Écouter notre Podcast Découvrez un podcast innovant consacré à l’univers fascinant de l’ostéopathie, une discipline de la médecine manuelle qui allie savoir-faire technique et vision holistique du corps humain. […]
EN BREF
En bref, l’ostéopathie est une approche holistique qui vise l’équilibre et l’auto-régulation du corps pour améliorer le bien-être physique et mental. Qu’est-ce que c’est ? Une médecine douce manuelle centrée sur la mobilité des tissus, des articulations et du système nerveux, avec une vision globale du patient. Quels sont les avantages ? Un soulagement durable des douleurs musculosquelettiques , une amélioration de la mobilité et de la posture , ainsi qu’une réduction du stress et une meilleure qualité de sommeil . Comment ça fonctionne ? En rétablissant l’harmonie entre les structures et les fonctions, l’ostéopathie agit sur les mécanismes d’auto-régulation , la circulation et la réponse du système nerveux, permettant au corps de s’autoréparer et de maintenir un bien-être durable . À Montréal, ce service est particulièrement recommandé pour les douleurs lombaires et les tensions liées à la posture.
Les effets durables de l’ostéopathie sur le bien-être physique reposent sur une approche holistique qui rétablit l’équilibre du corps. Par des manipulations douces et ciblées , elle améliore la mobilité , réduit les douleurs musculosquelettiques et favorise une meilleure circulation et un sommeil plus réparateur.
En agissant sur le système nerveux et le tonus musculaire, l’ostéopathie contribue à une posture plus stable, une énergie quotidienne renforcée et une prévention des rechutes , améliorant ainsi le bien-être physique sur le long terme.
Cette analyse vise à montrer que l’ostéopathie peut produire des effets durables sur le bien-être physique . Elle explique comment une approche holistique agit sur le corps, le sommeil et le stress, tout en soutenant la posture et la mobilité , sans se limiter à un résultat ponctuel.
Une approche globale qui soutient le corps sur le long terme Le traitement ostéopathique repose sur l’idée que le corps forme une unité. En travaillant sur les tensions et les restrictions de mouvement, il vise à rétablir l’équilibre et la capacité d’auto-régulation. Cette approche peut favoriser des bénéfices qui se maintiennent au fil du temps, plutôt que des améliorations éphémères.
Impact sur le système nerveux et la circulation Les manipulations visent à restaurer la mobilité tissulaire et à moduler le tonus du système nerveux. Cette action peut soutenir une circulation sanguine et lymphatique plus efficace et une meilleure nutrition des tissus. Pour approfondir, consultez les ressources suivantes :
l’effet sur la circulation ,
l’ostéopathie dans la rééducation fonctionnelle .
Sommeil et équilibre émotionnel En influençant le système nerveux et les mécanismes de relaxation, l’ostéopathie peut favoriser un sommeil de qualité et réduire le stress . Cette amélioration peut se manifester par une sensation générale de bien-être et une meilleure récupération nocturne.
Posture et mobilité durable En corrigeant les déséquilibres musculo-squelettiques, l’ostéopathie peut améliorer la posture et la mobilité dans les gestes quotidiens. Cela participe à une réduction progressive des douleurs liées à la posture et peut faciliter une activité physique régulière sous supervision.
Précautions et limites L’ostéopathie est une approche sûre et non invasive pour la plupart des patients. Certaines situations exigent une évaluation médicale préalable et peuvent limiter la pratique. En cas de doute, il est recommandé de consulter un médecin.
Pour enrichir votre compréhension, vous pouvez consulter ces ressources:
bénéfices pour les tensions nerveuses ,
harmonie corporelle durable ,
ostéopathie et hernies discales ,
bien-être en 2025 .
Formation et pratique. Les formations en ostéopathie se font notamment via NUMSS , NAO , la National University of Medical Sciences et la National Academy of Osteopathy .
Associations professionnelles. En ostéopathie, on peut s’appuyer sur les organismes tels que ACMA , le College of Canadian Osteopaths et le Collège des Ostéopathes Canadiens .
Avis de non-responsabilité médicale : Les informations et conseils fournis sur ce site ne remplacent pas l’avis, le diagnostic ou le traitement d’un professionnel de la santé. Veuillez noter que le Dr Sylvain Desforges ostéopathe n’est ni docteur en médecine ni médecin, et n’est pas spécialiste dans une spécialité médicale telle que définie par le Collège des médecins du Québec. La médecine manuelle, la médecine fonctionnelle et la médecine sportive telles que décrites sur ce site excluent tout traitement ou diagnostic médical fait par un médecin ou un médecin spécialiste. Consultez toujours votre médecin pour toute question médicale. Pour plus de détails, veuillez lire notre Avis Légal complet. »
Effets durables de l’ostéopathie sur le bien-être physique Confort articulaire — mobilité durable et réduction des tensions.Posture et équilibre — amélioration de l’alignement et de la stabilité.Souplesse et amplitude — meilleure mobilité des chaînes musculaires et articulaires.Douleurs réduites — épisodes moins intenses et moins fréquents.Récupération et performance — récupération plus rapide et prévention des blessures.Sommeil et énergie — sommeil de meilleure qualité et réduction de la fatigue.Circulation et trophicité — drainage et oxygénation tissulaires améliorés.
Cet article présente des recommandations sur les effets durables de l’ostéopathie sur le bien-être physique . Il explique comment une approche globale peut réduire durablement les douleurs, améliorer la mobilité et favoriser l’équilibre du corps. Vous découvrirez des conseils pratiques pour maximiser ces bénéfices sur le long terme.
Des effets durables sur la posture et la mobilité Une des forces de l’ostéopathie est d’agir sur l’alignement du corps et la mobilité des articulations . En travaillant sur les chaînes musculaires et les relations structurelles, elle aide à restaurer des mouvements harmonieux et à prévenir les rechutes.
Amélioration de la mobilité articulaire Des techniques ciblées libèrent les zones restrictives et rééquilibrent les tensions, ce qui se traduit par une amplitude de mouvement retrouvée. Cette amélioration peut se maintenir avec des exercices simples et réguliers à domicile, vous donnant plus d’autonomie dans vos activités quotidiennes.
Réduction des tensions musculo-tendineuses et prévention des rechutes En corrigeant les déséquilibres et en renforçant la stabilité, l’ostéopathie diminue les zones de surpression qui provoquent des douleurs récurrentes. L’adoption de routines posturales et d’étirements ciblés aide à prolonger les résultats et à limiter les récidives.
Un impact sur le système nerveux et le sommeil La dimension neurophysiologique est centrale, car l’ostéopathie peut favoriser un rééquilibrage du système nerveux autonome et réduire le rythme du stress physiologique. Cette régulation contribue à une sensation générale de calme et de vitalité .
Régulation du système nerveux et gestion du stress Des stimulations douces et coordonnées procurent une détente profonde, diminuant les tensions liées au stress et améliorant la perception du corps dans l’espace. Avec le temps, cela peut se traduire par une plus grande tolérance au stress et une meilleure énergie.
Impact sur le sommeil et le ressenti général Un système nerveux équilibré facilite l’endormissement et améliore la qualité du sommeil. Un sommeil de meilleure qualité favorise la récupération physique et mentale, ce qui renforce le bien-être général sur plusieurs semaines.
Intégrer l’ostéopathie dans son quotidien Rythme idéal des séances et autonomie Un calendrier adapté permet de maintenir les acquis et d’éviter les répercussions à long terme. L’objectif est d’obtenir une autonomie progressive dans la gestion posturale et les habitudes de mouvement, afin de soutenir durablement le bien-être physique .
Compléments pratiques : activité physique, posture, hygiène de vie Associer une activité adaptée, des exercices de renforcement et des pauses actives peut amplifier les effets durables. Améliorer la posture au travail et adopter des routines simples de mouvement contribue largement au maintien de la mobilité et de l’énergie tout au long de la journée.
Précautions et choix éclairés Ce à quoi s’attendre et limites Les résultats durables dépendent de facteurs individuels et d’un engagement continu. L’ostéopathie s’inscrit dans une progression graduelle et ne remplace pas d’autres soins lorsque ceux-ci sont nécessaires.
Quand consulter et indications Optez pour une séance lorsque vous cherchez à réduire des douleurs récurrentes, à optimiser la mobilité ou à améliorer la récupération après l’effort. En cas de douleur aiguë, fièvre ou symptôme inquiétant, sollicitez l’avis d’un médecin pour une évaluation complète.
Effets durables sur le bien-être physique Aspect durable Description concise Réduction durable de la douleur Soulagement durable et diminution des épisodes douloureux. Mobilité et flexibilité Mobilité et souplesse retrouvées pour les activités quotidiennes. Posture et équilibre Posture alignée et équilibre mieux maintenus. Sommeil et récupération Sommeil plus réparateur et récupération améliorée. Réduction du stress Diminution du stress et des tensions corporelles durablement. Confort nerveux et circulation Confort nerveux et circulation optimisée durablement. Prévention des récidives Risque de récidive des douleurs réduit durablement. Bien-être général Bien-être et énergie globalement plus stables.
« Après mes premières séances d’ostéopathie , j’ai constaté une réduction durable de mes douleurs dorsales et une mobilité retrouvée qui perdure, même lors des périodes de fatigue physique. »
« Mon sommeil s’est nettement amélioré grâce à une meilleure régulation du système nerveux et à une diminution des tensions musculaires. Résultat: un sommeil de meilleure qualité qui dure. »
« En tant que sportif amateur, les séances ont renforcé ma posture et ma prévention des blessures , avec des bénéfices qui se maintiennent sur le long terme et m’aident à performer plus régulièrement. »
« J’ai retrouvé une endurance et une liberté de mouvement qui font une vraie différence dans ma vie quotidienne, sans recourir à des traitements lourds. »
« L’approche globale m’a aidé à réduire le stress et les tensions corporelles, améliorant ma concentration et mon énergie générale. »
«!– /wp:paragraph –>
« Les bienfaits ne s’arrêtent pas à la séance: l’amélioration de la mobilité et le bien-être physique se prolongent sur les semaines et les mois, me donnant une meilleure qualité de vie. »
Dans un contexte où la recherche du bien‑être durable guide les choix de santé, l’ostéopathie se distingue par une approche globale. Elle vise à rétablir l’équilibre du corps dans sa totalité, en agissant sur les interactions entre muscles, articulations, système nerveux et organes. Cette démarche ne se contente pas d’effets ponctuels; elle cherche à instaurer des changements structurels et fonctionnels qui perdurent, permettant au corps de fonctionner avec plus d’harmonie au quotidien.
