2/28/2023 0 Comments Fascias e pompage![]() ![]() In the first study on patients with pulmonary pathology, a statistically significant increase in FVC appeared in both groups. Four studies were identified comparing osteopathic pump protocol versus other conservative treatments, at short-term follow-up. Secondary outcome measures were ROM and psychological condition. Primary outcomes were pain intensity, lung functions, blood count cell, and length of hospitalization. The interventions with which the pump techniques were compared were no treatment, light touch, conventional rehabilitation, vaccination stretching, muscle-tension headache program and electrotherapy program, and educational lectures. The duration of the treatments ranged from one day to seven weeks and the duration of each treatment ranged from two to 50 min. In 20 studies, thoracic lymphatic techniques were applied together with other techniques, such as pedal pump, abdominal pump, and sternal pump. ![]() The treatment techniques used in the studies were osteopathic pump and pompage techniques. (4) Conclusions: Although several studies have been published on manual pump techniques, the differences for population, modalities, dosage, and outcome measures do not allow definite conclusions of their effectiveness. Pompage seems also to help improve walking distance and balance. Singular studies suggested some effectiveness of pump techniques on pain and length of hospitalization. The risk of bias resulted from moderate to high and the quality of the evidence was from very low to high. Due to the extensive heterogeneity of such studies, it was not possible to perform a meta-analysis. ![]() (3) Results: 25 RCTs were included: 20 concerning the pump techniques and five concerning pompages. The Risk of Bias tool (RoB 2) and the GRADE instrument were used to evaluate the quality of evidence. Subjective (e.g., pain, physical function) and objective (e.g., pulmonary function, blood collection) outcomes were considered. Randomized Controlled Trials (RCTs) on adults were included. (2) Methods: CINAHL, Cochrane Controlled Trials Register, ISI Web of Science, PEDro, PubMed, and Scopus databases were searched until July 2020. Despite their widespread use, no systematic review has been published on their effectiveness. Similar techniques, called pompages, are also addressed to joints and muscles. Background: Osteopathic manual procedures called pump techniques include thoracic, abdominal, and pedal pumps. ![]()
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