Pub Date : 2023-08-21DOI: 10.53702/i2375-5717-33.3.29
Sharon Gustowski
This report outlines a case of prolonged pain and somatic dysfunction after a motor vehicle accident where a strain-vector was diagnosed in the biofield and successfully treated with the dynamic strain-vector release (SVR) technique. The palpatory diagnostic approach and end-feel of a strain-vector in the biofield described in this case provides guidance for those wishing to incorporate it into clinical practice, particularly in cases where traditional osteopathic techniques are not effective.
{"title":"Diagnosis and Treatment of a Dynamic Strain Vector after a Motor Vehicle Accident","authors":"Sharon Gustowski","doi":"10.53702/i2375-5717-33.3.29","DOIUrl":"https://doi.org/10.53702/i2375-5717-33.3.29","url":null,"abstract":"\u0000 This report outlines a case of prolonged pain and somatic dysfunction after a motor vehicle accident where a strain-vector was diagnosed in the biofield and successfully treated with the dynamic strain-vector release (SVR) technique. The palpatory diagnostic approach and end-feel of a strain-vector in the biofield described in this case provides guidance for those wishing to incorporate it into clinical practice, particularly in cases where traditional osteopathic techniques are not effective.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88184383","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 : 2023-08-21DOI: 10.53702/i2375-5717-33.3.14
Ann L. Habenicht
{"title":"Resolution of Stridor, Gastritis and Cephalgia in an Adolescent with Reflex Sympathetic Dystrophy Following Osteopathic Manipulative Treatment—A Case Report","authors":"Ann L. Habenicht","doi":"10.53702/i2375-5717-33.3.14","DOIUrl":"https://doi.org/10.53702/i2375-5717-33.3.14","url":null,"abstract":"","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82997422","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.60
J. Pelletier, Joshua Boucher
We describe the case of a 55-year-old female with nine months of chronic postoperative abdominal wall pain likely representing anterior cutaneous nerve entrapment syndrome (ACNES), who experienced marked symptomatic improvement with the use of the fascial distortion model (FDM) in the emergency department (ED). This is the first case report in the literature on the successful application of the FDM for abdominal wall pain, and there is still little FDM literature in the emergency medicine (EM) setting.
{"title":"A Case of Chronic Postoperative Abdominal Wall Pain Successfully Treated with the Fascial Distortion Model","authors":"J. Pelletier, Joshua Boucher","doi":"10.53702/2375-5717-33.2.60","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.60","url":null,"abstract":"\u0000 We describe the case of a 55-year-old female with nine months of chronic postoperative abdominal wall pain likely representing anterior cutaneous nerve entrapment syndrome (ACNES), who experienced marked symptomatic improvement with the use of the fascial distortion model (FDM) in the emergency department (ED). This is the first case report in the literature on the successful application of the FDM for abdominal wall pain, and there is still little FDM literature in the emergency medicine (EM) setting.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84978236","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.53
E. Beveridge, Mary Ann Magoun
Growth faltering is a complex problem in the pediatric population and can result from multiple mechanisms, including inadequate caloric intake. Feeding difficulties are common among children with growth faltering and can present significant challenges for achieving adequate nutrition and weight gain, particularly when coupled with any degree of oral aversion. The patient in this case is a 21-month-old child with oral aversion, pediatric feeding disorder (PFD), and growth faltering who had failed to gain weight while receiving the standard of care. Upon transitioning his care to an osteopathic pediatrician, who incorporated osteopathic manipulative treatment (OMT) into his care, he demonstrated weight gain, which was sustained over the 8 months of this study. This case report demonstrates the potential benefit of OMT for children with PFD, oral aversion, and growth faltering.
