Identify and Resolve Control in BioTensegrity System

Tensegrity Physical Therapy | January 2, 2019 | Filed under:

The Use Of Sequenced Osteopathic Manipulative Therapy (OMT) and Area of Greatest Restriction-Hindrance (AGR-H) Model to Identify and Resolve Control in BioTensegrity System: Measured Utilizing a Pressure Sensitive Treadmill was a recent published article by a team including our very own Sean Roach and Cooper Boydston.

The hypothesis of this research was that these 10, early proof of concept, n-of-1 studies propose a different perspective on the musculoskeletal models.

  • Proport sequenced OMT treatment results in previously undocumented changes in a patient’s motor function/performance
  • Honor their unique complexity
  • Address somatic dysfunction at the AGR-H

The methods used were:

  • 10 volunteers ran and/or walked for 1 minute on the Pressure Sensitive Treadmill (PST)
  • Ground Reaction Forces (GRF) were determined prior to and after receiving one sequenced OMT treatment, addressing their unique somatic dysfunction at the AGR-H

Results:

  • A two-sided T-Test compared each 1% increment of the gait cycle, pre- and post-treatment, with p<.001 considered statistically significant change.
  • Subsequently, each 1% increment of the GRF curve exhibiting p<.001 change was tabulated for each person, whether running or walking, and considering the gait cycle portion when the foot contacted the ground.

Table 1

Group Mean % of ground contact time in walking trials showing significant changes in Ground Reaction Force (GRF) after requenced OMT and AGR-H model [p value <.001 (99.9% confidence)]

 

Mean % of Steps Standard Dev.
Left Steps 64.5% 30%
Right Steps 58.5% 29%
Both 61.5% 29%

 

Table 2

% of ground contact time in walking trials showing significant changes in Ground Reaction Force (GRF) after sequenced OPMT and AGR-H model [p value <.001 (99.9% confidence)]

 

% of Left Steps % of Right Steps
Runner 1 95% 97%
Runner 2 79% 78%
Runner 3 97% 91%
Runner 4 78% 79%
Patient 1 5% 29%
Patient 2 20% 11%
Patient 3 57% 28%
Patient 4 74% 61%
Patient 5 76% 51%
Patient 6 64% 60%

Table 3

% of ground contact time in running trials showing significant changes in Ground Reaction Force (GRF) after sequenced OMT and AGR-H model [p value <.001 (99.9% confidence)]

 

% of Left Steps % of Right Steps
Runner 1 87% 74%
Runner 2 83% 44%
Runner 3 12% 25%
Runner 4 49% 5%

 

Conclusion

  • These findings suggest use of the AGR-H model provides the sequencing necessary to identify and affect statistically significant changes in motor control with one treatment.
  • Measurement tools, such as the PST, appear effective in validating these results.
  • Research utilizing additional tools and functional measurements, other than the GRF, also appear to substantiate findings of this study.

 

References

  1. Stiles EG (2017) Primary Lesion, key lesion, sequencing. In: Johannes Mayer, MD, DOM and Clive Standen MA,DO eds.  Textbook of Osteopathic Medicine. Edinburgh: Elsevier, 265-270.
  2. Stiles EG (2017) Osteopathic Problem Solving: Finding the “Key S/D”. Available at: http://files.academyofosteopathy.org/convo/2017/Presentations/Stiles ApplicationsOfTensegrity.pdf (Accessed June 2017)
  3. Guyatt GH, Keller JL, Jaeschke R, Rosenbloom D, Adachi JD, and Newhouse MT (February 1990). The n-of-1 randomized controlled trial: clinical usefulness. Our threeyear experience.  Ann. Intern. Med. 112(4):293-9