Research, Articles & Case Studies
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Brain gives up more secrets
McGill University Health CentreCurriculums: Healing From the Core,
New Ground has been broken in our understanding of the complex functioning of the brain. The research demonstrates that brain cells, known as astrocytes, which play fundamental roles in nearly all aspects of brain function, could be adjusted by neurons in response to injury and disease.
CranioSacral Therapy and Visceral Manipulation: A New Treatment Intervention for Concussion Recovery
Gail Wetzler, PT, DPT, EDO, BI-D, Melinda Roland, MA, PT, LAc, OMD, Dipl-Ac, CST-D, Sally Fryer-Dietz, PT, DPT, CDT-D, SIPT Cert, and Dee Dettmann-Ahern, PT, BI-DCurriculums:
ABSTRACT
Background: Military service members and veterans face
health issues related to traumatic brain injury (TBI), especially during
combat, use of heavy equipment, and exposures to environmental hazards and
explosives. There were 400,000 TBIs reported in deployed U.S. troops in 2012.
Athletes are also subject to TBI. Studies have indicated that some manual
therapies could be helpful for treating patients who have postconcussive
syndrome.
Objective: This case series report describes the effects of
CranioSacral Therapy (CST), Visceral Manipulation (VM), and Neural Manipulation
(NM) modalities for treating patients who have post-concussion syndrome. The
goal of this study was to evaluate these effects on immobility, pain intensity,
quality of life, sleep disorders, and cognition in these patients.
Materials and Methods: This single-blinded case series was
conducted at the Upledger Institute, in West Palm Beach, FL. The patients were
11 male retired professional football players from the National Football League
and the Canadian Football League who had been medically diagnosed with
post-concussion syndrome. Each participant received a morning and afternoon
2-hour session of these three specific manual therapies, which were capable of
accessing and addressing the structural, vascular, and neurologic tissues of
the cranium and brain—as well addressing far-reaching ramifications throughout
the body following trauma. The main outcome measures were scores on the: Impact
Neurocognitive Test; Dynavision Test; Short Form–36 Quality of Life Survey,
Headache Impact Test, Dizziness Handicap Inventory; a numeric pain rating
scale; orthopedic range of motion tests (ROM); and vestibular testing. Hours of
sleep were also checked. These outcome measures were registered at baseline,
after treatment, and after a 3-month follow up.
Results: Statistically significant differences were seen with
a decrease in overall pain rating scale scores (P=0.0448), and cervicogenic
pain levels decreased (P=0.0486). There were statistically significant increases
in Dynavision Average Reaction Time (P=0.0332), Memory Test (P=0.0156) scores,
and cervical ROM scores (P=0.0377). Hours of sleep averaged 2 hours on the first
day of treatment and increased to 4.0 hours at the end of treatment and were
continuing to increase, as noted at a 3-month evaluation.
Conclusions: Ten sessions of specific CST/VM/NM therapy
resulted in statistically greater improvements in pain intensity, ROM, memory,
cognition, and sleep in concussed patients
The Impact of Resonance Frequency Breathing on Measures of Heart Rate Variability, Blood Pressure, and Mood
Patrick R. Steffen, Tara Austin, Andrea DeBarros, and Tracy BrownCurriculums:
Heart rate variability biofeedback (HRVB) significantly improves heart rate variability (HRV). Breathing at resonance frequency (RF, approximately 6 breaths/min) constitutes a key part of HRVB training and is hypothesized to be a pathway through which biofeedback improves HRV. No studies to date, however, have experimentally examined whether RF breathing impacts measures of HRV. The present study addressed this question by comparing three groups. Heart rate variability (HRV) is a key marker of health, mood, and adaptation, and hence improvements in HRV improves health, mood, and an adaptation to stress.
Timing and rate of spheno-occipital synchondrosis closure and its relationship to puberty
Anwar Alhazmi, Edwardo Vargas, J. Martin Polomo, Mark Hans, Bruce Latimer, Scott SampsonCurriculums:
This study examines the relationship between spheno-occipital synchondrosis (SOS) closure and puberty onset in a modern American population. It also investigates the timing and the rate of SOS closure in males and females.
Very interesting subject!
