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Efficacy of osteopathic manipulative treatment in improving clinical outcomes in patients with orthopedic diagnoses admitted to a hospital-based rehabilitation unit

Journal: Unpublished MSc thesis University of North Texas Health Science Center, Date: 1997/06, Pages: 89, type of study: controlled clinical trial

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Keywords:

controlled clinical trial [283]
hip [316]
hip fracture [2]
knee [70]
OMT [2951]
osteoarthritis [28]
osteopathic manipulative treatment [2973]
post-operative care [28]
rehabilitation [55]

Abstract:

The primary purpose of this study was to determine the efficacy of osteopathic manipulative treatment (OMT) in improving clinical outcomes in patients who had undergone a surgical procedure for either a hip fracture or osteoarthritis affecting the hip or knee. OMT treatment subjects were recruited from an inpatient rehabilitation unit housed within an osteopathic hospital. OMT subjects received a standard course of OMT throughout their stay in the rehabilitation unit. Clinical outcomes were assessed principally through the administration of the Functional Independence Measure (FIM), a standard disability measure, to study subjects on admission to and discharge from the rehabilitation unit. Mean FIM score changes were compared between the OMT and a control group of similar patients. Receipt of OMT was associated with shorter length-of-stay, higher total FIM score change, and greater improvement on FIM locomotion items. These findings suggest that OMT is a beneficial therapy for this population of patients.


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