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1

Lago, Rodrigo Medina Vasconcelos, Marco Antônio Figueiredo Da Silva Filho, and Alan Carlos Nery Dos Santos. "Efeito das manobras osteopáticas no tratamento da asma: revisão de literatura." Manual Therapy, Posturology & Rehabilitation Journal 13 (December 11, 2015): 262. http://dx.doi.org/10.17784/mtprehabjournal.2015.13.262.

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Introduction: Despite the high prevalence of asthma, there is no consensus in the literature regarding non-drug methods for the treatment of their symptoms. Thus, holistic therapies such as osteopathy can be viable alternatives since evidence has shown benefits of osteopathic manipulative treatment of clinical conditions such as asthma. Objective: To gather evidence tested osteopathic approach to treating the symptoms, respiratory dysfunction, medication use and quality of life of patients with asthma. Method: Electronic searches were conducted between October and November 2014. It was used as descriptors crossed, or alone in the fields "words", "subject descriptors", "title words", "title" and "abstract" the following keywords combined with Boolean operators AND and OR: Osteopathic Medicine, osteopathic manipulation, osteopathy, Spinal Manipulation, Manual Therapy, Therapy Skull Sacral, Chiropractic, Chiropractic Manipulation, Asthma. Initially they were collected all the articles that addressed the manual features used by osteopathic or chiropractic correlated with the asthma treatment published between 1998 and 2014. Results: It was found 35 articles, of which 28 were excluded because they did not conform to pre-defined criteria. Thus, seven works were part of this review. Four of them are clinical trials, two case studies and a pilot study. Conclusion: Our findings suggest that osteopathic manipulative techniques can be used as non-medicated additional resource in the treatment of patients with asthma. The reviewed studies have identified improving the quality of life, subjective perception of symptoms and reduce the use of drugs.
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Volokitin, Mikhail, and Pavan V. Ganapathiraju. "Osteopathic Philosophy and Manipulation Enhancement Program: Influence on Osteopathic Medical Students’ Interest in Osteopathic Manipulative Medicine." Journal of the American Osteopathic Association 117, no. 1 (January 1, 2017): 40. http://dx.doi.org/10.7556/jaoa.2017.006.

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3

Ignatowicz, Alicja, and Murray R. Berkowitz. "Imaging Evidence Demonstrating Effectiveness of Osteopathic Visceral Manipulation Techniques in Treating Pseudo-Obstruction." AAO Journal 27, no. 1 (March 1, 2017): 7–10. http://dx.doi.org/10.53702/2375-5717-27.1.7.

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Abstract This report describes the case of a 66-year-old afebrile woman seen on the hospital inpatient service with nausea, vomiting, bloating, and constipation for 5 days prior to admission. The patient was diagnosed with idiopathic acute small bowel pseudo-obstruction by gastroenterology. The epidemiology of acute small-bowel pseudo-obstruction is briefly reviewed. Osteopathic manipulative treatment (OMT) was performed on the patient using mostly abdominal and visceral manipulation techniques. This case represents the first report of imaging evidence that demonstrates the effectiveness of osteopathic visceral manipulation techniques in successfully treating patients who have acute intestinal pseudo-obstruction.
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Baroni, Francesca, Damiana Mancini, Silvia Clara Tuscano, Simone Scarlata, Christian Lunghi, Francesco Cerritelli, and Jason Haxton. "Osteopathic manipulative treatment and the Spanish flu: a historical literature review." Journal of Osteopathic Medicine 121, no. 2 (January 1, 2021): 181–90. http://dx.doi.org/10.1515/jom-2020-0112.

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Abstract Context The Spanish flu pandemic of 1918 was approached with a variety of management techniques available at that time, including osteopathic care in addition to standard medical care. Objective To analyze the osteopathic manipulative treatment (OMT) techniques used for the management of patients affected by the Spanish flu according to four themes: the principles and procedures used, frequency and length of OMT, reported side effects, and advice for patients. Methods A structured review of the literature was performed by hand-searching texts at the Museum of Osteopathic Medicine International Center for Osteopathic History in Kirksville, Missouri, and online via PubMed (National Library of Medicine), ScienceDirect (Elsevier), and Google Scholar (Google, Inc). The literature search was carried out between February and March 2020. Three keywords were selected from the medical subject headings database of the National Library of Medicine: manipulation, osteopathic; influenza pandemic, 1918–1919; epidemics. Articles were then reviewed for relevance by screening for articles published between 1900 and 1940 that contained at least 1 of the following keywords in their title: Spanish influenza, flu, epidemic, grippe, pneumonia, or osteopathic management/treatment. All articles that provided information about OMT and advice met the inclusion criteria. Articles that did not report descriptions of manipulative intervention were excluded. Results Our search yielded 63 articles: 23 from the hand-search and 40 from the electronic search. No electronic source was selected for the review because none met inclusion criteria. A total of 16 articles from the hand-searched set met inclusion criteria and were analyzed according to the four main themes stated in the objective. The range of OMT approaches reported to be administered to patients with Spanish flu suggests that early osteopathic physicians treated patients with this disease using OMT in addition to offering advice on healthy lifestyle behaviors. Conclusion Conclusions from this study are limited by the historical and descriptive nature of the data gathered, which lacked the rigor of modern-day scientific studies. However, this review could lead to future research inquiries on the effectiveness of these approaches. Osteopathic physicians and osteopaths should embrace their historical osteopathic heritage by continuing the work of our predecessors and combining their hands-on experience and osteopathic principles with modern medical treatment and rigorous scientific standards.
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Long, PH. "Osteopathic manipulation of preterm infants." Focus on Alternative and Complementary Therapies 20, no. 2 (May 17, 2015): 106–7. http://dx.doi.org/10.1111/fct.12172.