Faecal Calprotectin and a Twenty-Four-Parameter Questionnaire in Autistic Children with Gastrointestinal Symptoms
Ioná Bramati-Castellarin, Vinood Patel and Ian P Drysdale2Curriculums:
Abstract
This
study investigated potential correlation between the inflammatory marker,
Calprotectin, and a S.O.S questionnaire from forty-nine Autistic children.
Symptom and behavioral questionnaires were completed contemporaneously with
stool sample collection. Mixed Model data analysis showed strong correlation
between some questionnaire parameters and Calprotectin. 'Need for a fixed
routine' was highly significantly correlated with Calprotectin (í µí±<0.00009)
with Multivariate Coefficient of 3.227, whilst paradoxically 'constipation'
indicated significant change (í µí±<0.02)
with negative Multivariate Coefficient (-1.584). The negative 'constipation'
appears to associate with the positive 'need for a fixed routine' indicating
possibility of reciprocal, independent prediction of gastrointestinal
inflammation. Results suggest that 'need for a fixed routine' and 'constipation'
be included in a screening questionnaire as independent predictors of bowel
dysfunction in these children.
Faecal Calprotectin and a Twenty-Four-Parameter Questionnaire in Autistic Children with Gastrointestinal
Ioná Bramati-Castellarin, Vinood Patel and Ian P DrysdaleCurriculums:
Abstract
This study investigated potential correlation between the inflammatory marker, Calprotectin, and a S.O.S questionnaire from forty-nine Autistic children. Symptom and behavioral questionnaires were completed contemporaneously with stool sample collection. Mixed Model data analysis showed strong correlation between some questionnaire parameters and Calprotectin. ‘Need for a fixed routine’ was highly significantly correlated with Calprotectin (
Glymphatic system disruption as a mediator of brain trauma and chronic traumatic encephalopathy
Molly J. Sullan, Breton M. Asken , Michael S. Jaffee , Steven T. DeKosky, Russell M. Bauer,Curriculums:
Highlights
- •
A model of the mediating effect of disrupted sleep on GS functioning and CTE pathology is proposed.
- •
Sleep disruption affects the ability of the GS to clear metabolic waste.
- •
Protein waste accumulates in perivascular spaces in CTE, which is one pathway used by the GS.
- •
Chronic disruption of the GS following brain trauma may increase the risk for developing CTE-like pathology and clinical symptomatology
Abstract
Traumatic brain injury (TBI) is an increasingly important issue among veterans, athletes and the general public. Difficulties with sleep onset and maintenance are among the most commonly reported symptoms following injury, and sleep debt is associated with increased accumulation of beta amyloid (Aβ) and phosphorylated tau (p-tau) in the interstitial space. Recent research into the glymphatic system, a lymphatic-like metabolic clearance mechanism in the central nervous system (CNS) which relies on cerebrospinal fluid (CSF), interstitial fluid (ISF), and astrocytic processes, shows that clearance is potentiated during sleep. This system is damaged in the acute phase following mTBI, in part due to re-localization of aquaporin-4 channels away from astrocytic end feet, resulting in reduced potential for waste removal. Long-term consequences of chronic dysfunction within this system in the context of repetitive brain trauma and insomnia have not been established, but potentially provide one link in the explanatory chain connecting repetitive TBI with later neurodegeneration. Current research has shown p-tau deposition in perivascular spaces and along interstitial pathways in chronic traumatic encephalopathy (CTE), pathways related to glymphatic flow; these are the main channels by which metabolic waste is cleared. This review addresses possible links between mTBI-related damage to glymphatic functioning and physiological changes found in CTE, and proposes a model for the mediating role of sleep disruption in increasing the risk for developing CTE-related pathology and subsequent clinical symptoms following repetitive brain trauma.
Massage Therapy & Bodywork Applications for Autism
Tami Goldstein, WLMT, CSTCurriculums: Healing From the Core, Zero Balancing,
This article talks about Autism Spectrum Disorder and the benefits of CranioSacral Therapy, Visceral Manipulation and other bodywork provide.
Why Is Self Care Important
Tanya Drayton, LMT, CSTCurriculums: Healing From the Core,
Tanya shares her story. Self care is important, and not only for your own well being. Its importance reaches out into your practice and improves your ability to facilitate your clients and patients to a better state of wholeness. It makes you the best practitioner you can possibly be, each and every day.