{"id":1139,"date":"2020-06-22T15:29:49","date_gmt":"2020-06-22T14:29:49","guid":{"rendered":"https:\/\/clinicauner.es\/prueba\/?p=1139"},"modified":"2023-08-10T12:22:45","modified_gmt":"2023-08-10T10:22:45","slug":"osteopatia-aplicada-a-pacientes-con-dano-cerebral","status":"publish","type":"post","link":"https:\/\/clinicauner.es\/prueba\/osteopatia-aplicada-a-pacientes-con-dano-cerebral\/","title":{"rendered":"Osteopat\u00eda aplicada a pacientes con da\u00f1o cerebral"},"content":{"rendered":"

Hoy se celebra el D\u00eda de la Osteopat\u00eda y hemos invitado a un especialista en la materia para analizar los beneficios de esta disciplina en el tratamiento rehabilitador de las personas con da\u00f1o cerebral.<\/strong><\/b><\/p>\n

Dr. Aitor Ba\u00f1o Alcaraz PhD, D.O.<\/strong><\/b><\/h2>\n

Especialista en Osteopat\u00eda<\/strong><\/b><\/h3>\n

PROFESIONAL INVITADO<\/p>\n

Beneficios de la Osteopat\u00eda en el tratamiento rehabilitador del Da\u00f1o Cerebral<\/strong><\/b><\/h2>\n

Fisioterapeuta y oste\u00f3pata, profesor en Universidad de Murcia, miembro del Grupo de investigaci\u00f3n Fisioterapia y Discapacidad, profesor de la Escuela de Osteopatia de Madrid Internacional, especialista en Posturolog\u00eda Cl\u00ednica y en Fisioterapia Pedi\u00e1trica, docente nacional e internacional de cursos de postgrado.<\/p>\n

La osteopat\u00eda, como ciencia (seg\u00fan la OMS (1)), est\u00e1 basada en la aplicaci\u00f3n de terapia manual en cualquier parte del cuerpo<\/a>, siempre desde un razonamiento anat\u00f3mico, fisiol\u00f3gico y cl\u00ednico.<\/p>\n

Si bien es cierto que existe muy poco documentado en relaci\u00f3n a su uso en pacientes con da\u00f1o neurol\u00f3gico, los resultados obtenidos a nivel cl\u00ednico e individual invitan al optimismo y abren una nueva puerta hacia la investigaci\u00f3n en esta materia.<\/p>\n

El hecho de que no exista mucha evidencia al respecto hace que nos tengamos que basar en los resultados obtenidos en otros campos para intentar extrapolarlos a la situaci\u00f3n de estos pacientes, empezando, como no, por aquellas contraindicaciones o situaciones de excepci\u00f3n que determinan aquello que NO debemos hacer y que puede poner en riesgo la salud de nuestros pacientes.<\/p>\n

Contraindicaciones<\/strong><\/b><\/h2>\n

 <\/p>\n

En este sentido, consideramos CONTRAINDICACIONES ABSOLUTAS (2) a las T\u00c9CNICAS MANIPULATIVAS, aquellas situaciones que cursen con da\u00f1o neurol\u00f3gico, tanto a nivel central o perif\u00e9rico, ya que esto implica modificaciones del tono muscular, alteraciones de la sensibilidad, etc.<\/p>\n

En este sentido, \u00bfse puede tratar a un paciente neurol\u00f3gico con osteopat\u00eda? Absolutamente S\u00cd. La osteopat\u00eda es m\u00e1s que una simple manipulaci\u00f3n, es un concepto hol\u00edstico de globalidad donde el conocimiento anat\u00f3mico, fisiol\u00f3gico y cl\u00ednico permiten abordar al paciente con diversidad de t\u00e9cnicas que, de una forma u otra pudieran ser beneficiosas, tanto localmente como a distancia.<\/p>\n

De tal forma, sabemos por ejemplo que, el uso de la osteopat\u00eda craneal en pacientes con dolor puede producir efectos de modulaci\u00f3n del mismo y asociar una respuesta de\u00a0relajaci\u00f3n<\/strong><\/b>\u00a0(3) sobre el sistema nervioso aut\u00f3nomo (4-6). Adem\u00e1s, la aplicaci\u00f3n de la osteopat\u00eda craneal mejora la\u00a0oxigenaci\u00f3n<\/strong><\/b>\u00a0de los tejidos cerebrales (7-8), e incluso ya hay estudios que empiezan a mostrar sus efectos sobre el\u00a0tono y espasticidad de ni\u00f1os con par\u00e1lisis cerebral<\/strong><\/b>\u00a0(9).<\/p>\n

