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Osteopathic Manipulative Treatment in Patients with Anxiety and Depression: A Pilot Study 焦虑和抑郁患者的整骨疗法手法治疗:一项初步研究
Pub Date : 2021-09-01 DOI: 10.53702/2375-5717-31.3.9
Eneida Miranda, Jennifer Giza, E. Feketeova, Cristian Castro-Nuñez, U. Vieux, M. Huynh
The role of touch in managing psychiatric patients is controversial. The purpose of this pilot study was to determine the effectiveness of osteopathic manipulative treatment (OMT) in patients with anxiety and or depression. This was an 8-week pilot study comparing a treatment to a control group, each consisting of 10 randomly assigned adult participants with anxiety and or depression on psychotropics. No significant difference existed between groups for age or severity of disease. Participant responses for anxiety and depression were recorded weekly via a modified Generalized Anxiety Disorder 7 item (GAD-7) and Harvard National Depression Screening Day (HANDS) scales. From the initial cohort (n=20) a complete database was achieved for 16 of the patients. Statistical analysis was performed using RStudio. Of the 16 patients who successfully participated in the study, 6 received OMT, and 10 were part of the control group. For statistical purposes, the data gathered from both groups were subdivided into two categories: depression and anxiety subgroups. The depression treatment group had a week 1 mean of 24.4 ± 11.2 (n=5) with a paired t-test showing significance at week 7 of 18.0 ± 10.9 (n=5), P = .00767 and week 8 of 15.2 ± 12.5 (n=5), P = .041.The anxiety treatment group had a week 1 mean of 26.0 ± 8.7 (n=5) with paired t-test significant at week 7 of 20.2 ± 10.7 (n=5), P = .019 and week 8 of 19.2 ± 11.1 (n=5), P = .00815.All patients in the treatment group showed significant improvements in their anxiety and depression levels compared to those in the control group, which worsened by week 8. Findings in this study indicate that OMT may be an effective adjunctive treatment modality for depression and anxiety.
触摸在治疗精神病患者中的作用是有争议的。本初步研究的目的是确定骨科手法治疗(OMT)对焦虑和/或抑郁患者的有效性。这是一项为期8周的试验性研究,将治疗组与对照组进行比较,每组由10名随机分配的患有精神药物的焦虑和/或抑郁的成年参与者组成。两组之间在年龄和疾病严重程度上没有显著差异。每周通过改进的广泛性焦虑障碍7项(GAD-7)和哈佛国家抑郁筛查日(HANDS)量表记录参与者的焦虑和抑郁反应。从初始队列(n=20)中,获得了16例患者的完整数据库。使用RStudio进行统计分析。在成功参与研究的16例患者中,6例接受了OMT治疗,10例为对照组。出于统计目的,从两组收集的数据被细分为两类:抑郁和焦虑亚组。抑郁症治疗组第1周平均为24.4±11.2 (n=5),配对t检验显示第7周平均为18.0±10.9 (n=5), P = 0.00767;第8周平均为15.2±12.5 (n=5), P = 0.041。焦虑治疗组第1周平均得分为26.0±8.7 (n=5),配对t检验在第7周为20.2±10.7 (n=5), P = 0.019,第8周为19.2±11.1 (n=5), P = 0.00815。与对照组相比,治疗组所有患者的焦虑和抑郁水平都有显著改善,而对照组的焦虑和抑郁水平在第8周恶化。本研究结果表明,OMT可能是一种有效的抑郁和焦虑的辅助治疗方式。
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引用次数: 2
Single Osteopathic Manipulative Treatment Session Eliminates Percutaneous Coronary Intervention-Induced Upper Thoracic Pain in Elderly Male 单次整骨手法治疗可消除老年男性经皮冠状动脉介入治疗引起的上胸椎疼痛
Pub Date : 2021-09-01 DOI: 10.53702/2375-5717-31.3.5
Patricia Hoffman, Dimitry Belogorodsky, Lauren Noto-Bell
Restoration of blood flow is critical to a blocked coronary blood vessel. With respect to the heart, two main procedures, coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) revascularize the area to prevent future blockages. Post-procedurally, bed rest iatrogenically produces non-life-threatening back pain.1,2 No exact guideline for the duration of post-procedural bed rest exists but recommendations range from 2 to 24 hours.1 However, research has shown that bed rest beyond 4 hours significantly increased the presence of post-procedural back pain.1,2 Osteopathic manipulative treatment (OMT) is the term ascribed to a number of categories of manual techniques used by osteopathic physicians to treat somatic dysfunctions, to complement conventional management in patient care. In this case report, we discuss a patient with post-procedural upper thoracic pain that resolves with OMT, demonstrating that OMT may play a useful post-PCI role in the care of patients who undergo stent procedures.
