International Journal of Osteopathic Medicine最新文献

{"title":"Dynamometry for the assessment of trunk muscle strength in postpartum women with pregnancy-related posterior pelvic girdle pain: A reliability study","authors":"Fahimeh-Sadat Jafarian ,&nbsp;Mahmonir Jafari-Harandi ,&nbsp;Gillian Yeowell ,&nbsp;Ebrahim Sadeghi-Demneh","doi":"10.1016/j.ijosm.2024.100738","DOIUrl":"10.1016/j.ijosm.2024.100738","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the inter and intra-rater reliability of maximum isometric trunk muscular strength in postpartum women with pregnancy-related posterior pelvic girdle pain using a handheld dynamometer.</div></div><div><h3>Methods</h3><div>Thirty women (30.13 ± 3.67 years) with pregnancy-related posterior pelvic girdle pain (PPGP) had their trunk muscular strength assessed using a handheld dynamometer. Inter-rater reliability was estimated for measurements of two separate raters on the first day of the investigation. The tests were repeated with the first rater seven days later to determine the intra-rater reliability. A digital handheld dynamometer was used for testing, and a metal bar was used to secure it to a table. Participants were instructed to use maximal force to push the dynamometer in various trunk flexion, extension, lateral flexion, and rotational orientations. Each trial was repeated three times and averaged to obtain the representative assessment data. Analysis of variance, interclass correlation, absolute agreement, and standard error of measurements were used to evaluate the repeatability of measurements.</div></div><div><h3>Results</h3><div>Excellent inter and intra-rater reliability were demonstrated. The inter-rater reliability, computed with intraclass correlation coefficient (ICC), ranged from 0.979 to 0.992, and intra-rater reliability (ICC) ranged from 0.966 to 0.987. The standard error of measurement ranged from 0.35 % to 1.26 % for the different tests. Additionally, the dynamometer values in women with PPGP might be reported using just one trial after an instruction.</div></div><div><h3>Conclusion</h3><div>The maximum isometric trunk muscular strength is reliable, and a quantitative assessment of the trunk strength in women with postpartum pregnancy-related posterior pelvic girdle pain and could be used to monitor the changes in postural stability between sessions.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100738"},"PeriodicalIF":1.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating perspectives, knowledge and behaviors of osteopathic medicine in a United States osteopathic medical school: A study in employee education and changes in understanding","authors":"Kelli Glaser ,&nbsp;Joel Roberts ,&nbsp;Michele K. Coleman ,&nbsp;Mark Payton ,&nbsp;Scott Wilke ,&nbsp;Matthew Linton ,&nbsp;Jacquelyn Waller","doi":"10.1016/j.ijosm.2024.100739","DOIUrl":"10.1016/j.ijosm.2024.100739","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The institutional culture where students complete training may significantly impact their professional identity and practice habits related to osteopathic medicine principles and the use of Osteopathic Manipulative Treatment (OMT). This is the first study to evaluate institutional culture, perspectives, knowledge, behaviors, and the effect of an educational intervention among an institution's employees surrounding the principles of osteopathic medicine.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the impact of a standardized educational intervention in osteopathic medicine for employees in promoting greater integration of osteopathic principles and practice into our institutional culture at a single multi-campus institution..&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional study was conducted to assess osteopathic knowledge, perspectives, and behaviors through two surveys provided before and 6 months after an educational intervention. The educational intervention consisted of 7 online, asynchronous modules. A baseline (PRE) survey and 6-month follow-up (POST) were treated as independent samples, as not all study respondents participated in the educational intervention. Contingency tables were generated for the preliminary data set to assess the relationships among survey responses. Chi-square tests were conducted to test relationships and Fisher Exact Tests employed when assumptions for the chi-square test were not met. Analyses of variance and independent t-tests were conducted to evaluate score differences across different employment categories and backgrounds.