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Luceño-Mardones, Agustín, Irene Luceño-Rodríguez, Elena Sonsoles Rodríguez-López, Jesús Oliva-Pascual-Vaca, Ignacio Rosety, and Ángel Oliva-Pascual-Vaca. "Effects of Osteopathic T9–T10 Vertebral Manipulation in Tonsillitis: A Randomized Clinical Trial." Healthcare 9, no. 4 (April 1, 2021): 394. http://dx.doi.org/10.3390/healthcare9040394.

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This study aimed to determine whether osteopathic manipulation of the T9–T10 vertebrae improves the evolution of tonsillitis. A randomized, stratified, controlled clinical trial with blinded patients, evaluator and data analyst was performed. The patients in the control group (CG) underwent a “sham” manipulation. A high-speed, low-amplitude technique was applied to the T9–T10 vertebrae in the osteopathic manipulative group (OMG) patients. The number of days needed to resolve the tonsillitis was significantly lower (p = 0.025) in the OMG (2.03 ± 0.95 days) than the CG (2.39 ± 0.82 days). Additionally, the number of episodes of tonsillitis after the treatment decreased significantly more in the OMG (0.8 ± 1.88 episodes/year in total) than the CG (2 ± 2.12) (p = 0.005). In the OMG, 60.8% had no recurrences of tonsillitis, compared to 22.5% of the CG, in the following year (χ2 (1) = 15.57, p < 0.001). No patients reported adverse effects. It has been concluded that during an episode of tonsillitis, the number of days to resolution was significantly lower after the application of an osteopathic manipulation of the T9–T10 vertebrae, compared to a sham manipulation. The number of subsequent year tonsillitis episodes was greatly reduced in both groups, significantly more in the OMG than in the CG patients.
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Hill, Cherice N., M’Lindsey Romero, Mark Rogers, Robin M. Queen, and Per Gunnar Brolinson. "Effect of osteopathic manipulation on gait asymmetry." Journal of Osteopathic Medicine 122, no. 2 (November 18, 2021): 85–94. http://dx.doi.org/10.1515/jom-2021-0046.

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Abstract Context Movement and loading asymmetry are associated with an increased risk of musculoskeletal injury, disease progression, and suboptimal recovery. Osteopathic structural screening can be utilized to determine areas of somatic dysfunction that could contribute to movement and loading asymmetry. Osteopathic manipulation treatments (OMTs) targeting identified somatic dysfunctions can correct structural asymmetries and malalignment, restoring the ability for proper compensation of stresses throughout the body. Little is currently known about the ability for OMTs to reduce gait asymmetries, thereby reducing the risk of injury, accelerated disease progression, and suboptimal recovery. Objectives To demonstrate whether osteopathic screening and treatment could alter movement and loading asymmetry during treadmill walking. Methods Forty-two healthy adults (20 males, 22 females) between the ages of 18 and 35 were recruited for this prospective intervention. Standardized osteopathic screening exams were completed by a single physician for each participant, and osteopathic manipulation was performed targeting somatic dysfunctions identified in the screening exam. Three-dimensional (3-D) biomechanical assessments, including the collection of motion capture and force plate data, were performed prior to and following osteopathic manipulation to quantify gait mechanics. Motion capture and loading data were processed utilizing Qualisys Track Manager and Visual 3D software, respectively. Asymmetry in the following temporal, kinetic, and kinematic measures was quantified utilizing a limb symmetry index (LSI): peak vertical ground reaction force, the impulse of the vertical ground reaction force, peak knee flexion angle, step length, stride length, and stance time. A 2-way repeated-measures analysis of variance model was utilized to evaluate the effects of time (pre/post manipulation) and sex (male/female) on each measure of gait asymmetry. Results Gait asymmetry in the peak vertical ground reaction force (−0.6%, p=0.025) and the impulse of the vertical ground reaction force (−0.3%, p=0.026) was reduced in males following osteopathic manipulation. There was no difference in gait asymmetry between time points in females. Osteopathic manipulation did not impact asymmetry in peak knee flexion angle, step length, stride length, or stance time. Among the participants, 59.5% (25) followed the common compensatory pattern, whereas 40.5% (17) followed the uncommon compensatory pattern. One third (33.3%, 14) of the participants showed decompensation at the occipitoatlantal (OA) junction, whereas 26.2% (11), one third (33.3%, 14), and 26.2% (11) showed decompensation at the cervicothoracic (CT), thoracolumbar (TL), and lumbosacral (LS) junctions, respectively. Somatic dysfunction at the sacrum, L5, right innominate, and left innominate occurred in 88.1% (37), 69.0% (29), 97.6% (41), and 97.6% (41) of the participants, respectively. Conclusions Correcting somatic dysfunction can influence gait asymmetry in males; the sex-specificity of the observed effects of osteopathic manipulation on gait asymmetry is worthy of further investigation. Osteopathic structural examinations and treatment of somatic dysfunctions may improve gait symmetry even in asymptomatic individuals. These findings encourage larger-scale investigations on the use of OMT to optimize gait, prevent injury and the progression of disease, and aid in recovery after surgery.
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Nicholas, Alexander S., Todd A. Bezilla, and Ruth Jones. "Osteopathic manipulation for management of pain." Journal of the American Osteopathic Association 99, no. 6_suppl (June 1, 1999): S5. http://dx.doi.org/10.7556/jaoa.1999.99.6.s5.

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9

Coste, Joël, Terkia Medkour, Jean-Yves Maigne, Marc Pérez, Françoise Laroche, and Serge Perrot. "Osteopathic medicine for fibromyalgia: a sham-controlled randomized clinical trial." Therapeutic Advances in Musculoskeletal Disease 13 (January 2021): 1759720X2110090. http://dx.doi.org/10.1177/1759720x211009017.

