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osteopathic lumbar

Michael O'Donnell, Jo Armour Smith, Alex Abzug, Kornelia Kulig
BACKGROUND: Spinal manipulation is an effective intervention for low back pain, yet there is little consistency in how this skill is taught. OBJECTIVES: The purpose of this study was to identify what educators and clinicians believe are important characteristics of the patient and operator position prior to side-lying lumbar manipulation and the patient position and operator motion during the manipulative thrust. DESIGN: A multi-disciplinary correspondence-based Delphi method...
September 2016: Manual Therapy
Hollis H King
No abstract text is available yet for this article.
May 1, 2016: Journal of the American Osteopathic Association
Chad T Andicochea, Joel Fulkerson, Bradley M Taylor, Steven J Portouw
INTRODUCTION: Low back pain (LBP) in the aviator can be a significant safety risk because of distraction during flight. Flight Surgeons are tasked with seeking out appropriate medical care that reduces pilot risk while providing squadron-specific mission support. CASE: An F-5 pilot presented with chronic LBP seeking nonpharmacological and noninvasive therapy. After 3 days of manual treatment that corrected sacral, pelvic, and lumbar dysfunction, this pilot reported greater than 80% reduction in overall pain and was able to return to flight...
October 2015: Military Medicine
D Gallo-Padilla, C Gallo-Padilla, F J Gallo-Vallejo, J L Gallo-Vallejo
After explaining that low back pain is considered the most common pregnancy complication, its pathogenesis, risk factors and the clinical characteristics of the very painful symptoms of this condition are described. As for its approach, it is stressed that it must be multidisciplinary, introducing very important preventive measures, including proper postural hygiene. For its treatment, the methods may be based on non-surgical or pharmacological interventions of a conservative non-invasive nature. Thus, physiotherapy, osteopathic manipulation, multimodal intervention (exercise and education), exercises performed in water environment, acupuncture, etc...
September 2016: Semergen
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
Frank J Daly, David L Bolender, Deepali Jain, Sheryl Uyeda, Todd M Hoagland
Integrated medical curricular changes are altering the historical regional anatomy approach to abdominal dissection. The renal system is linked physiologically and biochemically to the cardiovascular and respiratory systems; yet, anatomists often approach the urinary system as part of the abdomen and pelvic regions. As part of an integrated curriculum, the renal system must be covered relatively quickly after the thorax in the cadaver laboratory, often without the opportunity to fully appreciate the rest of the abdominal contents...
November 2015: Anatomical Sciences Education
Chantal Morin, Andrée Aubin
BACKGROUND: Osteopathy is an increasingly popular health care modality to address pain and function in the musculoskeletal system, organs and the head region, as well as functional somatic syndromes. Although osteopathy is recommended principally in guidelines for management of back pain, osteopaths' scope of practice is wide, albeit poorly defined. In order to understand better the practice of osteopathy, this study aimed to investigate the most common reasons for osteopathic consultations in clinical settings in Quebec...
2014: PloS One
Eric J Snider, Kenneth Pamperin, Jane C Johnson, Natalie R Shurtz, Brian F Degenhardt
CONTEXT: Although spinal somatic dysfunction diagnosis is taught at all colleges of osteopathic medicine, few objective measures have been used to evaluate student accuracy. OBJECTIVE: To assess the palpatory skills of osteopathic medical students in evaluating positional asymmetry in the transverse plane using static block transverse process and lumbar spine models. METHODS: For this observational study, first-year osteopathic medical students completed 3 palpatory assessments using uncovered and covered block transverse process and lumbar spine models to simulate a range of positional asymmetries of the transverse processes...
June 2014: Journal of the American Osteopathic Association
John C Licciardone, Cathleen M Kearns, W Thomas Crow
The purpose of this study was to measure changes in biomechanical dysfunction following osteopathic manual treatment (OMT) and to assess how such changes predict subsequent low back pain (LBP) outcomes. Secondary analyses were performed with data collected during the OSTEOPATHIC Trial wherein a randomized, double-blind, sham-controlled, 2 × 2 factorial design was used to study OMT for chronic LBP. At baseline, prevalence rates of non-neutral lumbar dysfunction, pubic shear, innominate shear, restricted sacral nutation, and psoas syndrome were determined in 230 patients who received OMT...
August 2014: Manual Therapy
Joseph K Prinsen, Kendi L Hensel, Richard J Snow
CONTEXT: Randomized controlled trials (RCTs) are considered the standard for establishing practice guidelines; however, they are expensive and time-consuming, and often the generalizability of the results is limited. OBJECTIVES: To conduct an observational study using the findings of the American Osteopathic Association's Clinical Assessment Program (AOA-CAP) low back pain module, and to compare these findings with those of a major back pain-related RCT to determine the validity and generalizability of this pseudoexperimental model...
February 2014: Journal of the American Osteopathic Association
Michela Cicconi, Tatiana Mangiulli, Giorgio Bolino
The aim of this study is to correlate cervical disc herniation with manipulation performed by a non-physician osteopath on a patient complaining of neck pain. The authors report a case in which a woman - treated with osteopathic spinal manipulation - developed cervical-brachial neuralgia following the cervical disc herniation. The patient then underwent surgery and was followed by physiotherapists. A clinical condition characterized by limitation of neck mobility, with pain and sensory deficit in the right arm and II-III fingers, still persists...