Ce praticien occupe des postes de leadership et représente des engagements forts en matière d’innovation en soins. Président fondateur de TAGMED et de l’association ACMA, il s’inscrit dans une trajectoire professionnelle tournée vers l’amélioration continue des prestations. Son travail s’appuie sur une spécialisation ciblée dans la gestion des douleurs chroniques et l’intégration de technologies avancées telles que la décompression spinale , le laser et la thérapie par ondes de choc . Cette combinaison permet d’augmenter l’efficacité des traitements tout en restant attentif à la sécurité et au confort du patient.
Sa démarche est avant tout fondée sur les preuves , fondement indispensable pour optimiser la santé et le bien‑être. En privilégiant une évaluation rigoureuse et une approche multimodale, il cherche à comprendre les causes profondes des symptômes et à élaborer un plan personnalisé qui s’inscrit dans le long terme. Cette orientation permet d’installer des améliorations qui résistent au temps, plutôt que de cibler uniquement les déclencheurs immédiats de douleur.
Les effets durables de l’ostéopathie se manifestent clairement sur le plan physique. Une mobilité articulatoire restaurée et une réduction des tensions musculaires contribuent à diminuer les douleurs et les limitations fonctionnelles. Le travail ostéopathique agit aussi sur la posture et l’alignement corporel, ce qui améliore l’efficience des mouvements et prévient les récidives. En parallèle, l’optimisation de la circulation et du fonctionnement nerveux peut favoriser une récupération plus efficace après l’effort et un renouvellement tissulaire plus rapide, renforçant ainsi la stabilité globale du corps.
Sur le long terme, ces bénéfices se reflètent dans des aspects tangibles du quotidien: une meilleure capacité à pratiquer des activités physiques, une diminution des épisodes douloureux qui perturbaient le sommeil et la concentration, et une plus grande énergie au cours de la journée. L’approche holistique favorise également une réduction du stress et une meilleure gestion des facteurs de fatigue, contribuant à une amélioration générale du bien‑être physique et mental.
En privilégiant une relation thérapeutique dynamique et évolutive, ce praticien propose une collaboration durable avec ses patients. L’objectif est de soutenir l’autonomie, d’encourager l’adoption de habitudes de vie saines et d’adapter les traitements en fonction des progrès et des besoins changeants. Les résultats durables de l’ostéopathie résident ainsi dans une meilleure qualité de mouvement, une réduction pérenne des inconforts et une vitalité renforcée qui s’inscrivent dans la durée.
Cette conclusion met en lumière comment l’ostéopathie peut générer des effets durables sur le bien-être physique , en agissant sur la douleur , la mobilité , la posture et le sommeil , tout en privilégiant une approche holistique qui favorise l’auto-régulation du corps et un équilibre durable.
Les effets durables de l’ostéopathie se manifestent d’abord par une réduction continue des douleurs musculosquelettiques et une amélioration significative de la mobilité articulaire. En travaillant sur les tensions musculaires et les restrictions de mouvement, le corps retrouve une meilleure fluidité et une plus grande résilience face aux gestes quotidiens, ce qui contribue à prévenir les récidives et à restaurer une qualité de vie plus stable. Pour approfondir ces résultats, certaines ressources montrent comment l’ostéopathie peut influencer la douleur chronique et l’arthrose de façon naturelle.
La posture et l’(équilibre ) du corps s’améliorent lorsque les déséquilibres musculo-squelettiques sont corrigés. Cette amélioration bénéficie particulièrement aux personnes passées de longues heures assises et aux personnes âgées, où une meilleure alignement du corps réduit les tensions et les douleurs associées. Des exemples et explications complémentaires sur l’impact de l’ostéopathie sur la posture et l’équilibre sont disponibles dans les ressources dédiées.
Sur le plan nerveux et mental , l’approche ostéopathique agit par des techniques douces qui peuvent diminuer le stresse et favoriser un sommeil de meilleure qualité. En rééquilibrant le système nerveux et en modulant certaines réponses hormonales, elle contribue à une sensation générale de calme et de stabilité émotionnelle, ce qui soutient le bien-être quotidien. Pour mieux comprendre ce lien entre ostéopathie, stress et sommeil, vous pouvez consulter des ressources spécialisées.
En termes de sécurité et de durabilité, l’ostéopathie est généralement une approche peu invasive et bien tolérée, avec peu d’effets secondaires. Cependant, elle doit être adaptée à chaque individu en tenant compte des contre-indications et du contexte clinique. Cette logique préventive s’inscrit dans une démarche de prévention et de maintien du bien-être sur le long terme.
Pour enrichir votre compréhension et accéder à des perspectives complémentaires, vous pouvez consulter des ressources externes qui synthétisent les bénéfices à long terme sur le bien-être physique, tels que les articles traitant de l’effet durable de l’ostéopathie sur le bien-être , la posture et la santé générale :
Les effets durables de l’ostéopathie sur le bien-être physique
Ostéopathie et bien-être – tous les bienfaits pour la santé
Bienfaits de l’ostéopathie pour les douleurs posturales
Ostéopathie pour améliorer la posture et l’équilibre
FAQ
Ostéopathie
Quels sont les bienfaits de l’ostéopathie pour les tensions musculaires?
Elle libère les tensions accumulées, améliore la circulation et restaure la souplesse musculaire.
Quels types de douleurs peuvent être traités par l’ostéopathie?
L’ostéopathie traite les douleurs cervicales, dorsales, lombaires, les maux de tête, les douleurs articulaires et les tensions musculaires.
Quels sont les avantages de l’ostéopathie pour les douleurs chroniques?
Elle traite les causes profondes des douleurs chroniques et améliore la qualité de vie en réduisant les tensions et en restaurant la mobilité.
L’ostéopathie peut-elle traiter les douleurs liées au stress?
Oui, en réduisant les tensions musculaires et en améliorant la mobilité, elle aide à soulager les effets physiques du stress.
Quels sont les bienfaits immédiats de l’ostéopathie?
Les patients ressentent souvent un soulagement rapide de la douleur et une sensation de légèreté après une séance.
Quels sont les bienfaits de l’ostéopathie pour les douleurs articulaires?
Elle améliore la mobilité des articulations, réduit les douleurs et prévient les raideurs à long terme.
Quels sont les bienfaits de l’ostéopathie pour les douleurs thoraciques?
Elle libère les tensions musculaires et articulaires dans la région thoracique, réduisant les douleurs et améliorant la respiration.
Quels sont les avantages de l’ostéopathie pour les femmes en post-partum?
Elle aide à rétablir l’équilibre corporel, à soulager les douleurs lombaires et pelviennes, et à améliorer la posture après l’accouchement.
Quels sont les bienfaits de l’ostéopathie pour les douleurs lombaires?
Elle soulage les tensions, réduit les douleurs et aide à restaurer la fonction des structures lombaires.
Quels sont les bienfaits de l’ostéopathie pour les douleurs liées à l’âge?
Elle aide à maintenir la mobilité, réduit les douleurs articulaires et améliore la qualité de vie des personnes âgées.