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Background: Patients with fibromyalgia (FM) frequently resort to osteopathic or chiropractic treatment, despite very weak supporting evidence. We aimed to assess the efficacy of osteopathic manipulation in FM in a properly controlled and powered randomized clinical trial. Methods: Patients were randomized to osteopathic or sham treatment. Treatment was administered by experienced physical medicine physicians, and consisted of six sessions per patient, over 6 weeks. Treatment credibility and expectancy were repeatedly evaluated. Patients completed standardized questionnaires at baseline, during treatment, and at 6, 12, 24, and 52 weeks after randomization. The primary outcome was pain intensity (100-mm visual analog scale) during the treatment period. Secondary outcomes included fatigue, functioning, and health-related quality of life. We performed primarily intention-to-treat analyses adjusted for credibility, using multiple imputation for missing data. Results: In total, 101 patients (94% women) were included. Osteopathic treatment did not significantly decrease pain relative to sham treatment (mean difference during treatment: −2.2 mm; 95% confidence interval, −9.1 to 4.6 mm). No significant differences were observed for secondary outcomes. No serious adverse events were observed, despite a likely rebound in pain and altered functioning at week 12 in patients treated by osteopathy. Patient expectancy was predictive of pain during treatment, with a decrease of 12.9 mm (4.4–21.5 mm) per 10 points on the 0–30 scale. Treatment credibility and expectancy were also predictive of several secondary outcomes. Conclusion: Osteopathy conferred no benefit over sham treatment for pain, fatigue, functioning, and quality of life in patients with FM. These findings do not support the use of osteopathy to treat these patients. More attention should be paid to the expectancy of patients in FM management.
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&NA;. "Osteopathic Manipulation vs. Standard Care for Subacute Pain: Advantage Osteopathy or Dead Heat?" Back Letter 15, no. 1 (January 2000): 1. http://dx.doi.org/10.1097/00130561-200015010-00001.

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Watts, Kari Beth, and Meredith Lagouros. "Osteopathic Manipulative Treatment and Breastfeeding." Clinical Lactation 11, no. 1 (February 1, 2020): 28–34. http://dx.doi.org/10.1891/2158-0782.11.1.28.

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ObjectiveOsteopathic physicians, or doctors of osteopathic medicine (DOs), routinely counsel patients on the clinical benefits of breastfeeding in their capacity as medical doctors. However, when a mother presents with a complaint of feeding difficulty in her newborn, osteopathic physicians are uniquely equipped to assess and treat the infant with osteopathic manipulative treatment (OMT).MethodsOMT is the practice of manual medicine developed by A.T. Still in the late 19th century, founded on the principle that the human body's structure and function are reciprocally interrelated. The osteopathic discipline encompasses a variety of musculoskeletal techniques, ranging from gentle myofascial release to high-velocity/low-amplitude thrusts. A complete osteopathic assessment of a breastfeeding infant should include evaluation of the skull and cranial base, cervical spine, thoracic spine, oral cavity and tongue, hyoid bone, and mandible.ResultsAll treatments directed at newborns, infants, and children are very gentle, following the tissues in their position of ease to allow for a release of the restriction. A variety of techniques can be employed, including condylar decompression, Still technique for cervical spine dysfunction, balancing of the hyoid bone, myofascial release of the thoracic inlet, and treatments in the cranial field.ConclusionOsteopathic manipulation should be initiated when the first-line interventions do not result in improved nursing, and other causes such as hypoglycemia or maternal factors have been excluded.
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Ball, Kyrstin T., Daniel E. Kraft, and Karen T. Snider. "Effects of Osteopathic Manipulation and Other Manual Manipulative Treatments on Cystic Fibrosis." AAO Journal 31, no. 3 (September 1, 2021): 17–22. http://dx.doi.org/10.53702/2375-5717-31.3.17.

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Abstract Context: Cystic fibrosis (CF) is a genetic disease that affects multiple organ systems, and symptoms include chronic cough, gastrointestinal (GI) malabsorption, exercise intolerance, and chronic pain. Examples of standard treatments are nebulizers, supplementary enzymes, chest percussive therapy, respiratory therapy, and lifestyle modifications. Objective: The purpose of the current review was to determine whether manual therapies, such as osteopathic manipulative treatment (OMT), in conjunction with standard treatments, provide symptom relief for patients with CF. Methods: PubMed was searched to identify studies investigating the role of manual medicine in the care of CF patients. Search terms included chiropractic, physical therapy, physiotherapy, osteopathic, manipulation, massage, and manual medicine. All terms were searched in combination with cystic fibrosis. Studies investigating only exercise or chest percussive therapy as adjunctive treatments were excluded. Results: Eight studies were found that investigated manual therapies alone or in conjunction with exercise for treatment of CF symptoms. All studies reported improvement after manual therapy in 1 or more symptoms, such as posture, GI symptoms, peak airflow, anxiety, back or chest pain, or breathing. Study types included a case study, prospective observational studies, and randomized controlled trials. Most studies were small and statistically underpowered. In an inpatient/outpatient observational study of adults with CF, patients reported a significant reduction in pain after a single physiotherapy treatment, and inpatients also reported significantly improved breathing after treatment. In a randomized controlled trial involving adult CF outpatients, there was a significant improvement in chest and back pain scores between the OMT and control groups. Conclusions: Results of the current review suggested patients with CF can experience symptom relief after OMT and similar manual therapies. Patients subjectively reported improvement with manual therapies, and studies found statistically significant decreases in pain after a single treatment. However, larger studies with sufficient statistical power are needed to further define the role of manual therapies as adjunctive treatment for symptom relief in CF patients.
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Ofei-Dodoo, Samuel, Julia Black, Michael Kirkover, Colin Lisenby, Andrew Porter, and Paul Cleland. "Collegiate Athletes’ Perceptions of Osteopathic Manipulative Treatment." Kansas Journal of Medicine 13 (June 25, 2020): 147–51. http://dx.doi.org/10.17161/kjm.v13i.13819.