血流的恢复对冠状动脉阻塞至关重要。对于心脏,两种主要的手术,冠状动脉旁路移植术(CABG)和经皮冠状动脉介入治疗(PCI)可以重建该区域的血运,以防止未来的阻塞。术后卧床休息会产生不危及生命的背部疼痛。1,2手术后卧床休息时间没有确切的指南,但建议范围为2至24小时然而,研究表明,卧床休息超过4小时会显著增加术后背部疼痛的发生率。骨科手法治疗(OMT)是骨科医生用于治疗躯体功能障碍的一系列手工技术的统称,以补充患者护理中的传统管理。在本病例报告中,我们讨论了一名术后上胸痛患者通过OMT解决,表明OMT可能在pci后支架手术患者的护理中发挥有用的作用。
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引用次数: 0
View from the Pyramids: Remodeling 从金字塔看:重塑
Pub Date : 2021-09-01 DOI: 10.53702/2375-5717-31.3.3
J. Blumer
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引用次数: 0
Conductive Hearing Loss: A Case Report 传导性听力损失1例报告
Pub Date : 2021-09-01 DOI: 10.53702/2375-5717-31.3.27
C. Lloyd, Brianne L. Wehner, Regina K. Fleming
In this case report, osteopathic manipulative treatment restored hearing to an 8-year-old female suffering from conductive hearing loss. Numerous factors can result in hearing loss. In children and adolescents, mild or greater hearing loss occurs with a prevalence of 3.1%.1 Current osteopathic literature focuses on conductive hearing loss due to middle ear effusion (MEE).This case report examines an 8-year-old female presumed to have permanent conductive hearing loss without MEE after a traumatic ATV accident. The use of osteopathic manipulative treatment (OMT) resulted in complete resolution of the patient’s conductive hearing loss. To the authors’ knowledge, this is the first case report documenting the successful use of OMT to treat conductive hearing loss without MEE. Being able to recognize and understand the connection between the primary respiratory mechanism (PRM), which includes the cranial bones and nerves, allows an osteopathic physician to provide a unique approach to patient care and the use of OMT as a treatment modality for conductive hearing loss should be considered.
在这个病例报告中,整骨疗法的手法治疗恢复听力的8岁女性患有传导性听力损失。许多因素会导致听力损失。在儿童和青少年中,轻度或更严重的听力损失发生率为3.1%目前的骨科文献主要集中在中耳积液(MEE)引起的传导性听力损失。本病例报告检查了一名8岁女性,在创伤性ATV事故后推定为无MEE的永久性传导性听力损失。使用整骨疗法的手法治疗(OMT)导致完全解决患者的传导性听力损失。据作者所知,这是第一个记录成功使用OMT治疗无MEE的传导性听力损失的病例报告。能够认识和理解包括颅骨和神经在内的初级呼吸机制(PRM)之间的联系,使骨科医生能够为患者提供独特的护理方法,并应考虑使用OMT作为传导性听力损失的治疗方式。
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引用次数: 0
The Osteopathic Approach During the 1918 Influenza Pandemic, Featuring Newly Analyzed Case Reports 1918年流感大流行期间的整骨疗法,以新分析的病例报告为特色
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.9
L. Ching, A. Watson, T. Watson, Philip Ridgway
Osteopathic physicians played a pivotal role in treating patients suffering from the H1N1 influenza A virus of the 1918 Influenza Pandemic. This article focuses on case reports and questionnaire answers from the Journal of the American Osteopathic Association (JAOA), now the Journal of Osteopathic Medicine (JOM), and Osteopathic Physician concerning the modalities, techniques, and efficacy of osteopathic treatments of the 1918 pandemic. There are 19,565 patients who are represented in this analysis. The results are compared to the often-cited 110,120 patient cases reported by the JOM in 1920. Several different approaches, including lymphatic and visceral techniques, were widely used at the time, and their historic incorporation into patient treatment is explored. There is a discussion of the geographic location and characteristics of the practices. Statistical breakdown of mortality rate, the most commonly used approaches, somatic dysfunctions commonly treated, physician anecdotes, and other common remedies used by osteopathic physicians, are noted additionally. A comparison is done of the literature regarding the osteopathic approach for COVID-19. The newly analyzed case reports in this article demonstrate a similar mortality rate as in the 1920 JAOA article and illustrate the geographical distribution, treatment approaches, and personal stories of osteopaths during the pandemic.
