The Experts below are selected from a list of 117 Experts worldwide ranked by ideXlab platform
R. C. V. Da Silva - One of the best experts on this subject based on the ideXlab platform.
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux
'Wiley', 2013Co-Authors: R. C. V. Da Silva, L. H. De Souza Fontes, Pascual-vaca A. O., Herbella Fernandes F. A. M., Dib R. A., Blanco C. R., Queiroz R. A., Navarro-rodriguez T.Abstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. the clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. the objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. the average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. the MEP had no statistical difference (P= 0.146). the values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.Gastroenterology Discipline of University of São Paulo School of MedicineEscuela de Osteopatia de MadridEscuela Osteopatia Madrid, Madrid, SpainUniv Seville, Dept Physiotherapy, Seville, SpainUniv São Paulo, Dept Gastroenterol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilWeb of Scienc
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux.
Diseases of The Esophagus, 2012Co-Authors: R. C. V. Da Silva, Á. O. Pascual-vaca, L. H. De Souza Fontes, F. A. M. Herbella Fernandes, Ricardo Dib, C. R. Blanco, R. A. Queiroz, Tomas Navarro-rodriguezAbstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. The clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. The objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. The average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. The MEP had no statistical difference (P= 0.146). The values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.
Tomas Navarro-rodriguez - One of the best experts on this subject based on the ideXlab platform.
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux.
Diseases of The Esophagus, 2012Co-Authors: R. C. V. Da Silva, Á. O. Pascual-vaca, L. H. De Souza Fontes, F. A. M. Herbella Fernandes, Ricardo Dib, C. R. Blanco, R. A. Queiroz, Tomas Navarro-rodriguezAbstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. The clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. The objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. The average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. The MEP had no statistical difference (P= 0.146). The values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.
L. H. De Souza Fontes - One of the best experts on this subject based on the ideXlab platform.
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux
'Wiley', 2013Co-Authors: R. C. V. Da Silva, L. H. De Souza Fontes, Pascual-vaca A. O., Herbella Fernandes F. A. M., Dib R. A., Blanco C. R., Queiroz R. A., Navarro-rodriguez T.Abstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. the clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. the objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. the average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. the MEP had no statistical difference (P= 0.146). the values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.Gastroenterology Discipline of University of São Paulo School of MedicineEscuela de Osteopatia de MadridEscuela Osteopatia Madrid, Madrid, SpainUniv Seville, Dept Physiotherapy, Seville, SpainUniv São Paulo, Dept Gastroenterol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilWeb of Scienc
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux.
Diseases of The Esophagus, 2012Co-Authors: R. C. V. Da Silva, Á. O. Pascual-vaca, L. H. De Souza Fontes, F. A. M. Herbella Fernandes, Ricardo Dib, C. R. Blanco, R. A. Queiroz, Tomas Navarro-rodriguezAbstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. The clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. The objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. The average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. The MEP had no statistical difference (P= 0.146). The values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.
Stephen P Myers - One of the best experts on this subject based on the ideXlab platform.
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Osteopathic intervention in chronic non-specific low back pain: a systematic review
BMC Musculoskeletal Disorders, 2013Co-Authors: Paul J Orrock, Stephen P MyersAbstract:Background Chronic Non Specific Low Back Pain (CNSLBP) is a common, complex and disabling condition that has been present for longer than three months and is not caused by a serious pathology. Osteopaths are health practitioners who commonly diagnose and treat CNSLBP patients using a complex set of interventions that includes manual therapy. The study aimed to complete a Systematic Review of clinical research into Osteopathic intervention in CNSLBP using a rigorous assessment of study quality. Methods The literature was searched to August 2011 using the following databases: AMED, CINAHL Plus, Cochrane Central Register of Clinical Trials, MEDLINE Plus, EMBASE, MANTIS, OSTMED, PED ro , ScienceDirect. Multiple search terms were used in various combinations: osteopathy/Osteopathic, Osteopathic Manipulative Technique, OMT, Spinal Manipulative Therapy, SMT, clinical trial, back pain, chronic back pain. The inclusion criteria were papers that: reported clinical trials; had adult participants; tested the effectiveness and/or efficacy of Osteopathic manual therapy intervention applied by osteopaths, and had a study condition of CNSLBP. The quality of the papers was assessed using the Cochrane Back Review Risk of Bias criteria. A meta-analysis would proceed if the studies had adequate clinical and methodological homogeneity. Results Initial searches revealed 809 papers, 772 of which were excluded on the basis of abstract alone. The remaining 37 trial papers were subjected to a more detailed analysis of the full text, which resulted in 35 being excluded. The two remaining trials had a lack of methodological and clinical homogeneity, precluding a meta-analysis. The trials used different comparators with regards to the primary outcomes, the number of treatments, the duration of treatment and the duration of follow-up. Conclusion There are only two studies assessing the effect of the manual therapy intervention applied by Osteopathic clinicians in adults with CNSLBP. One trial concluded that the Osteopathic intervention was similar in effect to a sham intervention, and the other suggests similarity of effect between Osteopathic intervention, exercise and physiotherapy. Further clinical trials into this subject are required that have consistent and rigorous methods. These trials need to include an appropriate control and utilise an intervention that reflects actual practice.