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Introduction. Many published studies have examined the effects of osteopathic manipulative treatment (OMT), but none has evaluated its role in treating collegiate athletes. The authors examined collegiate athletes’ perception of OMT. Methods. A cross-sectional survey of a convenience sample of 592 collegiate athletes was conducted from two universities in the midwestern United States during August-September 2019. The athletes completed a 12-item survey during pre-participation physical evaluations at their respective institutions. Main outcome measures included pain, need for pain medication, stress and anxiety associated with injuries, and overall satisfaction with the OMT in recovery and return to sports. Fisher’s exact test was used to evaluate association between the variables. Results. The participation rate was 80.6% (477/592). Slightly fewer than 7% (31/477) of the athletes were familiar with OMT. Eighteen of the 31 athletes (58.1%) had received osteopathic manipulation as part of a treatment plan for injury. Of these athletes, 94.4% (17/18) reported a decreased need for pain medication and 83.3% (15/18) had reduced stress and anxiety related to their injury. One in three of them expressed interest in receiving osteopathic manipulation as a treatment option for an injury. The athletes reported general satisfaction with OMT in their recovery and return to sports. Conclusion. The findings demonstrated the interest and benefits of OMT among collegiate athletes. This evidence supported previous findings about perceived efficacy of OMT in treating patients regardless of injury and diagnosis. Future studies need to establish causal relationship among OMT, stress and anxiety, pain, and use of pain medications.
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King, Hollis H. "Osteopathic Manipulation Shown to Improve Upper Airway Stabilization." Journal of the American Osteopathic Association 118, no. 5 (May 1, 2018): 348a. http://dx.doi.org/10.7556/jaoa.2018.070.

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Szmelskyj, Alan O. "The Difference Between Holistic Osteopathic Practice and Manipulation." Holistic Medicine 5, no. 2 (January 1990): 67–79. http://dx.doi.org/10.3109/13561829009043448.

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Lee, R. C. "Effect of Osteopathic Manipulation on Middle Ear Effusion." AAP Grand Rounds 32, no. 4 (October 1, 2014): 43. http://dx.doi.org/10.1542/gr.32-4-43.

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Bezilla, Todd A. "Pediatric Osteopathic Manipulation Expanding Diagnostic and Treatment Options." Alternative and Complementary Therapies 6, no. 5 (October 2000): 283–90. http://dx.doi.org/10.1089/act.2000.6.283.

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Mills, Miriam V. "Consider osteopathic manipulation in next positional plagiocephaly research." Journal of Pediatrics 148, no. 5 (May 2006): 706–7. http://dx.doi.org/10.1016/j.jpeds.2005.06.014.

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Davis, C. "Osteopathic manipulation resulting in damage to spinal cord." BMJ 291, no. 6508 (November 30, 1985): 1540–41. http://dx.doi.org/10.1136/bmj.291.6508.1540.

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Davis, C. "Osteopathic manipulation resulting in damage to spinal cord." BMJ 292, no. 6514 (January 18, 1986): 205. http://dx.doi.org/10.1136/bmj.292.6514.205.

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Gelfman, Daniel M. "Osteopathic Manipulation in Treatment of Musculoskeletal Chest Pain." American Journal of Medicine 130, no. 6 (June 2017): 618. http://dx.doi.org/10.1016/j.amjmed.2016.11.046.

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Chahab, Doctor in Osteopathy, Matias, Pamela Donnet, Osteopath, and Daniel Hernandez, Physical Therapist. "Case report on visceral manipulation in adolescent idiopathic scoliosis." International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice 15, no. 3 (September 2, 2022): 35–41. http://dx.doi.org/10.3822/ijtmb.v15i3.733.

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Introduction: Adolescent idiopathic scoliosis (AIS) is a deformity that affects the spine in three dimensions. Even though AIS patients are usually asymptomatic, AIS negatively impacts them, affecting their quality of life and restricting their social life. There are many treatment options but no gold standard. Visceral manipulation (VM) is widely used in osteopathic practice for the treatment of several conditions, but it is little known among the medical community. To the best of our knowledge, there are no scientific studies reporting VM as a treatment alternative for AIS. Case Presentation: The case was a 14-year-old girl with AIS (baseline Cobb angle of 38.9° in the lumbar spine and 32.3°in the thoracic spine). Although the patient had no physical symptoms, she was recommended for surgery to correct the deformity. The osteopathic assessment indicated that the uterus and pericardium where the main anatomical structures creating tension. Two VM sessions were conducted with a month-and-a-half interval between sessions. The follow-up X-ray revealed a Cobb angle of 32.1° in the lumbar curvature and 34.3° in the thoracic curvature. The results were perceived as an improvement by the patient and her parents. No adverse events or complications were reported. Discussion: After two session of visceral osteopathic treatment, this document reports a 6.8° Cobb angle reduction of the primary curve in a patient with AIS, with the thoracic curvature becoming the major curve.
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Price, James W. "A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research." Journal of Osteopathic Medicine 121, no. 6 (February 24, 2021): 571–82. http://dx.doi.org/10.1515/jom-2020-0268.

