Pub Date : 2020-09-01DOI: 10.53702/2375-5717-30.3.23
T. Mehner, Drew D. Lewis
Low back pain is a common occurrence in pregnant and non-pregnant patients. Pregnancy causes many anatomic and physiologic changes in the body and invariably leads to altered stresses on the musculoskeletal system. These alterations in the body can persist into the post-partum period as somatic dysfunctions. This case report outlines the importance of an osteopathic approach to address somatic dysfunctions related to low back pain of the pregnant and/or post-partum patient. A 39-year-old female presented with low back pain that was exacerbated by her pregnancy, which has continued into the post-partum period. She was found to have significant somatic dysfunctions related to her condition. An osteopathic approach was utilized to relieve her low back pain and improve her function with all the duties required to care for a newborn.
{"title":"An Osteopathic Approach to Post-Partum Low Back Pain: A Case Report","authors":"T. Mehner, Drew D. Lewis","doi":"10.53702/2375-5717-30.3.23","DOIUrl":"https://doi.org/10.53702/2375-5717-30.3.23","url":null,"abstract":"\u0000 Low back pain is a common occurrence in pregnant and non-pregnant patients. Pregnancy causes many anatomic and physiologic changes in the body and invariably leads to altered stresses on the musculoskeletal system. These alterations in the body can persist into the post-partum period as somatic dysfunctions. This case report outlines the importance of an osteopathic approach to address somatic dysfunctions related to low back pain of the pregnant and/or post-partum patient.\u0000 A 39-year-old female presented with low back pain that was exacerbated by her pregnancy, which has continued into the post-partum period. She was found to have significant somatic dysfunctions related to her condition. An osteopathic approach was utilized to relieve her low back pain and improve her function with all the duties required to care for a newborn.","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134060236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.53702/2375-5717-30.3.29
Kody M. Kasten, Samantha K. Tyler, A. Johnson, Erika R. Kolakowski, Jonathan Pickos, Katherine Heineman, Chunfa Jie
Asthma is a common chronic obstructive lung disease with increasing prevalence and economic burden. The effect of osteopathic manipulative treatment (OMT) has been studied in patients with several lung diseases, including asthma; however, no clinical trials have studied effects beyond the immediate time period in adults with asthma using spirometry. To examine the immediate, intermediate, and long-term effects of OMT on objective pulmonary function and subjective quality of life in asthmatic adults. Twenty-five adults with asthma were recruited from the Des Moines University community. Standardized Asthma Quality of Life Questionnaire (AQLQ(S)) surveys and spirometry measures including forced expiratory volume in one second (FEV1), forced vital capacity (FVC), the FEV1/FVC ratio, and peak expiratory flow (PEF) were collected at baseline. Spirometry testing was performed immediately after and 3 days after each of 3 weekly standardized OMT sessions. Spirometry and AQLQ(S) surveys were collected again 4 weeks after the final OMT session. Spirometry results were analyzed using a repeated measure, linear mixed-effect model, and survey results were analyzed using paired t-tests. The study demonstrated statistically significant changes to the spirometry results, including the PEF and FEV1/FVC ratio. The PEF measurements increased 3 days after the first treatment and remained elevated through the completion of the study. The FEV1/FVC ratio decreased by 0.01 at 4 weeks post-OMT compared to baseline. There were no significant differences observed in the immediate, intermediate or long-term FEV1 and FVC measurements post-OMT. However, there was a significant increase in the overall score and all 4 domains of the AQLQ(S), including Symptoms, Activity Limitations, Emotional Function, and Environmental Stimuli. The results of this pilot study suggest that OMT may improve the quality of life in adults with asthma. Spirometry testing revealed a significant change in some measures of pulmonary function and participants reported an improvement in asthma-specific quality of life. The authors suggest that, in combination with preventive measures and pharmacologic therapy, OMT may offer additional benefit in the treatment of adults with asthma. The results also suggest a need for further study of the effects of OMT on respiratory function in asthmatic adults.
