Osteopathy Treatment and Cardiovascular Recovery After a Rugby Match

Cardiovascular Physiological Phenomena Clinical Trial

Official title:

Osteopathy Treatment Restores Cardiovascular Autonomic Parameters in Rugby Players

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04242485
• Other study ID #: 032017
• Status: Completed
• Phase: N/A
• Start date: October 1, 2017
• Est. completion date: May 1, 2018

Study information

• Verified date: January 2020
• Source: University of Parma
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study was to explore the efficacy of osteopathic manipulative treatment (OMT), a form of non-invasive manual treatment, for a faster recovery of cardiovascular parameters after a rugby union match in professional male athletes. To this end, the effects of OMT on resting cardiovascular function and cardiovascular reactivity were evaluated in twenty-three male players 18-20 hours after a match and compared with a corresponding no-match (control) condition. Assessment of resting cardiovascular parameters 18-20 hours after a match revealed the presence of elevated mean arterial pressure and heart rate, and reduced vagally-mediated heart rate variability compared with a no-match condition. OMT provoked a significant reduction in mean arterial pressure and increased vagally-mediated heart rate variability at rest both in the after match and control conditions. Moreover, OMT favoured a larger vagal withdrawal in response to an orthostatic stress compared with a sham treatment. These results suggest that OMT may be implemented as a recovery strategy to restore athletes' cardiovascular homeostasis after a rugby union match.

Description:

The presence of cardiovascular autonomic alterations in the aftermath of an intense exercise performed during a competitive match may indicate incomplete recovery and prolonged fatigue.Therefore, the implementation of effective interventions aimed at favoring a faster recovery of athletes' cardiovascular homeostasis in the aftermath of a competitive match may be beneficial for greater adaptations to subsequent training and enhanced overall performance. In this regard, osteopathic manipulative treatment (OMT) is a form of non-invasive manual treatment that uses a set of touch, manipulation and mobilization procedures to diagnose, treat, and prevent illness or injury. In the present study, the investigators sought to explore the efficacy of a single session of OMT in restoring alterations in cardiovascular parameters at rest and in response to an orthostatic challenge in trained adult male athletes long after (18-20 hours) a rugby union match.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 26
• Est. completion date: May 1, 2018
• Est. primary completion date: May 1, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• being healthy and injury-free

• age = 18 years old

• being Caucasian

• regular participation in competitive matches of rugby union consisting of 2, 40-min halves

• regular training for an average of six hours/week during the last four weeks

Exclusion Criteria:

• history of cardiovascular disease or traumatic brain injury

• chronic drug treatment

• use of any medications during the last week

• having received osteopathic manipulative treatment before

Related Conditions & MeSH terms

• Cardiovascular Physiological Phenomena

Intervention

Other:
• Osteopathic manipulative treatment
Each osteopathic manipulative treatment consisted of a structured evaluation to diagnose somatic dysfunction of the pelvis, abdomen, vertebral spine, and upper and lower limbs (10 min), followed by the therapeutic application of manually guided forces to improve physiological function and homeostasis that has been altered by somatic dysfunction for 20 min, using techniques that were left at the discretion of the osteopath, including the myofascial release and cranial sacrum techniques
• Sham treatment
The sham treatment consisted only in "soft touch" of the same body areas involved in the osteopathic manipulative treatment protocol without applying any pressure

Locations

Country	Name	City	State
Italy	Collegio Italiano di Osteopatia	Parma

Sponsors (3)

Lead Sponsor	Collaborator
University of Parma	Collegio Italiano di Osteopatia, Foundation COME Collaboration

Country where clinical trial is conducted

Italy, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Resting heart rate	Mean heart rate measured as beats per minute	ECG recorded for 10 min just before osteopathic manipulative treatment and sham treatment
Primary	Resting heart rate	Mean heart rate measured as beats per minute	ECG recorded for 5 min just after osteopathic manipulative treatment and sham treatment
Primary	Resting heart rate variability (RMSSD index)	Root mean square of the successive differences between adjacent heart beats (RMSSD) measured in ms	ECG recorded for 10 min just before osteopathic manipulative treatment and sham treatment
Primary	Resting heart rate variability (RMSSD index)	Root mean square of the successive differences between adjacent heart beats (RMSSD) measured in ms	ECG recorded for 5 min just after osteopathic manipulative treatment and sham treatment
Primary	Resting heart rate variability (HF index)	High frequency (HF) component power of the RR interval spectrum measured in ms2	ECG recorded for 10 min just before osteopathic manipulative treatment and sham treatment
Primary	Resting heart rate variability (HF index)	High frequency (HF) component power of the RR interval spectrum measured in ms2	ECG recorded for 5 min just after osteopathic manipulative treatment and sham treatment
Primary	Resting mean arterial pressure	Mean arterial pressure measured in mmHg	Assessed just before osteopathic manipulative treatment and sham treatment with a sphygmomanometer
Primary	Resting mean arterial pressure	Mean arterial pressure measured in mmHg	Assessed just after osteopathic manipulative treatment and sham treatment with a sphygmomanometer
Secondary	Heart rate reactivity to orthostasis	Mean heart rate measured as beats per minute	ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)
Secondary	Heart rate variability (RMSSD index) reactivity to orthostasis	Root mean square of the successive differences between adjacent heart beats measured in ms	ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)
Secondary	Heart rate variability (HF index) reactivity to orthostasis	High frequency component power of the RR interval spectrum measured in ms2	ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)