الفهرس 
Effect of selected osteopathic lymphatic techniques on immune system In healthy subjects
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Abstract
Background: The immune system has evolved to protect the host from a universe of pathogenic microbes that are themselves constantly evolving. The immune system also helps the body to eliminate toxic or allergenic substances that enter through mucosal surfaces. Osteopathic lymphatic manipulation techniques are used to enhance the immune system through the increased lymph flow and blood count changes. Purpose:This study was designed to investigate the effect of selected osteopathic lymphatic techniques on immune system in healthy subjects. Methods: Forty five healthy subjects(33 males and 12 females)participated in this study, the meanvalues of their age were (24.04±6.57) years, the mean values of their weight were (77.16±1.99) kilograms, the mean values of their height were (177.69±0.42)centimeters and values of their body mass index (BMI) were(24.81±0.24). They were randomly assigned into three groups by Permuted block randomization, equal in numbers, each one had 15 subjects: group (A) received sternal pump technique and sternal recoil technique. group (B) received thoracic lymphatic pumptechnique (TLPT) and splenic pump technique (SPT), treatment sessions were 12 sessions, three sessions/week. group (C) (control group) did not receive any physical therapy modality. Blood sample were taken from participants at 10 am and they were asked to fast for 12 hours before the blood sample withdrawal.Absolute count of clusterof differentiation 4 (CD4) and white blood cells(WBCs)and it’s derivatives (Basophils, Neutrophils&Monocytes(andMean corpuscular volume(MCV)countswere assessedat the beginning and after application of the treatment program