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Development of a home-based osteopathic manipulative module

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 26. doi: Subito , type of study: clinical trial

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

Keywords:

OMT [2951]
osteopathic manipulative treatment [2973]
rhinitis [9]
self-treatment [3]
clinical trial [612]

Abstract:

Introduction/Background: Rhinitis is an inflammation of the nasal passage resulting in common symptoms of sneezing, rhinorrhea, nasal congestion, and nasal pruritus. Pharmacological approaches have been the cornerstone for management of rhinitis. By applying the five osteopathic approaches to patient care, Wu et al described a module of osteopathic manipulative management (OMM) techniques aiming to treat symptoms of rhinitis. Objective: In the current climate of the COVID-19 pandemic, patients are encouraged to limit the amount of office visits. We developed a self-treatment OMM module to provide our patients a tool to manage rhinitis symptoms between office visits. Methods: We adapted Wu et al’s OMM module into self-treatment techniques as demonstrated in a patient information handout. Results: During the OMM treatment session, patients are taught the self-treatment techniques and are assessed for competency. These techniques included: suboccipital release, cervical muscles stretching, frontal and maxillary effleurage, supraorbital and infraorbital nerve release, mandibular drainage with gall breath, and periauricular drainage. Discussion/Conclusion: We believe that the homebased treatment for rhinitis offers patients an additional modality to manage symptoms at home in conjunction with the current pharmaceutical approach while maintaining the recommended social-distancing guidelines during the COVID-19 pandemic. Furthermore, this OMM patient information handout is designed to be the first of many future applicable self-treatment protocols to further enhance the application of osteopathic principles to patient care beyond the scope of OMM office visits. The implementation of OMM self-treatment protocols has the potential to not only decrease the time and financial burden on patients but also serve to ease the impact of the physician shortage crisis.


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