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Establishment of DO-Touch.NET, an OMM Practice-Based Research Network

Journal: The Journal of the American Osteopathic Association Date: 2010/08, 110(8):Pages: 451-452. doi: Subito , type of study: observational study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2010.110.8.445/html)

Keywords:

data collection [39]
observational study [217]
OMT [3750]
osteopathic manipulative treatment [3770]
patients [147]

Abstract:

bjective: The osteopathic manipulative medicine (OMM) practice-based research network, DO-Touch.NET, was established at the A.T. Still Research Institute to compile practice-based data for conducting observational studies evaluating the utilization, safety, effectiveness, and costs associated with osteopathic manipulative treatment (OMT). Its objectives are to identify conditions that appear to be responsive to OMT, determine if certain patient characteristics are present in those who are more responsive to OMT, and identify and accurately describe techniques that are most beneficial in treating conditions responsive to OMT. Materials and Methods: Data are collected directly from patients and physicians regarding history of complaints, severity levels of symptoms, current and past treatments, physical examination findings, diagnoses, OMT treatment performed, and patient immediate response to OMT. Patient symptoms are further evaluated on a daily basis for one week after treatment and quality of life data is collected at the office visit and 7 days after treatment. Results: Based on 173 adult patient encounters (aged 18-92 years) by 12 DOs, a vast majority of conditions treated with OMT involve musculoskeletal pain. Both the most severe and average level of pain significantly diminishes over the week following OMT (P=.004). While 90% of patients report feeling better or much better immediately after OMT, this percentage drops to 74% after one week. There is also a significant decrease in the patients' symptoms interfering in their enjoyment of life (P=.0004), mood (P<.0001), sleep (P<.0001), and usual or general activities (P<.0001). Conclusions: Preliminary results from DO-Touch.NET demonstrate the importance of collecting practice-based OMM data. As the number of clinicians and subsequent encounters increase within the network, the value of this data for government and insurance agencies as well as training and research programs will clearly increase. Outcomes will also provide evidence supporting future research programs and developing evidence-based educational programming.


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