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;All employees were invited to participate in the study, 96/370 (25.9 %) completed the PRE and 94/370 (25.4 %) completed the POST surveys. In the POST survey, 45/94 (47.9 %) of respondents indicated they participated in the educational modules. After the training, a greater number of participants agreed or strongly agreed that they understand the fundamentals of OPP [PRE: 80/95 (84.2 %); POST: 88/92 (95.7 %); P = 0.01] and the origins and history of osteopathic medicine in the United States [PRE: 62/94 (66 %); POST: 79/92 (85.9 %); P = 0.003]. Within the administrators/staff category, significantly more had experienced OMT at the end of the study [PRE: 38/48 (79.2 %); POST: 45/48 (93.8 %); P = 0.04]. There were significantly more participants who correctly identified body systems impacted by OMT [PRE: 68/96 (70.8 %); POST: 79/93 (84.9 %); P = 0.01]. Faculty planned to integrate osteopathic principles into their teaching [37/40 (92.5 %)] and written exam items [25/40 (62.5 %)] in the future. Finally, employee participants in the training [50/51 (98 %)] reported an impact on their confidence in discussing Osteopathic Principles and Practice (OPP) with others, and believed the training increased their awareness of OPP in their work [46/51 (90 %)].&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;An educational interventio","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100739"},"PeriodicalIF":1.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An appraisal of neuroimmune changes and potential benefits of osteopathic manipulative treatment integration with therapeutic management of post COVID-19 condition: A literature review","authors":"Francesco Senigagliesi ,&nbsp;Stefania Scialla ,&nbsp;Marcello Luca Marasco","doi":"10.1016/j.ijosm.2024.100737","DOIUrl":"10.1016/j.ijosm.2024.100737","url":null,"abstract":"<div><div>The health challenge and the socio-economic burden that marked the COVID-19 pandemic have long been under control, although the World Health Organization (WHO) data paint a clear picture of the difficulties faced over the past four years. However, the reduction in the incidence and severity of SARS-CoV-2 infection has given way to the progressive appearance of clinical signs and symptoms related to COVID-19, which can persist for months following the resolution of the acute phase. This condition has been identified by WHO as “<em>post COVID-19 condition</em>” (PCC), and it currently represents one of the main health and social challenges to which the scientific community is called to respond. The best way to successfully manage patients affected by PCC still challenging. Recent evidence regarding the pathophysiological hypotheses underlying PCC nevertheless allows us to understand the mechanisms involved and to hypothesise a role for OMT in the therapeutic management of the PCC patient. This review aimed at evaluating the possible role of OMT as a complementary and integrative practice in favouring beneficial autonomic, haemodynamic and immune modifications potentially correlated to the pathogenesis of PCC.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100737"},"PeriodicalIF":1.1,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-informed approach of sighs in the scope of osteopathic practice","authors":"Axel Vicart,&nbsp;Agathe Wagner","doi":"10.1016/j.ijosm.2024.100736","DOIUrl":"10.1016/j.ijosm.2024.100736","url":null,"abstract":"<div><div>Osteopathic practice attaches great importance to the respiratory function in theoretical models, in the approach to respiratory disorders and in the use of breathing techniques for therapeutic purposes. The study of different parameters of breathing would be a way to deepen the application of breathing to osteopathic practice. In this respect, the sigh is a clinical element of interest.</div><div>The osteopathic grey literature is rich in examples of the use of sighing in an empirical framework with interpretations during the anamnesis, the diagnostic and the therapeutic phases. Osteopaths' empirical experiences of sighing should be compared with available experimental data to improve the quality of osteopathic care. We are not aware of any study specifically related to sighing in an osteopathic context, but the psycho-physiological data on sighing is growing.</div><div>This narrative review presents scientific data on the phenomenon of sighing. The physiological and pathophysiological conditions of sighing are presented in the context of the reasons for consultation encountered in osteopathic practice. The sigh as a diagnostic tool for various conditions is discussed. Therapeutic avenues explore how sighing could be an element in controlling the effects of osteopathic treatment, or an active element in the treatment itself. Finally, the place of the sigh as an element of communication within the consultation is described. In these different fields, the contribution of scientific data leads to several contradictions with the osteopathic empirical experience. This review describes avenues of future research needed to clarify the role that sighing might play in osteopathic practice.