{"title":"The Immediate, Intermediate, and Long-Term Effects of Osteopathic Manipulative Treatment on Pulmonary Function in Adults with Asthma","authors":"Kody M. Kasten, Samantha K. Tyler, A. Johnson, Erika R. Kolakowski, Jonathan Pickos, Katherine Heineman, Chunfa Jie","doi":"10.53702/2375-5717-30.3.29","DOIUrl":"https://doi.org/10.53702/2375-5717-30.3.29","url":null,"abstract":"\u0000 \u0000 \u0000 Asthma is a common chronic obstructive lung disease with increasing prevalence and economic burden. The effect of osteopathic manipulative treatment (OMT) has been studied in patients with several lung diseases, including asthma; however, no clinical trials have studied effects beyond the immediate time period in adults with asthma using spirometry.\u0000 \u0000 \u0000 \u0000 To examine the immediate, intermediate, and long-term effects of OMT on objective pulmonary function and subjective quality of life in asthmatic adults.\u0000 \u0000 \u0000 \u0000 Twenty-five adults with asthma were recruited from the Des Moines University community. Standardized Asthma Quality of Life Questionnaire (AQLQ(S)) surveys and spirometry measures including forced expiratory volume in one second (FEV1), forced vital capacity (FVC), the FEV1/FVC ratio, and peak expiratory flow (PEF) were collected at baseline. Spirometry testing was performed immediately after and 3 days after each of 3 weekly standardized OMT sessions. Spirometry and AQLQ(S) surveys were collected again 4 weeks after the final OMT session. Spirometry results were analyzed using a repeated measure, linear mixed-effect model, and survey results were analyzed using paired t-tests.\u0000 \u0000 \u0000 \u0000 The study demonstrated statistically significant changes to the spirometry results, including the PEF and FEV1/FVC ratio. The PEF measurements increased 3 days after the first treatment and remained elevated through the completion of the study. The FEV1/FVC ratio decreased by 0.01 at 4 weeks post-OMT compared to baseline. There were no significant differences observed in the immediate, intermediate or long-term FEV1 and FVC measurements post-OMT. However, there was a significant increase in the overall score and all 4 domains of the AQLQ(S), including Symptoms, Activity Limitations, Emotional Function, and Environmental Stimuli.\u0000 \u0000 \u0000 \u0000 The results of this pilot study suggest that OMT may improve the quality of life in adults with asthma. Spirometry testing revealed a significant change in some measures of pulmonary function and participants reported an improvement in asthma-specific quality of life. The authors suggest that, in combination with preventive measures and pharmacologic therapy, OMT may offer additional benefit in the treatment of adults with asthma. The results also suggest a need for further study of the effects of OMT on respiratory function in asthmatic adults.\u0000","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116168804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.53702/2375-5717-30.3.5
J. Blumer
{"title":"View from the Pyramids: Color Blindness","authors":"J. Blumer","doi":"10.53702/2375-5717-30.3.5","DOIUrl":"https://doi.org/10.53702/2375-5717-30.3.5","url":null,"abstract":"","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121718404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.53702/2375-5717-30.3.17
J. Uhrig, Jean Rettos
This is a case of a 73-year-old female with achalasia, hiatal hernia, and prior failed laparoscopic Heller myotomy with Dor fundoplication suffering from severe gastroesophageal disease. The patient developed debilitating neck pain associated with her severe gastroesophageal reflux disease (GERD). She underwent a comprehensive musculoskeletal workup that included a cervical computed tomography (CT) scan and magnetic resonance imaging (MRI). The radiologic imaging results proved unremarkable for identifying the cause of her neck pain. Pain management, neurology, and neurosurgery consultations were unable to provide an etiology that explained her symptoms. Searching for methods of treatment to relieve her neck pain, she received osteopathic manipulative treatment (OMT) focused on somatic dysfunction of both the musculoskeletal system and viscera. The results of osteopathic treatment significantly improved her symptoms. Although OMT provided temporary relief of her neck pain, her GERD symptoms persisted and her neck pain gradually returned. Since a comprehensive workup for neck pain revealed no etiology and she had positive responses to OMT, including treatments focused on the viscera, we attributed her neck pain to a viscerosomatic response of gastrointestinal disease. This case report demonstrates the benefit that osteopathic manipulative treatment provides in diagnosis and treatment of uncommon causes of neck pain such as that resulting from viscerosomatic reflexes. Identifying viscerosomatic reflexes can broaden differential diagnoses and lead to better patient care.
{"title":"Severe Viscerosomatic Neck Pain from Refractory Gastroesophageal Reflux","authors":"J. Uhrig, Jean Rettos","doi":"10.53702/2375-5717-30.3.17","DOIUrl":"https://doi.org/10.53702/2375-5717-30.3.17","url":null,"abstract":"\u0000 This is a case of a 73-year-old female with achalasia, hiatal hernia, and prior failed laparoscopic Heller myotomy with Dor fundoplication suffering from severe gastroesophageal disease. The patient developed debilitating neck pain associated with her severe gastroesophageal reflux disease (GERD). She underwent a comprehensive musculoskeletal workup that included a cervical computed tomography (CT) scan and magnetic resonance imaging (MRI). The radiologic imaging results proved unremarkable for identifying the cause of her neck pain. Pain management, neurology, and neurosurgery consultations were unable to provide an etiology that explained her symptoms. Searching for methods of treatment to relieve her neck pain, she received osteopathic manipulative treatment (OMT) focused on somatic dysfunction of both the musculoskeletal system and viscera. The results of osteopathic treatment significantly improved her symptoms. Although OMT provided temporary relief of her neck pain, her GERD symptoms persisted and her neck pain gradually returned. Since a comprehensive workup for neck pain revealed no etiology and she had positive responses to OMT, including treatments focused on the viscera, we attributed her neck pain to a viscerosomatic response of gastrointestinal disease. This case report demonstrates the benefit that osteopathic manipulative treatment provides in diagnosis and treatment of uncommon causes of neck pain such as that resulting from viscerosomatic reflexes. Identifying viscerosomatic reflexes can broaden differential diagnoses and lead to better patient care.","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"65 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131985854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.53702/2375-5717-30.2.23