整骨疗法医生在治疗1918年流感大流行的H1N1甲型流感病毒患者中发挥了关键作用。本文的重点是病例报告和问卷回答,来自美国骨科协会杂志(JAOA),现在的骨科医学杂志(JOM)和骨科医生关于1918年大流行骨科治疗的方式、技术和疗效。在这个分析中有19565名患者。这些结果与1920年JOM报告的110120例患者病例进行了比较。几种不同的方法,包括淋巴和内脏技术,在当时被广泛使用,他们历史性地纳入患者治疗的探索。讨论了这些实践的地理位置和特点。此外,还记录了死亡率的统计分类、最常用的方法、通常治疗的躯体功能障碍、医生轶事和骨科医生使用的其他常用补救措施。对有关COVID-19整骨疗法的文献进行了比较。本文中新分析的病例报告显示了与1920年JAOA文章相似的死亡率,并说明了大流行期间整骨医生的地理分布、治疗方法和个人故事。
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引用次数: 0
Integrating Osteopathic Evaluation and Treatment in a Case of Opioid-Induced Hyperalgesia 阿片类药物致痛觉过敏1例综合整骨疗法评价与治疗
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.43
N. O. Rosendahl
This paper reviews a multimodal approach to the treatment of acute pain. Early recognition of systemic changes in pain indicators may be efficacious for the patient and practitioner to understand the subjective pain response. The application of osteopathic manipulative medicine may be beneficial during de-escalation therapy of opioid pain medication when the patient is experiencing symptoms consistent with opioid-induced hyperalgesia syndrome. Improved education and recognition of opioid-induced hyperalgesia can potentially improve medical management with the use of osteopathic manipulative treatment.
本文回顾了一种治疗急性疼痛的多模式方法。早期识别疼痛指标的系统性变化可能对患者和医生了解主观疼痛反应是有效的。当患者出现与阿片类药物引起的痛觉过敏综合征一致的症状时,在阿片类药物的降压治疗中应用整骨疗法手法可能是有益的。改善教育和认识阿片类药物引起的痛觉过敏可以潜在地改善使用整骨疗法的医疗管理。
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引用次数: 0
An Osteopathic Approach to Patients with Degenerative and Herniated Discs 椎间盘退行性和突出症的整骨疗法
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.35
R. Kessler, Carol Haase, Dayton R. Dean
This paper reviews the basic science of disc disease (DD), which suggests; osteopathic manipulative medicine addresses the causes and symptoms of DD, can reverse its pathologic cascade, prevent its side effects and future episodes. The paper will use the modern scientific understanding of disc disease to show the body is a self-regulating, self-healing unified whole, structure and function are interrelated at all levels, and intervertebral disc cells contain the biochemical and physiologic capacity for self-healing. This evidence suggests osteopathic intervention initiates and magnifies this healing process. The paper will also discuss the authors’ experience with a treatment protocol for DD, based on osteopathic principles.
