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Transcending the International Osteopathic Identity: Cross-Sectional Analysis of Osteopathic Principles and Practice in Peru

Journal: The Journal of the American Osteopathic Association Date: 2014/01, 114(1):Pages: e6-e7. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jom_2014_01.0001/html)

Keywords:

cross sectional study [842]
osteopathic principles [91]
Peru [8]

Abstract:

Introduction: Due to the success of statewide workshops in Michigan, medical students of Michigan State University College of Osteopathic (MSUCOM) decided to conduct workshops in Peru, where they have conducted medical missions since 2009. These workshops aimed to educate and expand knowledge of Osteopathic Principles and Practices (OPP). Hypothesis: It was postulated that OPP can be integrated into these missions to achieve long term health promotion after the mission ended. The purpose of this study was to identify current perceptions among Peruvian physicians and patients to better determine the barriers to integration of OPP in Peru. Methods: MSUCOM students presented case studies, clinical research papers, and OMM/OMT demonstrations at 2 interactive OPP workshops in Lima, Peru. The first was at the Colegio Medico del Peru, the national medical licensure and accreditation institution of Peru. The second event was held at Cayetano Heredia University, a health system in Peru. Research design included a cross-sectional investigation of health perceptions using an optional 1-5 before and after survey. OMM/OMT was also administered by students during the medical mission in Mala, Peru from August 6-9, 2012. Patient perception to clinical OMM/OMT was measured using a cross-sectional pre- and posttreatment survey. Treatment response was assessed with a subjective pain scale of 0-10. Results: The workshops involved 150 subjects with an overall response rate of 29.3%, omitted answers were excluded. The majority of the participants (91.2%) reported no prior knowledge of osteopathic medicine. Participants (100%) left understanding a new osteopathic concept. Responses to implementation were generally positive and overall osteopathic principles were well received. 78.2% expressed interest in implementing OMT/OMM. Subjective pain response was measured in 57 clinical patients before and after integration of clinical OMM/OMT services. 100% (n=51) of the patients reported a reduction in pain with a mean reduction of 3.4 points. Patients stated they would seek out OMT again. Conclusion: Knowledge disparity is one of the main barriers to implementation of OPP. The short-term impact of these workshops has been substantial and generated immeasurable national interest in the news as well as the Ministry of Health. The long term impact is that this model has tremendous potential in both improving medical missions and providing sustainable treatment options.


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