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Osteopathic approach with a patient undergoing cardiac transplantation: the five diaphragms

Authors Bordoni B, Morabito B, Simonelli M, Nicoletti L, Rinaldi R, Tobbi F, Caiazzo P

Received 11 February 2019

Accepted for publication 9 August 2019

Published 5 September 2019 Volume 2019:12 Pages 303—308

DOI https://doi.org/10.2147/IMCRJ.S204829

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas


Bruno Bordoni,1 Bruno Morabito,2,3 Marta Simonelli,4 Luigi Nicoletti,5 Riccardo Rinaldi,5 Filippo Tobbi,6 Philippe Caiazzo5

1Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Institute of Hospitalization and Care with Scientific Address, Milan 20100, Italy; 2Foundation Polyclinic University A. Gemelli University Cattolica Del Sacro Cuore, Rome, Italy; 3Department of Osteopathy, CRESO School, Gorla Minore, Piazza XXV Aprile 421055, Italy; 4French-Italian School of Osteopathy (SOFI), Pisa, Italy; 5Department of Osteopathy, Accademia Italiana Terapia Osteopatica Posturale (AITOP), Massa-Carrara, Italy; 6Poliambulatorio Medico E Odontoiatrico, Busto Arsizio, Varese, Italy

Correspondence: Bruno Bordoni
Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Institute of Hospitalization and Care with Scientific Address, Milan 20100, Italy
Tel +39 02 349 630 0617
Email bordonibruno@hotmail.com

Abstract: The case report presents a patient with a possible neuropathic sternal pain associated with a recent heart transplant procedure. The patient could not breathe deeply and move the upper limbs, with a trunk torsion, feeling a sharp pain under and around the left breastbone. A fascial osteopathic approach in the treatment of the pelvic floor, the respiratory diaphragm, the thoracic outlet, the tongue and the tentorium cerebelli allowed the patient to access to a cardiovascular rehabilitation program. In osteopathic medicine, these anatomical parts of the body are called the five diaphragms. To our best knowledge, this is the first case report that uses osteopathic treatment in a patient with sternal pain associated with an undergoing cardiac transplantation. The clinical importance of the case report is added to other osteopathic research with patients undergoing cardiac surgery (coronary artery bypass graft) and with multiple benefits, without side effects. One of the main goals of osteopathic treatment is to provide the patient with well-being, from many clinical points of view, allowing the person to be discharged from the hospital more quickly and/or with less pain.

Keywords: diaphragm, osteopathic, fascia, cardiac transplantation, pain, heart, case report

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