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Abstract Context Back injuries have a high prevalence in the United States and can be costly for both patients and the healthcare system at large. While previous guidelines from the American College of Physicians for the management of acute nonspecific low back pain (ANLBP) have encouraged nonpharmacologic management, those treatment recommendations involved only superficial heat, massage, acupuncture, and spinal manipulation. Investigation about the efficacy of spinal manipulation in the management of ANLBP is warranted. Objectives To compare the results in previously-published literature documenting the outcomes of osteopathic manipulative treatment (OMT) techniques used to treat ANLBP. The secondary objective of this study was to demonstrate the utility of using Bayesian network meta-analysis (NMA) to perform a mixed treatment comparison (MTC) of a variety of osteopathic techniques. Methods A literature search for randomized controlled trials (RCTs) of ANLBP treatments was performed in April 2020 according to PRISMA guidelines by searching MEDLINE/PubMed, OVID, Cochrane Central, PEDro, and OSTMED.Dr databases; scanning the reference lists of articles; and using the Canadian Agency for Drugs and Technologies in Health grey literature checklist. Each database was searched from inception to April 1, 2020. The following search terms were used: acute low back pain, acute low back pain plus physical therapy, acute low back pain plus spinal manipulation, and acute low back pain plus osteopathic manipulation. The validity of eligible trials was assessed by the single author using an adapted National Institute for Health and Care Excellence methodology checklist for randomized, controlled trials and an extraction form based on that checklist. The outcome measure chosen for this NMA was the Visual Analogue Scale of pain. The NMA were performed using the GeMTC user interface for automated NMA utilizing a Bayesian hierarchical model of random effects. Results The literature search initially found 483 unduplicated records. After screening and full text assessment, five RCTs were eligible for the MTC, yielding a total of 430 participants. Results of the MTC model suggested that there was no statistically significant decrease in reported pain when exercise, high-velocity low-amplitude (HVLA), counterstrain, muscle energy technique, or a mix of techniques were added to conventional treatment to treat ANLBP. However, the rank probabilities assessment determined that HVLA and the OMT mixed treatment protocol plus conventional care were ranked superior to conventional care alone for improving ANLBP. Conclusions While this study failed to provide definitive evidence upon which clinical recommendations can be based, it does demonstrate the utility of performing NMA for MTCs of osteopathic modalities used to treat ANLBP. However, to take full advantage of this statistical technique, future studies should be designed with consideration for the methodological shortcomings found in past osteopathic research.
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Arienti, Chiara, Teresa Bosisio, Silvia Ratti, Rossella Miglioli, and Stefano Negrini. "Osteopathic Manipulative Treatment Effect on Pain Relief and Quality of Life in Oncology Geriatric Patients: A Nonrandomized Controlled Clinical Trial." Integrative Cancer Therapies 17, no. 4 (August 31, 2018): 1163–71. http://dx.doi.org/10.1177/1534735418796954.

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Purpose: The aim of present study was to study the effect of osteopathic manipulation on pain relief and quality of life improvement in hospitalized oncology geriatric patients. Methods: A nonrandomized controlled clinical trial was performed in the Oncology Rehabilitation Unit, Milan, Italy, from September 2015 to March 2016. Twenty-three older cancer patients were enrolled and allocated in 2 experimental groups: the study group (OMT group, N = 12) underwent osteopathic manipulative treatment in addition to physiotherapy, and the control group (PT group, N = 12) underwent only physiotherapy. At enrollment (T0), 24 recruited oncology patients completed the sociodemographic forms and were evaluated for pain intensity and quality of life by an external examiner. All patients were revaluated every week (T1, T2, T3, and T4) for pain intensity and at the end of the study treatment (T4) for quality of life. A standard level of significance was set at α < .05. Results: The 2 groups did not significantly differ in age ( P = .682), body mass index ( P = .413), or gender ( P = 1). The osteopathic manipulative treatment added to physiotherapy produced a significant reduction in Numeric Rating Scale (NRS) scores both at T2 ( P = .004) and T4 ( P = .002). The difference in quality of life improvements between T0 and T4 was not statistically significant. NRS improved in the PT group at T4. Between-group analysis of NRS and quality of life with the Mann-Whitney test did not show any significant difference between the 2 treatments. Conclusions: Our study showed a significant improvement in pain relief and a nonsignificant improvement in quality of life in hospitalized geriatric oncology patients during osteopathic manipulative treatment. Trial Registration: Protocol registered on Clinicaltrials.gov (NCT03142386).
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Hopp, Russel J. "Revisiting the role of osteopathic manipulation in primary care." Journal of the American Osteopathic Association 99, no. 2 (February 1, 1999): 87b. http://dx.doi.org/10.7556/jaoa.1999.99.2.87b.

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King, Hollis H. "Cervical Osteopathic Manipulation Shown to Affect Median Nerve Function." Journal of the American Osteopathic Association 118, no. 5 (May 1, 2018): 348. http://dx.doi.org/10.7556/jaoa.2018.069.

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Davidson, J. "Osteopathic manipulation resulting in damage to the spinal cord." BMJ 291, no. 6510 (December 14, 1985): 1720. http://dx.doi.org/10.1136/bmj.291.6510.1720-b.

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Laxton, A. H. "Osteopathic manipulation resulting in damage to the spinal cord." BMJ 291, no. 6510 (December 14, 1985): 1720–21. http://dx.doi.org/10.1136/bmj.291.6510.1720-c.

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MacDonald, R. S. "Osteopathic manipulation resulting in damage to the spinal cord." BMJ 291, no. 6510 (December 14, 1985): 1721. http://dx.doi.org/10.1136/bmj.291.6510.1721.

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Smith, D. "Osteopathic manipulation resulting in damage to the spinal cord." BMJ 291, no. 6510 (December 14, 1985): 1721. http://dx.doi.org/10.1136/bmj.291.6510.1721-a.

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Pichichero, Michael E. "Osteopathic Manipulation to Prevent Otitis Media—Does It Work?" Archives of Pediatrics & Adolescent Medicine 157, no. 9 (September 1, 2003): 852. http://dx.doi.org/10.1001/archpedi.157.9.852.

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Roland, Hannah, Amanda Brown, Amy Rousselot, Natalie Freeman, J. Michael Wieting, Stephen Bergman, and Debasis Mondal. "Osteopathic Manipulative Treatment Decreases Hospital Stay and Healthcare Cost in the Neonatal Intensive Care Unit." Medicines 9, no. 10 (September 21, 2022): 49. http://dx.doi.org/10.3390/medicines9100049.

