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The Effect of Osteopathic Manipulative Treatment in Pregnancy on Labor Duration: A Meta-Analysis

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 32. doi: Subito , type of study: Meta analysis

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

labor duration [3]
meta analysis [43]
OMT [2951]
osteopathic manipulative treatment [2973]
pregnancy [142]
female [379]
women [333]

Abstract:

Introduction/Background: Musculoskeletal pain from occupational injuries have been linked to physical discomfort and awkward postures across healthcare professions. Physician comfort when performing osteopathic manipulative treatment (OMT) may prevent injuries. Objective: We hypothesized there will be differences in students’ perceived physical ability to perform various OMT techniques based on their physique. Methods: A RedCap survey was distributed to New York Institute of Technology College of Osteopathic Medicine 2nd-4th year students. Student physique was assessed using the parameters of gender, age, height, and weight. Across all parameters, comfortability performing a tech nique was considered to be a reported score of ≥5 on a Likert scale from 0 to 10. IBM SPSS software was used to perform chi-square tests on the 219 responses collected. Significance was set at p<0.05. Results: Physician physique had the greatest influence on comfortability performing Thoracic HVLA, particularly on significantly heavier and/or taller patients. Male students, taller students, and heavier students generally demonstrated higher perceived comfortability (chi-square test: p<0.05 for all). Students reported feeling the least comfortable performing Thoracic and Lumbar HVLA, whereas student age had no significant impact. Discussion/Conclusion: Several aspects of student physique impact perceived comfortability when performing Thoracic HVLA. Whenever significance was found across relative patient physiques, those who most often reported high performance comfortability were males, taller, and heavier. Revising techniques to accommodate various physiques may help to prevent occupational related injuries. One limitation of our study is that not all of the students who started the survey completed it. Thus, sample sizes across the techniques varied


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