</div></div><div><h3>Implications for Practice</h3><div><ul><li><span>•</span><span><div>The sigh could be used in several clinical conditions for diagnostic purposes</div></span></li><li><span>•</span><span><div>The sigh syndrome, or sighing dyspnea, is a functional respiratory disorder</div></span></li><li><span>•</span><span><div>The sigh could be used for communication purposes within the consultation</div></span></li><li><span>•</span><span><div>The reliability of the sigh in osteopathic practice first would require a consensual definition and methods to evaluate it in a clinical context</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100736"},"PeriodicalIF":1.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autonomic nervous system and viscera-related responses to manual therapy: A narrative overview","authors":"Murdi S. Alanazi ,&nbsp;Brian Degenhardt ,&nbsp;G. Franklin ,&nbsp;Eric Jacobson ,&nbsp;Sandy Fritz ,&nbsp;Norman Kettner ,&nbsp;Vaclav Kremen ,&nbsp;Laura Lipke ,&nbsp;William R. Reed","doi":"10.1016/j.ijosm.2024.100735","DOIUrl":"10.1016/j.ijosm.2024.100735","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy (MT) has long-held that it physiologically impacts autonomic nervous system (ANS) and viscera-related function. This narrative review is intended to serve as a consolidated interdisciplinary resource of original studies related to physiological effects of MT as it relates to the ANS for MT clinicians and researchers new to this MT-related topic.</div></div><div><h3>Objective</h3><div>This review seeks to identify ANS and viscera-related physiological responses to MT interventions using search terms commonly used by chiropractic, massage, osteopathic, physical therapy, and structural integration clinicians and to provide a quick reference resource of original MT-related studies investigating ANS effects.</div></div><div><h3>Methods</h3><div>For this interdisciplinary review, the search was limited to the largest and most commonly used database (PubMed) between years 2000 and 2024, with a focus on direct ANS-related physiological outcomes. Unlike systematic reviews, assessment of scientific rigor and potential bias of included articles was beyond the scope and purpose of the current work.</div></div><div><h3>Results</h3><div>Original MT-related studies provide mixed evidence with regards to immediate and/or short term ANS and/or viscera-related responses on blood pressure, heart rate variability, skin conductance/temperature, respiratory and lymphatic changes.</div></div><div><h3>Conclusions</h3><div>This review identified a large number of MT and ANS-related original research in PubMed. Careful study of original MT-related research is needed with particular attention focused on the standardization of MT methodological approaches, appropriate controls, study design, appropriate populations, MT techniques, and anatomical site delivery so as to design more rigorous studies in order to arrive at definitive conclusions regarding direct effects of MT on the ANS.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100735"},"PeriodicalIF":1.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Information Quality of YouTube Videos on Manual Medicine/Therapy","authors":"Enes Efe Is ,&nbsp;Elif Tarihci Cakmak ,&nbsp;Merve Damla Korkmaz","doi":"10.1016/j.ijosm.2024.100734","DOIUrl":"10.1016/j.ijosm.2024.100734","url":null,"abstract":"<div><h3>Objectives</h3><div>This study evaluates the educational quality and reliability of manual medicine/therapy-related YouTube videos to determine their suitability for information seekers and their potential use in manual therapy education.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis of 113 YouTube videos related to manual medicine/therapy was conducted. Video characteristics, including likes, dislikes, view count, duration, and speaker profile, were assessed. Popularity, educational quality, and reliability were evaluated using the Video Power Index (VPI), Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) criteria, and modified DISCERN tool.</div></div><div><h3>Results</h3><div>No significant differences were found among speaker groups (physicians, physiotherapists, osteopaths &amp; chiropractors) in assessment parameters. Videos on “Manipulation” and “Mobilization/Stretching/Examination” received more likes and views than “General Information” videos. Video duration positively correlated with JAMA, GQS, and mDISCERN scores, indicating higher educational quality in longer videos. However, overall educational quality and reliability were moderate to weak.</div></div><div><h3>Conclusions</h3><div>The study underscores the need for content creators to enhance the educational quality of manual medicine/therapy videos. Practical application-oriented content is popular, and quality video resources can serve as a valuable complement to hands-on instruction in manual therapy education.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>1.