Evidence map›Paper›PMID 31024346›Full record

ArticleFrontiers in physiology2019

Cerebral Perfusion Changes After Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial.

Federica Tamburella, Federica Piras, Fabrizio Piras, Barbara Spanò, Marco Tramontano, Tommaso Gili

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07629765 (Exploring the Impact of Osteopathic Manipulative Treatment on CSF Dynamics), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07629765 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Exploring the Impact of Osteopathic Manipulative Treatment on CSF Dynamics: A Mechanistic MRI-Based Investigation

TypeinterventionalSponsorEdward Via Virginia College of Osteopathic MedicineRan2026 to 2027Enrolled30ConditionsOsteopathic Manipulative Treatment (OMT) Effects on Cerebrospinal Fluid (CSF) DynamicsArmsOsteopathic Manipulative Treatment (OMT)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 54 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Federica TamburellaIRCCS Fondazione Santa Lucia, Rome, Italy.
Federica PirasIRCCS Fondazione Santa Lucia, Rome, Italy.
Fabrizio PirasIRCCS Fondazione Santa Lucia, Rome, Italy.
Barbara SpanòIRCCS Fondazione Santa Lucia, Rome, Italy.
Marco TramontanoIRCCS Fondazione Santa Lucia, Rome, Italy.
Tommaso GiliIMT School for Advanced Studies Lucca, Lucca, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITFondazione Santa Lucia · ITIMT School for Advanced Studies Lucca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteopathic Manipulative Treatment (OMT) is a therapeutic approach aimed at enhancing the body's self-regulation focusing on somatic dysfunctions correction. Despite evidence of OMT effectiveness, the underlying neurophysiological mechanisms, as well as blood perfusion effects, are still poorly understood. The study aim was to address OMT effects on cerebral blood flow (CBF) in asymptomatic young volunteers as measured by Magnetic Resonance Arterial Spin Labeling (ASL) method. Thirty blinded participants were randomized to OMT or placebo, and evaluated with an MRI protocol before manual intervention (T0), immediately after (T1), and 3 days later (T2). After T0 MRI, participants received 45 min of OMT, focused on correcting whole body somatic dysfunctions, or placebo manual treatment, consisting of passive touches in a protocolled order. After treatment, participants completed a de-blinding questionnaire about treatment perception. Results show significant differences due to treatment only for the OMT group (OMTg): perfusion decreased (compared to T0) in a cluster comprising the left posterior cingulate cortex (PCC) and the superior parietal lobule, while increased at T2 in the contralateral PCC. Furthermore, more than 60% of participants believed they had undergone OMT. The CBF modifications at T2 suggest that OMT produced immediate but reversible effects on CBF.

Indexed as

arterial spin labelingosteopathic manipulative treatmentplaceboposterior cingulate cortexsomatic dysfunction

Identifiers

PMID31024346
PMCPMC6460882
OpenAlexW2926255698

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.