Peer Review Articles

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treated shoulder pain with trigger point OMT.

Data clearly demonstrate that a single session of OMT in the ED can have a significant effect in the management of acute ankle injuries.

Following ACL reconstruction and OMT, the patient showed increasingly stable mobility in the lumbopelvic region. Furthermore, episodic new dysfunctions readily resolved with OMT.

A single application of an MET for the GHJ horizontal abductors provides immediate improvements in both GHJ horizontal adduction and internal rotation ROM in asymptomatic collegiate baseball players. Application of MET for the horizontal abductors may be useful to gain ROM in overhead athletes.

demonstrated that among collegiate baseball players, OMT lessened shoulder tightness.

provides preliminary evidence that OMTh may be beneficial in the treatment of patients with IBS

OMTh applied to the diaphragm and esophagus may improve symptoms of GERD and should be added to the somatovisceral approach to the care of patients with this condition.

“osteopathy should be taken seriously as a treatment for patients with CP/CPPS. Furthermore, due to the osteopathic treatment the patients learnt to alleviate or even eliminate their own symptoms in treating themselves. In order to help many other affected persons out of their dilemma it would be desirable if more urologists and internists would become acquainted with osteopathy in order to be able to offer this to patients at an early stage.” 

did a controlled, prospective study to show that OMT improved infantile colic.

These data suggest that OMT can acutely improve hemodynamic control during engagement of the skeletal muscle pump and this was most likely due to improvement of structural restrictions to venous return.

We conclude that osteopathic treatment in the first months of life improves the degree of asymmetry in infants with postural asymmetry.

osteopathic treatments contribute to the improvement of cranial asymmetries in infants younger than 6.5 months old presenting with NSOP characteristics.

The present study suggests that OMT may have an important role in the management of preterm infants hospitalization.

This study is the first in the field showing no placebo effect on newborns.

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osteopathic manual treatment has medium to large treatment effects in preventing progressive back-specific dysfunction during the third trimester of pregnancy. The findings are potentially important with respect to direct health care expenditures and indirect costs of work disability during pregnancy

Osteopathic manipulative treatment slows or halts the deterioration of back-specific functioning during the third trimester of pregnancy

did a randomized trial, showing OMT led to fewer and less severe ear infections in children. The results of this study suggest a potential benefit of osteopathic manipulative treatment as adjuvant therapy in children with recurrent AOM; it may prevent or decrease surgical intervention or antibiotic overuse.

This study suggests that OMT+PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.

Osteopathic Manipulative Treatment (OMT) is a cost-effective adjunctive treatment of pneumonia that has been shown to reduce patients’ length of hospital stay, duration of intravenous antibiotics, and incidence of respiratory failure or death when compared to subjects who received conventional care alone

did a controlled, prospective study to show that OMT improved infantile colic.

We conclude that osteopathic treatment in the first months of life improves the degree of asymmetry in infants with postural asymmetry.

osteopathic treatments contribute to the improvement of cranial asymmetries in infants younger than 6.5 months old presenting with NSOP characteristics.

The present study suggests that OMT may have an important role in the management of preterm infants hospitalization.

This study is the first in the field showing no placebo effect on newborns.

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did a randomized trial, showing OMT led to fewer and less severe ear infections in children. The results of this study suggest a potential benefit of osteopathic manipulative treatment as adjuvant therapy in children with recurrent AOM; it may prevent or decrease surgical intervention or antibiotic overuse.

OMTh can potentially increase performances of selective and sustained attention in children with ADHD

showed that OMT improves high blood pressure and can prevent blood vessel thickening.

A daily postoperative OMT protocol improved functional recovery of patients who underwent a CABG operation.

showed that OMT can improve hemodynamic control in pregnancy.

Blood Flow to the brain does not appear to be compromised by positions commonly used in manual therapy. Positions using end-range neck rotation and distraction do not appear to be more hazardous to cerebral circulation than more segmentally localized techniques.

among patients affected by cardiovascular disorders, osteopathic treatment is significantly associated to an improvement in intima-media and systolic blood pressure after one year

suggested that OMT can induce changes in jaw function for TMJ.