</span><span><div>This study provides a comprehensive evaluation of YouTube videos on manual medicine/therapy, highlighting no significant superiority in educational quality and reliability among videos from different professional speakers.</div></span></li><li><span>2.</span><span><div>This research fills a gap by offering a broad perspective on the educational value of these videos, which has not been explored in such depth previously.</div></span></li><li><span>3.</span><span><div>Despite moderate to weak overall educational quality and reliability, videos focusing on practical applications such as manipulation and mobilization/stretching/examination are more popular and frequently viewed. This suggests that such content might serve as an effective supplement to manual therapy training and also proves valuable in demonstrating to patients the procedures involved in manual therapy, enhancing their understanding and engagement with treatment protocols.</div></span></li><li><span>4.</span><span><div>Enhancing video content quality could significantly benefit manual therapy education by providing high-quality, reliable resources that complement traditional educational methods, especially in demonstrating practical techniques.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100734"},"PeriodicalIF":1.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic manual treatment in women with endometriosis: A scoping review on clinical symptoms, fertility and quality of life","authors":"Magalie De Strooper ,&nbsp;Len De Nys ,&nbsp;Lieselot Theys ,&nbsp;Alain Vermeersch ,&nbsp;Jörgen Quaghebeur","doi":"10.1016/j.ijosm.2024.100733","DOIUrl":"10.1016/j.ijosm.2024.100733","url":null,"abstract":"<div><h3>Background</h3><div>Endometriosis presents significant treatment challenges and economic burdens, necessitating the exploration of alternative therapies such as Osteopathic Manual Treatment (OMT) to potentially improve patient outcomes.</div></div><div><h3>Objective</h3><div>This scoping review aimed to systematically map existing research on the intervention effects of OMT's on clinical symptoms, fertility, and quality of life in women with endometriosis, and review the current quality of evidence regarding these outcomes.</div></div><div><h3>Design</h3><div>Databases, including PubMed, Web of Science, Cochrane Library, and others, were searched until July 31, 2024 following PRISMA-ScR guidelines. The methodological quality was evaluated using the Joanna Briggs Institute (JBI) and Newcastle-Ottawa Quality Assessment Scale (NOS).</div></div><div><h3>Results</h3><div>The review included thirteen studies revealing low-to-moderate quality evidence for OMT to increase pregnancy success rates and improve quality of life. There is limited evidence for improvements in clinical symptoms such as dyspareunia, and dysmenorrhea. Small sample sizes, methodological variability, and the lack of control groups in many studies limit the current evidence.</div></div><div><h3>Conclusion</h3><div>The synthesis discovered a body of evidence suggesting OMT's potential to improve a range of symptoms associated with endometriosis. However, the current evidence base has several methodological limitations, including small sample sizes, lack of control groups, and the predominance of observational study designs. These limitations mitigate the strength of the conclusions that can be drawn regarding OMT's efficacy; and highlights the imperative for well-designed randomized controlled trials that can offer more definitive evidence.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100733"},"PeriodicalIF":1.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of neuromuscular spinal manipulation- an updated systematic review and meta-analysis","authors":"Chi Ngai Lo ,&nbsp;Eric W. Tsang ,&nbsp;Shirley Pui Ching Ngai","doi":"10.1016/j.ijosm.2024.100731","DOIUrl":"10.1016/j.ijosm.2024.100731","url":null,"abstract":"<div><h3>Background</h3><div>Spinal manipulation has been increasingly researched over the past two decades for its potential to enhance motor function. In our review, we use the term Neuromuscular Spinal Manipulation (NSM) to specifically identify studies focused on the motor facilitation effects of spinal manipulation.</div></div><div><h3>Objective</h3><div>To evaluate the efficacy of NSM in increasing muscle strength among healthy individuals through a systematic review and meta-analysis.</div></div><div><h3>Design</h3><div>Systematic Review and Meta-Analysis.</div></div><div><h3>Methods</h3><div>Databases including PubMed Central, Virtual Health Library, Cochrane Library, OSTMED.DR, and Google Scholar were searched up to September 2023. Eligible studies were randomized controlled trials and crossover studies on adults aged 18–65, assessing high-velocity, low-amplitude thrusts and Maitland grade III or IV mobilizations. Exclusions were studies on patients with pain/pathology, peripheral joint interventions, instrumental mobilizations, or co-interventions. Quality was appraised using the PEDro scale, and evidence graded with the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. This review was registered with PROSPERO (CRD42022351923).