Abstract

Abstract

This study seeks to examine the inter-relationship of what William Garner Sutherland, DO called “The Tide,” the Cranial Rhythmic Impulse (CRI) palpated by practitioners of Osteopathy in the Cranial Field (OCF), and physiologic or pulmonary respiration. This study is different in that it proposes a mathematical analysis of these several phenomena to reconcile whether these are part of the same overarching natural wave or they are distinct. The pertinent medical literature is reviewed. The mathematics of Fourier analysis is briefly described. This study performed “reverse” Fourier analysis, that is, the combination of the various periodic signals into one periodic signal, across the range of normal physiological data values. Stochastic techniques were then applied to resolve these probabilistic data into 1 overarching periodic signal. From the mathematical analysis, it is not mathematically possible for “The Tide” to be in the range of the fundamental frequencies of the CRI, pulmonary respiration, and the Traube-Hering-Mayer oscillations that derive from it and are its harmonics. This mathematical analysis cannot be construed as negating the existence of “The Tide,” rather merely eliminates these fundamental frequencies as being “The Tide.” “The Tide” must be something else. More research is indicated.

Abstract

Growth faltering is a complex problem in the pediatric population and can result from multiple mechanisms, including inadequate caloric intake. Feeding difficulties are common among children with growth faltering and can present significant challenges for achieving adequate nutrition and weight gain, particularly when coupled with any degree of oral aversion. The patient in this case is a 21-month-old child with oral aversion, pediatric feeding disorder (PFD), and growth faltering who had failed to gain weight while receiving the standard of care. Upon transitioning his care to an osteopathic pediatrician, who incorporated osteopathic manipulative treatment (OMT) into his care, he demonstrated weight gain, which was sustained over the 8 months of this study. This case report demonstrates the potential benefit of OMT for children with PFD, oral aversion, and growth faltering.

Abstract

We describe the case of a 55-year-old female with nine months of chronic postoperative abdominal wall pain likely representing anterior cutaneous nerve entrapment syndrome (ACNES), who experienced marked symptomatic improvement with the use of the fascial distortion model (FDM) in the emergency department (ED). This is the first case report in the literature on the successful application of the FDM for abdominal wall pain, and there is still little FDM literature in the emergency medicine (EM) setting.