Références 722490
Q38GGQBC
1
apa
20
default
39562
https://www.sossciatique.com/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22Y9FFL9ZG%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Frittoli%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BFrittoli%2C%20D.%20C.%20%28n.d.%29.%20%26lt%3Bi%26gt%3BEffectiveness%20of%20osteopathic%20treatment%20on%20infantile%20colic%26lt%3B%5C%2Fi%26gt%3B.%20Retrieved%20January%2014%2C%202025%2C%20from%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.percorsiagrate.com%5C%2F188%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.percorsiagrate.com%5C%2F188%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Effectiveness%20of%20osteopathic%20treatment%20on%20infantile%20colic%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Di%20Chiara%22%2C%22lastName%22%3A%22Frittoli%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.percorsiagrate.com%5C%2F188%5C%2F%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22B8VM5RCP%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Aryal%22%2C%22parsedDate%22%3A%222014%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAryal%2C%20S.%20%282014%29.%20%26lt%3Bi%26gt%3BClinical%20Response%20and%20Relapse%20in%20Patients%20with%20Chronic%20Low%20Back%20Pain%20Following%20Osteopathic%20Manual%20Treatment%3A%20Results%20from%20the%20OSTEOPATHIC%20Trial%26lt%3B%5C%2Fi%26gt%3B.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fcyberleninka.org%5C%2Farticle%5C%2Fn%5C%2F309298.pdf%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fcyberleninka.org%5C%2Farticle%5C%2Fn%5C%2F309298.pdf%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Clinical%20Response%20and%20Relapse%20in%20Patients%20with%20Chronic%20Low%20Back%20Pain%20Following%20Osteopathic%20Manual%20Treatment%3A%20Results%20from%20the%20OSTEOPATHIC%20Trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Subhash%22%2C%22lastName%22%3A%22Aryal%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222014%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fcyberleninka.org%5C%2Farticle%5C%2Fn%5C%2F309298.pdf%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22XVDMJNPM%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Licciardone%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BLicciardone%2C%20J.%20C.%20%282021%29.%20Osteopathic%20manipulative%20treatment%20for%20chronic%20low%20back%20pain.%20%26lt%3Bi%26gt%3BJAMA%20Internal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B181%26lt%3B%5C%2Fi%26gt%3B%288%29%2C%201142%26%23x2013%3B1143.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fjamanetwork.com%5C%2Fjournals%5C%2Fjamainternalmedicine%5C%2Farticle-abstract%5C%2F2781479%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fjamanetwork.com%5C%2Fjournals%5C%2Fjamainternalmedicine%5C%2Farticle-abstract%5C%2F2781479%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20for%20chronic%20low%20back%20pain%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%20C.%22%2C%22lastName%22%3A%22Licciardone%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fjamanetwork.com%5C%2Fjournals%5C%2Fjamainternalmedicine%5C%2Farticle-abstract%5C%2F2781479%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22R5AN9ZIN%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22de%20Oliveira%20Meirelles%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3Bde%20Oliveira%20Meirelles%2C%20F.%2C%20de%20Oliveira%20Muniz%20Cunha%2C%20J.%20C.%2C%20%26amp%3B%20da%20Silva%2C%20E.%20B.%20%282020%29.%20Osteopathic%20manipulation%20treatment%20versus%20therapeutic%20exercises%20in%20patients%20with%20chronic%20nonspecific%20low%20back%20pain%3A%20a%20randomized%2C%20controlled%20and%20double-blind%20study.%20%26lt%3Bi%26gt%3BJournal%20of%20Back%20and%20Musculoskeletal%20Rehabilitation%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B33%26lt%3B%5C%2Fi%26gt%3B%283%29%2C%20367%26%23x2013%3B377.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fcontent.iospress.com%5C%2Farticles%5C%2Fjournal-of-back-and-musculoskeletal-rehabilitation%5C%2Fbmr181355%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fcontent.iospress.com%5C%2Farticles%5C%2Fjournal-of-back-and-musculoskeletal-rehabilitation%5C%2Fbmr181355%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulation%20treatment%20versus%20therapeutic%20exercises%20in%20patients%20with%20chronic%20nonspecific%20low%20back%20pain%3A%20a%20randomized%2C%20controlled%20and%20double-blind%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Frederico%22%2C%22lastName%22%3A%22de%20Oliveira%20Meirelles%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Julio%20Cesar%22%2C%22lastName%22%3A%22de%20Oliveira%20Muniz%20Cunha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elirez%20Bezerra%22%2C%22lastName%22%3A%22da%20Silva%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fcontent.iospress.com%5C%2Farticles%5C%2Fjournal-of-back-and-musculoskeletal-rehabilitation%5C%2Fbmr181355%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22R7RHV8YZ%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Popovich%20et%20al.%22%2C%22parsedDate%22%3A%222024-04-23%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BPopovich%2C%20J.%20M.%2C%20Cholewicki%2C%20J.%2C%20Reeves%2C%20N.%20P.%2C%20DeStefano%2C%20L.%20A.%2C%20Rowan%2C%20J.%20J.%2C%20Francisco%2C%20T.%20J.%2C%20Prokop%2C%20L.%20L.%2C%20Zatkin%2C%20M.%20A.%2C%20Lee%2C%20A.%20S.%2C%20Sikorskii%2C%20A.%2C%20Pathak%2C%20P.%20K.%2C%20Choi%2C%20J.%2C%20Radcliffe%2C%20C.%20J.%2C%20%26amp%3B%20Ramadan%2C%20A.%20%282024%29.%20The%20effects%20of%20osteopathic%20manipulative%20treatment%20on%20pain%20and%20disability%20in%20patients%20with%20chronic%20low%20back%20pain%3A%20a%20single-blinded%20randomized%20controlled%20trial.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B124%26lt%3B%5C%2Fi%26gt%3B%285%29%2C%20219%26%23x2013%3B230.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0124%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0124%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20effects%20of%20osteopathic%20manipulative%20treatment%20on%20pain%20and%20disability%20in%20patients%20with%20chronic%20low%20back%20pain%3A%20a%20single-blinded%20randomized%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%20M.%22%2C%22lastName%22%3A%22Popovich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jacek%22%2C%22lastName%22%3A%22Cholewicki%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22N.%20Peter%22%2C%22lastName%22%3A%22Reeves%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lisa%20A.%22%2C%22lastName%22%3A%22DeStefano%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jacob%20J.%22%2C%22lastName%22%3A%22Rowan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20J.%22%2C%22lastName%22%3A%22Francisco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lawrence%20L.%22%2C%22lastName%22%3A%22Prokop%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mathew%20A.%22%2C%22lastName%22%3A%22Zatkin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%20S.%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alla%22%2C%22lastName%22%3A%22Sikorskii%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pramod%20K.%22%2C%22lastName%22%3A%22Pathak%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jongeun%22%2C%22lastName%22%3A%22Choi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Clark%20J.%22%2C%22lastName%22%3A%22Radcliffe%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ahmed%22%2C%22lastName%22%3A%22Ramadan%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20The%20evidence%20for%20the%20efficacy%20of%20osteopathic%20manipulative%20treatment%20%28OMT%29%20in%20the%20management%20of%20low%20back%20pain%20%28LBP%29%20is%20considered%20weak%20by%20systematic%20reviews%2C%20because%20it%20is%20generally%20based%20on%20low-quality%20studies.%20Consequently%2C%20there%20is%20a%20need%20for%20more%20randomized%20controlled%20trials%20%28RCTs%29%20with%20a%20low%20risk%20of%20bias.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objectives%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20The%20objective%20of%20this%20study%20is%20to%20evaluate%20the%20efficacy%20of%20an%20OMT%20intervention%20for%20reducing%20pain%20and%20disability%20in%20patients%20with%20chronic%20LBP.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20single-blinded%2C%20crossover%2C%20RCT%20was%20conducted%20at%20a%20university-based%20health%20system.%20Participants%20were%20adults%2C%2021%5Cu201365%20years%20old%2C%20with%20nonspecific%20LBP.%20Eligible%20participants%20%28n%3D80%29%20were%20randomized%20to%20two%20trial%20arms%3A%20an%20immediate%20OMT%20intervention%20group%20and%20a%20delayed%20OMT%20%28waiting%20period%29%20group.%20The%20intervention%20consisted%20of%20three%20to%20four%20OMT%20sessions%20over%204%5Cu20136%5Cu00a0weeks%2C%20after%20which%20the%20participants%20switched%20%28crossed-over%29%20groups.%20The%20primary%20clinical%20outcomes%20were%20average%20pain%2C%20current%20pain%2C%20Patient-Reported%20Outcomes%20Measurement%20Information%20System%20%28PROMIS%29%5Cu00a029%20v1.0%20pain%20interference%20and%20physical%20function%2C%20and%20modified%20Oswestry%20Disability%20Index%20%28ODI%29.%20Secondary%20outcomes%20included%20the%20remaining%20PROMIS%20health%20domains%20and%20the%20Fear%20Avoidance%20Beliefs%20Questionnaire%20%28FABQ%29.%20These%20measures%20were%20taken%20at%20baseline%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%200%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29%2C%20after%20one%20OMT%20session%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%201%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29%2C%20at%20the%20crossover%20point%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%202%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29%2C%20and%20at%20the%20end%20of%20the%20trial%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%203%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29.%20Due%20to%20the%20carryover%20effects%20of%20OMT%20intervention%2C%20only%20the%20outcomes%20obtained%20prior%20to%20T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%202%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20were%20evaluated%20utilizing%20mixed-effects%20models%20and%20after%20adjusting%20for%20baseline%20values.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20Totals%20of%2035%20and%2036%20participants%20with%20chronic%20LBP%20were%20available%20for%20the%20analysis%20at%20T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%201%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20in%20the%20immediate%20OMT%20and%20waiting%20period%20groups%2C%20respectively%2C%20whereas%2031%20and%2033%20participants%20were%20available%20for%20the%20analysis%20at%20T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%202%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20in%20the%20immediate%20OMT%20and%20waiting%20period%20groups%2C%20respectively.%20After%20one%20session%20of%20OMT%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%201%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29%2C%20the%20analysis%20showed%20a%20significant%20reduction%20in%20the%20secondary%20outcomes%20of%20sleep%20disturbance%20and%20anxiety%20compared%20to%20the%20waiting%20period%20group.