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Efficacy of Osteopathic Manipulative Treatment in Post-Stroke Recovery Patients

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 8-9. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/7/500955/LBORC-NUFA-Poster-Abstracts-2024-Clinician-amp)

Keywords:

case report [710]
female [607]
OMT [3752]
osteopathic manipulative treatment [3772]
recovery [18]
stroke [18]
women [562]

Abstract:

Introduction: Each year, an estimated 795,000 people report having a stroke making it the 5th leading cause of death and the 10th leading cause of adult disability in the United States. Stroke patients specifically suffer from pain related to positional changes, muscle contractures and somatic dysfunctions. Beneficial stroke rehabilitation begins in the subacute setting, however current literature has primarily addressed the use of OMT for pain and musculoskeletal limitations in patients in a post-acute stroke setting. Case: We present a 53 y/o Caucasian female who presented to the emergency department with a history of slurred speech and right-sided weakness secondary to a left MCA stroke. A head CTA showed moderate stenosis of the distal M1 segment of the left MCA. The inpatient osteopathic manipulative medicine team was consulted three days following admission, for total body pain related to positional changes, muscle contractures and chronic rheumatoid arthritis. Following six sessions of OMT, the patient reported improvement of pain in all treated regions as well as increased motor function in her paralyzed side. Over the course of treatment, the patient was lowered in her levels of required assistance with ADL’s and ambulation. Methods: OMT was provided in both the neurological ICU and the inpatient rehab facility for a total of 14 treatments over 36 days. Treatment primarily included indirect techniques directed towards detected somatic dysfunctions as well as surrounding structures contributing to the patient’s restrictions bilaterally. Discussion: The case demonstrates that in conjunction with evidence-based PT/OT, subacute stroke OMT can increase biomechanical functionality as demonstrated by the increased functionality of both the paralyzed extremities and the newly dominant side.


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