One of the important attributes of a medical specialty is the availability of the specialized scientific and practical journal that allows professionals to conduct an open scientific discussion. The osteopaths of Russia have such a journal appeared in 2010 — the Russian Osteopathic Journal (ROJ). The development p of the journal and its achievements to date has been traced in detail in the article. The content and scientometric indicators of erysipelas were compared with Russian and foreign medical journals, including those publishing articles on osteopathy. ROJ has become the mouthpiece of the specialty and meets the high international and Russian standards.

Introduction. For a qualitative restoration of the knee joint function after arthroscopic reconstruction of the anterior cruciate ligament, the process of engraftment, restoration of the strength and viability of the graft (new anterior cruciate ligament) is important. The weakening of the inflammatory process after surgery and the return of strength and tone to the muscles that ensure the proper functioning of the injured knee joint are equally important. Restoring the properties of the damaged fascia, providing proprioceptive control of the periarticular muscles for the stability of the knee joint are the priorities of the rehabilitation process. Somatic dysfunctions that have been previously presented, as well as have appeared at the time of injury or during surgery, slow down recovery. Therefore, the inclusion of osteopathic treatment in the rehabilitation process seems to be a logical step. However, the problem of the osteopathic correction role in the rehabilitation process in case of the anterior cruciate ligament damage has been covered very little in the specialized literature.

The aim of the study is to substantiate the use of osteopathic correction in the complex rehabilitation of patients after anterior cruciate ligament reconstruction surgery.

Materials and methods. The study involved 47 patients who underwent arthroscopic knee surgery for reconstruction of the anterior cruciate ligament. 23 patients who underwent the recommended rehabilitation course were included in the control group, 24 patients who additionally received a course of osteopathic correction were included in the main group. Before and after the treatment, there were assessed osteopathic status of patients, the range of movements in the operated knee joint, the dynamics of the inflammatory process (according to such indicators as changes in the local temperature of the knee joint and the thermal symmetry, as well as the circumference of the knee joint), and the pain intensity.

Results. At the beginning of the study, regional somatic dysfunctions of the lower limb region were most often detected in main and control groups (100 and 65,2 %, respectively) and the pelvic region (91,7 and 87 %, respectively). After the treatment, statistically significant (p<0,05) positive dynamics was observed in the main group in terms of such indicators as the detection frequency of regional dysfunctions of the lower extremities, pelvis, neck and thoracic region. There was no significant dynamics in the control group. In both groups, there was a significant (p<0,05) positive dynamics in such indicators as the range of movements in the joint, local temperature and thermal symmetry, joint circumference, pain intensity. A statistically significantly (p<0,05) more pronounced result was observed in the main group than in the control group for all the listed indicators.

Conclusion. The study confirms the positive contribution of osteopathic correction to expanding the possibilities of complex rehabilitation of patients after arthroscopic anterior cruciate ligament plasty. However, it is recommended to continue research in this direction on a larger sample size.

Introduction. Post-puncture syndrome (PPS) is a complex of symptoms that occurs 1–2 days after spinal anesthesia or lumbar puncture, and the headache is a leading symptom. Currently, there is no effective method of non-invasive treatment of PPS. Based on the possible role of dura mater damage in the PPS pathogenesis, it is reasonable to assume that the identification and osteopathic correction of somatic dysfunctions in the respective regions may be effective in the treatment of patients suffering from PPS.

The aim of the study is to substantiate the possibility of using osteopathic correction in the treatment of patients suffering from post-puncture syndrome.

Materials and methods. The study involved 40 patients with PPS syndrome aged 20 to 50 years who were hospitalized after surgery with spinal anesthesia using. Patients were randomized into two groups — control (20 patients) and main (20 patients). All study participants were prescribed bed and medium drinking (25–30 ml/kg body weight) regimen. Participants of the main group additionally received a single hour session of osteopathic correction on the first day after the operation. All patients were examined at the start of treatment and on the third day after the start of a treatment. The severity of pain was assessed using a visual analogue scale (VAS, from 0 to 10 points), the severity of PPS and the osteopathic status.

