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Effect of Select Osteopathic Manipulative Treatment Techniques on Patients With Acute Rhinosinusitis

Journal: The AAO Journal Date: 2015/12, 25(3):Pages: 12-30, type of study: randomized controlled trial

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

Keywords:

osteopathic manipulative treatment [2973]
OMT [2951]
rhinosinusitis [5]

Abstract:

Context: Osteopathic manipulative treatment (OMT) is used to promote recovery from rhinosinusitis by improving the arterial, venous, and lymphatic flow in affected areas, but few studies have investigated the efficacy of select OMT techniques for enhancing recovery from acute rhinosinusitis. Objective: This prospective, randomized, controlled pilot study investigated whether the use of select OMT techniques in conjunction with conventional medical treatment for acute rhinosinusitis decreases the duration and severity of symptoms compared with standard medical care alone. Methods: Subjects were randomly assigned to an intervention group (n=6) or a control group (n=11). Subjects in the intervention group received select OMT techniques in addition to the conventional medical evaluation and treatment that would be provided in a typical family practice. Subjects in the control group received only conventional medical evaluation and treatment. The subjects in the control group rated their symptoms using the standardized 5-point scale Sino-Nasal Outcome Test at the end of their office encounter on day 1 and again on days 3 and 6. Subjects in the intervention group rated their symptoms using the same scale before and after treatment on day 1 and again on days 3 and 6. Results: The results of this pilot study demonstrated a trend toward reduced clinical symptoms of rhinosinusitis and faster improvement in subjects who received select OMT techniques, but these changes were not statistically significant. Conclusion: This pilot study did not demonstrate a statistically significant reduction in individual symptoms of rhinosinusitis among patients who were treated with select OMT techniques. This may be attributable to the small cohort for this study or to the ineffectiveness of OMT. Because very few studies have reported the results of using select OMT techniques on patients with rhinosinusitis, the methods presented in this report should benefit future investigators, and cumulative data from this and other studies should be used in future meta-analyses.


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