Diploma Thesis THE IMMEDIATE INFLUENCE OF OSTEOPATHIC ...

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Figure 4 Organ Pathological anatomy Symptoms Cause Frequency Manifestation age Lung atelectases, emphysema, micro abscesses, bronchiectases, formation of fibrotic tissue bronchitides and pneumonias *), chronic coughing, sputum, dyspnoea, cyanosis consistency of secretion, superinfections almost obligatory variable, often infancy symptoms of right heart mostly shortly before Heart Cor pulmonale changes of the lung frequent insufficiency death Pancreas cystic degeneration and formation of fibrotic tissue or lipomatosis maldigestion, dystrophia, rectum prolapse consistency of secretion ± 90 % mostly infancy Pancreas damage of pancreatic insular cells Diabetes mellitus without ketoacidosis lack of insulin ± 10 % > 10 years Intestines ileus due to: meconium, thickened stool meconium ileus, meconium 10-15 % stool consistency ileus equivalent syndrome rare infancy; mostly > 10 years Liver lobular liver cirrhosis portal hypertension, hypersplenism oesophageal varices disturbed bile secretion 5-10 % mostly > 10 years Liver cholelithiasis, disturbed bile gall colics etc. cholecystitis secretion up to 30 % mostly > 10 years Sudoriferous glands – salty taste on skin surface, tendency of hypernatraemic dehydration disturbed electrolyte transport obligatory infancy Vas deferens atrophy (develops intrauterine) sterility due to azoospermia unknown > 95 % post puberty ENT hyperplasia of the mucus glands, Polyposis nasi impaired nasal respiration chronic sinusitis consistency of secretion 25 % rare variable 11.3 PATIENT DATA SHEETS The data sheets of the patients were made anonymous and can be found here in the annex. The patients have been numbered 1 to 4. One and the same patient has the same number in group A and group B. Diploma Thesis Sabine Neuhaus page 50 of 52
12 ABSTRACT Cystic fibrosis (CF) is the most common severe autosomal recessive hereditary disease among the Caucasian population 60 . It is a disease which affects many organ systems, especially the endocrine glands 61 . At the moment the life expectancy ranges around 40-45 years 62 . Among patients suffering from cystic fibrosis osteopathy is relatively unknown. But the subjective perception of improvements of the general wellbeing of the few osteopathically treated CF patients motivated me to carry out this study. The research question was whether osteopathy as a form of complementary treatment could provide benefits for CF patients. The objective of this study was to find out whether an osteopathic treatment had an immediate effect on the parameters of pulmonary function measured in bodypletysmography. The study was carried out according to the following methodology: Due to the small number of test persons the patients of the treatment group (group A) also served as the control group (group B) two to five weeks later. The pulmonary function of the patients of group A was measured, then the patients received a 30-45 minute osteopathic treatment, after which the pulmonary function was measured again. Also in group B the pulmonary function was measures. Then the patients had to rest for 30 minutes, afterwards the function was measured again. For ethical reasons all patients of group B also received a treatment after the second measurement. 60 Reinhardt at al., 2001, p.255 61 Knippers R., 2001, p.483 62 Eichler et al., 2004, p.4 Diploma Thesis Sabine Neuhaus page 51 of 52
Page 1 and 2: Student: Sabine Neuhaus, Graduate P
Page 3 and 4: 1 INTRODUCTION Why I think this stu
Page 5 and 6: 2 MEDICAL FACTS 2.1 PATHOPHYSIOLOGY
Page 7 and 8: 2.1.2 INCIDENCE OF CF About the inc
Page 9 and 10: The disease goes hand in hand with
Page 11 and 12: This means that the above mentioned
Page 13 and 14: 2.1.3.3 THE CF INTESTINES 16 The in
Page 15 and 16: 2.1.3.4 CF - LIVER AND GALLBLADDER
Page 17 and 18: 2.1.3.4. ELECTROLYTE BALANCE Genera
Page 19 and 20: 2.1.3.6 .FERTILITY IN CF Most femal
Page 21 and 22: I have observed that the continuous
Page 23 and 24: From experience and also from patie
Page 25 and 26: 2.3 THERAPY OF CF Since CF affects
Page 27 and 28: 2.4 LUNG FUNCTION MEASUREMENT AND I
Page 29 and 30: 3 RESEARCH QUESTION As I have alrea
Page 31 and 32: METHODOLOGY 6.1 SAMPLING Originally
Page 33 and 34: Group A: Measurement of pulmonary f
Page 35 and 36: 7 RESULTS light blue: Group A - wit
Page 37 and 38: Pat 1 Pat 2 Pat 3 Pat 4 C3 Les. Les
Page 39 and 40: 9 SUMMARY In the introduction to th
Page 41 and 42: 10 BIBLIOGRAPHY • Almeida MB., Bu
Page 43 and 44: • Roth EM., Jounal Leben mit Cyst
Page 45 and 46: • Rossman CM., Waldes R., Sampson
Page 47 and 48: 11 ANNEX 11.1 CONTACT INFORMATION C
Page 49: 11.2 ENGLISH TRANSLATION OF FIGURES

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