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Sowohl im Tier- als auch Menschenversuch wurde gezeigt, wie emotionaler Stress sich auf myofasziale Eigenschaften auswirkt. Erst in den letzten Jahren wendet sich die Forschung hierbei gezielt den zahlreichen sympathischen Nervenendigungen in den Faszien zu. Es wird vermutet, dass diese Nervenendigungen nicht nur die Mikrozirkulation regulieren, sondern auch mit dem Immunsystem interagieren. Fasziale Fibroblasten wirken als notwendige Teamplayer im Zusammenspiel zwischen Emotionen, Vegetativum, Immunsystem, Entzündungsreaktion und dem enterischen sowie faszialen Mikrobiom. Erste manualtherapeutische Tierversuche deuten an, über welche pro- und antientzündlichen Botenstoffe eine positive Wirkung auf dieses dynamische Wechselspiel bewirkt werden kann. Both animal and human experiments have shown how emotional stress affects myofascial properties. Only in recent years has research turned to the numerous sympathetic nerve endings in the fascia. It is believed that these not only regulate microcirculation, but also interact with the immune system. Fascial fibroblasts act as necessary team players in the interplay between emotions, the autonomic nervous system, immune regulation, the inflammatory response, and the enteric as well as fascial microbiome. First manualtherapeutic animal experiments indicate which pro- and anti-inflammatory messenger substances tend to express positive effects on this dynamic interplay. [ABSTRACT FROM AUTHOR]

Neueste wissenschaftlichen Erkenntnisse über das vegetative Nervensystem werfen unser Denkmodell der Anatomie über den Haufen. Aktuelle Studien zeigen, dass es anscheinend keine parasympathischen Nervenfasern im sakralen Rückenmark gibt. Zudem zählen, neben Sympathikus und Parasympathikus, noch zwei weitere Strukturen zum vegetativen Nervensystem – das enterische Nervensystem und das „little brain on the heart". Die klinischen Krankheitsbilder der vegetativen Nervensysteme sind längst Gegenstand der osteopathischen Forschung und lassen sich anscheinend positiv beeinflussen. The latest scientific findings about the autonomic nervous system throw our way of thinking about anatomy upside down. Recent studies show that there appear to be no parasympathetic nerve fibers in the sakral spinal cord. In addition to the sympathetic and parasympathetic nervous system, there are two other structures in the autonomic nervous system – the enteric nervous system and the „little brain on the heart". The clinical symptoms of the vegetative nervous system have long been a subject of osteopathic research and can be positively influenced. [ABSTRACT FROM AUTHOR]

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Zusammenfassung Die Herzratenvariabilität (HRV) ist eine häufig verwendete Messgröße für die Funktion des autonomen Nervensystems (ANS), das eine zentrale Rolle bei der Anpassungsfähigkeit eines Organismus spielt. Die Osteopathie hat die Bedeutsamkeit des ANS erkannt und integriert, bislang fehlen aber reproduzierbare wissenschaftliche Beweise für die Beeinflussung von Sympathikus und Parasympathikus durch osteopathische Techniken. Die aktuelle Studienlage zeigt die Möglichkeiten der HRV-Messung zur Therapiekontrolle auf und impliziert eine weitere Standardisierung der Messverfahren und ihre Nutzung zur Beurteilung der physischen und psychischen Regulationsfähigkeit. Heart rate variability (HRV) is frequently used as an indicator to measure autonomic nervous system (ANS) function, which plays a major role in the adaptability of an organism. Osteopathy has recognized and integrated the importance of the ANS, but so far there is a lack of reproducible scientific evidence for the influence of osteopathic techniques on the sympathetic and parasympathetic nervous system. Current research is showing the potential of using HRV-analysis to control therapeutic effects and implicates further standardization of the measuring procedure and its use to evaluate the ability of physical and psychological regulation. [ABSTRACT FROM AUTHOR]