Results. Patients suffering from PPS are characterized by the presence of intense pain syndrome (5–6 points according to VAS); they are characterized by a headache that worsens during taking a vertical position and is accompanied by dizziness and nausea. These patients are characterized by the presence of biomechanical disorders in the regions of the head, dura mater, lower extremities and neck (structural component). The use of osteopathic correction is accompanied by a statistically significant (p<0,05) decrease in the pain syndrome intensity, relief of PPS symptoms, and a decrease in the detection frequency of the most regional somatic dysfunctions.

Conclusion. Based on the results obtained, it seems possible to recommend the inclusion of osteopathic correction in the complex of therapeutic measures for patients suffering from PPS.

Introduction. Tension-type headache (TTH) is known to be the most common type of headache in all age groups. The guidelines of the European Federation of Neurological Societies, the Italian Guidelines for Primary Headaches and the Italian Consensus Conference on Pain in Neurorehabilitation report that non-pharmacological therapies are valid adjunctive treatments for TTH. Previous studies have shown that the use of general osteopathic treatment in patients with TTH is accompanied by a significant decrease in the severity of pain syndrome and asthenic condition. We did not find any scientific publications devoted to the objectification of the results of osteopathic correction in TTH using magnetic resonance imaging (MRI).

The aim of the study was to objectify the results of osteopathic correction by assessing changes in the liquor dynamics of the posterior cranial fossa in patients with tension-type headache.

Materials and methods. The study was conducted from December 2020 to December 2021 at the clinic of the Center for New Medical Technologies, Novosibirsk. There were under the observation 10 patients with an established diagnosis of TTH aged from 18 to 55 years, 4 men, and 6 women. All patients before the start of treatment and after the course completion were assessed for their osteopathic status and underwent high-field MRI 3T of the brain with the calculation of the posterior cranial fossa restriction index (CFRI). CFRI reflects the state of liquorodynamics at the level of the skull base and shows the level of freedom in the relationship between fluid spaces and brain tissues. Study participants received a course of osteopathic correction, which included 3–4 procedures with an interval of 5–7 days. The observed patients did not receive any other therapy during the study period.

Results. The examined patients were most characterized by regional biomechanical disorders (RBD): head (9); neck, structural component (5); thoracic, visceral component (5); dura mater region (9). In terms of severity, mild RBD prevailed (1 point). After treatment, patients have a decrease of the detection frequency of major regional somatic dysfunctions (SD). Statistically significant differences (p<0,05) were obtained in the SD incidence of head region; neck region, structural component; thoracic, visceral component; dura mater region. A statistically significant (p<0,05) increase in the mean CFRI from 30,22±0,63 to 31,78±0,73 % was found after the treatment.

Conclusion. The results of the high-field MRI with the study of CFRI allow to quantitatively assess the changes of the cerebrospinal fluid dynamics in patients with tension-type headache, and it can be used as an objective criterion for the osteopathic correction results and the therapy clinical effectiveness. The study should be continued with a more representative sample.

Introduction. During the COVID-19 pandemic, the effective medical rehabilitation of patients who have suffered community-acquired pneumonia is crucial, and the osteopathic correction can take its rightful place along with other rehabilitation methods. The studies of osteopathic approaches in the treatment of pneumonia are described in available sources for the inpatient stay of patients. The issues of the effectiveness of osteopathic correction in more distant periods of rehabilitation after community-acquired pneumonia are poorly covered and therefore became the basis for the presented work.

The aim of the study is to research the effectiveness of the osteopathic correction inclusion in the outpatient rehabilitation program for patients after community-acquired pneumonia.

Materials and methods. A prospective, controlled, randomized study was conducted at the Clinic of the Eurasian Institute of Osteopathic Medicine (Bishkek, Kyrgyz Republic) from January to June 2021. 30 patients who have suffered community-acquired pneumonia of mild and moderate severity were examined, including 15 people of the main group who received osteopathic correction every 7 days for 3–4 weeks and simultaneously performed the recommended set of exercises of physical therapy (exercise therapy); 15 people of the control group, without osteopathic correction, only a set of exercise therapy exercises was recommended for these patients. The evaluation of the effectiveness of osteopathic correction was carried out on the basis of the analysis of spirometry, pulse oximetry, functional tests of the Stange and Genchi, and the life quality by the MOS SF-36 questionnaire.