本文综述了椎间盘病的基础科学,认为;整骨疗法治疗DD的原因和症状,可以逆转其病理级联,预防其副作用和未来的发作。本文将运用现代科学对椎间盘疾病的认识,说明人体是一个自我调节、自我修复的统一整体,结构和功能在各个层面都是相互关联的,椎间盘细胞含有自我修复的生化和生理能力。这一证据表明,整骨疗法干预启动并放大了这一愈合过程。本文还将讨论作者基于整骨疗法的治疗方案的经验。
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引用次数: 0
View from the Pyramids: Waves of the Future 从金字塔上看:未来的波浪
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.5
J. Blumer
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引用次数: 0
Scholar 12: Beta Trial of an Osteopathic Research Cultural Development Computer Application 学者12:骨疗研究文化发展计算机应用的Beta试验
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.27
Marija Rowane, Daniel E. Hellmann, Rachel A. Branning, Heather M. Cola, Jude M. Fahoum, Brittany M. Snyder, Amber M. Healy, Xiaojun Qi-Lytle, M. Rowane, Mark A Terrell, R. Hostoffer
Research is emphasized as a critical component of Accreditation Council for Graduate Medical Education (ACGME) Osteopathic Recognition (OR) criteria, yet there remains a deficit of osteopathic contributions to the literature. Scholar 12 combines discrete research development tools into an interactive application and blog forum that guides students from research team formation with an agreed-upon query to a scholarly product and presentations. This study aims to evaluate a beta test of Scholar 12 in developing a scholarly culture within medical school education. An unblinded prospective cohort beta trial by 6 osteopathic medical students across different campuses provided feedback for improvement measures and self-assessed research skill competency before and after completing Scholar 12 on an accelerated time frame. The pre- and post-Scholar 12 surveys scored 12 skills based on learning objectives for each unit on a 5-point Likert scale. The composite results from self-assessments of 6 medical students demonstrate a statistically significant improvement in research skill familiarity by the completion of Scholar 12 (p<0.001). The osteopathic profession has opportunity to advance clinical practice and fulfill ACGME OR initiatives with evidence-based medical research. Scholar 12 is a foundational educational tool and aims to engage medical students, residents, and attendings with scholarly work, regardless of experience level. The present survey provides a preliminary measure of the efficacy of Scholar 12 in improving medical students’ knowledge of creating new scholarly work. General feedback has been communicated to the application developer and editorial staff for improvement measures before the 2020 nationwide launch. Despite the statistical significance of these students’ self-reported progress, additional beta trials; blinded, long-term evaluation of students’ and mentors’ productivity as a result of this research learning tool; and controlled comparison to other research development programs are warranted. Scholar 12 is designed to accommodate students’ academic obligations with a convenient, virtual tool to learn the research process on a flexible schedule, in order to meet generational needs.
研究被强调为研究生医学教育认证委员会(ACGME)整骨疗法认可(OR)标准的关键组成部分,然而,对整骨疗法的贡献在文献中仍然存在缺陷。Scholar 12将离散的研究开发工具结合到交互式应用程序和博客论坛中,指导学生从研究团队组成到商定的查询学术产品和演示。本研究旨在评估学者12在医学院教育中发展学术文化的beta测试。一项由来自不同学校的6名骨科医学学生进行的非盲前瞻性队列试验提供了在加速时间框架内完成Scholar 12之前和之后改进措施和自我评估研究技能能力的反馈。在学习前和学习后的12项调查中,根据每个单元的学习目标,以5分李克特量表对12项技能进行评分。6名医学生自我评估的综合结果显示,完成Scholar 12后,他们对研究技能的熟悉程度有统计学上的显著提高(p<0.001)。整骨疗法专业有机会推进临床实践,并通过循证医学研究实现ACGME或倡议。Scholar 12是一个基础教育工具,旨在让医学生、住院医生和主治医生参与学术工作,无论其经验水平如何。本调查提供了学者12在提高医学生创造新的学术作品的知识方面的功效的初步措施。在2020年全国发布之前,已将一般反馈传达给应用程序开发人员和编辑人员,以采取改进措施。尽管这些学生自我报告的进步具有统计学意义,但额外的beta试验;盲法、长期评估学生和导师的生产力作为这个研究性学习工具的结果;并与其他研究开发项目进行对照比较。Scholar 12旨在通过一个方便的虚拟工具来适应学生的学术义务,以便在灵活的时间表上学习研究过程,以满足代际需求。
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引用次数: 0
Book Review: FPR and Beyond - Facilitated Positional Release: A Quick and Accurate Manual Medicine Method, by Stanley Schiowitz, DO, FAAO and Ellen Ellis, DO 书评:《FPR与超越——促进位置释放:一种快速准确的手工医学方法》,作者:Stanley Schiowitz, DO, FAAO和Ellen Ellis, DO
Pub Date : 2021-06-01 DOI: 10.53702/2375-5717-31.2.7
Dennis A. Burke
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引用次数: 0
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The AAO Journal
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