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Copyright of Herz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Manuelle Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Nephrologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Zusammenfassung: Hintergrund: Der Einsatz osteopathischer Behandlungstechniken bei Lungenerkrankungen wird seit Langem befürwortet, allerdings wurde die Auswirkung auf die Lungenfunktion nur in wenigen klinischen Studien untersucht. Bis jetzt sind die Effekte osteopathischer Techniken auf das Lungensystem kaum bekannt. Diese Studie hatte daher zum Ziel, die Auswirkungen der Rib-Raising-Technik auf die Lungenfunktion von Patienten mit erhöhtem Atemwegswiderstand zu testen. Methoden: Lungenfunktionsuntersuchungen wurden bei Patienten mit akuten und chronischen Erkrankungen in unserer Praxis durchgeführt. Falls der Atemwegswiderstand erhöht war, wurde den Patienten eine osteopathische Therapie mit der Rib-Raising-Technik angeboten. Die Lungenfunktionsmessungen wurden vor und 10 Minuten nach der Behandlung durchgeführt. Ergebnisse: 21 Patienten im Alter von 13– 85 Jahren, davon 12 männlich, 9 weiblich, mit erhöhtem Atemwegswiderstand (8 Patienten mit akuter oder chronischer Bronchitis, 8 mit Asthma bronchiale, 3 mit COPD) wurden mit der Rib-Raising-Technik behandelt. Bei allen Patienten fiel der Atemwegswiderstand statistisch signifikant ab (p=0.0001). Die Änderungen in FVC, FEV1, PEF, FEF 25, FEF 50, FEF 75 waren statistisch nicht signifikant. Diskussion: Die Ergebnisse der Pilotstudie zeigen, dass der Atemwegswiderstand nach einer Behandlung mit der Rib-Raising-Technik signifikant abfällt. Dies kann erklären, weshalb die meisten Patienten das Gefühl haben, dass sie nach der Rib-Raising-Behandlung leichter atmen können. Die Reduzierung des Atemwegswiderstands wird wahrscheinlich durch eine Kombination verschiedener physiologischer Effekte verursacht. Die folgenden Effekte sollten diskutiert werden: Verbesserung des Bewegungsumfangs des Brustkorbs und hierdurch Reduktion der übererregten Afferenzen der Rückenmarkssegmente, Erhöhung der Aktivität der sympathischen schnellen Nervenfasern, die zu den Nebennieren ziehen, wodurch eine erhöhte Freisetzung von Adrenalin und Noradrenalin ausgelöst wird, Neuromodulation des sympathischen Nervensystems durch nicht adrenerge nicht cholinerge Wirkmechanismen und schließlich die Reduktion der Aktivität der langsamen Nervenfasern des sympathischen Nervensystems, die bis zu den Medullakernen ziehen. [Copyright &y& Elsevier]

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Copyright of Osteopathische Medizin is the property of Elsevier GmbH, Urban & Fischer Verlag and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Large epidemiological studies have repeatedly suggested a possible association between restless legs syndrome (RLS) and common cardiovascular diseases and cardiovascular risk factors. Patients complaining of symptoms of RLS were also more likely to suffer from coronary artery disease, stroke, or, in some instances, hypertension. The underlying pathogenesis of the disease association depicted above has not been elucidated conclusively. Increased activation of the sympathetic nervous system - due to the RLS itself and the frequently accompanying periodic limb movements - has been linked to increased cardiovascular stress in patients with RLS. [ABSTRACT FROM AUTHOR]

Copyright of Der Schmerz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Two female patients were referred to us with a complex regional pain syndrome (CRPS) of the upper limb. One patient developed a CRPS type 1 after a radius fracture, the other presented a CRPS type 2 after a wrist trauma with a nerve injury of N. ulnaris. Both patients had progressive pain in spite of medical treatment (NSAID, Gabapentine, Calcitonine), physiotherapy, occupational therapy and osteopathy. In addition to pain they also showed the typical autonomic symptoms like oedema, hyperhidrosis, disturbances of skin colour and temperature and a severely limited motility of wrist and fingers. The clinical symptoms of both types of CRPS are identical and not restricted to the peripheral nerve distribution. The sympathetic nerve system is not only involved in the pain mechanism with reflectory processes in the segment and with the sympathetic afferent coupling, it also takes part in the neuroplasticity and in the neurogenic inflammation. The logical therapeutic intervention is therefore to normalize the hyperactivity of the sympathetic nerve systems with local anaesthetics. This regulation is done with injections to the stellate ganglion if upper limbs are affected (affections of lower limbs are treated with injections to the lumbar sympathetic trunk). Repeated injections to the stellate ganglion caused immediate improvement of pain and other symptoms in both patients. [ABSTRACT FROM AUTHOR]

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Copyright of Der Hautarzt is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)