groups (using the Mann–Whitney test).

Results. The following regional biomechanical disorders were detected as typical for the selected Kendo athletes at the study beginning: lower extremities (structural component), thoracic region (structural and visceral component), and lumbar region (structural and visceral component). Such characteristic local somatic dysfunctions as dysfunctions of the ankle and subtalar joints were also identified. The use of SD osteopathic correction in athletes of the experimental group led to a statistically significant decrease in the SD total number (p≤0,05) compared with the control group in which osteopathic correction was not performed. The experimental group athletes had a significant decrease of the SD total number (p≤0,01) and the local somatic dysfunctions average number (p≤0,01). Functional test scores improved in both groups at the end of the study. However the functional tests indicators of the experimental group, in comparison with the control group, statistically significantly (p≤0,05) improved to a greater extent.

Conclusion. The obtained data demonstrate the osteopathic correction positive effect on the practicing kendo athletes′ organism in the form of the somatic dysfunctions′ number decrease and the functional state improvement. 

Introduction. Dorsopathy occurs in 90 % of people throughout life, and is in the first place for the duration of temporary disability in people after 45 years. The sanatorium-resort phase of rehabilitation, including usually physiobalneotherapy, is important in the treatment of dorsopathy. Radon therapy is one of the physiobalneotherapy types. However the effectiveness of radon monotherapy is not more than 25–38 % for various forms of dorsopathy. Therefore a combination of balneotherapy with additional methods of infl uencing on the organism is used in modern balneology to increase the effectiveness of therapy and to ensure the achievement of a positive treatment result in a shorter time without pathological balneoreaction and exacerbation. Osteopathic correction can be considered as such an additional method of infl uencing on the organism, because it triggers a cascade of regulatory reactions at the local, regional and global levels, and these reactions have a cumulative and prolonged effect.

The goal of research — to substantiate the possibility of osteopathic correction using in conjunction with radon baths at the sanatorium-resort stage of rehabilitation in patients suffering from dorsopathy.

Materials and methods. The study involved women aged 25 to 60 years, with a diagnosis of dorsopathy, taking radon therapy. Using the method of simple randomization with a random number generator, the main group (30 people who received radon therapy and osteopathic correction, OC), and the control group (30 people who received only radon therapy) were allocated. At the beginning and the end of treatment the osteopathic status examination of each patient was conducted in parallel with the study of their reactive anxiety level, assessed according to the Spielberger–Hanin scale, the body′s resistance to hypoxia, assessed in the Stange test by the length of breath-holding after inspiration, and the adaptive capacity of the circulatory system, assessed by Coefficient of adaptation L. Kh. Garkavi. The results were processed using nonparametric statistics.

Results. It was found that if OC was included in radon balneotherapy, the state of patients suffering from dorsopathy improves statistically significantly (p<0,0001) by the following indicators: the total number of somatic dysfunctions in patients and the number of regional dysfunctions decreased, the level of reactive anxiety decreased, the body′s resistance to hypoxia increased, the adaptive potential of the circulatory system increased. The changes of all indicators in the main group receiving OC in addition to radon therapy were significantly more pronounced than in the control group receiving only radon therapy (p≤0,0001).

Conclusion. The results obtained during this study allow recommending the use of osteopathic correction to enhance the effect of the sanatorium-resort treatment. 

Introduction. The humeroscapular periarthrosis syndrome (humeroscapular periarthropathy) is characterized by a high prevalence — shoulder pain is observed in 7–26 % of the population, such patients account for up to 18 % of paid sick leave. The term «humeroscapular periarthrosis» combines lesions of both the muscles and the joint capsule itself. To date, the scientific literature notes that in most cases the conservative therapy is effective in the form of pharmacotherapy and non-drug methods, including manual therapy, osteopathy and kinesiotaping. It should be noted that today there are no studies aimed to study the combination of osteopathic correction and kinesiotaping method, each of which is individually recognized as sufficiently effective in the treatment of the humeroscapular periarthrosis syndrome (humeroscapular periarthropathy).

The goal of research — is to substantiate the feasibility of combining osteopathic correction and kinesiotaping in the treatment of the humeroscapular periarthrosis (humeroscapular periarthropathy).