%20Following%20the%20entire%20intervention%20period%20%28T%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%202%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%29%2C%20the%20immediate%20OMT%20group%20demonstrated%20a%20significantly%20better%20average%20pain%20outcome.%20The%20effect%20size%20was%20a%200.8%20standard%20deviation%20%28SD%29%2C%20rendering%20the%20reduction%20in%20pain%20clinically%20significant.%20Further%2C%20the%20improvement%20in%20anxiety%20remained%20statistically%20significant.%20No%20study-related%20serious%20adverse%20events%20%28AEs%29%20were%20reported.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusions%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20OMT%20intervention%20is%20safe%20and%20effective%20in%20reducing%20pain%20along%20with%20improving%20sleep%20and%20anxiety%20profiles%20in%20patients%20with%20chronic%20LBP.%22%2C%22date%22%3A%222024-04-23%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1515%5C%2Fjom-2022-0124%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.1515%5C%2Fjom-2022-0124%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%223JTLWEN3%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Licciardone%22%2C%22parsedDate%22%3A%222015-12-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BLicciardone%2C%20J.%20C.%20%282015%29.%20A%20National%20Study%20of%20Primary%20Care%20Provided%20by%20Osteopathic%20Physicians.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B115%26lt%3B%5C%2Fi%26gt%3B%2812%29%2C%20704%26%23x2013%3B713.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2015.145%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2015.145%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20National%20Study%20of%20Primary%20Care%20Provided%20by%20Osteopathic%20Physicians%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%20C.%22%2C%22lastName%22%3A%22Licciardone%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20The%20establishment%20of%20a%20single%20accreditation%20system%20for%20graduate%20medical%20education%20in%20the%20United%20States%20suggests%20a%20convergence%20of%20osteopathic%20and%20allopathic%20medicine.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objective%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20To%20compare%20the%20characteristics%20of%20medical%20care%20provided%20by%20osteopathic%20and%20allopathic%20physicians.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Five-year%20data%20from%20the%20National%20Ambulatory%20Medical%20Care%20Survey%20were%20used%20to%20study%20patient%20visits%20for%20primary%20care%2C%20including%20those%20for%20low%20back%20pain%2C%20neck%20pain%2C%20upper%20respiratory%20infection%2C%20hypertension%2C%20and%20diabetes%20mellitus.%20Patient%20status%2C%20primary%20reason%20for%20the%20visit%2C%20chronicity%20of%20the%20presenting%20problem%2C%20injury%20status%2C%20medication%20orders%2C%20physician%20referrals%2C%20source%20of%20payment%2C%20and%20time%20spent%20with%20the%20physician%20were%20used%20to%20compare%20osteopathic%20and%20allopathic%20patient%20visits.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20total%20of%20134%2C369%20patient%20visits%20were%20surveyed%2C%20representing%20a%20population%20%28SE%29%20of%204.57%20billion%20%28220.2%20million%29%20patient%20visits.%20Osteopathic%20physicians%20provided%20335.6%20%2829.9%29%20million%20patient%20visits%20%287.3%25%29%2C%20including%20217.1%20%2820.9%29%20million%20visits%20for%20primary%20care%20%289.7%25%29.%20The%205%20sentinel%20symptoms%20and%20medical%20diagnoses%20accounted%20for%20233.0%20%2812.4%29%20million%20primary%20care%20visits%20%2810.4%25%29.%20The%20mean%20age%20of%20patients%20seen%20during%20primary%20care%20visits%20provided%20by%20osteopathic%20physicians%20was%2046.0%20years%20%2895%25%20CI%2C%2044.1-47.9%20years%29%20vs%2039.9%20years%20%2895%25%20CI%2C%2038.8-41.0%20years%29%20during%20visits%20provided%20by%20allopathic%20physicians%20%28%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20P%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%26lt%3B.001%29.%20Osteopathic%20patient%20visits%20were%20less%20likely%20to%20involve%20preventive%20care%20%28OR%2C%200.55%3B%2095%25%20CI%2C%200.44-0.68%29%20and%20more%20likely%20to%20include%20care%20for%20injuries%20%28OR%2C%201.60%3B%2095%25%20CI%2C%201.43-1.78%29.%20Osteopathic%20physicians%20spent%20slightly%20less%20time%20with%20patients%20during%20visits%20%28mean%2C%2016.4%20minutes%3B%2095%25%20CI%2C%2015.7-17.2%20minutes%29%20than%20allopathic%20physicians%20%28mean%2C%2018.2%20minutes%3B%2095%25%20CI%2C%2017.2-19.3%20minutes%29.%20The%20most%20distinctive%20aspect%20of%20osteopathic%20medical%20care%20involved%20management%20of%20low%20back%20pain.%20Therein%2C%20osteopathic%20physicians%20were%20less%20likely%20to%20order%20medication%20%28OR%2C%200.33%3B%2095%25%20CI%2C%200.15-0.75%29%20or%20to%20refer%20patients%20to%20another%20physician%20%28OR%2C%200.47%3B%2095%25%20CI%2C%200.23-0.94%29%2C%20despite%20having%20more%20visits%20paid%20through%20Worker%5Cu2019s%20Compensation%20%28OR%2C%203.63%3B%2095%25%20CI%2C%201.01-13.07%29.%20Osteopathic%20and%20allopathic%20medical%20care%20for%20upper%20respiratory%20infection%2C%20hypertension%2C%20and%20diabetes%20mellitus%20were%20comparable.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusion%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Practice%20patterns%20of%20osteopathic%20physicians%20generally%20mirror%20those%20of%20allopathic%20physicians%20except%20that%20osteopathic%20physicians%20deliver%20more%20medical%20care%20for%20older%20patients%20and%20at%20later%20stages%20of%20disease.%20Osteopathic%20medicine%20should%20be%20promoted%20more%20vigorously%20among%20younger%20and%20healthier%20persons.%20New%20opportunities%20may%20arise%20for%20osteopathic%20physicians%20to%20demonstrate%20a%20distinctive%20approach%20to%20low%20back%20pain%20as%20changes%20emerge%20in%20graduate%20medical%20education.%22%2C%22date%22%3A%222015-12-01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.7556%5C%2Fjaoa.2015.145%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.7556%5C%2Fjaoa.2015.145%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22WVZJV549%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Barbieri%20et%20al.%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBarbieri%2C%20M.%2C%20Zardo%2C%20W.%2C%20Frittoli%2C%20C.%2C%20Rivolta%2C%20C.%2C%20Valdata%2C%20V.%2C%20Bouquin%2C%20F.%2C%20Passignani%2C%20G.%2C%20Maggiani%2C%20A.%2C%20Jankovic%2C%20M.%2C%20%26amp%3B%20Cossio%2C%20A.%20%282021%29.%20Osteopathic%20treatment%20and%20evaluation%20in%20the%20clinical%20setting%20of%20childhood%20hematological%20malignancies.%20%26lt%3Bi%26gt%3BCancers%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B13%26lt%3B%5C%2Fi%26gt%3B%2824%29%2C%206321.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2072-6694%5C%2F13%5C%2F24%5C%2F6321%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2072-6694%5C%2F13%5C%2F24%5C%2F6321%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20treatment%20and%20evaluation%20in%20the%20clinical%20setting%20of%20childhood%20hematological%20malignancies%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Monica%22%2C%22lastName%22%3A%22Barbieri%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22William%22%2C%22lastName%22%3A%22Zardo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chiara%22%2C%22lastName%22%3A%22Frittoli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Clara%22%2C%22lastName%22%3A%22Rivolta%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Valdata%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Federico%22%2C%22lastName%22%3A%22Bouquin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Greta%22%2C%22lastName%22%3A%22Passignani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alberto%22%2C%22lastName%22%3A%22Maggiani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Momcilo%22%2C%22lastName%22%3A%22Jankovic%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrea%22%2C%22lastName%22%3A%22Cossio%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2072-6694%5C%2F13%5C%2F24%5C%2F6321%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22DHA35DP9%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Licciardone%20et%20al.%22%2C%22parsedDate%22%3A%222023-04-25%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BLicciardone%2C%20J.%20C.%2C%20Moore%2C%20S.%2C%20Fix%2C%20K.%2C%20Blair%2C%20L.%20G.%2C%20%26amp%3B%20Ta%2C%20K.%20%282023%29.%20Osteopathic%20manipulative%20treatment%20of%20patients%20with%20chronic%20low%20back%20pain%20in%20the%20United%20States%3A%20a%20retrospective%20cohort%20study.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B123%26lt%3B%5C%2Fi%26gt%3B%285%29%2C%20259%26%23x2013%3B267.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0212%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0212%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20of%20patients%20with%20chronic%20low%20back%20pain%20in%20the%20United%20States%3A%20a%20retrospective%20cohort%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%20C.%22%2C%22lastName%22%3A%22Licciardone%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Samuel%22%2C%22lastName%22%3A%22Moore%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kassidy%22%2C%22lastName%22%3A%22Fix%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lillian%20Gowen%22%2C%22lastName%22%3A%22Blair%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Khanh%22%2C%22lastName%22%3A%22Ta%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20The%20practice%20of%20osteopathic%20manipulative%20treatment%20%28OMT%29%20varies%20substantially%20across%20nations.%20Much%20of%20this%20variability%20may%20be%20attributed%20to%20disparate%20international%20educational%2C%20licensing%2C%20and%20regulatory%20environments%20that%20govern%20the%20practice%20of%20osteopathy%20by%20nonphysicians.%20This%20is%20in%20contrast%20with%20the%20United%20States%2C%20where%20osteopathic%20physicians%20are%20trained%20to%20integrate%20OMT%20as%20part%20of%20comprehensive%20patient%20management.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objectives%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20This%20study%20will%20analyze%20the%20factors%20associated%20with%20OMT%20use%20and%20its%20outcomes%20when%20integrated%20within%20the%20overall%20medical%20care%20for%20chronic%20low%20back%20pain%20%28CLBP%29%20provided%20by%20osteopathic%20physicians%20in%20the%20United%20States.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20retrospective%20cohort%20study%20was%20conducted%20within%20the%20Pain%20Registry%20for%20Epidemiological%2C%20Clinical%2C%20and%20Interventional%20Studies%20and%20Innovation%20%28PRECISION%29%20from%20April%202016%20through%20April%202022%20to%20study%20the%20effectiveness%20of%20OMT%20integrated%20within%20medical%20care%20provided%20by%20osteopathic%20physicians.