Regarding the assessment of the influence of thoracic spine manual therapy on the women 's cardiovascular system in the course of sanatorium treatmen

Abstract

Purpose: The purpose of this study was to evaluate the reaction of the cardiovascular system of women to manual therapy procedures on the chest during the course of sanatorium-resort treatment of osteochondrosis of the spine. Material and methods Under supervision were 29 women aged 37.8 (31.3; 45.8) years who underwent a course of sanatorium-resort treatment for osteochondrosis of the thoracic spine in the clinical sanatorium named after V.P. Chkalov (Odesa, Ukraine) in 2010-2011. The treatment complex included of 4 thoracic spine manual therapy (TSMT) procedures, which were performed every 5-7 days of sanatorium-resort treatment. The indicators of the cardiovascular system were recorded using the Omron M1 Classic device (Japan) in a supine position before and after every procedure TSMT. Results In general, the same type of significant changes is noted for most of the hemodynamic indicators under the influence of TSMT procedures. This applies to parameters DBP (mmHg), which increase, HR (min-1 ), which decrease, and integral indicators – Double product (cu.) and Index Kerdo (cu.), which also decrease. Changes in MBP (mmHg) and PBP (mmHg) are not always significant. Taking into account distribution of types Δ Double product and Δ Kerdo`s Index, it can be stated that the optimal reaction to the TSMT procedure was observed most often after the 2nd procedure - in 62.1% of patients for heart`s contractile function and in 65.5% for autonomic regulation of hemodynamics. It is also informative that from procedure to procedur the number of cases falling into the extreme limits of the distribution and being assigned to excessively pronounced and inadequate types of response significantly decreases. According to the indicator Δ Double product their number from the first to the fourth procedure decreases from 17.2% to 3.4%, and according to the indicator Δ Kerdo`s Index from 17.2% to 6.8%. Conclusions. Determination of changes in indicators of the cardiovascular system activity under the influence of the thoracic spine manual therapy procedure made it possible to characterize the types of reactions of the cardiovascular system.