As early as 1878 A. T. Still, (founder of osteopathy), claimed to cure asthma with “success”
“For 18 years that I have been practicing, I have never failed on an asthmatic patient. I therefore affirm that for asthma, osteopathy is sovereign “
A.T. Still declared in 1897
Since then, many osteopaths have continued to study the subject, participating in its evolution and contributing greatly to improve its clinical application. We benefited from their teaching to which we added our own reflection.
A short history of the treatment of asthma by osteopathy:
About the book “Osteopathy: Research and Practice” (Sully Eds, 1910)
Ultimate work by Still, it is considered both as a summary of his osteopathic journey and a legacy left to his successors. The father of osteopathy explains to us his way of reasoning and theorizes his conception of all the different parts of the body, as well as their functioning, to which he proposes his treatment when they present a disorder.
« Osteopathy is based on the perfection of the work of Nature. When all parts of the human body are online, we have health. When this is not the case, the resulting effect is the disease. When the parts are readjusted, the disease gives way to health. The job of the osteopath is to adjust the body from abnormal to normal; then, the abnormal condition gives way to normal, health resulting from the normal condition”
A. T. Still
Our knowledge in the fields of biology and physiology has seriously evolved since the days of Still, some statements seem today obsolete, even erroneous. However, the reasoning is still consistent. He gives us at every page a wonderful lesson in osteopathy
Here is an excerpt from A. T. Still entitled “Osteopathy: Research and Practice”, published in 1910, in which he explains very clearly how he does it:
(Click on the link below to read the passage from the book)
Asthma by A. T. Still From “Osteopathy: Research and Practice” 1910
Here is the passage from his book dedicated to the Thoracic Region where Still explains his way of reasoning as well as how to treat all the pathologies related to it. (Click on the following link to read the excerpt)
Thoracic Région By A. T. Still From “Osteopathy: Research and Practice” 1910
His successors and students, Dr. Perrin and T. Wilson, continued his work well after his death by managing to continually improve the treatment protocol and by regularly publishing in the JAOA their advances in very detailed articles, as early as 1938 (and then in 1945 and finally in 1965), thus testifying to the progress of the method and the proof of its perfect effectiveness on asthma. To satisfy your curiosity and your interest on this question, here is a selection of these articles, which will not fail to fascinate anyone who seeks to find new keys, to better understand the factors involved in this disease and thus help patients who suffer from this affection, strong of answers which proved the effectiveness, vis-a-vis a pathology whose causes remain stilladays subject to discussion. His texts, which have not lost a single wrinkle, remain very instructive resources for practitioners of yesterday as for us, caring today. For more than a century, our predecessors have placed a major emphasis on the treatment of asthma, which is already rife in the population. (Click on the following links to read the texts)
Manipulative treatment of asthma By Dr. Perrin, T. Wilson (JAOA Year book 1938)
The osteopathic treatment of asthma By Perrin T. Wilson D.O. JAOA Year book 1949
The osteopathic treatment of asthma By Perrin T. Wilson D.O. JAOA Year book 1965
EARL J. DRINKALL, D. O. he, too, has contributed effectively to advance the cause of asthma by publishing in 1941 in the JAOA an article explaining his own technique to treat the asthmatic subject: (Click on the following link to read the article)
Manipulative treatment of asthma By EARL J. DRINKALL, D. O. ( JAOA Year book 1941)
The striking thing about reading these articles is that everything was already written at the beginning of the last century, and that from the birth of osteopathy. Knowledge about the treatment of this pathology has not changed much but, above all, it is curious to realize that despite their more than promising efficacy, these treatments have not been really followed or applied by the osteopaths. Thus, while everyone would benefit from being informed of the enormous potential of osteopathy to fight against the consequences of a pathology such as asthma, it is none the less. This “know-how” seems to have been – voluntarily or not – forgotten or lost and we rediscover that today’s relevance.
Since it works so well, why this amnesia for so many years?