{"title":"Osteopathic Management of Pediatric Feeding Disorder, Oral Aversion, and Growth Faltering: A Case Report","authors":"E. Beveridge, Mary Ann Magoun","doi":"10.53702/2375-5717-33.2.53","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.53","url":null,"abstract":"\u0000 Growth faltering is a complex problem in the pediatric population and can result from multiple mechanisms, including inadequate caloric intake. Feeding difficulties are common among children with growth faltering and can present significant challenges for achieving adequate nutrition and weight gain, particularly when coupled with any degree of oral aversion. The patient in this case is a 21-month-old child with oral aversion, pediatric feeding disorder (PFD), and growth faltering who had failed to gain weight while receiving the standard of care. Upon transitioning his care to an osteopathic pediatrician, who incorporated osteopathic manipulative treatment (OMT) into his care, he demonstrated weight gain, which was sustained over the 8 months of this study. This case report demonstrates the potential benefit of OMT for children with PFD, oral aversion, and growth faltering.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89676559","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.46
M. Berkowitz
This study seeks to examine the inter-relationship of what William Garner Sutherland, DO called “The Tide,” the Cranial Rhythmic Impulse (CRI) palpated by practitioners of Osteopathy in the Cranial Field (OCF), and physiologic or pulmonary respiration. This study is different in that it proposes a mathematical analysis of these several phenomena to reconcile whether these are part of the same overarching natural wave or they are distinct. The pertinent medical literature is reviewed. The mathematics of Fourier analysis is briefly described. This study performed “reverse” Fourier analysis, that is, the combination of the various periodic signals into one periodic signal, across the range of normal physiological data values. Stochastic techniques were then applied to resolve these probabilistic data into 1 overarching periodic signal. From the mathematical analysis, it is not mathematically possible for “The Tide” to be in the range of the fundamental frequencies of the CRI, pulmonary respiration, and the Traube-Hering-Mayer oscillations that derive from it and are its harmonics. This mathematical analysis cannot be construed as negating the existence of “The Tide,” rather merely eliminates these fundamental frequencies as being “The Tide.” “The Tide” must be something else. More research is indicated.
{"title":"Examination of “The Tide,” CRI, and Physiologic Respiration: A Mathematical Analysis","authors":"M. Berkowitz","doi":"10.53702/2375-5717-33.2.46","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.46","url":null,"abstract":"\u0000 This study seeks to examine the inter-relationship of what William Garner Sutherland, DO called “The Tide,” the Cranial Rhythmic Impulse (CRI) palpated by practitioners of Osteopathy in the Cranial Field (OCF), and physiologic or pulmonary respiration. This study is different in that it proposes a mathematical analysis of these several phenomena to reconcile whether these are part of the same overarching natural wave or they are distinct. The pertinent medical literature is reviewed. The mathematics of Fourier analysis is briefly described. This study performed “reverse” Fourier analysis, that is, the combination of the various periodic signals into one periodic signal, across the range of normal physiological data values. Stochastic techniques were then applied to resolve these probabilistic data into 1 overarching periodic signal. From the mathematical analysis, it is not mathematically possible for “The Tide” to be in the range of the fundamental frequencies of the CRI, pulmonary respiration, and the Traube-Hering-Mayer oscillations that derive from it and are its harmonics. This mathematical analysis cannot be construed as negating the existence of “The Tide,” rather merely eliminates these fundamental frequencies as being “The Tide.” “The Tide” must be something else. More research is indicated.","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78672063","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.8
L. Ching
{"title":"From the Editor: An Introduction","authors":"L. Ching","doi":"10.53702/2375-5717-33.2.8","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.8","url":null,"abstract":"","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79290237","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.39
Eneida Miranda, E. Feketeova, Jennifer Giza
This is part 2 of an original study with a focus on pain. The role of touch in psychiatry is debatable; the purpose of this pilot study was to determine the effectiveness of osteopathic manipulative treatment (OMT) in treating pain in patients with comorbid anxiety and/or depression. The study was an 8-week prospective, experimental, randomized, controlled pilot study to examine the effects of OMT as an adjunctive treatment of chronic anxiety and depression and pain. The study compared a treatment group to a control group, each consisting of 10 randomly-assigned adult participants with anxiety and/or depression on psychotropics, with a focus on pain. All patients were assessed and evaluated weekly using a musculoskeletal screening assessment which included the Numeric Rating Scale (NRS-11) to grade the level of pain or discomfort. 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. Statistical analysis of pain treatment group data revealed a week one mean of 7.0 ± 2.4 (n=6) with a paired t-test showing significance as early as week three 5.7 ± 2.1 (n=6), P = 0.025* and thereafter. Analysis of pain control group data revealed a week 1 mean of 6.4 ± 1.8 (n=10) with paired t-test significant at weeks 6 through 8. All patients in the treatment group showed significant improvements in their pain levels in half the time compared to those in the control group. Findings in this study indicate that OMT may be an effective adjunctive treatment modality for alleviating pain in patients with comorbid depression and anxiety.