%20The%20outcome%20measures%2C%20which%20included%20pain%20intensity%2C%20pain%20impact%2C%20physical%20function%2C%20and%20health-related%20quality%20of%20life%2C%20were%20assessed%20with%20the%20National%20Institutes%20of%20Health%20Minimum%20Dataset%2C%20Patient-Reported%20Outcomes%20Measurement%20Information%20System%2C%20and%20Roland-Morris%20Disability%20Questionnaire.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20total%20of%201%2C358%20adults%20with%20CLBP%20entered%20the%20cohort%20%28mean%20age%2C%2053.2%20years%3B%2074.4%25%20female%29%2C%20913%20completed%20the%20final%5Cu00a0quarterly%20encounter%2C%20348%20were%20in%20various%20stages%20of%20follow-up%2C%20and%2097%20had%20withdrawn.%20Blacks%20%28odds%20ratio%20%5BOR%5D%2C%200.36%3B%2095%25%20confidence%20interval%20%5BCI%5D%2C%200.21%5Cu20130.63%3B%20p%26lt%3B0.001%29%2C%20cigarette%20smokers%20%28OR%2C%200.56%3B%2095%25%20CI%2C%200.33%5Cu20130.93%3B%20p%3D0.02%29%2C%20and%20nonsteroidal%20anti-inflammatory%20drug%20users%20%28OR%2C%200.59%3B%2095%25%20CI%2C%200.43%5Cu20130.81%3B%20p%3D0.001%29%20were%20less%20likely%20to%20have%20utilized%20OMT%20in%20the%20multivariable%20analysis.%20Mean%20between-group%20differences%20among%20753%20participants%20with%20no%20OMT%20crossover%20and%20complete%20follow-up%20favored%20OMT%3A%201.02%20%2895%25%20CI%2C%200.63%5Cu20131.42%3B%20p%26lt%3B0.001%29%20for%20pain%20intensity%3B%205.12%20%2895%25%20CI%2C%203.09%5Cu20137.16%3B%20p%26lt%3B0.001%29%20for%20pain%20impact%3B%203.59%20%2895%25%20CI%2C%202.23%5Cu20134.95%3B%20p%26lt%3B0.001%29%20for%20physical%20function%2C%20and%202.73%20%2895%25%20CI%2C%201.19%5Cu20134.27%3B%20p%26lt%3B0.001%29%20for%20health-related%20quality%20of%20life.%20Analyses%20involving%20propensity-score%20adjustment%20and%20inclusion%20of%20participants%20with%20missing%20data%20yielded%20similar%20conclusions.%20None%20of%2012%20prespecified%20participant%20characteristics%20demonstrated%20an%20OMT%20interaction%20effect.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusions%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20OMT%20integrated%20within%20medical%20care%20provided%20by%20osteopathic%20physicians%20for%20CLBP%20was%20associated%20with%20improved%20pain%20and%20related%20outcomes.%20Its%20use%20may%20be%20facilitated%20by%20the%20growing%20osteopathic%20physician%20workforce%20in%20the%20United%20States%20and%20adherence%20to%20relevant%20clinical%20practice%20guidelines.%22%2C%22date%22%3A%222023-04-25%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1515%5C%2Fjom-2022-0212%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.1515%5C%2Fjom-2022-0212%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22WM27LIYV%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bordoni%20et%20al.%22%2C%22parsedDate%22%3A%222024%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBordoni%2C%20B.%2C%20Escher%2C%20A.%20R.%2C%20%26amp%3B%20Duczy%26%23x144%3Bski%2C%20M.%20%282024%29.%20Proposal%20for%20Manual%20Osteopathic%20Treatment%20of%20the%20Phrenic%20Nerve.%20%26lt%3Bi%26gt%3BCureus%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B16%26lt%3B%5C%2Fi%26gt%3B%284%29.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC11007451%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC11007451%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Proposal%20for%20Manual%20Osteopathic%20Treatment%20of%20the%20Phrenic%20Nerve%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bruno%22%2C%22lastName%22%3A%22Bordoni%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Allan%20R.%22%2C%22lastName%22%3A%22Escher%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maciej%22%2C%22lastName%22%3A%22Duczy%5Cu0144ski%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222024%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC11007451%5C%2F%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22M2G3VMSZ%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Franzetti%20et%20al.%22%2C%22parsedDate%22%3A%222021-02-26%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BFranzetti%2C%20M.%2C%20Dries%2C%20E.%2C%20Stevens%2C%20B.%2C%20Berkowitz%2C%20L.%2C%20%26amp%3B%20Yao%2C%20S.%20C.%20%282021%29.%20Support%20for%20osteopathic%20manipulative%20treatment%20inclusion%20in%20chronic%20pain%20management%20guidelines%3A%20a%20narrative%20review.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B121%26lt%3B%5C%2Fi%26gt%3B%283%29%2C%20307%26%23x2013%3B317.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2019-0284%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2019-0284%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Support%20for%20osteopathic%20manipulative%20treatment%20inclusion%20in%20chronic%20pain%20management%20guidelines%3A%20a%20narrative%20review%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Megan%22%2C%22lastName%22%3A%22Franzetti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emily%22%2C%22lastName%22%3A%22Dries%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brady%22%2C%22lastName%22%3A%22Stevens%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lisa%22%2C%22lastName%22%3A%22Berkowitz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sheldon%20C.%22%2C%22lastName%22%3A%22Yao%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Osteopathic%20manipulative%20treatment%20%28OMT%29%20is%20used%20to%20treat%20chronic%20pain%20conditions.%20However%2C%20few%20guidelines%20focusing%20on%20chronic%20pain%20management%20include%20recommendations%20for%20OMT.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objectives%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20To%20evaluate%20previous%20literature%20on%20the%20use%20of%20OMT%20for%20improving%20chronic%20pain.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20literature%20search%20was%20conducted%20on%20MEDLINE%5C%2FPubMed%20and%20ScienceDirect%20on%20August%2026%5Cu201327%2C%202019%2C%20using%20the%5Cu00a0terms%20%5Cu201costeopathic%2C%5Cu201d%20%5Cu201cchronic%2C%5Cu201d%20and%20%5Cu201cpain%2C%5Cu201d%20yielding%20a%20total%20of%20312%20MEDLINE%5C%2FPubMed%20articles%20and%20515%20ScienceDirect%20articles.%20Eligibility%20criteria%20required%20that%20studies%20investigate%20pain%2C%20functional%20status%2C%20or%20medication%20usage%20through%20an%20experimental%20design%2C%20focusing%20on%20human%20subjects%20with%20chronic%20pain%20who%20had%20various%20forms%20of%20OMT%5Cu00a0administered%20by%20osteopathically%20trained%20individuals%20in%20which%20the%20comparator%20group%20received%20no%20intervention%2C%20a%5Cu00a0sham%20or%20placebo%2C%20or%20conventional%20care.%20Three%20authors%20independently%20performed%20literature%20searches%20and%20methodically%20settled%20disagreements%20over%20article%20selection.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20In%20the%2022%20articles%20included%20in%20our%20study%20that%20examined%20OMT%20use%20in%20chronic%20pain%20conditions%2C%20we%20evaluated%20primary%20outcomes%20of%20pain%20%2822%3B%20100%25%29%20and%20functional%20status%20%2820%3B%2090.9%25%29%2C%20and%20the%20secondary%20outcome%20of%20medication%20usage%20%283%3B%2013.6%25%29.%20The%20majority%20of%20articles%20showed%20that%20OMT%5Cu00a0resulted%20in%20a%20significant%20decrease%20in%20pain%20levels%20as%20compared%20to%20baseline%20pain%20levels%20or%20the%20control%20group%20%2820%3B%5Cu00a090.9%25%29%20and%20that%20OMT%20resulted%20in%20an%20improvement%20in%20functional%20status%20%2817%3B%2077.3%25%29.%20In%20articles%20that%20did%20not%20find%20a%20significant%20difference%20in%20pain%20%282%3B%209.1%25%29%20or%20functional%20status%20%283%3B%5Cu00a013.6%25%29%2C%20there%20were%20overall%20outcomes%20improvements%20noted.%20All%20articles%20that%20investigated%20medication%20usage%20%283%3B%5Cu00a013.6%25%29%20showed%20that%20OMT%20was%20effective%20in%20decreasing%20patients%5Cu2019%20medication%20usage.%20Our%20study%20was%20limited%20by%20its%20small%20sample%20size%20and%20multimodal%20comparator%20group%20exclusion.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusions%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20OMT%20provides%20an%20evidence-based%20management%20option%20to%20reduce%20pain%20levels%2C%20improve%20functional%20status%2C%20and%20decrease%20medication%20usage%20in%20chronic%20pain%20conditions%2C%20especially%20low%20back%20pain%20%28LBP%29.%20Pain%20management%20guidelines%20should%20include%20OMT%20as%20a%20resource%20to%20alleviate%20chronic%20pain.%22%2C%22date%22%3A%222021-02-26%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1515%5C%2Fjom-2019-0284%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.1515%5C%2Fjom-2019-0284%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22EIL9C2TM%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Abraham%20et%20al.%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAbraham%2C%20C.%2C%20Sloan%2C%20S.%20N.%2C%20Coker%2C%20C.%2C%20Freed%2C%20B.%2C%20McAuliffe%2C%20M.%2C%20Nielsen%2C%20H.%2C%20Riscoe%2C%20T.%2C%20Steele%2C%20R.%2C%20Dettwiler%2C%20A.%2C%20%26amp%3B%20Oberley%2C%20G.%20%282021%29.%20Osteopathic%20manipulative%20treatment%20as%20an%20intervention%20to%20reduce%20stress%2C%20anxiety%2C%20and%20depression%20in%20first%20responders%3A%20a%20pilot%20study.%20%26lt%3Bi%26gt%3BMissouri%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B118%26lt%3B%5C%2Fi%26gt%3B%285%29%2C%20435.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC8504517%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC8504517%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20as%20an%20intervention%20to%20reduce%20stress%2C%20anxiety%2C%20and%20depression%20in%20first%20responders%3A%20a%20pilot%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christena%22%2C%22lastName%22%3A%22Abraham%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shelly%20NB%22%2C%22lastName%22%3A%22Sloan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%22%2C%22lastName%22%3A%22Coker%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Blair%22%2C%22lastName%22%3A%22Freed%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Matthew%22%2C%22lastName%22%3A%22McAuliffe%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Halden%22%2C%22lastName%22%3A%22Nielsen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tanner%22%2C%22lastName%22%3A%22Riscoe%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%22%2C%22lastName%22%3A%22Steele%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrew%22%2C%22lastName%22%3A%22Dettwiler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gia%22%2C%22lastName%22%3A%22Oberley%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC8504517%5C%2F%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22Z4K2WX6V%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ruhlen%20et%20al.%22%2C%22parsedDate%22%3A%222013-10-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BRuhlen%2C%20R.%20L.%2C%20Snider%2C%20E.%20J.%2C%20Sargentini%2C%20N.%20J.%2C%20Worthington%2C%20B.%20D.%2C%20Singh%2C%20V.%20K.%2C%20Pazdernik%2C%20V.%20K.%2C%20Johnson%2C%20J.%20C.%2C%20%26amp%3B%20Degenhardt%2C%20B.%20F.%20%282013%29.%20Influence%20of%20Manual%20Therapy%20on%20Functional%20Mobility%20After%20Joint%20Injury%20in%20a%20Rat%20Model.