It is likely that the difficulty of asserting our work with the institution, and especially with the official medical authorities, has something to do with it. Many have difficulty understanding our work and, therefore, remain skeptical about the appropriateness of our treatments, which they find inadequately evaluated, when not potentially dangerous.
It is also true that our profession was not organized collectively around this theme, and that we are not many to fight so that the treatment of asthma in osteopathy is recognized at its true value. It is even likely that even within the profession, a number of osteopaths not only do not know how to treat asthma, but are not even aware that osteopathic asthma treatment exists. Moreover, from experience, we are not much to talk about it or to disseminate information. Those who risk it are often misunderstood and misunderstood, when they do not pass for eccentrics, despite the excellent results obtained, accumulated for years, then relayed by our patients who thank us by fully moving the mouth to hear.
Why is it so bad to say that you can treat asthma? Or, rather, why are so many people so skeptical?
The attacks that we hear most often are:
- The absence of scientific evidence, especially of clinical studies:
The reproach that is most often addressed to us remains the absence of scientific evidence (as defined by the medical protocols), and especially of clinical studies, (answering the methodology that is authentic in the medical lexical field) , which seem inevitable to make us audible, even credible without having to fight against the a priori.
It is true that if we ever want our approach to be recognized, it would indeed be desirable to publish a study in a medical journal recognized for its seriousness in science; however, obtaining a scientific publication seems an insurmountable test to any osteopath who does not belong to the medical community (not a doctor). In addition, most studies are selected or solicited by the pharmaceutical industry; however, no laboratory will be interested in supporting osteopathy or even talking about the financial side.
In any case, if we manage to publish, which is desirable, our studies may be criticized, as is customary when any study is published; but, at least, we will embark on the right path. Because it is up to us to demonstrate the relevance of our profession to doctors who may not have had the opportunity to enjoy a peaceful dialogue on this subject, which allows them to go beyond a priori on osteopathy. conveyed by society in general as well as by medical professors in particular. It is the prerogative of minority approaches to have to fight side by side to make themselves heard by the sciences established by the institution for millennia, to finally succeed in making a place for them. Some methods that were not granted in hospitals, such as hypnosis or acupuncture 20 years ago, and which were subjected to criticisms comparable to those made to us, ended up convincing, by force to fight for the legitimacy that was not granted them.
Any therapy in medicine is the subject of medical studies, if only to be validated. That’s why we decided, Catherine Rod de Verchère and myself, Karl-Frédéric Richard, both osteopaths specialized in the treatment of asthma in osteopathy since the year 2000, to carry out this study. to test the effectiveness of our “osteopathic” method on asthmatic patients. It takes time and means. We have been fighting for more than 5 years to get there. Of course, we will not fail to keep you informed as this study unfolds. See Asthma Study tab “click on this link”
To understand the difficulties we encounter in evaluating our work, let us remember that osteopathy is a set of osteo-articular techniques. The experimentation that is used in medical studies to validate a clinical experiment is that called “double blind” Or our studies are partly biased by the difficulty of performing a double-blind experiment (the practitioner knowing which method he uses, he can not be double blind). On the other hand, it must be ensured that the patient’s evaluation or the analysis of the observed results is carried out at least blindly, by an outside observer or an operator who is not the therapist, and who must not know to which group the patients belong to.
In addition, the simple manual contact, with tensioning without manipulation, involves cutaneous sensors which are known to be of major importance in the implementation of any reflexotherapy (neurological arc). The manual therapeutic approach is essentially empirical. Many theories explaining their mode of action are advanced, but their evaluation can only face the difficulty to implement a placebo technique in a double-blind study without body contact. Currently, it is accepted that cutaneous techniques involve the nerve structures of the dermis and hypoderm, as most reflexotherapies, such as acupuncture, whose stimulation of the points, which have a physical and histological reality (neuro complex -vascular), involves specialized receptors involved in the regulation of the nociceptive message (gate control Melzac and Wall) it is also admitted that this stimulation also leads to the production of neuromediator, as demonstrated by the serum transfer experiments of acupuncture analgesia.