Si a todo esto le a\u00f1adimos el tratamiento de importantes estructuras, como el diafragma, cuya importancia radica en las m\u00faltiples conexiones que presenta con el sistema visceral, cardio respiratorio, circulaci\u00f3n de retorno, etc., y que es el responsable principal de los procesos de oxigenaci\u00f3n tisular (10-11), pues nos damos cuenta, que\u00a0la osteopat\u00eda tiene mucho que aportar en el tratamiento de los pacientes neurol\u00f3gicos.<\/strong><\/b><\/p>\n

Pero no solo llega hasta aqu\u00ed, se empiezan a ver peque\u00f1as aportaciones respecto al tratamiento de patolog\u00edas como atresias de es\u00f3fago,\u00a0disminuyendo tanto la disfagia como el riesgo de aspiraci\u00f3n bronquial\u00a0<\/strong><\/b>(1-2).<\/p>\n

En este sentido, no podemos dar de lado la osteopat\u00eda como opci\u00f3n complementaria de tratamiento en aquellos pacientes que presentan da\u00f1o neurol\u00f3gico u otras patolog\u00edas asociadas, siempre desde un razonamiento cl\u00ednico y cient\u00edfico. Si bien es cierto, y somos conscientes de ello, que son necesarios muchos m\u00e1s estudios, las bases se est\u00e1n asentando.<\/p>\n

Estudios y Referencias<\/h3>\n

\u00a01.- Benchmarks for training in Osteopathy:\u00a0https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/44356\/9789241599665_eng.pdf?sequence=1&isAllowed=y<\/a><\/p>\n

2.- Ricard F., Oliva A. Osteopat\u00eda Basada en la evidencia. Ed. MEDOS.Madrid.2017<\/p>\n

3.- Martins WR, Diniz LR, Blasczyk JC, Lagoa KF, Thomaz S, Rodrigues ME, et al. Immediate changes in electroencephalography activity in individuals with nonspecific chronic low back pain after cranial osteopathic manipulative treatment: study protocol of a randomized, controlled crossover trial. BMC Complement Altern Med. 2015;15:223. doi: 10.1186\/s12906-015-0732-2.<\/p>\n

4.- Cutler MJ, Holland BS, Stupinski BA. Cranial manipulation can alter sleep\u00a0latency and sympathetic nerve activity in humans: a pilot study. J Altern\u00a0Complement Med. 2005;11:103\u20138.<\/p>\n

5.-. Miana LBV, Machado S, Arias Carrion O, Nardi AE, Almeida L, Ribeiro P, et al.\u00a0Changes in alpha band activity associated with application of the\u00a0compression of fourth ventricular (CV-4) osteopathic procedure: A qEEG\u00a0pilot study. J Bodyw Mov Ther. 2013;17(3):291\u20136<\/p>\n

6.-Jakel A, von Hauenschild P. Therapeutic effects of cranial osteopathic\u00a0manipulative medicine: a systematic review. J Am Osteopath Assoc.
\n2011;111(12):685\u201393.<\/p>\n

7.- Nelson KE, Sergueef N, Lipinski CM, Chapman AR, Glonek T. Cranial rhythmic\u00a0impulse related to the Traube-Hering-Mayer oscillation: comparing laserDoppler flowmetry and palpation. J Am Osteopath Assoc. 2001;101(3):163\u201373.<\/p>\n

8.- Shi X, Rehrer S, Prajapati P, Stoll ST, Gamber RG, Downey HF. Effect of\u00a0cranial osteopathic manipulative medicine on cerebral tissue oxygenation.\u00a0J Am Osteopath Assoc. 2011;111(12):660\u20136<\/p>\n

9.- Duncan B, McDonough-Means S, Worden K, Schnyer R, Andrews J, Meaney FJ. Effectiveness of osteopathy in the cranial field and myofascial release versus acupuncture as complementary treatment for children with spastic cerebral palsy: a pilot study. J Am Osteopath Assoc. 2008;108(10):559-70.<\/p>\n

10.- Bordoni B (April 23, 2020) The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1. Cureus 12(4): e7794. DOI 10.7759\/cureus.7794<\/p>\n

11.- Bordoni B (April 23, 2020) The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 2. Cureus 12(4): e7795. DOI 10.7759\/cureus.7795<\/p>\n

12.- Barni A, Zecchillo D, Uberti S, Ratti S. Osteopathic Manipulative Treatment in a Paediatric Patient with Oesophageal Atresia and Tracheo-Oesophageal Fistula. Case Rep Gastroenterol. 2019;13(1):178-84. doi: 10.1159\/000499445.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hoy se celebra el D\u00eda de la Osteopat\u00eda y hemos invitado a un especialista en la materia para analizar los beneficios de esta disciplina en el tratamiento rehabilitador de las personas con da\u00f1o cerebral. Dr. Aitor Ba\u00f1o Alcaraz PhD, D.O. Especialista en Osteopat\u00eda PROFESIONAL INVITADO Beneficios de la Osteopat\u00eda en el tratamiento rehabilitador del Da\u00f1o […]<\/p>\n","protected":false},"author":4,"featured_media":1140,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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