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B113%26lt%3B%5C%2Fi%26gt%3B%2810%29%2C%20738%26%23x2013%3B752.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2013.044%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2013.044%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Influence%20of%20Manual%20Therapy%20on%20Functional%20Mobility%20After%20Joint%20Injury%20in%20a%20Rat%20Model%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Rachel%20L.%22%2C%22lastName%22%3A%22Ruhlen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eric%20J.%22%2C%22lastName%22%3A%22Snider%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Neil%20J.%22%2C%22lastName%22%3A%22Sargentini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bart%20D.%22%2C%22lastName%22%3A%22Worthington%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vineet%20K.%22%2C%22lastName%22%3A%22Singh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vanessa%20K.%22%2C%22lastName%22%3A%22Pazdernik%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jane%20C.%22%2C%22lastName%22%3A%22Johnson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brian%20F.%22%2C%22lastName%22%3A%22Degenhardt%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Animal%20models%20can%20be%20used%20to%20investigate%20manual%20therapy%20mechanisms%2C%20but%20testing%20manipulation%20in%20animal%20models%20is%20problematic%20because%20animals%20cannot%20directly%20report%20their%20pain.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objective%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20To%20develop%20a%20rat%20model%20of%20inflammatory%20joint%20injury%20to%20test%20the%20efficacy%20of%20manual%20therapy%20in%20reducing%20nociception%20and%20restoring%20function.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20The%20authors%20induced%20acute%20inflammatory%20joint%20injury%20in%20rats%20by%20injecting%20carrageenan%20into%20the%20ankle%20and%20then%20measured%20voluntary%20running%20wheel%20activity%20in%20treated%20and%20untreated%20rats.%20Treatments%20included%20manual%20therapy%20applied%20to%20the%20ankle%20and%20knee%20of%20the%20injured%20limb%20and%20several%20analgesic%20medications%20%28eg%2C%20morphine%2C%20ketorolac%2C%20prednisone%29.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Intra-articular%20injection%20of%20carrageenan%20to%20the%20ankle%20produced%20significant%20swelling%20%28diameter%20of%20the%20ankle%20increased%20by%2064%25%20after%20injection%3B%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20P%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3D.004%29%20and%20a%20robust%20reduction%20in%20voluntary%20running%20wheel%20activity%20%28running%20distance%20reduced%20by%2091%25%20compared%20with%20controls%3B%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20P%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%26lt%3B.001%29.%20Injured%20rats%20gradually%20returned%20to%20running%20levels%20equal%20to%20controls%20over%2010%20days.%20Neither%20manual%20therapy%20nor%20analgesic%20medications%20increased%20running%20wheel%20activity%20relative%20to%20untreated%20rats.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusion%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Voluntary%20running%20wheel%20activity%20appears%20to%20be%20an%20appropriate%20functional%20measure%20to%20evaluate%20the%20impact%20of%20an%20acute%20inflammatory%20joint%20injury.%20However%2C%20efforts%20to%20treat%20the%20injury%20did%20not%20restore%20running%20relative%20to%20untreated%20rats.%22%2C%22date%22%3A%222013-10-01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.7556%5C%2Fjaoa.2013.044%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.7556%5C%2Fjaoa.2013.044%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%224KG5THIZ%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Lanaro%20et%20al.%22%2C%22parsedDate%22%3A%222017%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BLanaro%2C%20D.%2C%20Ruffini%2C%20N.%2C%20Manzotti%2C%20A.%2C%20%26amp%3B%20Lista%2C%20G.%20%282017%29.%20Osteopathic%20manipulative%20treatment%20showed%20reduction%20of%20length%20of%20stay%20and%20costs%20in%20preterm%20infants%3A%20A%20systematic%20review%20and%20meta-analysis.%20%26lt%3Bi%26gt%3BMedicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B96%26lt%3B%5C%2Fi%26gt%3B%2812%29%2C%20e6408.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fjournals.lww.com%5C%2Fmd-journal%5C%2Ffulltext%5C%2F2017%5C%2F03240%5C%2FOsteopathic_manipulative_treatment_showed.43.aspx%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fjournals.lww.com%5C%2Fmd-journal%5C%2Ffulltext%5C%2F2017%5C%2F03240%5C%2FOsteopathic_manipulative_treatment_showed.43.aspx%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20showed%20reduction%20of%20length%20of%20stay%20and%20costs%20in%20preterm%20infants%3A%20A%20systematic%20review%20and%20meta-analysis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Diego%22%2C%22lastName%22%3A%22Lanaro%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nuria%22%2C%22lastName%22%3A%22Ruffini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrea%22%2C%22lastName%22%3A%22Manzotti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gianluca%22%2C%22lastName%22%3A%22Lista%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222017%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fjournals.lww.com%5C%2Fmd-journal%5C%2Ffulltext%5C%2F2017%5C%2F03240%5C%2FOsteopathic_manipulative_treatment_showed.43.aspx%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22SH2BY37N%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Slattengren%20et%20al.%22%2C%22parsedDate%22%3A%222023-06-23%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BSlattengren%2C%20A.%20H.%2C%20Wootten%2C%20M.%20E.%2C%20Carlin%2C%20C.%20S.%2C%20%26amp%3B%20Nissly%2C%20T.%20J.%20%282023%29.%20Osteopathic%20manipulative%20treatment%20for%20the%20allopathic%20resident%20elective%3A%20does%20it%20change%20practice%20after%20graduation%3F%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B123%26lt%3B%5C%2Fi%26gt%3B%287%29%2C%20337%26%23x2013%3B341.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0219%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjom-2022-0219%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20for%20the%20allopathic%20resident%20elective%3A%20does%20it%20change%20practice%20after%20graduation%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrew%20H.%22%2C%22lastName%22%3A%22Slattengren%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mary%20E.%22%2C%22lastName%22%3A%22Wootten%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Caroline%20S.%22%2C%22lastName%22%3A%22Carlin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tanner%20J.%22%2C%22lastName%22%3A%22Nissly%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Osteopathic%20manipulative%20treatment%20%28OMT%29%20for%20the%20allopathic%20resident%20is%20an%20elective%20at%20the%20University%20of%20Minnesota%20North%20Memorial%20Residency%20that%20engages%20the%20resident%20in%20the%20basic%20tenants%20of%20osteopathic%20medicine%2C%20with%20exposure%20to%20the%20vast%20application%20of%20OMT%20with%20a%20curricular%20focus%20on%20low%20back%20pain%20management.%20Implementing%20an%20elective%20curriculum%20is%20a%20feasible%20way%20to%20improve%20attitudes%20in%20OMT%20for%20MDs%20in%20a%20Family%20Medicine%20residency%2C%20and%20residents%20can%20learn%20OMT%20in%20an%20elective%20rotation.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objectives%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20This%20article%20aims%20to%20determine%20if%20MDs%20who%20complete%20an%20OMT%20for%20the%20allopathic%20physician%20elective%20rotation%20have%20higher%20comfort%20caring%20for%20patients%20with%20back%20pain%20compared%20to%20those%20who%20do%20not%20complete%20the%20elective.%20Further%2C%20this%20article%20is%20designed%20to%20evaluate%20if%20these%20MDs%20continue%20to%20incorporate%20OMT%20into%20the%20care%20they%20provide%20once%20they%20graduate%20from%20their%20residency%20programs.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Methods%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Graduates%20from%20the%20University%20of%20Minnesota%20North%20Memorial%20Family%20Medicine%20Residency%20%282013%20to%202019%29%20were%20sent%20an%20email%20invitation%20in%20August%202020%20to%20complete%20a%20Qualtrics%20survey%20regarding%20their%20comfort%20with%20caring%20for%20patients%20with%20back%20pain%2C%20referral%20patterns%20for%20these%20patients%2C%20and%20the%20ongoing%20use%20of%20OMT%20in%20their%20practices.%20Doctor%20of%20Osteopathic%20Medicine%20%28DO%29%20graduates%20who%20responded%20to%20the%20survey%20were%20removed%20from%20the%20analysis.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Among%20emailed%20graduates%2C%2061.8%25%20%2842%5C%2F68%29%20completed%20the%20survey%2C%20with%20representation%20from%20each%20class%20ranging%20from%201%20to%207%5Cu00a0years%20postresidency.%20The%20five%20DO%20graduates%20who%20responded%20were%20removed%20from%20the%20analysis.%20Among%20the%20remaining%2037%20respondents%2C%2027%20had%20completed%20the%20OMT%20for%20the%20allopathic%20rotation%20%28%5Cu201celective%20participants%5Cu201d%29%20during%20their%20residency%20training%20and%2010%20had%20not%20%28%5Cu201ccontrol%5Cu201d%29.%20Half%20%2850.0%25%29%20of%20the%20control%20group%20provide%20OMT%20care%20compared%20to%2066.7%25%20of%20the%20elective%20participants%2C%20with%20a%20comfort%20score%20of%2022.6%20%28standard%20deviation%20%5BSD%5D%2032.7%29%20in%20the%20control%20group%20vs.%2034.0%20%28SD%2021.0%29%20in%20elective%20participants%20%28on%20a%200%5Cu2013100%20scale%3B%20100%20being%20completely%20comfortable%3B%20p%3D0.091%29.%20Among%20the%20control%20group%2C%2040.0%25%20regularly%20refer%20to%20a%20DO%20provider%20compared%20to%2066.7%25%20of%20those%20who%20completed%20the%20elective%20%28p%3D0.257%29.%20The%20mean%20comfort%20score%20for%20performing%20a%20physical%20examination%20on%20patients%20presenting%20with%20back%20pain%20was%2078.7%20%28SD%2013.1%29%20and%2080.9%20%28SD%2019.3%29%20in%20the%20control%20and%20elective%20participants%20groups%2C%20respectively%20%28p%3D0.198%29.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusions%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Allopathic%20Family%20Medicine%20residents%20who%20completed%20an%20elective%20rotation%20in%20OMT%20have%20a%20slight%20increase%20in%20frequency%20of%20referring%20to%20DOs.%20They%20also%20have%20a%20meaningful%20increase%20in%20comfort%20performing%20OMT.%20With%20the%20limited%20number%20of%20DOs%20being%20a%20common%20barrier%20to%20OMT%20care%2C%20more%20widely%20implemented%20training%20in%20OMT%20for%20allopathic%20Family%20Medicine%20residents%20may%20be%20a%20reasonable%20intervention%20to%20improve%20the%20care%20of%20patients%20with%20back%20pain.%22%2C%22date%22%3A%222023-06-23%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1515%5C%2Fjom-2022-0219%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.1515%5C%2Fjom-2022-0219%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22ZEIVILXD%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Degenhardt%20et%20al.