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Osteopathic manipulative medicine

Donatella Bagagiolo, Alessia Didio, Marco Sbarbaro, Claudio Giuseppe Priolo, Tiziana Borro, Daniele Farina
Osteopathic medicine is a form of complementary and alternative medicine. Osteopathic practitioners treat patients of all ages: according to the Osteopathic International Alliance's 2012 survey, about one-third of all treated patients are aged between 31 and 50 years and nearly a quarter (23.4%) are pediatric patients, with 8.7% of them being younger than 2 years. In 2013 a systematic review evaluated the effectiveness of osteopathic manipulative treatment (OMT) in pediatric patients with different underlying disorders, but due to the paucity and low methodological quality of the primary studies the results were inconclusive...
September 2016: American Journal of Perinatology
Millicent King Channell
Although national didactic criteria have been set for predoctoral education and assessment in osteopathic manipulative treatment, there is no criterion standard for teaching methods and assessments of osteopathic manipulative treatment competence in colleges of osteopathic medicine. This issue is more pressing with the creation of the single graduate medical education accreditation system by the American Osteopathic Association and Accreditation Council for Graduate Medical Education, which introduced the creation of "osteopathic recognition" for residencies that want to incorporate osteopathic principles and practice into their programs...
September 1, 2016: Journal of the American Osteopathic Association
Valerie F Williams, Leslie L Clark, Mark G McNellis
Survey-based research has demonstrated the increasing use and acceptance of complementary and alternative medicine (CAM) in general and military populations. This report summarizes the use of three CAM procedures (chiropractic/osteopathic manipulation, acupuncture, and biofeedback) among active component service members from 2010 through 2015. Findings document a marked increase in the use of chiropractic/osteopathic manipulation and acupuncture procedures since 2010. The majority of the 240 military installations in this analysis provided chiropractic/osteopathic manipulation; more than three-quarters provided acupuncture; and approximately one-third provided biofeedback procedures...
July 2016: MSMR
Victoria Hastings, Adrienne Marie McCallister, Sarah A Curtis, Roseanna J Valant, Sheldon Yao
CONTEXT: Pain is one of the most common postpartum complaints by women in the United States, and the pain varies in its location. Research on intervention strategies for postpartum pain has focused primarily on the lower back, but pain management for other types of postpartum pain remains unclear. OBJECTIVE: To investigate the effects of osteopathic manipulative treatment (OMT) on postpartum pain; the location, quality, and timing of pain; and the difference in pain between vaginal and cesarean delivery...
August 1, 2016: Journal of the American Osteopathic Association
Adriana Isacke
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Laura Falci, Zaixing Shi, Heather Greenlee
INTRODUCTION: More than 25% of American adults report having 2 or more chronic conditions. People with chronic conditions often use complementary and alternative medicine (CAM) for self-care and disease management, despite a limited evidence base. METHODS: Data from the 2012 National Health Interview Survey (NHIS) (n = 33,557) were analyzed to assess associations between presence of multiple chronic conditions (n = 13) and CAM use, using multivariable relative risk and linear regressions weighted for complex NHIS sampling...
2016: Preventing Chronic Disease
Kyle Hitscherich, Kyle Smith, Joshua A Cuoco, Kathryn E Ruvolo, Jayme D Mancini, Joerg R Leheste, German Torres
The brain has long been thought to lack a lymphatic drainage system. Recent studies, however, show the presence of a brain-wide paravascular system appropriately named the glymphatic system based on its similarity to the lymphatic system in function and its dependence on astroglial water flux. Besides the clearance of cerebrospinal fluid and interstitial fluid, the glymphatic system also facilitates the clearance of interstitial solutes such as amyloid-β and tau from the brain. As cerebrospinal fluid and interstitial fluid are cleared through the glymphatic system, eventually draining into the lymphatic vessels of the neck, this continuous fluid circuit offers a paradigm shift in osteopathic manipulative medicine...
March 2016: Journal of the American Osteopathic Association
Leslie M Ching
No abstract text is available yet for this article.
March 2016: Journal of the American Osteopathic Association
Karen T Snider
As osteopathic medical education shifts to competency-based learning, course curriculums must adapt to measure behavioral milestones in addition to traditional knowledge and technical skills. Of the core competencies, medical professionalism or lack thereof has been shown to correlate with future state disciplinary board action; therefore, early identification of poor professionalism and intervention is imperative. However, performance indicators, such as humanistic behavior and primacy of patient need, are difficult to measure in most first- and second-year medical school courses...
February 2016: Journal of the American Osteopathic Association
Stanley F Wainapel, Stephanie Rand, Loren M Fishman, Jennifer Halstead-Kenny
The frequency with which patients utilize treatments encompassed by the term complementary/alternative medicine (CAM) is well documented. A number of these therapies are beginning to be integrated into contemporary medical practice. This article examines three of them: osteopathic manipulation, yoga, and acupuncture, with a focus on their physiological effects, efficacy in treating medical conditions commonly encountered by practitioners, precautions or contraindications, and ways in which they can be incorporated into clinical practice...
2015: International Journal of General Medicine
Blake Busey, Jelaun Newsome, Tyler Raymond, Heather O'Mara
CONTEXT: With the growing number of osteopathic physicians practicing in the United States and the creation of a single graduate medical education system, a continued need exists for focused education in osteopathic principles, philosophy, and treatment modalities in primarily allopathic residency programs. OBJECTIVE: To create and integrate a resident-led osteopathic manipulative treatment (OMT) clinic in an allopathic residency program. METHODS: After an informal needs assessment on the basis of resident survey data, a resident-led OMT clinic was created within a military allopathic family medicine residency program...