Results. The study showed that the inclusion of osteopathic correction in the rehabilitation of patients who have suffered community-acquired pneumonia significantly (p<0,05) improves the indicators of the external respiration function, namely, the vital capacity of the lungs, increases the body′s resistance to hypoxia and hypercapnia, and improves the life quality.

Conclusion. The obtained results allow us to reasonably recommend the inclusion of osteopathic correction in outpatient rehabilitation programs for patients who have suffered community-acquired pneumonia.

Introduction. In the comprehensive rehabilitation of patients with lower limbs amputations (LLA), there are currently used: physical therapy, mechanotherapy, physiotherapy. Despite the availability of rehabilitation methods, full correction of postural balance in patients with lower limbs amputations remains an urgent medical problem. Osteopathy has not been used in the rehabilitation of such patients until recently, despite the proven effect of normalizing muscle tone, neurohumoral system, as well as improvement of blood circulation and lymphatic outflow after osteopathic correction.

Aims: To study the effect of osteopathic correction on postural balance in patients with lower limb amputations at the transtibial level.

Materials and methods. 59 patients (37 men and 22 women, average age 57 years) with LLA at the transtibial level were examined using stabilography in outpatient on the basis of the Albrecht Federal Scientific Center for Rehabilitation of the Disabled. The patients were randomly divided into 2 groups: the main group (n=32) receiving osteopathic correction and the control group (n=27) receiving sham therapy. Both groups were divided into subgroups depending on the cause of amputation: traumatic and vascular. All patients underwent stabilography 4 times: before and after the first session of osteopathic correction or sham therapy, as well as before and after the second session. The stability of the position was assessed by the amplitude of the 1st maximum of the spectrum in the sagittal and frontal component, statokinesiogram area, work expended indicator, speed deviation of the center of pressure, standard deviation of the center of pressure in the sagittal and frontal planes.

Results. The method of stabilography objectively confirmed the positive effect of osteopathic correction on postural balance in patients with traumatic and vascular genesis of amputation — in the form of stability increase after the 1st, before the 2nd and after the 2^nd session of osteopathic correction compared to the data before osteopathic correction for all studied parameters (p<0,05). Patients from the control group of vascular genesis also had a statistically significant increase in stability after the 1st session and the 2^nd sessions of sham therapy in terms of work expended, which returned to its original values before the second session, which indicates the short-term nature of the changes.

Conclusion. The study showed an improvement in postural balance according to stabilography data in patients with lower limbs amputations of traumatic and vascular genesis who underwent osteopathic correction.

The development of methods for timely and effective correction of the body somatic dysfunctions is currently one of the urgent tasks of medicine. The article, presented in the form of a lecture, summarizes the results of previous studies of the human connective tissue adaptive reactions to external influences. There are considered histological and biochemical mechanisms of formation of structural and functional adaptation of connective tissue, main cells and intercellular matrix, underlying in particular in the formation of somatic dysfunction. Markers of venous circulatory disorders in the form of hypercapnia, a marker of arterial circulation in the form of hypoxia and a marker of functional disorders of innervation and mobility in the form of compression were selected as environmental factors in the study. As an example, based on the laboratory studies results, a method of somatic dysfunctions correction is proposed. It includes a certain order of osteopathic, manual actions on the body or body parts aimed at eliminating the effects of compression, hypercapnia (excess carbon dioxide) and hypoxia (oxygen deficiency). Also the justification of this method use in medical rehabilitation is proposed.

