The Somatic Connection  |   October 2016
Manual Therapy Shown To Improve Diabetic Foot Ulcer Healing
Author Notes
  • University of California, San Diego School of Medicine 
Article Information
The Somatic Connection   |   October 2016
Manual Therapy Shown To Improve Diabetic Foot Ulcer Healing
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 685-686. doi:10.7556/jaoa.2016.135
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 685-686. doi:10.7556/jaoa.2016.135
Joseph LH, Paungmali A, Dixon J, et al. Therapeutic effects of connective tissue manipulation on wound healing and bacterial colonization count among patients with diabetic foot ulcer [published online February 2, 2016]. J Bodyw Mov Ther. 2016. doi.org/10.1016/j.jmbt.2016.01.010. 
Physical therapy researchers in Thailand and Malaysia studied the effects of connective tissue manipulation on patients with diabetic foot ulcer. Connective tissue manipulation is a manual therapy technique developed in Germany in the 1930s that uses fingertip strokes to stretch both elastic and viscous components of tissues in therapeutic reflex zones that share the same segmental innervations with the connective tissue zones. This technique stimulates parasympathetic function, resulting in reflex vasodilation and increased circulation to the peripheral extremities. For this intervention, contact was made over the arterial zone of the legs, which is around the sacrum and borders of the iliac crest. From the osteopathic perspective, this intervention appears to be an application of somatovisceral reflex theory and the manually guided forces most similar to the osteopathic manipulative procedures of the Fascial Distortion Model.1 
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