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Osteopathic manipulative treatment (OMT) is used in both inpatient and outpatient settings. Evidence suggests that OMT can reduce both patients’ recovery time and the financial cost of their acute medical treatment and rehabilitation. Multiple studies from neonatal intensive care units (NICUs) are presented in this article that demonstrate infants treated with OMT recover faster, are discharged earlier, and have lower healthcare costs than their non-OMT-treated counterparts. Data clearly show that adjunctive OMT facilitates feeding coordination in newborns, such as latching, suckling, swallowing, and breathing, and increases long-term weight gain and maintenance, which reduces hospital length of stay (LOS). Osteopathic techniques, such as soft tissue manipulation, balanced ligamentous tension, myofascial release, and osteopathic cranial manipulation (OCM), can reduce regurgitation, vomiting, milky bilious, or bloody discharge and decrease the need for constipation treatment. OMT can also be effective in reducing the complications of pneumonia in premature babies. Studies show the use of OCM and lymphatic pump technique (LPT) reduces the occurrence of both aspiration and environmentally acquired pneumonia, resulting in significantly lower morbidity and mortality in infants. Based on published findings, it is determined that OMT is clinically effective, cost efficient, a less invasive alternative to surgery, and a less toxic choice to pharmacologic drugs. Therefore, routine incorporation of OMT in the NICU can be of great benefit in infants with multiple disorders. Future OMT research should aim to initiate clinical trial designs that include randomized controlled trials with larger cohorts of infants admitted to the NICU. Furthermore, a streamlined and concerted effort to elucidate the underlying molecular mechanisms associated with the beneficial effects of OMT will aid in understanding the significant value of incorporating OMT into optimal patient care.
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Licciardone, John C., Matthew J. Schultz, and Brook Amen. "Osteopathic Manipulation in the Management of Chronic Pain: Current Perspectives." Journal of Pain Research Volume 13 (July 2020): 1839–47. http://dx.doi.org/10.2147/jpr.s183170.

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Baisakhiya, Nitish, Manu Goyal, Sorabh Sharma, and Kanu Goyal. "Efficacy of an eccentric osteopathic manipulation treatment in somatic tinnitus." Indian Journal of Otology 23, no. 2 (2017): 125. http://dx.doi.org/10.4103/indianjotol.indianjotol_83_16.

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Abend, David S. "Response: Revising the role of osteopathic manipulation in primary care." Journal of the American Osteopathic Association 99, no. 2 (February 1, 1999): 87c. http://dx.doi.org/10.7556/jaoa.1999.99.2.87c.

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36

Schuenke, Mark D., Danielle S. Day, Marc Bouchard, Karl Hellstrand, Madhu Khatri, and Jane E. Carriero. "Effect of Osteopathic Manipulation on Interstitial Concentrations of Inflammatory Markers." Medicine & Science in Sports & Exercise 42 (May 2010): 387. http://dx.doi.org/10.1249/01.mss.0000384709.82211.ba.

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37

Boulon, Carine, Alexandre Maillet, Pierre Salaun, Sophie Skopinski, and Joël Constans. "Upper Limb Ischemia by Subclavian Artery Dissection after Osteopathic Manipulation." Annals of Vascular Surgery 48 (April 2018): 251.e15–251.e16. http://dx.doi.org/10.1016/j.avsg.2017.10.010.

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38

Baisakhiya, Nitish, Manu Goyal, Gurchand Singh, and Sagar Chandra. "Study the effect of osteopathic manipulation treatment in globus pharyngeus patients." International Journal of Otorhinolaryngology and Head and Neck Surgery 3, no. 4 (September 22, 2017): 957. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20174314.

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<p class="abstract"><strong>Background:</strong> This study evaluates the outcome of osteopathic manipulation in the patients with globus pharyngeus.</p><p class="abstract"><strong>Methods:</strong> The study comprised of 50 patients with globus pharyngeus. All cases were provided major body diaphragms release namely pelvic diaphragm, abdominal diaphragm, thoracic outlet release, hyoid release, gastroesophageal junction release and sphenoid basilar junction generalized release in some selected cases as per their symptoms. Patients were treated 2 times in a week for 3 weeks. </p><p class="abstract"><strong>Results:</strong> Results were analyzed on the basis of patient’s satisfaction and improvement in the symptoms on regular basis after 2 wks. Visual analogue score (VAS) and clinical assessment were used to see the quantum of satisfaction and overall symptoms. The mean VAS score of patients receiving OMT (MFR) with PPI was 6.23±0.43 and patient who required psychotherapy along with OMT (MFR) had the VAS score of 3.78±0.17 (p&lt;0.05).</p><p><strong>Conclusions:</strong> The patients required multidisciplinary approach hyoid bone release and other osteopathic manipulations, anti-reflux and antipsychotic treatment. The patients having psychological symptoms requiring antipsychotic drugs were found to be least respondent to the treatment. Patients having associated GERD showed a good response to the treatment and their dependency on drugs decreased following the OMT. The best response was seen in patients having no associated ailment and received OMT (MFR). </p>
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Niewiadomski, Céline, Rohan-Jean Bianco, Pierre-Jean Arnoux, and Morgane Evin. "Isometric osteopathic manipulation influences on cervical ranges of motion and correlation with osteopathic palpatory diagnosis: A randomized trial." Complementary Therapies in Medicine 48 (January 2020): 102278. http://dx.doi.org/10.1016/j.ctim.2019.102278.

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40

Alencar, Tatyane Miranda, Raimundo Monteiro da Silva Neto, Maria Luana Ferreira de Lima, Diogo Caldeira Ramos, Raissa Sousa Calou, Ingrid Mikaela Moreira de Oliveira, Ana Claudia Koproski, Naidhia Alves Soares Ferreira, Polyana Amorim Cruz Nascimento, and Cíntia de Lima Garcia. "Efeitos da terapêutica osteopática em pacientes com lombalgia crônica: revisão integrativa." Research, Society and Development 11, no. 15 (November 16, 2022): e262111535616. http://dx.doi.org/10.33448/rsd-v11i15.35616.