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Osteopathic intervention in chronic non-specific low back pain: a systematic review
BMC Musculoskeletal Disorders, 2013Co-Authors: Paul J Orrock, Stephen P MyersAbstract:Chronic Non Specific Low Back Pain (CNSLBP) is a common, complex and disabling condition that has been present for longer than three months and is not caused by a serious pathology. Osteopaths are health practitioners who commonly diagnose and treat CNSLBP patients using a complex set of interventions that includes manual therapy. The study aimed to complete a Systematic Review of clinical research into Osteopathic intervention in CNSLBP using a rigorous assessment of study quality. The literature was searched to August 2011 using the following databases: AMED, CINAHL Plus, Cochrane Central Register of Clinical Trials, MEDLINE Plus, EMBASE, MANTIS, OSTMED, PEDro, ScienceDirect. Multiple search terms were used in various combinations: osteopathy/Osteopathic, Osteopathic Manipulative Technique, OMT, Spinal Manipulative Therapy, SMT, clinical trial, back pain, chronic back pain. The inclusion criteria were papers that: reported clinical trials; had adult participants; tested the effectiveness and/or efficacy of Osteopathic manual therapy intervention applied by osteopaths, and had a study condition of CNSLBP. The quality of the papers was assessed using the Cochrane Back Review Risk of Bias criteria. A meta-analysis would proceed if the studies had adequate clinical and methodological homogeneity. Initial searches revealed 809 papers, 772 of which were excluded on the basis of abstract alone. The remaining 37 trial papers were subjected to a more detailed analysis of the full text, which resulted in 35 being excluded. The two remaining trials had a lack of methodological and clinical homogeneity, precluding a meta-analysis. The trials used different comparators with regards to the primary outcomes, the number of treatments, the duration of treatment and the duration of follow-up. There are only two studies assessing the effect of the manual therapy intervention applied by Osteopathic clinicians in adults with CNSLBP. One trial concluded that the Osteopathic intervention was similar in effect to a sham intervention, and the other suggests similarity of effect between Osteopathic intervention, exercise and physiotherapy. Further clinical trials into this subject are required that have consistent and rigorous methods. These trials need to include an appropriate control and utilise an intervention that reflects actual practice.
Navarro-rodriguez T. - One of the best experts on this subject based on the ideXlab platform.
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Increase of lower esophageal sphincter pressure after Osteopathic intervention on the diaphragm in patients with gastroesophageal reflux
'Wiley', 2013Co-Authors: R. C. V. Da Silva, L. H. De Souza Fontes, Pascual-vaca A. O., Herbella Fernandes F. A. M., Dib R. A., Blanco C. R., Queiroz R. A., Navarro-rodriguez T.Abstract:The treatment of gastroesophageal reflux disease may be clinical or surgical. the clinical consists basically of the use of drugs; however, there are new Techniques to complement this treatment, Osteopathic intervention in the diaphragmatic muscle is one these. the objective of the study is to compare pressure values in the examination of esophageal manometry of the lower esophageal sphincter (LES) before and immediately after Osteopathic intervention in the diaphragm muscle. Thirty-eight patients with gastroesophageal reflux disease - 16 submitted to sham Technique and 22 submitted Osteopathic Technique - were randomly selected. the average respiratory pressure (ARP) and the maximum expiratory pressure (MEP) of the LES were measured by manometry before and after Osteopathic Technique at the point of highest pressure. Statistical analysis was performed using the Student's t-test and Mann-Whitney, and magnitude of the Technique proposed was measured using the Cohen's index. Statistically significant difference in the Osteopathic Technique was found in three out of four in relation to the group of patients who performed the sham Technique for the following measures of LES pressure: ARP with P= 0.027. the MEP had no statistical difference (P= 0.146). the values of Cohen d for the same measures were: ARP with d= 0.80 and MEP d= 0.52. Osteopathic Manipulative Technique produces a positive increment in the LES region soon after its performance.Gastroenterology Discipline of University of São Paulo School of MedicineEscuela de Osteopatia de MadridEscuela Osteopatia Madrid, Madrid, SpainUniv Seville, Dept Physiotherapy, Seville, SpainUniv São Paulo, Dept Gastroenterol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Escola Paulista Med, São Paulo, BrazilWeb of Scienc
