Does Osteopathic Manipulative treatment (OMT) affect the flow of internal jugular vein (lJV) in an individual with Multiple Sclerosis (MS). Single case study measured by ultrasound machine.
Item
- Title
- Does Osteopathic Manipulative treatment (OMT) affect the flow of internal jugular vein (lJV) in an individual with Multiple Sclerosis (MS). Single case study measured by ultrasound machine.
- Author(s)
- Kozlovska, J
- Abstract
- Background: Multiple sclerosis (MS) affects large number of people in the UK with the variety of symptoms including possible venous impairment insufficiency. Whilst there are many studies which focus on the effects of pharmacology upon the symptoms of MS there is little research into manual therapy. As venous flow is affected by lymphatic drainage it is of interest to find out if osteopathic treatment could be of use to MS patients as part of a palliative care system. This study particularly focused on fascial and lymphatic drainage techniques, due to its association with a venous flow. Objective: The objective of this study is to investigate if osteopathic Manipulative treatment (OMT) increases the flow of the IJV in an MS participant. Design: eight week single case study of ABAB design. Method: Participant was selected according to the inclusion/exclusion criteria. The approach was to monitor patient with a clinically diagnosed MS condition in a mild stage for an 8 week period (baseline, intervention, withdrawal, intervention) assessing the flow of the lnternal Jugular Vein (lJV) using the colour-doppler ultrasound machine after and before the osteopathic treatment in supine position. All data were obtained before and after the experimental and baseline phases to assess the venous flow and was analyzed via the visual analysis creating two different graphs. Results: Patient was a 35 year old female clinically diagnosed with relapsing remitting MS with an Expanded Disability Scale Score (EDSS) of 1.5. No mobility issues, no previous manual treatments, non MS medications been taken during the research. The exclusion criteria was to exclude the use of contraceptive pill, smoking. Primary outcome measures of the post treatment phase showed no significant difference at a flow rate or diameter. There was no statistically significant difference in any of the secondary outcome measures in either the diameter or the flow rate of the lJV. Discussion: The findings were consistent with current literature in that there was no statistically significant difference in flow volume/rate or diameter. Flow of the IJV was found to be inconclusive at the post intervention phase. Studies suggest that neck venous compression is a new hemodynamic condition associated with MS that can promote vascular pathologies. Many muscles can be involved in the venous disruption such as omohyoid and scalenes, which were not addressed in this study, but the fascial and lymphatic connections were addressed. Up until today only surgical procedures were suggested to help with the flow of lJV. Conclusion: osteopathic manipulative treatment (OMT) does not appear to have an impact on a flow rate of the lJV. The literature discussed whether this could be due to a fascia which encloses lymphatic nodes in the neck but further research is needed.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16043
- Inst-Identifier
- 1229
- Keywords
- Fascia, Internal Jugular vein, Multiple sclerosis, lymphatic and venous flow venous compression; Ultrasound.
- Recommended
- 0
- Item sets
- Thesis
Kozlovska, J, “Does Osteopathic Manipulative treatment (OMT) affect the flow of internal jugular vein (lJV) in an individual with Multiple Sclerosis (MS). Single case study measured by ultrasound machine.”, Osteopathic Research Web, accessed April 23, 2025, https://library.wso.at/s/orw/item/493