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Osteopathic Manipulative Treatments in the Emergency Department: Osteopathic Emergency Physicians’ Perspectives

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

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

Keywords:

cross sectional study [866]
emergency medicine [36]
OMT [3797]
osteopathic manipulative treatment [3818]
osteopathic physicians [206]
USA [1717]

Abstract:

Little is known concerning the frequency of use, type of osteopathic manipulative treatments (OMT) delivered, and attitudes to OMT by osteopathic physicians in the emergency department (ED). This study investigated the reported use of OMT by osteopathic emergency physicians, frequency of use for various techniques and on which patient populations they are used. The opinions of 431 osteopathic emergency physicians were obtained using a web-based survey tool. Fifty-nine percent reported that they never use OMT in the ED, whereas fewer reported monthly (30%), weekly (7%) and daily (4%) use. The four techniques reported to be most commonly used in the ED were soft tissue treatments (75%), muscle energy (74%), high-velocity, low-amplitude (49%) and counterstrain (45%). The most common patient populations for these techniques are back pain, headache and chronic musculoskeletal complaints. Seventy percent of respondents opined that OMT was underused in the ED with 83% indicating that time constraints was a reason for not using OMT. Osteopathic emergency physicians may be encouraged to use more OMT by further development of their OMT skills with an emphasis on time efficiency, familiarizing patients with OMT usage, and creation of formal guidelines for the use of OMT in the ED.


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