The results of this study suggest that OMT can induce changes in the stomatognathic dynamics, offering a valid support in the clinical approach to TMD

performed a randomized controlled trial, revealing OMT on TMJ requires significantly less medication (non-steroidal medication and muscle relaxants).

there was an absolute difference between the 2 treatment groups at the end of the study, with a 33% lower frequency of headache in the OMTh group

there was an absolute difference between the 2 treatment groups at the end of the study, with a 33% lower frequency of headache in the OMTh group

Five (5) osteopathic treatments had a beneficial effect on the physical as well as the mental aspects of LWS and lives up to its claim of being a complementary modality in the treatment regimen of this condition.

there was an absolute difference between the 2 treatment groups at the end of the study, with a 33% lower frequency of headache in the OMTh group

OMT may be beneficial in the treatment of sinusitis.

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A series of osteopathic treatments might be beneficial for women suffering from primary dysmenorrhoea.

When comparing treated to untreated cervical segments, the most significant change occurred post-counterstrain OMT with no overall change following Sham.

steopathic physicians can decrease or eliminate the morbidity and symptoms associated with protracted dysfunction. Low back pain, chest pain, torticollis, asthma, and sinusitis are some of the illnesses in which OMT should be implemented as part of the management plan

The cranial OMM suppression technique effectively and progressively reduced S(CT)O(2) in both prefrontal lobes with the treatment time.

osteopathic manipulations as administered in these two studies provide good, lasting relaxation. This study also provides the interesting observation that daily relaxation practices done by Dr. Paoletti enable him to work hard without additional stress

It can be inferred that LPT at a rate of 1 pump per sec for a total of 4 min can be applied every 2 h, thus providing scientific rationale for the use of LPT to repeatedly enhance the lymphatic and immune system.

showed that pain medication plus OMT treated back pain better than either medication or OMT alone.

demonstrated that a clinic providing OMT improved long-term spinal pain.

showed that OMT treated sciatica as well as injecting chemicals to dissolve herniated disks.

The large effect size for OMT in providing substantial pain reduction in patients with chronic LBP of high severity was associated with clinically important improvement in back-specific functioning. Thus, OMT may be an attractive option in such patients before proceeding to more invasive and costly treatments.

The OMT regimen met or exceeded the Cochrane Back Review Group criterion for a medium effect size in relieving chronic low back pain. It was safe, parsimonious, and well accepted by patients.

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This study demonstrates the positive effect of OMT on sIgA levels in persons experiencing high stress. Results suggest that OMT may then have therapeutic preventive and protective effects on both healthy and hospitalized patients, especially those experiencing high levels of emotional or physiological stress and those at higher risk of acquiring upper respiratory tract infections.

doi:10.7556/jaoa.2015.136 Incidence of Somatic Dysfunction in Healthy Newborns Erica L. Waddington, DO; Karen T. Snider, DO; Michael D. Lockwood, DO; Vanessa K. Pazdernik, MS

OMT has shortened the length of hospital stay in patients with pneumonia.

In May 2006, The American Journal of Pediatrics said,  “Osteopathic Manipulative Treatment (OMT), particularly Osteopathy in the Cranial Field, is safe, effective, and well-tolerated in treating plagiocephaly, torticollis, and many other clinical conditions in children… Those of us who use the osteopathic approach to medicine rarely need to refer our patients for physical therapy or orthotics.”

Among patients affected by cardiovascular disorders, osteopathic treatment is significantly associated to an improvement in intima-media and systolic blood pressure after one year

This study affirms the effects of OMT on migraine headache in regard to decreased pain intensity and the reduction of number of days with migraine as well as working disability, and partly on improvement of HRQoL. Future studies with a larger sample size should reproduce the results with a control group receiving placebo treatment in a long-term follow-up.

Studied abdominal surgery patients to show that postoperative OMT is associated with less time in the hospital.

It is reasonable for clinicians to recommend that patients increase their hydration to optimize treatment.

The large effect size for short-term efficacy of OMT was driven by stable responders who did not relapse.

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Our results suggest the OMT is a feasible approach in patients in whom available drugs cannot be used. Moreover, a benefit can be expected by the association of OMT in patients treated according to existing pharmacological protocols.

Patients with diabetes mellitus who received OMT had significant reductions in LBP severity during the 12-week period

Twice monthly OMT and LT protocols reduced the number of hospitalizations and decreased medication usage in elderly nursing home residents.

Suggest that analgesic medication use is lower in patients who receive OMT, align with previous findings of RCTs and support the generalizability of these findings

Our results suggest the OMT is a feasible approach in patients in whom available drugs cannot be used. Moreover, a benefit can be expected by the association of OMT in patients treated according to existing pharmacological protocols.