Osteopathy Treatment and Cardiovascular Recovery After a Rugby Match

NCT04242485 | Completed

• 1 other identifier: 032017
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Cardiovascular Physiological Phenomena

Keywords

heart rate; heart rate variability; blood pressure; rugby match; atlethes; recovery; osteopathy

Outcome Measures

Primary Outcomes (8)

• Resting heart rate

  Mean heart rate measured as beats per minute

  ECG recorded for 10 min just before osteopathic manipulative treatment and sham treatment

• Resting heart rate

  Mean heart rate measured as beats per minute

  ECG recorded for 5 min just after osteopathic manipulative treatment and sham treatment

• 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

• 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

• 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

• 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

• Resting mean arterial pressure

  Mean arterial pressure measured in mmHg

  Assessed just before osteopathic manipulative treatment and sham treatment with a sphygmomanometer

• Resting mean arterial pressure

  Mean arterial pressure measured in mmHg

  Assessed just after osteopathic manipulative treatment and sham treatment with a sphygmomanometer

Secondary Outcomes (3)

• Heart rate reactivity to orthostasis

  ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)

• Heart rate variability (RMSSD index) reactivity to orthostasis

  ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)

• Heart rate variability (HF index) reactivity to orthostasis

  ECG recorded for 10 min during orthostasis (5 min) and subsequent recovery (5 min)

Study Arms (4)

AFTER MATCH + OMT

OTHER

Players undertook a recording session the day after a rugby match and received osteopathic manipulative treatment

Other: Osteopathic manipulative treatment

AFTER MATCH + sham treatment

OTHER

Players undertook a recording session the day after a rugby match and received sham treatment

Other: Sham treatment

NO MATCH + OMT

OTHER

Players undertook a recording session the day after a resting day and received osteopathic manipulative treatment

Other: Osteopathic manipulative treatment

NO MATCH + sham treatment

OTHER

Players undertook a recording session the day after a resting day and received sham treatment

Other: Sham treatment

Interventions

Osteopathic manipulative treatment OTHER

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

AFTER MATCH + OMT; NO MATCH + OMT

Sham treatment OTHER

The sham treatment consisted only in "soft touch" of the same body areas involved in the osteopathic manipulative treatment protocol without applying any pressure

AFTER MATCH + sham treatment; NO MATCH + sham treatment

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• University of Parma: lead
• Collegio Italiano di Osteopatia: collaborator
• Foundation COME Collaboration: collaborator

Study Sites (1)

Collegio Italiano di Osteopatia

Parma, Italy

Location

MeSH Terms

Interventions

Manipulation, Osteopathic

Intervention Hierarchy (Ancestors)

Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: full professor

Study Record Dates

• First Submitted: January 21, 2020
• First Posted: January 27, 2020
• Study Start: October 1, 2017
• Primary Completion: May 1, 2018
• Study Completion: May 1, 2018
• Last Updated: January 27, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)