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Effects of Osteopathic Manipulative Treatment (OMT) on Anosmia and Ageusia in Post-COVID-19 Patient: A Case Report

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 17. doi: Subito , type of study: case report

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

anosmia [3]
ageusia [2]
case report [514]
OMT [2951]
osteopathic manipulative treatment [2973]
taste and smell [1]

Abstract:

Background: The prevalence of olfactory and gustatory dysfunctions in COVID-19 infection affects approximately 65-70% of patients.1 The pathogenesis of the anosmia and ageusia is thought to be related to the inflammation of epithelium and the presence of ACE-2 receptors on supporting cells of the olfactory epithelium.2 Prior studies to treat COVID-19 related anosmia and ageusia have not shown much efficacy, including intranasal steroids or systemic steroids.3 Osteopathic Manipulative Treatment (OMT) has potential to facilitate recovery of both sense of taste and smell in COVID-19 patients.4 Case: A 46-year-old-male presented to the office with diminished sense of smell and taste for 1 week. He had a positive COVID test 2 weeks prior to the visit. He tried nasal corticosteroids and vitamin C and D supplements with no improvement to taste or smell. Other than loss of smell, physical examination and vitals demonstrated no significant abnormalities. Osteopathic exam revealed somatic dysfunctions (SD) of the cranial bones, spine, rib cage, sacrum and pelvis. OMT including balanced ligamentous tension (BLT), myofascial release (MFR), and cranial osteopathic manipulative medicine (COMM) were applied to treat the SD. Results: Immediately after treatment, the patient self-reported 25% improvement of taste and smell, and 50% improvement on day 2. On day 3, patient reported >75% improvement and on day 4, he reported that taste and smell returned to normal. Conclusion: This case demonstrated improvement of anosmia and ageusia in post-COVID-19 patients after OMT. Limitations of this study include using subjective measurements of improvement of smell and taste. More research needs to be conducted to observe the effect of OMT on smell and taste and quantitative objective measurement in this patient population.


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