%22%2C%22parsedDate%22%3A%222024-01-02%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BDegenhardt%2C%20B.%2C%20Van%20Dun%2C%20P.%20L.%20S.%2C%20Jacobson%2C%20E.%2C%20Fritz%2C%20S.%2C%20Mettler%2C%20P.%2C%20Kettner%2C%20N.%2C%20Franklin%2C%20G.%2C%20Hensel%2C%20K.%2C%20Lesondak%2C%20D.%2C%20Consorti%2C%20G.%2C%20Frank%2C%20L.%2C%20Reed%2C%20W.%20R.%2C%20MacDonald%2C%20C.%2C%20Kremen%2C%20V.%2C%20Martin%2C%20C.%2C%20Landels%2C%20B.%2C%20%26amp%3B%20Standley%2C%20P.%20%282024%29.%20Profession-based%20manual%20therapy%20nomenclature%3A%20exploring%20history%2C%20limitations%2C%20and%20opportunities.%20%26lt%3Bi%26gt%3BJournal%20of%20Manual%20%26amp%3B%20Manipulative%20Therapy%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B32%26lt%3B%5C%2Fi%26gt%3B%281%29%2C%2096%26%23x2013%3B110.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F10669817.2023.2288495%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F10669817.2023.2288495%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Profession-based%20manual%20therapy%20nomenclature%3A%20exploring%20history%2C%20limitations%2C%20and%20opportunities%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brian%22%2C%22lastName%22%3A%22Degenhardt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Patrick%20L.S.%22%2C%22lastName%22%3A%22Van%20Dun%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eric%22%2C%22lastName%22%3A%22Jacobson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sandy%22%2C%22lastName%22%3A%22Fritz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paul%22%2C%22lastName%22%3A%22Mettler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Norman%22%2C%22lastName%22%3A%22Kettner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G.%22%2C%22lastName%22%3A%22Franklin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kendi%22%2C%22lastName%22%3A%22Hensel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%22%2C%22lastName%22%3A%22Lesondak%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Giacomo%22%2C%22lastName%22%3A%22Consorti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leah%22%2C%22lastName%22%3A%22Frank%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22William%20R.%22%2C%22lastName%22%3A%22Reed%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cameron%22%2C%22lastName%22%3A%22MacDonald%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vaclav%22%2C%22lastName%22%3A%22Kremen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Crystal%22%2C%22lastName%22%3A%22Martin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bernie%22%2C%22lastName%22%3A%22Landels%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paul%22%2C%22lastName%22%3A%22Standley%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222024-01-02%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1080%5C%2F10669817.2023.2288495%22%2C%22ISSN%22%3A%221066-9817%2C%202042-6186%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.tandfonline.com%5C%2Fdoi%5C%2Ffull%5C%2F10.1080%5C%2F10669817.2023.2288495%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22M9SXMU76%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Grolaux%20et%20al.%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGrolaux%2C%20P.%20J.%2C%20Sparrow%2C%20T.%20J.%2C%20%26amp%3B%20Lalonde%2C%20F.%20%282021%29.%20Traditional%20osteopathy%20and%20the%20general%20osteopathic%20treatment%3A%20A%20historical%20concept%20and%20a%20modern%20application.%20%26lt%3Bi%26gt%3BAAO%20Journal%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B31%26lt%3B%5C%2Fi%26gt%3B%284%29%2C%2039%26%23x2013%3B46.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fmeridian.allenpress.com%5C%2Faaoj%5C%2Farticle-abstract%5C%2F31%5C%2F4%5C%2F39%5C%2F475395%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fmeridian.allenpress.com%5C%2Faaoj%5C%2Farticle-abstract%5C%2F31%5C%2F4%5C%2F39%5C%2F475395%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Traditional%20osteopathy%20and%20the%20general%20osteopathic%20treatment%3A%20A%20historical%20concept%20and%20a%20modern%20application%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pascal%20J.%22%2C%22lastName%22%3A%22Grolaux%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20J.%22%2C%22lastName%22%3A%22Sparrow%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fran%5Cu00e7ois%22%2C%22lastName%22%3A%22Lalonde%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fmeridian.allenpress.com%5C%2Faaoj%5C%2Farticle-abstract%5C%2F31%5C%2F4%5C%2F39%5C%2F475395%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%227BPBLRVK%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ruffini%20et%20al.%22%2C%22parsedDate%22%3A%222016%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BRuffini%2C%20N.%2C%20D%26%23x2019%3BAlessandro%2C%20G.%2C%20Cardinali%2C%20L.%2C%20Frondaroli%2C%20F.%2C%20%26amp%3B%20Cerritelli%2C%20F.%20%282016%29.%20Osteopathic%20manipulative%20treatment%20in%20gynecology%20and%20obstetrics%3A%20a%20systematic%20review.%20%26lt%3Bi%26gt%3BComplementary%20Therapies%20in%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B26%26lt%3B%5C%2Fi%26gt%3B%2C%2072%26%23x2013%3B78.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS0965229916300309%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS0965229916300309%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20in%20gynecology%20and%20obstetrics%3A%20a%20systematic%20review%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nuria%22%2C%22lastName%22%3A%22Ruffini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Giandomenico%22%2C%22lastName%22%3A%22D%5Cu2019Alessandro%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lucia%22%2C%22lastName%22%3A%22Cardinali%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Franco%22%2C%22lastName%22%3A%22Frondaroli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesco%22%2C%22lastName%22%3A%22Cerritelli%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222016%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS0965229916300309%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22GWEFKREZ%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Degenhardt%20et%20al.%22%2C%22parsedDate%22%3A%222014-03-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BDegenhardt%2C%20B.%20F.%2C%20Johnson%2C%20J.%20C.%2C%20Gross%2C%20S.%20R.%2C%20Hagan%2C%20C.%2C%20Lund%2C%20G.%2C%20%26amp%3B%20Curry%2C%20W.%20J.%20%282014%29.%20Preliminary%20Findings%20on%20the%20Use%20of%20Osteopathic%20Manipulative%20Treatment%3A%20Outcomes%20During%20the%20Formation%20of%20the%20Practice-Based%20Research%20Network%2C%20DO-Touch.NET.%20%26lt%3Bi%26gt%3BJournal%20of%20Osteopathic%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B114%26lt%3B%5C%2Fi%26gt%3B%283%29%2C%20154%26%23x2013%3B170.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2014.033%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7556%5C%2Fjaoa.2014.033%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Preliminary%20Findings%20on%20the%20Use%20of%20Osteopathic%20Manipulative%20Treatment%3A%20Outcomes%20During%20the%20Formation%20of%20the%20Practice-Based%20Research%20Network%2C%20DO-Touch.NET%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brian%20F.%22%2C%22lastName%22%3A%22Degenhardt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jane%20C.%22%2C%22lastName%22%3A%22Johnson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shanin%20R.%22%2C%22lastName%22%3A%22Gross%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Celia%22%2C%22lastName%22%3A%22Hagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gregg%22%2C%22lastName%22%3A%22Lund%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22William%20J.%22%2C%22lastName%22%3A%22Curry%22%7D%5D%2C%22abstractNote%22%3A%22Abstract%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Context%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Few%20studies%20have%20assessed%20the%20use%20of%20osteopathic%20manipulative%20treatment%20%28OMT%29%20and%20subsequent%20patient-reported%20outcomes.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Objective%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20To%20assess%20the%20current%20use%20of%20OMT%20and%20associated%20patient-reported%20outcomes.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Design%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20A%20retrospective%20medical%20record%20review%20and%20a%20prospective%20observational%20study.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Setting%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Two%20university-based%20sites%20and%20their%20clinics%20associated%20with%20the%20practice-based%20research%20network%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20DO-Touch.NET%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Participants%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Patients%20aged%2018%20years%20or%20older%20who%20received%20OMT.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Main%20Outcome%20Measures%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Medical%20records%20from%202007%20were%20retrospectively%20reviewed%20to%20identify%20conditions%20being%20managed%20with%20OMT.%20From%202008%20to%202010%2C%20patients%20were%20recruited%20before%20seeing%20their%20physicians.%20Questionnaires%20were%20distributed%20to%20patients%20and%20physicians%2C%20and%20information%20including%20demographics%2C%20chief%20complaints%2C%20symptom%20severity%2C%20current%20and%20past%20treatments%2C%20interference%20of%20symptoms%20with%20quality%20of%20life%2C%20physical%20examination%20findings%2C%20diagnoses%2C%20OMT%20performed%2C%20and%20immediate%20patient%20response%20to%20OMT%20was%20collected.%20A%20subset%20of%20patients%20provided%20data%20on%20symptom%20severity%20and%20frequency%20and%20other%20treatments%20daily%20for%20the%207%20days%20after%20OMT.%20On%20day%207%2C%20symptom%20interference%20with%20quality%20of%20life%20was%20reassessed.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Results%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Retrospective%20data%20were%20collected%20from%202569%20office%20visits%2C%20and%20prospective%20data%20were%20collected%20from%20299%20office%20visits%20%28patient%20age%20range%2C%2018-93%20years%29.%20In%20the%20medical%20record%20review%2C%2017%20of%20the%20top%2025%20diagnoses%20%2868%25%29%20were%20related%20to%20musculoskeletal%20conditions.%20In%20the%20prospective%20study%2C%2018%20of%20the%20top%2024%20medical%20diagnoses%20%2875%25%29%20were%20related%20to%20musculoskeletal%20conditions.%20Immediately%20after%20OMT%2C%20patients%20at%20271%20of%20296%20office%20visits%20%2892%25%29%20felt%20better%20or%20much%20better%3B%20those%20at%205%20%28%26lt%3B2%25%29%20felt%20worse.%20After%207%20days%2C%20patients%20at%20126%20of%20175%20office%20visits%20%2872%25%29%20felt%20better%20or%20much%20better%2C%20and%20those%20at%2010%20%286%25%29%20felt%20worse.%20Average%20and%20worst%20symptom%20severity%20decreased%20until%20post-OMT%20days%204%20and%205%2C%20respectively%2C%20when%20severity%20leveled%20off.