Materials and methods. The study was conducted in the period from February 1, 2018 to January 1, 2019 in the Neurological Department of the Rehabilitation Center Tula Regional Clinical Hospital. The study involved 43 patients with the syndrome of humeroscapular periarthrosis, duration of the disease — 1–5 months. By simple randomization the patients were divided into two groups: experimental — 22 patients receiving osteopathic correction in combination with kinesiotaping; control — 21 patients receiving only osteopathic correction. In both groups, at the beginning and at the end of the study, an osteopathic examination was performed with the formation of an osteopathic conclusion, the severity of pain on a visual-analog scale, and the shoulder joint state was assessed by the Swanson scale. The obtained data were processed using parametric (student′s t-test for independent groups and student′s paired t-test) and nonparametric (McNemar′s criterion and Fisher′s exact test) statistics.

Results. Both osteopathic correction and combination of osteopathic correction and kinesiotaping are accompanied by a statistically significant (p<0,05) decrease in the detection frequency of some dysfunctions at the regional and local level, a decrease in the pain intensity, and an improvement in the shoulder joint state. The combination of osteopathic correction and kinesiotaping is accompanied by a statistically significant (p<0,05) more pronounced improvement in the shoulder joint state.

Conclusion. Statistically significantly more pronounced improvement in the shoulder joint state of the experimental group patients compared with the control group patients suggests that the combination of osteopathic correction with kinesiotaping could be more effective in the treatment of the humeroscapular periarthrosis syndrome (humeroscapular periarthropathy).

Introduction. Despite the constant improvement of treatment methods, chronic lower limb vein disease (CLLVD) remains an urgent and not completely solved problem. Therefore the search for new methods of this disease treatment is actual. The effectiveness of osteopathic treatment of patients with CLLVD has been shown in recent years. But despite this the use of osteopathic treatment in this area has not been widely used today because further research, generalization of results and creation of an evidence base are required.

The goal of research — is to substantiate the possibility of osteopathic treatment for patients with CLLVD C1–C3 (according to the international classification system CEAP).

Materials and methods. The study involved 20 patients suffering from C1–C3 CLLVD. The main group (10 people) receiving osteopathic treatment and the control group (10 people) receiving standard treatment were formed by simple randomization. At the beginning and the end of the study there were evaluated osteopathic status of study participants, changes in pain intensity by visual analogue scale (VAS), changes in quality of life according to the questionnaire CIVIQ (Chronic Venous Insufficiency Quality of Life Questionnaire), and changes in the diameter of the saphenous veins of the lower extremities.

Results. Osteopathic examination of patients with CLLVD C1–C3 (according to the CEAP classification system) prior to the treatment allowed to establish the presence of somatic dysfunctions of the regional (lumbar and pelvic regions, structural and visceral), and local (diaphragm, sigmoid and caecum) level. The use of osteopathic correction in the main group compared with medical treatment in the control group leads to a statistically significant (p<0,05) decrease in the number of regional biomechanical dysfunctions of the lumbar and pelvic region, visceral components, and local somatic dysfunction of the diaphragm. The use of osteopathic correction in the main group leads to a statistically significant (p<0,01) more expressed reduction in pain intensity and improved quality of life compared to the control group receiving medication. Both osteopathic correction and standard medical treatment are accompanied by a significant (p<0,05) decrease in the diameter of the small saphenous vein of the affected limb, as well as the diameter of the large saphenous vein (only in the group that received osteopathic correction). There were no cases of adverse treatment outcome.

Conclusion. The infl uence of the somatic dysfunctions osteopathic correction on the development of chronic lower limb venous disease (classes C1–C3 according to the CEAP classification system) was studied. It was shown that this infl uence is not inferior to the standard medical method of treatment. The patients′ life quality improves, the experienced pain level decreases, and the subcutaneous veins diameter decreases. In comparison with the control group using the drug method of treatment, there is a statistically significant more expressed decrease in the number of somatic dysfunctions. The obtained results suggest the possibility of osteopathic correction using for C1–C3 class CLLVD according to the international classification system CEAP.  

