OMT to Address the Physiologic Effects of Stress
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Danielle Emmet
OMT Minute: OMT to Address the Physiologic Effects of Stress
eVideo. Suboccipital decompression and rib raising may reduce the physiologic effects of stress.
Emotional and physical stress induce a physiologic response in the human body. Activation of the hypothalamic-pituitary-adrenal axis and arousal of the sympathetic nervous system occurs, affecting multiple organ systems. This response allows humans to adaptively respond to emotional and physical stressors; however, chronic exposure to such stressors can lead to maladaptive alterations in our stress response, hormone levels, and allostatic load.
Osteopathic manipulative treatment (OMT) may benefit patients facing chronic stress as it affects physiological and psychological markers of our stress response. Several OMT techniques, including suboccipital inhibition and rib raising (video), are associated with increased heart rate variability, improved autonomic homeostasis, decreased muscular tension, and reduced perception of stress.
Mental stress is known to cause increased muscular tension through complex neurologic reflex loops. Suboccipital inhibition, also known as suboccipital decompression, may assist in decreasing that tension and improving autonomic nervous system homeostasis by inducing a parasympathetic response. The vagus nerve, which supplies parasympathetic innervation to much of the body, exits the skull via the jugular foramen in the suboccipital region. This technique is associated with increased parasympathetic tone and heart rate variability.
Rib raising can be used to improve respiratory excursion and is believed to improve autonomic homeostasis by decreasing sympathetic tone. Its proposed mechanism of action is through the release of the costotransverse articulation, as just anterior to this joint is the sympathetic chain ganglia arising from T1-L2, which supply sympathetic innervation everywhere in the body.
Hands-on treatment of the suboccipital and thoracic regions with these OMT techniques can help osteopathic physicians care for their patients’ body, mind, and spirit by supporting their physiologic resilience and homeostasis during stressful times.
Acknowledgments
We thank Jeff Reedy for video production and editing.
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- Neurobiology of Sexual Assault and Osteopathic Considerations for Trauma-Informed Care and Practice
- OMT MINUTE
- OMT to Address the Physiologic Effects of Stress
- IN MY VIEW
- Model to Reduce Unintentional Firearms Injury and Death: Safety Through Education
- CORRECTION
- Correction
- SPECIAL REPORT
- Contemporary Routes of Cannabis Consumption: A Primer for Clinicians
- AOA COMMUNICATION
- JAOA Peer Reviewers, 2017
- ORIGINAL CONTRIBUTION
- Reducing Patient No-Shows: An Initiative at an Integrated Care Teaching Health Center
- BRIEF REPORT
- Prevalence of Homelessness by Gender in an Emergency Department Population in Pennsylvania
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- Plantar Warts: Epidemiology, Pathophysiology, and Clinical Management
- JAOA/AACOM MEDICAL EDUCATION
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- SPECIAL COMMUNICATION
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- CASE REPORT
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- CLINICAL IMAGES
- Aspiration of Dental Crown
