Comparison of osteopathic and reflexotherapeutic diagnostic results in patients with cervical dorsopathy
Authors: Belash V. O. , Mokhov D. E. 
Published: December 2024

Introduction. The main direction of conservative treatment of patients with dorsopathies remains drug therapy, but most clinicians agree that even the «best» drug therapy does not always help to achieve the desired results, and in addition is not without a number of known problems — allergic reactions, side effects, polypragmasy, impossibility of use due to the presence of comorbid pathology. Therefore, in recent years there has been an increase in interest in various non-medicamentous methods of treatment of dorsopathies: massage, physical therapy, physiotherapy, manual therapy and osteopathy, reflexotherapy. Previous work has demonstrated the clinical effectiveness of both reflexotherapy and osteopathic correction in the treatment of patients with dorsopathies. Both osteopathy and reflexology are disciplines that actively position a holistic approach to the human body and subsequent treatment. But at the same time, the question of coincidence or inconsistency of the results of diagnostic protocols of the two «fundamental» non-medicinal approaches has not been studied before. All of the above predetermined the purpose of this study.

The aim of the study: to compare the results of osteopathic and reflexotherapeutic diagnostics in patients with dorsopathy of the cervical spine.

Materials and methods. The cross-blind study was conducted on the basis of the medical clinic LLC «Mokhov Institute of Osteopathy» (Saint-Petersburg) in the period from September 2018 to December 2022. 110 patients (68 women and 42 men) with dorsopathy of the cervical spine were under observation. All patients underwent a one-stage assessment of osteopathic status and electropuncture diagnosis according to the method of I. Nakatani, and the level of pain syndrome was measured. All measurements were performed by different specialists, which allowed «blinding» the results obtained.

Results. Somatic dysfunctions (SD) of the global level were revealed in 19 (17 %) people and were represented mainly by the disorder of cranial rhythmic impulse production and psychovisceral-somatic disorder. SD of the regional level were revealed in the majority of the examined patients (98 people, 89 %). The most typical were dysfunctions of the following regions: neck (structural component), thoracic (structural component), pelvis (structural and visceral components), dura mater. Local SD were diagnosed in all examined patients (110 patients, 100 %). Among local SD the most frequently revealed were dysfunctions of separate vertebralmotor segments, separate joints of the skull, sacrum, knee joint, ankle joint. Pain syndrome of moderate severity was characteristic for the examined patients. Electropuncture diagnostics according to the methods of I. Nakatani allowed to estimate the state of acupuncture meridians in the so-called representative points. According to the data obtained for the examined patients the most typical were hypofunction of lung meridian and hyperfunction of heart, bladder and kidney meridians. In accordance with the set goal we evaluated the conjugation between the results of osteopathic and reflexotherapeutic diagnostics. A medium association was found between: Lung SD and hypofunction of the corresponding meridian (conjugation coefficient 0,58), small intestine SD and hypofunction of the corresponding meridian (conjugation coefficient 0,52). A high strength association was found between: pericardial ligament SD and hypofunction of the corresponding meridian (contiguity coefficient 0,78), liver SD and hypofunction of the corresponding meridian (contiguity coefficient 0,74), kidney SD and hypofunction of the corresponding meridian (contiguity coefficient 0,8).

Conclusion. Patients with cervical dorsopathy are primarily characterised by SD of regional and local levels. The connections between separate SD (both local independent and in the «structure» of regional biomechanical disorders) and hypofunction of corresponding meridians revealed in the course of this work potentially allow us to speak about comparability of separate results of osteopathic and reflexotherapeutic diagnostics. At the same time, it is interesting that the manual findings are comparable only with hypofunction of meridians.