Cherry Liley
{"title":"Osteopathy Is Like Cactus Conservation","authors":"Cherry Liley","doi":"10.53702/2375-5717-30.2.23","DOIUrl":"https://doi.org/10.53702/2375-5717-30.2.23","url":null,"abstract":"","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125938457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.53702/2375-5717-30.2.5
J. Blumer
{"title":"View from the Pyramids: A Brave New World","authors":"J. Blumer","doi":"10.53702/2375-5717-30.2.5","DOIUrl":"https://doi.org/10.53702/2375-5717-30.2.5","url":null,"abstract":"","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134382942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.53702/2375-5717-30.2.27
H. Prieto, Nicole Peña, J. Shubrook, J. Talsma
{"title":"Hypertension: An Osteopathic Perspective","authors":"H. Prieto, Nicole Peña, J. Shubrook, J. Talsma","doi":"10.53702/2375-5717-30.2.27","DOIUrl":"https://doi.org/10.53702/2375-5717-30.2.27","url":null,"abstract":"","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134165185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.53702/2375-5717-30.2.1
Drew D. Lewis, Jose S. Figueroa, Ryan D. McMunn, Adrian L. Woolley
In the growing pandemic of COVID-19, the reality many face includes insufficient testing, limited personal protective equipment (PPE), and high risk of infection to those on the front lines providing essential care. With a lack of effective treatment and no vaccine in sight, a high rate of morbidity and mortality looms. Osteopathic manipulative treatment (OMT) has been shown in numerous studies to support the body’s own healing mechanisms, including beneficial effects on respiratory infections. Based on well-established osteopathic principles, the osteopathic self-treatment (OST) aims to promote optimal respiration, circulation (venous, arterial, and lymphatic), immune function, balance of the autonomic nervous system, reduced stress, and improved homeostasis. This OST provides exercises designed to remove obstacles to the body’s own functions and therefore promote improved health. It is warranted for those at risk of infection or those already testing positive. There is particular utility in these approaches for patients that must self-isolate and socially distance such as during the 2020 COVID-19 pandemic.
{"title":"Osteopathic Self-Treatment to Promote Health and The Body’s Ability to Fight COVID-19","authors":"Drew D. Lewis, Jose S. Figueroa, Ryan D. McMunn, Adrian L. Woolley","doi":"10.53702/2375-5717-30.2.1","DOIUrl":"https://doi.org/10.53702/2375-5717-30.2.1","url":null,"abstract":"In the growing pandemic of COVID-19, the reality many face includes insufficient testing, limited personal protective equipment (PPE), and high risk of infection to those on the front lines providing essential care. With a lack of effective treatment and no vaccine in sight, a high rate of morbidity and mortality looms.\u0000 Osteopathic manipulative treatment (OMT) has been shown in numerous studies to support the body’s own healing mechanisms, including beneficial effects on respiratory infections.\u0000 Based on well-established osteopathic principles, the osteopathic self-treatment (OST) aims to promote optimal respiration, circulation (venous, arterial, and lymphatic), immune function, balance of the autonomic nervous system, reduced stress, and improved homeostasis.\u0000 This OST provides exercises designed to remove obstacles to the body’s own functions and therefore promote improved health. It is warranted for those at risk of infection or those already testing positive. There is particular utility in these approaches for patients that must self-isolate and socially distance such as during the 2020 COVID-19 pandemic.","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114704503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.53702/2375-5717-30.2.17
R. Feely, Jillian L. Smith
Neuro-ocular release(NOR) is a new osteopathic treatment modality that can be used in conjunction with any indirect osteopathic technique. It is proposed that NOR utilizes the recruitment of the visual system to access the descending pathways, while counterstrain access the ascending pathways, resulting in a resetting of the central and peripheral nervous systems. This resetting allows for dampening of the potentiation of somatic dysfunction (SD). The ascending pathways integrate with many of the vision and ocular reflex pathways influencing the descending response to the peripheral tissues, the location of palpable somatic dysfunction. The authors purport the NOR technique allows for more time efficient and effective treatment by changing the central nervous system entrainment of SD.
{"title":"Neuro-Ocular Release: A New Osteopathic Technique For Resolving Somatic Dysfunction","authors":"R. Feely, Jillian L. Smith","doi":"10.53702/2375-5717-30.2.17","DOIUrl":"https://doi.org/10.53702/2375-5717-30.2.17","url":null,"abstract":"\u0000 Neuro-ocular release(NOR) is a new osteopathic treatment modality that can be used in conjunction with any indirect osteopathic technique. It is proposed that NOR utilizes the recruitment of the visual system to access the descending pathways, while counterstrain access the ascending pathways, resulting in a resetting of the central and peripheral nervous systems. This resetting allows for dampening of the potentiation of somatic dysfunction (SD). The ascending pathways integrate with many of the vision and ocular reflex pathways influencing the descending response to the peripheral tissues, the location of palpable somatic dysfunction. The authors purport the NOR technique allows for more time efficient and effective treatment by changing the central nervous system entrainment of SD.","PeriodicalId":341091,"journal":{"name":"The AAO Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116445544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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