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Osteopathic Manipulation in the Treatment of Primary Nocturnal Enuresis: A Retrospective Chart Review

Journal: The AAO Journal Date: 2014/03, 24(1):Pages: 32-34, type of study: article

Full text    (https://meridian.allenpress.com/aaoj)

Keywords:

primary nocturnal enuresis [1]
child [312]
children [228]
pediatric [452]
osteopathic manipulative treatment [2973]
OMT [2951]
article [2076]

Abstract:

Context: Enuresis can cause significant stress and embarrassment for children and their parents. Spontaneous resolution rates of primary nocturnal enuresis (PNE) decrease as children increase in age. Objective: To examine the efficacy of osteopathic manipulative treatment (OMT) as a treatment for monosymptomatic PNE. Method: A retrospective chart review was conducted of patients with a diagnosis of PNE or enuresis treated with OMT in a primary care office from September 2010 through May 2012. Results: Charts of six patients, ages eight to 14, were included. Out of six children treated, one was lost to follow-up, one did not respond to the follow-up inquiry about participation in the study, two fully resolved and two significantly improved. Of the two who improved, one improved greatly when he finished playing football, a collision sport, for the season. Conclusion: OMT is an effective modality to reduce or resolve enuresis in children. Due to the small sample size, the numbers are not statistically significant. However, this successful pilot study indicates the need for a study with a larger sample size to yield more information on the effectiveness of treating PNE with OMT.


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