The urgency of the chronic pelvic pain syndromes problem is due both to their relatively high prevalence and, in general, to the significant complexity of their diagnosis and treatment. Pain in the pelvic region, according to different authors, affects from 2,1 to 24% of women worldwide, occurring approximately twice as often as in men. Despite the sufficient knowledge of the problem, curation of patients with chronic pelvic pain syndrome still has difficulties both at the stage of diagnosis and at the stages of treatment. Among chronic pelvic pain syndromes, neuropathy of the pudendal nerve — n. pudendus, due to its specific symptoms, is both one of the most painful for the patient and a diagnostically and therapeutically difficult disease. The problems of isolated use and mutual compatibility of various non-drug methods are still not well understood, and the use of drugs often does not bring the desired effect, contributing to the chronicity of the process. However, according to previous studies, osteopathic correction is pathogenetically substantiated and effective in the treatment of patients with tunnel neuropathies of other localization and can be used both as part of complex treatment and as monotherapy. A case report about the isolated use (monotherapy) of osteopathic correction in a patient with pudendal neuropathy is presented.

Introduction. Dysfunction of the temporomandibular joint (TMJ), and especially such a symptom as facial pain, is one of the most common diseases in the modern world. Among the publications devoted to this problem, works about osteopathy as a method of TMJ treating have become increasingly common, and it allows us to summarize these works within the framework of a systematic review with using a meta-analysis.

Aim: to study according to the literature the results of the osteopathic correction using for patients with TMJ dysfunctions, and to conduct a meta-analysis.

Materials and methods. The selection of scientific papers from the available databases was carried out according to the following criteria. Inclusion criteria: availability of the article full text in Russian or English; patients aged from 18 to 65 years examined by a dentist and diagnosed with TMJ dysfunction; division of patients into 2 groups: receiving standard treatment in one group, and osteopathic and standard treatment in another group; the results of dental examination are described; the duration of observations from 3 to 6 months. Non-inclusion criteria: description of a single clinical case; the sample under study was less than 20 patients; studies on healthy volunteers; the presence of surgical and traumatological pathology in patients (the consequences of improperly fused fractures, orthognathic surgery, resorption of the condyles of the mandible). There was used R-studio program, including meta package, to perform meta-analysis. There was also used the Newcastle–Ottawa scale to assess the risk of systematic errors in the cohort studies.

Results. The final analysis by the indicator of pain reduction in the head area according to the 10-point visualanalog scale (VAS) included 3 articles. The Newcastle scale′s results showed a low risk of systematic errors. The performed calculations support generally the assumption of the advantage of osteopathic correction inclusion in the therapy in terms of reducing the severity of pain syndrome, estimated in points according to VAS. When assessing the osteopathic status in all studies, the somatic dysfunctions of the head, neck region and local somatic TMJ dysfunctions were mainly detected in patients with TMJ dysfunctions.

Conclusion. Based on the studied literature and the results of this meta-analysis, it can be concluded the advantage of osteopathic correction inclusion in the treatment of TMJ dysfunctions.

Chronic tonsillitis is a very common disease in which conventional methods of treatment could be not effective enough. The review describes in detail the etiology and pathogenesis of chronic tonsillitis, as well as anatomical features of the neck region. Based on the knowledge about the mechanisms of the therapeutic effect of osteopathic correction (OC), there are indicated the elements of pathogenesis that can potentially be affect by OC in this disease.

As observed during this investigation, the dysfunctions of the Scapular Waist are frequent musculoskeletal processes in the professional consultation, after cervicalgias and lumbalgias, therefore the study and the investigation on the possible causes is of great importance, and consequently the adequate therapeutics. The purpose of this research is the application of a soft tissue osteopathic technique, «streching with a specific fixation point», with certain maintenance times to achieve its effective flexibility. We worked with a total of 50 subjects, adults of both sexes. The participants were between 30 and 80 years of age. A goniometric measurement was made before and after the intervention. In conclusion, it was found that there are no statistically significant differences between the control group and the experimental group in the pre-intervention mobility levels, nor in the preand post-intervention mobility levels in the control group. It was observed that there are statistically significant differences in the pre and post intervention mobility levels in the experimental group and between the experimental group and the control in post intervention levels.