The effect of a general osteopathic treatment on the oxygenation of the upper limb performed on the Intensive Care Unit
Object
Titel
The effect of a general osteopathic treatment on the oxygenation of the upper limb performed on the Intensive Care Unit
Author(s)
N. Devos
C. Leemans
C. Leemans
Abstract
OBJECTIVE: In critical care patients, it is necessary to monitor the vital parameters continuously. Changes in physiology may be noticed more quickly in this target group. In this research, the focus is on the oxygenation as parameter. The objective of this study is whether a general osteopathic treatment (GOT) performed on the upper limb, effects the oxygenation in intensive care unit (ICU) patients.
MATERIAL AND METHOD: Twenty critical care patients participated the investigation. GOT and a myofascial mobilization technique were randomly performed for 15 minutes as intervention. GOT has as primary aim to restore the physiology and homeostasis of the human body. The oxygen levels were measured by pulse oximetry (SpO2) and blood gas analyses (tHb, sO2 and pO2). The pulse oximeter was always attached to the fingertip. The blood gas analyser was the RapidPoint 500 (Siemens). The SpO2 was measured right before and after treatment. Blood samples were taken right before, after and one hour after treatment.
RESULTS: Three different parameters were measured by 60 blood samples, namely tHb, sO2 and pO2. The data for the three parameters were normally distributed. The difference between "GOT" and "Control" for sO2 was not statistically significant, but had a remarkable value compared to the other. The value was still too high to reject the null hypothesis. It was not possible to draw conclusions about the SpO2 values.
CONCLUSION: Based on the results, we cannot conclude whether GOT has effects on the oxygenation. The different values obtained by the pulse oximeter and the blood gas analyses are difficult to interpret because of the small sample size of this pilot study. In a follow-up study, it is important to investigate with a bigger sample size and to analyse on more physiological parameters. This pilot study is a starting signal for further investigation.
MATERIAL AND METHOD: Twenty critical care patients participated the investigation. GOT and a myofascial mobilization technique were randomly performed for 15 minutes as intervention. GOT has as primary aim to restore the physiology and homeostasis of the human body. The oxygen levels were measured by pulse oximetry (SpO2) and blood gas analyses (tHb, sO2 and pO2). The pulse oximeter was always attached to the fingertip. The blood gas analyser was the RapidPoint 500 (Siemens). The SpO2 was measured right before and after treatment. Blood samples were taken right before, after and one hour after treatment.
RESULTS: Three different parameters were measured by 60 blood samples, namely tHb, sO2 and pO2. The data for the three parameters were normally distributed. The difference between "GOT" and "Control" for sO2 was not statistically significant, but had a remarkable value compared to the other. The value was still too high to reject the null hypothesis. It was not possible to draw conclusions about the SpO2 values.
CONCLUSION: Based on the results, we cannot conclude whether GOT has effects on the oxygenation. The different values obtained by the pulse oximeter and the blood gas analyses are difficult to interpret because of the small sample size of this pilot study. In a follow-up study, it is important to investigate with a bigger sample size and to analyse on more physiological parameters. This pilot study is a starting signal for further investigation.
Date Created
May 2020
Type
Onderzoek
number of pages
74
Keywords
General Osteopathic Treatment (GOT), Oxygenation, Oxygen saturation,
(Passive) Mobilization, Intensive Care Unit (ICU), Manual therapy, Upper limb, Pulse
oximeter, Blood gas analysis system, RapidPoint 500
(Passive) Mobilization, Intensive Care Unit (ICU), Manual therapy, Upper limb, Pulse
oximeter, Blood gas analysis system, RapidPoint 500