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Patient Perceptions of Osteopathic Manual Therapy (OMT) and Impact of OMT on Symptom Outcomes When Added to Standard Palliative Intervention

Journal: Journal of Pain and Symptom Management Date: 2022/05, 63(5):Pages: 875-876. doi: Subito , type of study: retrospective study

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S0885392422001567)

Keywords:

pain [1108]
hospital care [1]
osteopathic manipulative treatment [2973]
OMT [2951]
health care quality [3]
Edmonton Symptom Assessment System [1]
perception [89]
patient satisfaction [35]
anxiety [37]
fatigue [32]
retrospective study [213]
palliative therapy [3]
conference abstract [108]

Abstract:

Outcomes: 1. Identify patient perceptions of effectiveness of osteopathic manual therapy when added to standard palliative treatments 2. Describe the trend in Edmonton Symptom Assessment System results when osteopathic manual therapy is added to standard palliative interventions Background: The goal of palliative medicine is to support patients with life-limiting illness by improving symptom management, and quality of life overlaps with the focus of osteopathic medicine; however, there is a paucity of evidence for use of osteopathic manual therapy (OMT) for palliative medicine patients. Additionally, OMT offers a nonpharmacologic approach to provide symptom relief. Aim Statement: This study evaluated symptom management outcomes of standard palliative interventions versus outcomes when osteopathic manual therapy is added to standard palliative treatment. Additionally, patient perceptions of effectiveness of adjunct OMT were also evaluated. Methods: Preintervention and postintervention Edmonton Symptom Assessment System (ESAS) surveys were reviewed. Standard of care was compared to standard of care +OMT, with statistical differences examined via two-sample t tests and Fisher's exact tests. Descriptive statistics were calculated for the perceptions of osteopathic manipulation (POM) survey results. Results: Thirty-eight patients received standard palliative intervention and 9 received standard palliative interventions with addition of OMT. For patients receiving standard intervention, all symptoms measured on the ESAS showed a net decrease in symptom burden, with tiredness, depression, and total symptom distress showing statistically significant decrease. Patients receiving OMT trended toward a net decrease in symptom burden for all symptoms except anxiety. However, because of a small sample size, this decrease was not statistically significant. Results of patient satisfaction among those receiving OMT noted that 71% felt OMT positively affected overall hospital care, 57% felt OMT improved pain, and 71% reported improvement in nonpain symptoms. Conclusions and Implications: Although the response rate to the survey was low, it is exciting that patients express positive perceptions of OMT along with a trend in decreasing symptom burden scores. Further investigation with a larger study population is warranted.


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