None listed
Conditions
Brief summary
The osteopathic treatment of the liver has been recommended in several types of disorders in order to increase and improve the liver function. However, there are no studies to support its effectiveness. Therefore, through the Doppler ultrasound, we intend to evaluate the effect of the osteopathic manual pumping of liver technique on changes in the portal venous flow in patients with different symptoms. The conceptual hypothesis of our study will be that "the manual treatment of the liver improves the velocity of the flow of the portal vein," so that a visceral manual operation may change the function of the viscera itself and in our study the values of portal hemodynamics (portal flow, velocity and diameter)
Interventions
The pumping technique: To such end, the subject place in a supine position with knees bent and the therapist standing on the left hand side of the patient, near the abdominal area. The left hand goes under the costal border to lift the costal chest. The right hand rests on the lower chest on the right side to compress the liver through the costal wall. The lower hand lifts the ribs while the upper hand exerts compression. The patient is asked to inhale deeply, and on exhaling the compression is performed with the hands, and during deep inspiration. This will be repeated for 10 respiratory cycles. Thus, through the anteroposterior contact on the liver, using the costal inspiration, which lowers the diaphragm, the liver is pumped The intervention will be delivered by an osteopath with minimum 10 years experience The intervention will be delivered as four weekly sessions for one month
Sponsors
University Camilo Jose Cela
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Inclusion criteria will be subjects of both sexes who have hepatic fibrosis, aged between 18 and 65 years, must have fasted for at least 8 hours and tolerating the supine position
Exclusion criteria
Subjects presenting the following could not participate in the study (i) contraindication or intolerance to coastal compression, (ii) psychotic problems, (iii) primary cancer or current metastases, (iv) current gastrointestinal bleeding, (v) liver transplants ( vi) polycystic liver or hepatobiliary infarction (vii) intraabdominal infection or inflammation in acute phase, (viii) decompensated heart failure (ix) subjects who are receiving chemotherapy and / or radiotherapy, (x) pregnant women
Outcome results
None listed