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Osteopathic Manipulative Medicine Vs Counseling in the Treatment of Sports-Related Concussion: Comparative Balance Assessment

Journal: Journal of Osteopathic Medicine Date: 2019/12, 119(12):Pages: e124-e125. doi: Subito , type of study: controlled clinical trial

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2019.128/html)

Keywords:

balance [63]
concussion [29]
controlled clinical trial [283]
injuries [66]
OMT [2951]
osteopathic manipulative treatment [2973]
sports [103]

Abstract:

Statement of Significance: This study constitutes and important investigation into the treatment of concussion symptoms, specifically the efficacy of OMM in treating concussion. Research Methods: Data were derived from a randomized-controlled study on the effects of OMM on concussion conducted at the Academic Healthcare Center (AHCC) in Old Westbury, NY. Participants were included based on having received an ICD9/10 diagnosis of concussion due to collegiate athletic event and verified medical clearance of any life-threatening medical condition. This study assessed balance SOT at 3 time points, yielding a composite score at each visit. Participants received OMM treatment or physician counseling on concussion during visit 1, the day of evaluation and consent to participate in the study, and during visit 2, 48-72 hours post visit 1. SOT was administered during Visit 1,2, and Visit 3, which was 1 week after Visit 1. OMM treatment was delivered by an NMM/OMM specialist who addressed any somatic dysfunctions of the cranium, spine, or extremities to decrease musculoskeletal restrictions that would contribute to concussion symptoms. The study was approved by the New York Institute of Technology Institutional Review Board (BHS-1139). Data Analysis: We scored the first 7 symptoms in the SCAT-5 to create a subscore with possible scores ranging from 0 to 42. The SCAT subscore is a derivation of the SCAT that takes into account only the first Data were analyzed using SPSS Version 25. Repeated Measures ANOVA was used for both SOT and SCAT subscoring. Results: Twenty-nine participants were included. Fourteen received counseling alone while fifteen received OMM. Composite scores of SOT, as well as a SCAT sub-score (select symptoms) were compared within- and between groups using a Repeated Measures Analysis of Variance. Within-groups analysis (comparison of scores between visits) of SOT and SCAT sub-scores were statistically significant (both P<.0001). Interaction terms (time*group, i.e. a combined comparison between time and treatment group) for both tests were not statistically significant (P=.994 for SOT and P=.498 for SCAT sub-score, respectively). Conclusion: These data show time-dependent improvement in post-concussion balance symptoms via SOT and SCAT sub-score regardless of intervention or lack thereof. Although participants treated with OMM may report benefit, alternate testing protocols or severities of included participants’ injuries are needed in order to display such effects. Duplication of this study design amongst patients with more severe traumatic brain injury and/or a greater overall n-value may expose greater benefit of OMM.


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