October 2014: Medicine, Science, and the Law
James A Lipton, Geoffrey A McLeod
The authors describe a case of a 26-year-old female military veteran who presented with low back pain that she attributed to a recent foot injury. The patient reported a history of lumbar pain while in the military that had been treated successfully with high-velocity, low-amplitude osteopathic manipulative treatment. The patient's current pain was improved with osteopathic manipulative treatment and gait correction. Several weeks after her initial presentation, the patient reported that she had had a herniated disk diagnosed 2 years earlier by means of magnetic resonance imaging...
December 2013: Journal of the American Osteopathic Association
William R Reed, Cynthia R Long, Joel G Pickar
OBJECTIVES: Manual therapy practitioners commonly assess lumbar intervertebral mobility before deciding treatment regimens. Changes in mechanoreceptor activity during the manipulative thrust are theorized to be an underlying mechanism of spinal manipulation (SM) efficacy. The objective of this study was to determine if facet fixation or facetectomy at a single lumbar level alters muscle spindle activity during 5 SM thrust durations in an animal model. METHODS: Spinal stiffness was determined using the slope of a force-displacement curve...
November 2013: Journal of Manipulative and Physiological Therapeutics
C A Fawkes, C M J Leach, S Mathias, A P Moore
Increasing interest is being shown in osteopathy on a national and international basis. Since little prospective data had been available concerning the day-to-day practice of the profession, a standardised data collection tool was developed to try and address this issue. The tool development process has been described in an earlier paper. The standardised data collection (SDC) tool underwent national piloting between April and July 2009 in United Kingdom private practices. Osteopaths volunteered to participate and collected data on consecutive new patients or patients presenting with a new symptom episode for a period of one month; follow-up data were collected for a further two months...
April 2014: Manual Therapy
Wei Zhang, Wei Guo, Ping Zhao, Wei Zhou, Jie Wei, Xi-De Li, Liang Liu
A clinical study was conducted in 72 lumbar disc herniation (LDH) patients and 40 asymptomatic subjects to evaluate the efficacy of Feng's spinal manipulation (FSM). FSM was performed twice a week for less than 20 days. Changes in the symmetrical index of spinal column (SISC) and quantified symptom index (QSI) before and after FSM in both groups were collected. The QSI consisted of the visual analogue scale (VAS), score of the Japanese Orthopedic Association, and straight leg raising test, for measurement of pain perception, dysfunction of lower limb extension or flexion, and symptomatic relief...
2013: American Journal of Chinese Medicine
Karen T Snider, John C Glover, Paul R Rennie, Heather P Ferrill, William F Morris, Jane C Johnson
CONTEXT: Counterstrain is 1 osteopathic manipulative treatment technique taught to osteopathic medical students, but teaching all 300 counterstrain tender points is not feasible at most colleges of osteopathic medicine (COMs) because of time limitations. OBJECTIVE: To identify high-yield tender points in osteopathic medical students for teaching and to assess for correlations between tender points and demographic information, weight, and history of pain or trauma...
September 2013: Journal of the American Osteopathic Association
Jeffrey J Hebert, Norman J Stomski, Simon D French, Sidney M Rubinstein
OBJECTIVE: The purpose of this study was to systematically search the literature for studies reporting serious adverse events following lumbopelvic spinal manipulative therapy (SMT) and to describe the case details. METHODS: A systematic search was conducted in PubMed including MEDLINE, EMBASE, CINAHL, and The Cochrane Library up to January 12, 2012, by an experienced reference librarian. Study selection was performed by 2 independent reviewers using predefined criteria...
November 2015: Journal of Manipulative and Physiological Therapeutics
Claire Sutton, Lazarus Nono, Ross G Johnston, Oliver P Thomson
BACKGROUND: The use of palpation to diagnose musculoskeletal dysfunction is commonly taught within osteopathy and other manual therapies. However the clinical tests used to detect sacroiliac joint dysfunction have not shown good reliability. OBJECTIVES: To investigate the inter-examiner reliability of osteopaths to detect asymmetries of the posterior superior iliac spine (PSIS), and to determine if inter-examiner reliability was affected by the level of practitioner experience...
April 2013: Journal of Bodywork and Movement Therapies
Scott S Emerson, Arthur J Speece
Coccydynia is pain in and around the coccyx, with trauma being the most common etiologic factor. The authors describe the case of a 60-year-old woman who was injured in an automobile accident several months before consultation. After the physician recorded the patient's history, performed a physical examination, and reviewed imaging reports, lumbar radiculopathy and somatic dysfunction of the lumbar and sacral vertebrae were diagnosed as the cause of her coccydynia. During a 6-week period, the patient underwent a series of 3 epidural steroid injections, osteopathic mobilization of the lumbar and sacral spine, and manual manipulation of the coccyx with anesthesia...
December 2012: Journal of the American Osteopathic Association
K Aaron Shaw, John J Dougherty, Kevin D Treffer, Alan G Glaros
CONTEXT: Practitioners of manipulative medicine have long sought to prove the intra- and interexaminer reliability of palpatory examinations in assessing somatic dysfunction. However, decades of research have yet to achieve the level of reproducibility needed to satisfy evidence-based criteria. OBJECTIVES: To examine the content validity of segmental motion evaluations using ultrasonographic measurements and to investigate the implication of these results for understanding the effects of an osteopathic manipulative treatment technique--high-velocity, low-amplitude (HVLA)--applied to somatic dysfunction in the lumbar spine...
December 2012: Journal of the American Osteopathic Association
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