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Can back pain caused by symptom-giving sacroiliac joint relaxation ...

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Differences in cellular activity have also been described, [23] and pertinent<br />

embryological factors in similar experiments have been reviewed. [64, 42, 5]<br />

Effects of manipulative therapy on fetal electrocardiograms have also been studied.<br />

[15, 59] The consensus seems to be that routine OMT applied during pregnancy<br />

significantly reduces both fetal and maternal fatalities as well as difficulties of<br />

parturition. [15, 59, 64]<br />

Generally speaking, all concepts of osteopathy are applied in the treatment of<br />

pregnant women, including muscle energy techniques, myofascial release,<br />

ligamentous articular strain, balanced membranous tension, high-velocity lowamplitude<br />

thrust, strain/counter-strain techniques, visceral techniques, and<br />

osteopathy in the cranial field, depending on the needs of the patient. [39]<br />

2.3. Sensitivity and response to treatment<br />

Clinically the puerperal mother often exhibits extreme sensitivity of the soft tissues<br />

and articular structures to manipulative treatment. Preceding and during parturition<br />

the degree of reactivity is at a level like that of the young child or fevered adult.<br />

A noticeable physiological response to treatment can be relatively fast if intervention<br />

is not delayed. It may prove to be life-saving in cases of rapidly rising blood pressure<br />

and pre-eclampsia. [64]<br />

Master’s Thesis Wolfgang Aspalter 31

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