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The Efficacy of OMT by Osteopathic Medical Students on Musculoskeletal Pain and Somatic Findings

Journal: The Journal of the American Osteopathic Association Date: 2010/01, 110(1):Pages: 25-26. doi: Subito , type of study: retrospective study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2010.110.1.24/html)

Keywords:

medical students [644]
musculoskeletal pain [40]
OMT [3750]
osteopathic manipulative treatment [3770]
osteopathic medicine [2016]
retrospective study [312]
USA [1630]

Abstract:

Hypothesis: There will be a significant decrease in patient-reported pain scores and severity of somatic findings after osteopathic manipulative treatment (OMT) provided by osteopathic medical students. Materials and Methods: We performed a retrospective chart review of patients seen between February and April 2009 at the on-campus pre-doctoral teaching fellows' (PDTF) free clinic at Western University of Health Sciences in Pomona, California. As part of the standardized medical record form used at that clinic, patients were asked at the beginning and end of each treatment for their current global pain rated on the standard 0-10 pain scale. The PDTF fellow assessed tissue texture, asymmetry, range of motion, and tenderness (TART) for each region before and after treatment and graded the severity of the somatic dysfunction using the 0-3 scale as defined by the AOA standardized and validated Osteopathic SOAP note forms. Patients were included in this study if they had a pre-treatment pain score greater than or equal to 4/10 and had evidence of somatic dysfunction, with severity level >2 in at least one region. A decrease in pain post OMT was considered to be significant if it was 40% or greater from baseline level. Improvement of TART in each region was considered significant if there was a decrease of 2 or more severity scale levels. This retrospective chart review was exempt from IRB review. Results: Forty-three charts met the inclusion criteria. Eighty-six percent (37/43) of the patients had a significant decrease in pain. The average percent decrease in pain was 67%±27.4%. The proportion of patients with significant decrease in TART severity level in any one region was 36/43 (84%). Per region the proportion of patients with significant decrease in TART were: cervical: 16/33 (48.5%); thoracic: 19/35 (54.3%); ribs: 14/24 (58.3%); lumbar: 7/18 (38.9%); pelvis: 10/25 (40%); sacrum: 6/22 (27.3%); UE: 5/12 (41.7%); LE: 1/9 (11.1%); cranium: 2/6 (33.3%). Global TART severity scores saw a 58.9% decrease from pre-OMT mean of 11.6±3.3 (range 5-19) to post-OMT mean of 4.8±2.5 (range 0-10). Of those with >40% decrease in pain, 32/37 (86.5%) had significant decrease in TART in at least one region. Conclusion: Most patients treated with OMT by PDTF had both decreased pain as well as concomitant decrease in severity of somatic findings. This retrospective chart review demonstrates that OMT as performed by osteopathic medical students significantly reduces both pain and severity of somatic dysfunction.


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