Introduction. Acquired heart defect affect people of different ages and lead to permanent disability, so this is important social problem. The single effective way to treat acquired heart defect, which can significantly increase the life expectancy of patients, is surgical correction aimed at eliminating severe hemodynamic disorders. Sternotomy mediates subsequent changes in the biomechanics of respiration, contributes to the appearance of pain in the thoracic region of the spinal column and ribs. In this regard, the possibility of osteopathic diagnosis and correction of such patients in the postoperative period is an actual question.

The goal of research — is to investigate the possibility of osteopathic correction in the complex therapy of patients after sternotomy in the connection with the surgical treatment of acquired heart defect.

Materials and methods. The study involved 80 patients after surgical treatment of acquired heart defect. Osteopathic diagnosis was performed before and after surgery. Then, the control (patients received standart treatment) and experimental (patients received standart treatment and osteopathic correction) groups were selected using a simple randomization method. The both group included 40 people. There were assessed the fl uid volume in the pleural cavities (as one of the heart failure indicators) using the ultrasound method for the study of pleural cavities, and the pain intensity (using pain verbal-analogue scale) in both groups before starting treatment. Then the osteopathic diagnostics and theassessment of pain intensity and fl uid volume in the pleural cavities were repeated in each group after completion of the treatment. The collected data was processed by the methods of parametric and nonparametric statistics.

Results. Patients after median sternotomy connected with surgical treatment of acquired heart defect had characteristic somatic dysfunctions: global rhythmogenic (cardiac and respiratory) and biomechanical disorders, regional biomechanical disorders of the thoracic region, dura mater and pelvic region, local somatic dysfunctions of the sternoclavicular joint, sternum, ribs, mediastinum, pericardium and ligaments of the liver. Osteopathic correction in patients of the experimental group after median sternotomy leads to a statistically significant (p<0,05) in the comparison with the control group decreasing in the detection frequency of global (rhythmogenic respiratory and cardiac) and regional (thoracic and pelvic region) somatic dysfunctions. A statistically significant decrease in the pain severity and fl uid volume in the pleural cavities (p<0,05) was also recorded after the treatment in the experimental group.

Conclusion. There was revealed that patients after surgical treatment of acquired heart defect suffered from developed somatic dysfunctions of global, regional and local levels. It was established that osteopathic correction leads to a decrease in the detection frequency of some global and regional somatic dysfunctions, pain severity and fluid volume in the pleural cavities. So the obtained results allowrecommendingthe osteopathic correction as an effective complement to the standard methods of treating patients after surgical treatment of acquired heart defect. 

Introduction. A power and speed abilities are the important qualities of athletes, including racing athletes, and a slight improvement of these qualities can contribute to the achievement of sport success. This can be achieved with an effective and quick recovery of an athlete after physical exertion. In this regard the rational training and regimen, vitamins consumption according with seasonal changes, as well as using of pharmacological drugs affecting energy and plastic processes are traditionally in demand. However stricter anti-doping controls in high-performance sports have significantly limited the use of many pharmacological drugs aimed to speed up recovery of athletes. This circumstance determined the need to search for non-drug methods of effective infl uence on the highly qualified athletes′ organism for contributing to the acceleration of recovery, improving the parameters of the musculoskeletal system and neuromuscular coordination processes. The osteopathic correction of somatic dysfunctions could be such a method. In this regard, it is important to study the osteopathic status of racing athletes, identify common dysfunctions, correct them, and study the effectiveness of osteopathy to achieve optimal recovery of pilots.

The goal of research — is to investigate the osteopathic status and the impact of osteopathic correction on the reaction speed of racing athletes.

Materials and methods. The study involved 30 professional athletes 15–18 years old, male, participating in races in the youthful formula of the F4 NEZ Championship. The study participants were divided by simple randomization into 2 groups: the experimental (15 people) receiving osteopathic correction for 3 months during the racing season, and the control (15 people) not receiving osteopathic correction. The study was conducted for 3 months. The osteopathic status of racing athletes was assessed before and after osteopathic correction, and the changes in their reaction rate were estimated using the FITLIGHT sensorimotor simulator.

