Osteopathic manipulative treatment in cardiac surgery patients: A systematic review

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2022-12-01 DOI:10.1016/j.ijosm.2022.10.005
Filippos-Paschalis Rorris, Eleni-Anna T. Skouteli, Konstantinos Papakonstantinou, Lydia Kokotsaki, Evangelos Skotiniotis, John Kokotsakis
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引用次数: 1

Abstract

Objective

Osteopathic manipulative treatment (OMT) in surgical patients aims at reducing postoperative pain and enhancing recovery. The effects of OMT have not been extensively studied in cardiac surgery patients, mostly owing to the fact that a limited number of osteopathic physicians are trained in thoracic surgery.

Methods

A systematic review of the literature was performed to identify all currently available data on postoperative OMT in cardiac surgery patients. Case reports and case series were excluded. Risk of bias of the eligible studies was assessed individually using specific protocols. Among the outcomes of interest were postoperative pain, hospital length of stay, changes in respiratory capacity, and changes in cardiac index and mixed oxygen venous saturation (SvO2) measurements.

Results

We identified four eligible studies which were included in the quantitative analysis of the present review. There were three randomized controlled trials (RCTs) and one non-randomized controlled cohort study which investigated on outcomes of OMT in cardiac surgery patients. The most common cardiac operations performed were coronary artery bypass grafting, valve procedures, combined procedures, and aortic operations. Numerous OMT modalities were used on postoperative patients. The OMT group of patients showed improvement in pain management and respiratory capacity, and shorter hospital length of stay.

Conclusions

Osteopathic treatment might be helpful as an adjunct to current medical therapies in mitigating postoperative pain and improving the overall patient's functional status.

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心脏手术患者的整骨疗法手法治疗:系统回顾
目的骨科手法治疗(OMT)旨在减轻手术患者术后疼痛,促进康复。OMT对心脏手术患者的影响尚未得到广泛研究,主要是因为接受过胸外科培训的骨科医生数量有限。方法对文献进行系统回顾,以确定所有目前可获得的关于心脏手术患者术后OMT的数据。排除病例报告和病例系列。采用特定方案对符合条件的研究的偏倚风险进行单独评估。值得关注的结果包括术后疼痛、住院时间、呼吸能力的变化、心脏指数和混合氧静脉饱和度(SvO2)测量的变化。结果我们确定了四项符合条件的研究,纳入了本综述的定量分析。有3项随机对照试验(RCTs)和1项非随机对照队列研究调查了心脏手术患者OMT的结果。最常见的心脏手术是冠状动脉搭桥术、瓣膜手术、联合手术和主动脉手术。术后患者采用多种OMT方式。OMT组患者表现出疼痛管理和呼吸能力的改善,住院时间缩短。结论顺势疗法可作为现有药物治疗的辅助手段,减轻术后疼痛,改善患者整体功能状况。
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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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