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A osteopatia é um estilo clínico peculiar que pode ser definido como um sistema de cuidados à saúde centrado na pessoa. A lombalgia é definida por um quadro álgico ou uma exaustão muscular localizada na região inferior da coluna e pode atingir até 80% da população mundial. A lombalgia pode ser considerada um problema de saúde pública, porque é a principal causa de afastamento laboral. Objetivou-se identificar os efeitos terapêuticos da osteopatia no manejo da lombalgia crônica. Uma revisão integrativa foi conduzida para compor uma amostra de estudos. As buscas ocorreram nos bancos de dados da PubMed e Cochrane Library com os descritores em DeCS e MeSH: “População” “Osteopatia”, “Manipulação Osteopática”, “Manipulation, Osteopathic”, “Lombalgia”, “Low Back Pain” que foram organizados nos campos de buscas dos bancos de dados com operadores booleanos (AND, OR e NOT). Após realizar as buscas nos bancos de dados foram encontrados incialmente 44.719, a fase de elegibilidade contou com 47 artigos, 8 pesquisas foram inclusas na síntese final. Há evidências substanciais para apoiar o uso da osteopatia em pacientes com dor lombar crônica. Encontrou-se que a osteopatia possui efeitos terapêuticos e pode atenuar a lombalgia, além de minimizar incapacidades e aumentar a mobilidade. A osteopatia parece não ser eficaz em pacientes relativamente jovens com lombalgia leve a moderada, mas, de modo geral, espera-se um prognóstico positivo com melhora da qualidade de vida.
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Marinelli, Benedetta, Francesca Pluchinotta, Vincenzo Cozzolino, Gina Barlafante, Maria Chiara Strozzi, Eleonora Marinelli, Simone Franchini, and Diego Gazzolo. "Osteopathic Manipulation Treatment Improves Cerebro–splanchnic Oximetry in Late Preterm Infants." Molecules 24, no. 18 (September 4, 2019): 3221. http://dx.doi.org/10.3390/molecules24183221.

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Background: To evaluate the effectiveness/side-effects of osteopathic manipulation treatment (OMT) performed on the 7th post-natal day, on cerebro–splanchnic oximetry, tissue activation and hemodynamic redistribution in late preterm (LP) infants by using near infrared spectroscopy (NIRS). Methods: Observational pretest-test study consisting in a cohort of 18 LPs who received OMT on the 7th post-natal day. NIRS monitoring was performed at three different time-points: 30 min before (T0), (30 min during (T1) and 30 min after OMT (T2). We evaluated the effects of OMT on the following NIRS parameters: cerebral (c), splanchnic (s) regional oximetry (rSO2), cerebro–splanchnic fractional tissue oxygen extraction (FTOE) and hemodynamic redistribution (CSOR). Results: crSO2 and cFTOE significantly (P < 0.001) improved at T0-T2; srSO2 significantly (P < 0.001) decreased and sFTOE increased at T0-T1. Furthermore, srSO2 and sFTOE significantly improved at T1-T2. Finally, CSOR significantly (P < 0.05) increased at T0-T2. Conclusions: The present data show that OMT enhances cerebro–splanchnic oximetry, tissue activation and hemodynamic redistribution in the absence of any adverse clinical or laboratory pattern. The results indicate the usefulness of further randomized studies in wider populations comparing the effectiveness of OMT with standard rehabilitation programs.
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Allen, Thomas Wesley, and Gilbert E. D'Alonzo. "Investigating the role of osteopathic manipulation in the treatment of asthma." Journal of the American Osteopathic Association 93, no. 6 (June 1, 1993): 654. http://dx.doi.org/10.7556/jaoa.1993.93.6.654.

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&NA;. "SymbolIs Osteopathic Manipulation Better Than Standard Care for Subacute Back Pain?" Lippincott's Bone and Joint Newsletter 6, no. 1 (January 2000): 1. http://dx.doi.org/10.1097/01300517-200001000-00002.

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44

Isacke, Adriana. "Implementing an Osteopathic Manipulation Clinic within an Allopathic Family Medicine Residency." Medicine & Science in Sports & Exercise 48 (May 2016): 450. http://dx.doi.org/10.1249/01.mss.0000486353.16818.35.

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45

Hensel, Kendi L., Steve Buchanan, Sarah K. Brown, Mayra Rodriguez, and des Anges Cruser. "Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects: the PROMOTE study." American Journal of Obstetrics and Gynecology 212, no. 1 (January 2015): 108.e1–108.e9. http://dx.doi.org/10.1016/j.ajog.2014.07.043.

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46

Gordon, Christopher-Marc, and John Gruzelier. "Self-hypnosis and osteopathic soft tissue manipulation with a ballet dancer." Contemporary Hypnosis 20, no. 4 (December 2003): 209–14. http://dx.doi.org/10.1002/ch.279.

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47

Hu, Annette, Thomas Motyka, Eric Gish, and Godwin Dogbey. "Teaching and use of cervical high-velocity, low-amplitude manipulation at colleges of osteopathic medicine." Journal of Osteopathic Medicine 121, no. 3 (February 11, 2021): 265–70. http://dx.doi.org/10.1515/jom-2020-0120.