这是一项专注于疼痛的原始研究的第二部分。触摸在精神病学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)治疗合并焦虑和/或抑郁患者疼痛的有效性。该研究是一项为期8周的前瞻性、实验性、随机对照先导研究，旨在研究OMT作为慢性焦虑、抑郁和疼痛辅助治疗的效果。该研究将治疗组与对照组进行了比较，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，重点是疼痛。所有患者每周使用肌肉骨骼筛查评估进行评估，其中包括数字评定量表(NRS-11)来评定疼痛或不适的程度。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。疼痛治疗组数据统计分析显示，第1周平均为7.0±2.4 (n=6)，配对t检验显示，第3周早期为5.7±2.1 (n=6)， P = 0.025*，此后均有统计学意义。疼痛对照组数据分析显示，第1周平均为6.4±1.8 (n=10)，配对t检验在第6至第8周具有显著性。与对照组相比，治疗组的所有患者在一半的时间内疼痛程度都有了显著改善。本研究结果表明，OMT可能是一种有效的辅助治疗方式，可以缓解抑郁和焦虑合并症患者的疼痛。
{"title":"Osteopathic Manipulative Treatment in Patients with Anxiety and Depression: A Pilot Study, Part 2","authors":"Eneida Miranda, E. Feketeova, Jennifer Giza","doi":"10.53702/2375-5717-33.2.39","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.39","url":null,"abstract":"\u0000 \u0000 \u0000 This is part 2 of an original study with a focus on pain. The role of touch in psychiatry is debatable; the purpose of this pilot study was to determine the effectiveness of osteopathic manipulative treatment (OMT) in treating pain in patients with comorbid anxiety and/or depression.\u0000 \u0000 \u0000 \u0000 The study was an 8-week prospective, experimental, randomized, controlled pilot study to examine the effects of OMT as an adjunctive treatment of chronic anxiety and depression and pain. The study compared a treatment group to a control group, each consisting of 10 randomly-assigned adult participants with anxiety and/or depression on psychotropics, with a focus on pain. All patients were assessed and evaluated weekly using a musculoskeletal screening assessment which included the Numeric Rating Scale (NRS-11) to grade the level of pain or discomfort. From the initial cohort (n=20), a complete database was achieved for 16 of the patients. Statistical analysis was performed using RStudio.\u0000 \u0000 \u0000 \u0000 Of the 16 patients who successfully participated in the study, 6 received OMT, and 10 were part of the control group. Statistical analysis of pain treatment group data revealed a week one mean of 7.0 ± 2.4 (n=6) with a paired t-test showing significance as early as week three 5.7 ± 2.1 (n=6), P = 0.025* and thereafter. Analysis of pain control group data revealed a week 1 mean of 6.4 ± 1.8 (n=10) with paired t-test significant at weeks 6 through 8. All patients in the treatment group showed significant improvements in their pain levels in half the time compared to those in the control group.\u0000 \u0000 \u0000 \u0000 Findings in this study indicate that OMT may be an effective adjunctive treatment modality for alleviating pain in patients with comorbid depression and anxiety.\u0000","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85559557","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 : 2023-06-01DOI: 10.53702/2375-5717-33.2.67
Domenick J Masiello
{"title":"Osteopathy—A philosophical perspective Reflections on Sutherland’s experience of the tide","authors":"Domenick J Masiello","doi":"10.53702/2375-5717-33.2.67","DOIUrl":"https://doi.org/10.53702/2375-5717-33.2.67","url":null,"abstract":"","PeriodicalId":52492,"journal":{"name":"AAO Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79986666","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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