Effet à court terme d’une technique ostéopathique de recoil sur un "filum terminale" en restriction d’élasticité tissulaire évaluée par la mesure de la distance doigt-sol.
Étude pilote.
NAKACHE Thomas
Mémoire en vue de l’obtention d’un diplôme d’ostéopathe - Centre Européen d’Enseignement Supérieur en Ostéopathie — CEESO 2016 - Tuteur : TRABOULSIE Achraf. - Date de présentation : 2016
Le Site de l’Ostéopathie remercie le Directeur du CEESO Paris de l’avoir autorisé à présenter ce mémoire
Abstract
CONTEXT : Evidence Based medecine seems to prove excessive medullar traction force to the "filum terminale" could lead to the apparition of diseases like syringomyelia, Arnold Chiari Malformation or idiopathic scoliosis.
OBJECTIVE : To prove a filum terminale recoil technique purposed by the Mechanical Link (LMO) can increase mobility in flexion of the spine to asymptomatic young subjects having elasticity restriction of the tissue of filum terminale
METHODS : This work is a randomised, controlled and one blinded study. Inclusion criterias was : âge > 18 years and existence of an elasticity restriction of the filum terminale. The subjects randomized in two groups : "treatment" and "simulated treatment". First Measurement of the fingertip-to-floor made by two independant operators. In "treatment" group, recoil technic used once or more till adjustment of the restriction, with inter-examineers consensus. Second Measurement made directly after the technic by the operators.
RESULTS : 8 subjects included in the study (treatment group n=4, simulated treatment group n=4). Characteristics of the 2 groups was comparable (weight,height,age, body mass index p>0.05). In "treatment group", flexion mobility gain was insufficiant to be stastisticly significative (d1=21.9 cm ; d2=20.5cm ; p>0.05). In "simulated treatment group", loss of flexion mobility observed was insufficiant to be statisticly significative (d1=17.8 ; d2=23.7 ; p>0.05).
CONCLUSION : Les résultats de l’étude ne permettent pas de conclure que la technique de recoil sur le filum terminale était efficace pour augmenter la mobilité rachidienne en flexion. Le protocole proposé peut être utilisé dans une prochaine étude comprenant plus de sujets ou des sujets atteints de syndrôme de la moelle allongée
The study didn’t permit to conclude recoil technic on the filum terminale was efficient to gain flexion mobility of the spine. The protocol could be used and upgraded in a next study including more asymptomatic subjects or subjects with "tethered cord syndrome"
KEY WORDS : MTF (Medullar Traction Force) / Recoil / LMO (Mechanical Link) / Filum terminale.
