Bastard - F..k That !!INSTALL!!
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Bastard - F..k That
As the literature suggests, pediatric surgical procedures may have short- and long-term effects on children and their families from both a pathophysiological and psychosocial points of view . Considering the post-surgical sequelae on the musculoskeletal system, recent studies support the concept that the less invasive the surgery is, the more anatomical alterations of the movement system are avoided [5,32]. Our results on ROM could suggest that a better management of these frequent side effects can be offered.
In fact, a ROM deficit of the upper right limb is strongly documented in the literature . Many studies consider the onset of scoliosis, thoracic deformities, scapular elevations, and limitation on the right shoulder ROM as a possible long-term postoperative risk [5,32,33]. The increase in mobility in shoulder elevation that we obtained in four out of five of the children, suggests that more research is needed to test the possibility of intervening through manipulative osteopathic treatment on these kinds of sequelae.
Additionally, current findings seem to substantiate the possible relationship between allostasis, osteopathic care, scar adhesion of the shoulder and the presence of somatic dysfunctions. This phenomenon can be explained through a physiological mechanism that takes place during the recovery and the formation of new scar tissue, which involves the proliferation of collagen tissue [7,42]. This altered thixotropic condition of the tissue can be assessed manually, by precise manual semeiotics. The latter then can be used to plan osteopathic manual treatment in order to induce specific neurobiological effects. Indeed, the documented anthropotropic effect of OMT could have a role in balancing the neuroinflammation response and tissue healing, acting further on the capacity of adaptation of the fascia and improving shoulder joint motion [30,43]. Further, in this context the bodily restrictions found after the treatments can be considered an adaptation to allostatic processes, and are not related to specific pathologies. In other words, by using a process of self-regulation, the body generates additional neurobiological adaptive strategies to overcome the musculoskeletal function impaired by surgery [25,43]. These strategies could be supported by osteopathy acting on tissue and fascia stiffness, reducing mechanical allostatic load and modulating the response of the autonomic nervous system [30,43].
It could be interesting to reduce the age of osteopathic intervention on children to ensure that the identified altered functions can be treated and resolved in the shortest possible time, in order to avoid chronic effects. 041b061a72