</div></div><div><h3>Results</h3><div>Of 7308 records, 10 articles met inclusion criteria, with 8 undergoing meta-analysis. A significant pooled effect on isometric muscle strength was observed (standardized mean difference +0.95, 95 % CI + 0.62 to +1.29) between NSM and controls, with heterogeneity I2 = 38 %. A high level of GRADE recommendation was; proposed according to the quality of evidence.</div></div><div><h3>Conclusion</h3><div>NSM significantly enhances short-term isometric muscle strength in asymptomatic individuals, underscoring its potential clinical utility. Future research should aim to address the limitations noted, particularly regarding the long-term effects and underlying mechanisms of NSM.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100731"},"PeriodicalIF":1.1,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic treatment of a person with Arnold-Chiari malformation and Syringomyelia: A case report","authors":"Ramon Cases-Solé ,&nbsp;David Varillas-Delgado ,&nbsp;Ferran Trinidad-Cascudo ,&nbsp;Ma Carmen Pino-Tamayo ,&nbsp;Óscar García-Algar","doi":"10.1016/j.ijosm.2024.100730","DOIUrl":"10.1016/j.ijosm.2024.100730","url":null,"abstract":"<div><div>We present the case of a symptomatic patient diagnosed with Arnold Chiari I malformation (ACI) and Syringomyelia (S) who evolves favorably through an initial osteopathic treatment plan lasting 6 months and osteopathic maintenance treatment up to 36 months. The objectives of the treatment were to reduce pain and increase mobility of the shoulders and Scapular waist/Shoulder/Elbow/Wrist with a secondary objective to improve balance and coordination.</div><div>After the administration of 32 sessions of Osteopathic Manipulative Treatment (OMT) started in August 2020, applying an initial treatment plan of 6 sessions monthly the patient was asymptomatic with remission of pain and increased mobility in the shoulders and cervical spine and a normal neurological examination (including normal gait).</div><div>The main symptoms and relevant clinical findings were: functional impairment of the upper extremities that limited activities of daily living (ADLs) requiring assistance, headaches, cervical and dorsal spine pain in bilateral belt at T6 level, vertiginous sensation and gait instability. The patient was diagnosed with ACI and Syringomyelia in 2012. She received surgical and pharmacological treatment without clinical improvement and performed relaxation and breathing exercises on her own.</div><div>We present evidence of the beneficial effect of osteopathic treatment on the associated symptomatology in a case of ACI and Syringomyelia.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100730"},"PeriodicalIF":1.1,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is visceral osteopathy therapy effective? A systematic review and meta-analysis","authors":"Luis Ceballos-Laita ,&nbsp;Edzard Ernst ,&nbsp;Andoni Carrasco-Uribarren ,&nbsp;Germán Esteban-Tarcaya ,&nbsp;Lucas Mamud-Meroni ,&nbsp;Sandra Jiménez-del-Barrio","doi":"10.1016/j.ijosm.2024.100729","DOIUrl":"10.1016/j.ijosm.2024.100729","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review with meta-analysis aims to evaluate the clinical effectiveness of visceral osteopathy (VO) in musculoskeletal and non-musculoskeletal disorders.</div></div><div><h3>Methods</h3><div>Two independent reviewers searched in PubMed, Physiotherapy Evidence Database, Cochrane Library, Scopus, and Web of Science databases in November 2023 and extracted data for randomized controlled trials evaluating the clinical effectiveness of VO. The risk of bias and the certainty of evidence were assessed using the Risk-of-Bias tool 2 and the GRADE Profile, respectively. Meta-analyses were conducted using random effect models using RevMan 5.4. software.</div></div><div><h3>Results</h3><div>Fifteen studies were included in the qualitative and seven in the quantitative synthesis. For musculoskeletal disorders, the qualitative and quantitative synthesis suggested that VO produces no statistically significant changes in any outcome variable for patients with low back pain, neck pain or urinary incontinence. For non-musculoskeletal conditions, the qualitative synthesis showed that VO was not effective for the treatment of irritable bowel syndrome, breast cancer, and very low weight preterm infants. Most of the studies were classified as high risk of bias and the certainty of evidence downgraded to low or very low.</div></div><div><h3>Conclusion</h3><div>VO did not show any benefit in any musculoskeletal or non-musculoskeletal condition.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100729"},"PeriodicalIF":1.1,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}