December 2015: Journal of the American Osteopathic Association
Laura K Hempstead, Diane M Harper
BACKGROUND AND OBJECTIVES: Literature review reveals that doctors of osteopathic medicine (DO) physicians desire to maintain their osteopathic identity and enhance their osteopathic skills during residency training. An effective osteopathic curriculum has enhanced the University of Missouri-Kansas City (UMKC) Family Medicine Residency Program's recruitment of strong osteopathic residency candidates. UMKC has been a dually accredited family medicine residency since 2006. The study sought to determine resident attitudes toward osteopathic identity and principles and the perceived effectiveness of our osteopathic curriculum...
November 2015: Family Medicine
Karen T Snider, Dennis J Dowling, Michael A Seffinger, Millicent K Channell, Sheldon C Yao, Sharon M Gustowski, Jane C Johnson, Martin J Pryor
CONTEXT: Improving the acquisition of osteopathic manipulative treatment (OMT) skills may increase student confidence and later use of OMT. A first step in this process is determining the optimal table trainer-to-student ratio (TTR). OBJECTIVE: To determine the effect of TTR on knowledge and skill acquisition of cervical muscle energy OMT techniques in first-year osteopathic medical students. METHODS: First-year students at 3 colleges of osteopathic medicine received instruction on cervical diagnosis and muscle energy techniques at 1 of 3 workshops, each having a different TTR (1:4, 1:8, or 1:16)...
September 2015: Journal of the American Osteopathic Association
Wagner Rodrigues Martins, Leonardo Rios Diniz, Juscelino Castro Blasczyk, Karina Ferreira Lagoa, Sérgio Thomaz, Marcia Elisabeth Rodrigues, Ricardo Jacó de Oliveira, Ana Clara Bonini-Rocha
BACKGROUND: Osteopathic medicine is based on a diagnostic and therapeutic system to treat tissue mobility/ motility dysfunctions in general, using different approaches (depending on the target tissue) known as osteopathic manipulative treatment. Among the available techniques those ones addressed to the cranial field are the most questioned because of the lack of scientific evidence; but the compression of the 4th ventricle technique has been largely studied in clinical trials. Studies have shown that the technique may affect both central and autonomous nervous system, modulating some reflexes (Traube-Hering baro signal), and modifying brain cortex electrical activity through central sensitization in subjects with chronic low back pain...
2015: BMC Complementary and Alternative Medicine
Hollis H King
No abstract text is available yet for this article.
July 2015: Journal of the American Osteopathic Association
Sevan Evren, Pranay Chander, Julia Kim, Andrew Bi, Dennis Fiddler, Emily Wayent, Howard S Teitelbaum
CONTEXT: The growth of osteopathic medicine in the United States has led to a vibrant expansion of the profession internationally. Canadian students represent the majority of international applicants and matriculants to US colleges of osteopathic medicine (COMs); however, to our knowledge, no studies have explored this population. OBJECTIVE: To gain a better understanding of Canadian students attending US colleges of osteopathic medicine by examining their residency training preference, visa preference, intent to practice in the United States or Canada, receptiveness to incorporating osteopathic manipulative medicine into practice, specialty preference, estimated debt incurred, and effect of debt on specialty choice...
May 2015: Journal of the American Osteopathic Association
Gregory A Hon, Karen T Snider, Jane C Johnson
CONTEXT: The American Osteopathic Association requires the integration of osteo-pathic principles and practice in all specialty residency training programs that it accredits, but the 4 residencies with the most integration of osteopathic manipulative medicine (OMM) have differences in training and emphasis on OMM as a primary treatment modality. OBJECTIVE: To study differences in OMM use for spinal pain between the neuro-musculoskeletal medicine/OMM (NMM/OMM), the family practice/osteopath-ic manipulative treatment (FP/OMT), the integrated FP/OMT and NMM/OMM (FP/NMM), and the internal medicine and NMM/OMM (IM/NMM) specialty residency training programs...
May 2015: Journal of the American Osteopathic Association
Tatyana Kondrashova, Michael D Lockwood
CONTEXT: Noninvasive diagnostic methods and palpatory physical examination skills are especially important for osteopathic medical students intending to work in rural, underresourced, or underserved areas. The A.T. Still University-Kirksville College of Osteopathic Medicine integrates ultrasonography into the osteopathic manipulative medicine (OMM) courses required during the first 2 years of medical school, allowing students to learn the technology and to visualize anatomical structures and regions...
April 2015: Journal of the American Osteopathic Association
Luca Cicchitti, Marta Martelli, Francesco Cerritelli
BACKGROUND: Chronic inflammatory diseases (CID) are globally highly prevalent and characterized by severe pathological medical conditions. Several trials were conducted aiming at measuring the effects of manipulative therapies on patients affected by CID. The purpose of this review was to explore the extent to which osteopathic manipulative treatment (OMT) can be benefi-cial in medical conditions also classified as CID. METHODS: This review included any type of experimental study which enrolled sub-jects with CID comparing OMT with any type of control procedure...
2015: PloS One
Kristie Petree, Jonathan Bruner
Singultus, or hiccups, is a common medical condition. Despite exponential leaps in medicine, the pathophysiologic cause remains poorly defined. Persistent singultus has been associated with conditions such as pulmonary embolism and myocardial infarction. Singultus is also a well-known postoperative complication. The criterion standard of care for patients with singultus involves ruling out lethal pathologic causes, attempting physical stimulation with Valsava maneuvers or drinking water, and, if no relief has been achieved, administering drugs to ease the symptoms...
March 2015: Journal of the American Osteopathic Association
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