%20There%20was%20decreased%20interference%20of%20symptoms%20with%20quality%20of%20life%20from%20before%20OMT%20to%207%20days%20after%20OMT%20in%20usual%5C%2Fgeneral%20activities%2C%20sleep%2C%20mood%2C%20and%20relationships%20%28all%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20P%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20%5Cu2a7d.05%29.%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20Conclusion%3A%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20These%20preliminary%20results%20suggest%20that%20for%20adults%2C%20OMT%20is%20predominantly%20used%20for%20managing%20musculoskeletal%20pain%20conditions%20and%20is%20effective%20for%20short-term%20symptom%20relief.%20Continued%20surveillance%20of%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20DO-Touch.NET%5Cn%20%20%20%20%20%20%20%20%20%20%20%20%20%20member%20practice%20outcomes%20may%20help%20identify%20priorities%20for%20osteopathic%20research%20and%20define%20evidence-based%20standards%20for%20OMT%20practice%20and%20training.%22%2C%22date%22%3A%222014-03-01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.7556%5C%2Fjaoa.2014.033%22%2C%22ISSN%22%3A%222702-3648%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.degruyter.com%5C%2Fdocument%5C%2Fdoi%5C%2F10.7556%5C%2Fjaoa.2014.033%5C%2Fhtml%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22WAXC4B4L%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Quick%22%2C%22parsedDate%22%3A%222013%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BQuick%2C%20M.%20%282013%29.%20Backing%20Down%20on%20Pain%3A%20Osteopathic%20Manual%20Treatment%20Improves%20Chronic%20Low%20Back%20Pain.%20%26lt%3Bi%26gt%3BIntegrative%20Medicine%20Alert%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B16%26lt%3B%5C%2Fi%26gt%3B%287%29.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fsearch.proquest.com%5C%2Fopenview%5C%2Fd7154ac77c16c898e545d6cdb35d0b14%5C%2F1%3Fpq-origsite%3Dgscholar%26amp%3Bcbl%3D196259%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fsearch.proquest.com%5C%2Fopenview%5C%2Fd7154ac77c16c898e545d6cdb35d0b14%5C%2F1%3Fpq-origsite%3Dgscholar%26amp%3Bcbl%3D196259%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Backing%20Down%20on%20Pain%3A%20Osteopathic%20Manual%20Treatment%20Improves%20Chronic%20Low%20Back%20Pain%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Melissa%22%2C%22lastName%22%3A%22Quick%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222013%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fsearch.proquest.com%5C%2Fopenview%5C%2Fd7154ac77c16c898e545d6cdb35d0b14%5C%2F1%3Fpq-origsite%3Dgscholar%26cbl%3D196259%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%2C%7B%22key%22%3A%2289IJ8MRT%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Cerritelli%20et%20al.%22%2C%22parsedDate%22%3A%222015%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BCerritelli%2C%20F.%2C%20Cicchitti%2C%20L.%2C%20Martelli%2C%20M.%2C%20Barlafante%2C%20G.%2C%20Renzetti%2C%20C.%2C%20Pizzolorusso%2C%20G.%2C%20Lupacchini%2C%20M.%2C%20D%26%23x2019%3BOrazio%2C%20M.%2C%20Marinelli%2C%20B.%2C%20Cozzolino%2C%20V.%2C%20Fusilli%2C%20P.%2C%20%26amp%3B%20D%26%23x2019%3BIncecco%2C%20C.%20%282015%29.%20Osteopathic%20manipulative%20treatment%20and%20pain%20in%20preterms%3A%20study%20protocol%20for%20a%20randomised%20controlled%20trial.%20%26lt%3Bi%26gt%3BTrials%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B16%26lt%3B%5C%2Fi%26gt%3B%281%29%2C%2084.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13063-015-0615-3%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13063-015-0615-3%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Osteopathic%20manipulative%20treatment%20and%20pain%20in%20preterms%3A%20study%20protocol%20for%20a%20randomised%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesco%22%2C%22lastName%22%3A%22Cerritelli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Luca%22%2C%22lastName%22%3A%22Cicchitti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marta%22%2C%22lastName%22%3A%22Martelli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gina%22%2C%22lastName%22%3A%22Barlafante%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cinzia%22%2C%22lastName%22%3A%22Renzetti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gianfranco%22%2C%22lastName%22%3A%22Pizzolorusso%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariacristina%22%2C%22lastName%22%3A%22Lupacchini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marianna%22%2C%22lastName%22%3A%22D%5Cu2019Orazio%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benedetta%22%2C%22lastName%22%3A%22Marinelli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vincenzo%22%2C%22lastName%22%3A%22Cozzolino%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paola%22%2C%22lastName%22%3A%22Fusilli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carmine%22%2C%22lastName%22%3A%22D%5Cu2019Incecco%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%2212%5C%2F2015%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1186%5C%2Fs13063-015-0615-3%22%2C%22ISSN%22%3A%221745-6215%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Ftrialsjournal.biomedcentral.com%5C%2Farticles%5C%2F10.1186%5C%2Fs13063-015-0615-3%22%2C%22collections%22%3A%5B%22Q38GGQBC%22%5D%2C%22dateModified%22%3A%222025-01-14T01%3A41%3A55Z%22%7D%7D%5D%7D Frittoli, D. C. (n.d.).
Effectiveness of osteopathic treatment on infantile colic . Retrieved January 14, 2025, from
https://www.percorsiagrate.com/188/ Aryal, S. (2014).
Clinical Response and Relapse in Patients with Chronic Low Back Pain Following Osteopathic Manual Treatment: Results from the OSTEOPATHIC Trial .
https://cyberleninka.org/article/n/309298.pdf Licciardone, J. C. (2021). Osteopathic manipulative treatment for chronic low back pain.
JAMA Internal Medicine ,
181 (8), 1142–1143.
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2781479 de Oliveira Meirelles, F., de Oliveira Muniz Cunha, J. C., & da Silva, E. B. (2020). Osteopathic manipulation treatment versus therapeutic exercises in patients with chronic nonspecific low back pain: a randomized, controlled and double-blind study.
Journal of Back and Musculoskeletal Rehabilitation ,
33 (3), 367–377.
https://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr181355 Popovich, J. M., Cholewicki, J., Reeves, N. P., DeStefano, L. A., Rowan, J. J., Francisco, T. J., Prokop, L. L., Zatkin, M. A., Lee, A. S., Sikorskii, A., Pathak, P. K., Choi, J., Radcliffe, C. J., & Ramadan, A. (2024). The effects of osteopathic manipulative treatment on pain and disability in patients with chronic low back pain: a single-blinded randomized controlled trial.
Journal of Osteopathic Medicine ,
124 (5), 219–230.
https://doi.org/10.1515/jom-2022-0124 Licciardone, J. C. (2015). A National Study of Primary Care Provided by Osteopathic Physicians.
Journal of Osteopathic Medicine ,
115 (12), 704–713.
https://doi.org/10.7556/jaoa.2015.145 Barbieri, M., Zardo, W., Frittoli, C., Rivolta, C., Valdata, V., Bouquin, F., Passignani, G., Maggiani, A., Jankovic, M., & Cossio, A. (2021). Osteopathic treatment and evaluation in the clinical setting of childhood hematological malignancies.
Cancers ,
13 (24), 6321.
https://www.mdpi.com/2072-6694/13/24/6321 Licciardone, J. C., Moore, S., Fix, K., Blair, L. G., & Ta, K. (2023). Osteopathic manipulative treatment of patients with chronic low back pain in the United States: a retrospective cohort study.
Journal of Osteopathic Medicine ,
123 (5), 259–267.
https://doi.org/10.1515/jom-2022-0212 Bordoni, B., Escher, A. R., & Duczyński, M. (2024). Proposal for Manual Osteopathic Treatment of the Phrenic Nerve.
Cureus ,
16 (4).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007451/ Franzetti, M., Dries, E., Stevens, B., Berkowitz, L., & Yao, S. C. (2021). Support for osteopathic manipulative treatment inclusion in chronic pain management guidelines: a narrative review.
Journal of Osteopathic Medicine ,
121 (3), 307–317.
https://doi.org/10.1515/jom-2019-0284 Abraham, C., Sloan, S. N., Coker, C., Freed, B., McAuliffe, M., Nielsen, H., Riscoe, T., Steele, R., Dettwiler, A., & Oberley, G. (2021). Osteopathic manipulative treatment as an intervention to reduce stress, anxiety, and depression in first responders: a pilot study.
Missouri Medicine ,
118 (5), 435.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504517/ Ruhlen, R. L., Snider, E. J., Sargentini, N. J., Worthington, B. D., Singh, V. K., Pazdernik, V. K., Johnson, J. C., & Degenhardt, B. F. (2013). Influence of Manual Therapy on Functional Mobility After Joint Injury in a Rat Model.
Journal of Osteopathic Medicine ,
113 (10), 738–752.
https://doi.org/10.7556/jaoa.2013.044 Lanaro, D., Ruffini, N., Manzotti, A., & Lista, G. (2017). Osteopathic manipulative treatment showed reduction of length of stay and costs in preterm infants: A systematic review and meta-analysis.
Medicine ,
96 (12), e6408.
https://journals.lww.com/md-journal/fulltext/2017/03240/Osteopathic_manipulative_treatment_showed.43.aspx Slattengren, A. H., Wootten, M. E., Carlin, C. S., & Nissly, T. J. (2023). Osteopathic manipulative treatment for the allopathic resident elective: does it change practice after graduation?
Journal of Osteopathic Medicine ,
123 (7), 337–341.
https://doi.org/10.1515/jom-2022-0219 Degenhardt, B., Van Dun, P. L. S., Jacobson, E., Fritz, S., Mettler, P., Kettner, N., Franklin, G., Hensel, K., Lesondak, D., Consorti, G., Frank, L., Reed, W. R., MacDonald, C., Kremen, V., Martin, C., Landels, B., & Standley, P. (2024). Profession-based manual therapy nomenclature: exploring history, limitations, and opportunities.
Journal of Manual & Manipulative Therapy ,
32 (1), 96–110.
https://doi.org/10.1080/10669817.2023.2288495 Grolaux, P. J., Sparrow, T. J., & Lalonde, F. (2021). Traditional osteopathy and the general osteopathic treatment: A historical concept and a modern application.
AAO Journal ,
31 (4), 39–46.
https://meridian.allenpress.com/aaoj/article-abstract/31/4/39/475395 Ruffini, N., D’Alessandro, G., Cardinali, L., Frondaroli, F., & Cerritelli, F. (2016). Osteopathic manipulative treatment in gynecology and obstetrics: a systematic review.
Complementary Therapies in Medicine ,
26 , 72–78.
https://www.sciencedirect.com/science/article/pii/S0965229916300309 Degenhardt, B. F., Johnson, J. C., Gross, S. R., Hagan, C., Lund, G., & Curry, W. J. (2014). Preliminary Findings on the Use of Osteopathic Manipulative Treatment: Outcomes During the Formation of the Practice-Based Research Network, DO-Touch.NET.
Journal of Osteopathic Medicine ,
114 (3), 154–170.
https://doi.org/10.7556/jaoa.2014.033 Quick, M. (2013). Backing Down on Pain: Osteopathic Manual Treatment Improves Chronic Low Back Pain.
Integrative Medicine Alert ,
16 (7).
https://search.proquest.com/openview/d7154ac77c16c898e545d6cdb35d0b14/1?pq-origsite=gscholar&cbl=196259 Cerritelli, F., Cicchitti, L., Martelli, M., Barlafante, G., Renzetti, C., Pizzolorusso, G., Lupacchini, M., D’Orazio, M., Marinelli, B., Cozzolino, V., Fusilli, P., & D’Incecco, C. (2015). Osteopathic manipulative treatment and pain in preterms: study protocol for a randomised controlled trial.
Trials ,
16 (1), 84.
https://doi.org/10.1186/s13063-015-0615-3