However, it is possible to use control groups receiving non-specific manipulations (having no therapeutic action on asthma) to which one can, if necessary, add a third control group which would receive no manipulation. By comparing the “specific manipulation” and “non-specific manipulation” groups, or even the “no manipulation” group, it can be determined whether the method is more effective than simple manual manipulations performed on the patient. The method is not perfect, but it has the advantage of having proved its good results. It is common in medical research not to be able to use a double-blind method for practical purposes. In this case, it is accepted in medicine to apply protocols that are close to double blind without being able to apply this method in the strict sense of the term.
At present, our best “scientific” validation remains the satisfaction of our patients, (although unfortunately it has not the slightest scientific value). This is the reason why many testimonials, which we call patients to extend the list on this site, will quickly corroborate our statement. I am well aware that these are only “special cases”: nevertheless, we can draw from the neutrality of these stories, indications of their effectiveness and this, even if these testimonies are purely informative and do not claim to be worthy of proof.
- Another subject of controversy, the famous “if it existed, it would know”
And the argument invoked to justify this criticism: the fact that we have only a few anecdotal cases to present. It is true that, whatever the treatment, there will always be a person to affirm, in good faith, that this treatment was the only one to bring him healing. It is difficult to deduce from this that this treatment works. From a scientific point of view, nothing can be concluded from a particular case.
This criticism was particularly heard when we tried to make contact with the pneumologists we asked for to participate in our study of what we are doing. Those of them who did not refute the efficacy of our treatment, however, assimilated our successes to a few isolated cases; nothing illogical about this, we are not yet numerous enough for the number of patients to act as proof and alert the doctors concerned.
- Another criticism heard “From the moment we do not understand how your method works, we can not believe in its effectiveness”:
I hope this site will provide enough satisfying explanations to anyone who will try to understand what we are doing. I am also ready to contact via the forum or by email with anyone who will express the need, to answer any questions that you want to ask me.
To conclude this chapter and in order to finish on a positive note, I would very much like, in the near future, to establish a real dialogue between our two professions (osteopaths and pulmonologists): I think we have a lot to bring to us. one, the other; Thus, we could seriously consider opening osteopathic clinics specializing in the treatment of asthma, based on the cordial understanding between our two professions – this would be both an unprecedented multidisciplinary care offer offered to patients, as well as a first interdisciplinary experiment of this kind in France.
« The art of manual therapy is old: I hold in high esteem those who discovered it as those who generation after generation, will succeed me and whose work will contribute to the development of the natural art of healing. »
HIPPOCRATE (435 BC)
A protocol specific to the method
Since Still, the founder of osteopathy in 1878, many osteopaths have thought about the issue of asthma. We benefited from their teaching to which we added our own reflection.
The protocol we have defined benefits from all the experience and methodology of the osteopaths who preceded us and draws its substance from the substantive substance of the fundamental principles elaborated by Still.
This very specific technique is not learned in schools of osteopathy but taught postgraduate courses in specific courses, this is the reason why any osteopath is not qualified to treat this kind of pathology s he did not learn it.
The asthmatic patient always presents the same types of lesions that are responsible for his asthma.
The patient is as follows:
- At the cranial level:
- At the level of the thorax:
- At the abdominal level:
- At the basin level:
It is because we know exactly which lesions are responsible for his asthma and that we know how to treat them, that we can be effective for sure.
This protocol is to use very specific techniques on specific areas in a well-defined order
List of techniques used:
- Clavicle equilibration
- Equilibration of the pericardium
- Release of the liver and diaphragm
- Central tendon; tendinous lamina: OTTP (Occipito-thymo-thyro-pericardial lamina)
- Cervical hinges, dorsal
- Dorso-lumbar hinge
- Lumbosacral hinge
- Balanced basin
- Balancing of the column
- Equilibration of the rib cage
- Balance of the lower limbs