Results. The somatic dysfunctions (SD) of the head region, neck region (structural and visceral component), thoracic region (structural and visceral component), lumbar region (structural component), and pelvic region (structural component) were detected in athletes-racers at the study beginning. Differences between the groups in the frequency of detected dysfunctions were statistically insignificant (p>0,05). There was a decrease in the detection of regional SD frequency in the experimental group at the study end after the performed osteopathic correction. On the contrary, the detection frequency of these dysfunctions in the control group increased at the study end. The differences between the groups in the frequency of detected regional dysfunctions became statistically significant (p<0,05). In the experimental group the athletes receiving osteopathic support during the racing season had an improved by 18,5 % (p<0,05) reaction rate at the end of the racing season, and in the control group — without osteopathic support — the improvement was 3 % (p>0,05).

Conclusion. There was detected a decrease in the regional SD detection frequency of athletes-racers, and a tendency to improve their reaction speed indicators under the conditions of using osteopathic correction during the racing season of youth formula 4 athletes. 

According to experts of the World Health Organization the lower back pain (LBP) prevalence in developed countries reaches the pandemic size, and it is a serious medical and socio-economic problem. Acute back pain is transformed into chronic in 10–20 % of working age patients′ cases; this causes serious psychological disorders appearing, forms painful behavior and persists even when the initial pain trigger is eliminated. Data from metaanalyses of randomized controlled trials indicate the effectiveness of the osteopathic approach in the treatment of LBP patients. At the same time the osteopathic correction is effective not only for acute pain, but also for chronic pain. A case from clinical practice is described demonstrating the possibility of osteopathic correction of a LBP patient.

The review presents data about the role of the foot in maintaining of the human postural balance. The foot is considered as a receptive field and an organ-effector of the postural system. Data of the etiology, pathogenesis and methods of flatfoot correction are presented.

Intraventricular hemorrhage (IVH) is a frequent neurological pathology among newborn infants (especially premature) and it is associated with development risk of such neurological complications as cerebral palsy, epilepsy, delayed psychomotor development, etc. The level of functional disorders correlates with the IVH level. The article observes in detail the IVH epidemiology, risk factors, pathogenesis, diagnostics and treatment. There was demonstrated the osteopathic diagnostics expediency and the appropriateness of multidisciplinary approach for the diagnostics and therapy of this pathology.

One of the serious complications after limb injuries is the development of Sudeck–Turner syndrome (refl ex sympathetic dystrophy). The pathology development frequency has recently increased, and varies, according to various literary sources, from 5 to 40 %. The pathology has a progressing nature, and is accompanied by chronic pain, impaired limb function, trophic disorders, gradual deformation of the limb, the development of osteoporosis, stiffness of adjacent joints, and often ends with the patient disability. Patients of this category have a long time treatment (up to 4–6 or more months after removal of immobilization). Various methods of conservative treatment are used: drug therapy, physiotherapy, exercise therapy, blockade, and finally with prolonged and unsuccessful conservative therapy, various types of surgical techniques. But even for the entire complex of modern treatment methods applying the outcome could be unfavorable - contracture develops. So the severity and duration of the disease, the treatment low efficiency, the unpredictability of the pathological process outcome forces traumatologists to look for new treatment methods.

Introduction. Pudendal neuralgia is a canal syndrome. Patients present, among other symptoms, with chronic neuropathic pain, allodynia and dyspareunia; the chronicity of which impact their everyday life.

The goal of research — is to measure the impact of osteopathic care on pudendal neuralgia′s pain.

Materials and methods. Four females and eight males suffering from pudendal neuralgia received two osteopathic treatments within 15 days. Pain was the main outcome measure. We assessed pain through a simple verbal pain rating scale. The scale was used on three occasions: before the first session, before the second one and 15 days later.

Results. 10 out of 12 patients find their pain decreased by 40 % or more. On inclusion, the main pain level is 6,3, before the second session it goes down to 4,5, then to 2,5 after 15 days. This decrease is very highly significant (p<0,0001). Every patient from this study would recommended this approach to a friend suffering from this neuralgia.

Conclusion. Osteopathy seems to be interesting to consider in the global management of pudendal neuralgia. A comparative randomized trial would be necessary to confirm these first results. It would be interesting to compare results obtained with the osteopathic protocol with results from transcutaneous neuroelectric stimulation in order to assess if the action of osteopathy is linked with pain perception only.