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Abstract Context Despite the documented effectiveness of high-velocity, low-amplitude (HVLA) treatment of the cervical spine, concerns about patient safety potentially limit didactic instruction and use in clinical practice. Understanding how cervical HVLA is taught and employed is of interest to osteopathic educators and clinicians. Objectives To characterize the perspectives of osteopathic manipulative medicine/osteopathic principles and practices (OMM/OPP) departments within colleges of osteopathic medicine (COMs) in the US regarding patterns of teaching and practice of HVLA treatment of the cervical spine. Methods A questionnaire was distributed on April 11, 2019 in paper format to OMM/OPP department chairs or designated faculty member attendees at the Educational Council on Osteopathic Principles biannual meeting. If the department chair was not available, the survey was provided to the faculty member designated to represent the Chair of the institution at ECOP. All respondents in this category returned the survey in paper before they left the meeting. The OMM/OPP department chairs who did not attend or send representatives to the ECOP meeting were sent the survey by email on April 11, 2019 and given three opportunities over 6 weeks at 2-week intervals to reply to this voluntary online survey. The survey was given or sent to a total of 51 OMM/OPP department chairs or representatives. Six questions elicited demographic information pertaining to status, age, gender, ethnicity, board-certified specialty, and COM affiliation. Nine questions examined perspectives related to the instruction of cervical HVLA manipulation and treatment. Results Of the 51 OMM/OPP department chairs surveyed, 38 (74.5%) responded, 32 to the paper survey at the ECOP meeting and six to the digital survey. Respondents were primarily dual Board-certified in Family Medicine and Neuromuscular Medicine (55.3%). At over 90% (35) of the COMs for which department chairs responded to the survey, cervical HVLA instruction occurs in the curriculum primarily during program years 1 and 2. Instruction in cervical HVLA to the 2nd through 7th cervical vertebral levels occurred in 97% (37), while 11% (4) of the COMs excluded the occipital-atlanto (OA) and atlanto-axial (AA) joints. A high percentage (81.6%; 31) of the OMM/OPP department chairs or representatives reported employing cervical HVLA techniques within their practice. Among the respondents, 40.5% (15) reported that 0–25% of their school’s medical school class could perform cervical HVLA competently upon graduation, whereas 27% (10) said that 51–75% of their class could perform cervical HVLA. Conclusions A majority of COMs provide education in their curricula related to cervical HVLA primarily in the first 2 years of medical education. However, instruction often excludes cervical HVLA to the upper regions of the cervical spine. At COMs where HVLA to the cervical spine is not taught, that decision is because the techniques are thought to be too difficult and the attendant medicolegal risk perceived to be too high. OMM/OPP department chairs expressed confidence in only a small proportion of their graduates having the ability to competently apply HVLA to the cervical spine immediately after completing their predoctoral medical training.
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Wanderley, Débora, Andrea Lemos, Larissa de Andrade Carvalho, and Daniella Araújo de Oliveira. "Manual therapies for pain relief in patients with headache." Revista Neurociências 23, no. 1 (March 31, 2015): 89–96. http://dx.doi.org/10.34024/rnc.2015.v23.8053.

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Objective. This systematic review aimed to assess the efficacy of manual therapies for headache relief. Method. A systematic search in MEDLINE, LILACS, Cochrane, CINAHL, Scopus and Web of Sci­ence databases was conducted for randomized and quasi-randomized trials, with no restrictions for language or year of publication. The de­scriptors were ‘Headache’, ‘Headache disorders’ and ‘Musculoskeletal manipulations’, in addition to the keyword ‘Manual therapy’ and its equivalents in Portuguese. We included studies that compared mas­sage, chiropractic manipulation, osteopathic manipulation and other spinal manipulation to groups with no intervention, other physiother­apeutic modalities or to a sham group. Results. Seven of the 567 ar­ticles initially screened were selected, including patients with tension type headache, cervicogenic headache or migraine. It was not possible to assess the magnitude of the treatment effect on the findings of this review. The main limitations were the absence of randomization and adequate allocation concealment, the lack of blinded evaluators and intention-to-treat analysis and inadequate statistical analysis. Conclu­sions. We were unable to determine the size of the treatment effect due to the selective description of findings. Owing to the high risk of bias in the articles included, the available evidence regarding the ef­ficacy of manual therapies for headache relief is insufficient.
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Shahriyar Ahmed, Asifuzzaman, and Deepak Kumar Pradhan. "CERVICOTHORACIC THRUST MANIPULATION IN AN ACUTE PAINFUL SHOULDER - A CASE REPORT." International Journal of Advanced Research 10, no. 10 (October 31, 2022): 297–302. http://dx.doi.org/10.21474/ijar01/15491.

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Purpose: The purpose of this case study was to determine whether cervicothoracic osteopathic thrust manipulation can improve a patient with shoulder pain and restriction. Case: This is a case of 35-year autorickshaw driver who complained an acute onset of shoulder pain and restriction. The therapist had several differential diagnoses according to the patients findings, however, since the cervical spine accessory movement findings were significantly associated with the patients complaints, wet ried a cervicothoracic-directed thrust manipulation. And we noticed an immediate improvement in the patients symptoms following the manipulation procedure. Outcomes: The pain perception improved 4 point in10-point Numeric pain rating scale. Similarly, there were 60 degrees and 90-degree improvements in the active flexion and abduction range respectively immediately following the intervention. Conclusion: This case study concludes that a spinal thrust manipulation targeted at the cervicothoracic region can immediately alleviate shoulder pain and discomfort.
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Swanson-Mungerson, Michelle Anne, Michael Magnuson, Min-Kyung Chang, Denver Hager, Stephanie Sperrazza, Brian Zanotti, Ryan Incrocci, and Michael V. Volin. "Increased lymphatic circulation decreases CD4 counts in the lymph nodes of rats in adjuvant-induced arthritis." Journal of Immunology 202, no. 1_Supplement (May 1, 2019): 133.13. http://dx.doi.org/10.4049/jimmunol.202.supp.133.13.

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Abstract Rheumatoid arthritis (RA) is a disorder characterized by chronic inflammation. Rat adjuvant-induced arthritis (AIA) is a RA model with dysfunctional lymphatic circulation. We hypothesized that increasing lymphatic circulation would decrease arthritic inflammation. In order to determine if increasing lymphatic flow would decrease arthritic inflammation, we utilized osteopathic lymphatic manipulation (Lymphatic pump treatment (LPT)) during either the onset or during arthritis. LPT was performed by gradually increasing compression on the rat chest wall over 5 seconds followed by rapid release for 5 seconds. This technique was repeated for 1 minute 3X/day for 7 consecutive days either before the onset of inflammation (preventative treatment) or after measurable inflammation (therapeutic treatment). Articular index scoring, ankle caliper measurements, and peripheral blood, spleens, and popliteal lymph nodes were collected. In both the preventative and therapeutic studies, the LPT-treated rats had reduced inflammation. Therapeutically treated animals also had significantly decreased CD4+ lymphocytes in the draining popliteal lymph nodes, with increases in CD4+ cells in the spleen. These results suggest that LPT can reduce arthritis and alter lymphocyte trafficking in secondary lymphoid organs during inflammation. These data suggest that forced lymphatic circulation through osteopathic manipulation may serve to enhance current treatments to decrease inflammatory diseases.
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