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Public Perception of Osteopathic Manipulative Medicine (OMM) as an Effective Treatment for Musculoskeletal Disorders: A Survey Study

Journal: Journal of Osteopathic Medicine Date: 2025/12, 125(12):Pages: A715–716. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyterbrill.com/document/doi/10.1515/jom-2025-2000/html)

Keywords:

attitude [156]
awareness [26]
cross sectional study [821]
musculoskeletal disorders [20]
patients [134]
perception [128]
USA [1610]

Abstract:

Context: Musculoskeletal disorders (MSDs) are among the most prevalent causes of disability globally, contributing significantly to diminished quality of life and rising healthcare costs [1]. While pharmacological treatments and physical therapy remain standard, alternative modalities such as Osteopathic Manipulative Medicine (OMM) have emerged as promising nonpharmacologic options [2]. However, public awareness of OMM remains limited, and misconceptions persist, particularly regarding its distinction from chiropractic care. This study aimed to assess public perception of OMM and its effectiveness in treating MSDs, with the ultimate goal of informing strategies to enhance understanding and utilization of osteopathic principles.OBJECTIVETo evaluate the public’s perception, awareness, and experiences with Osteopathic Manipulative Medicine (OMM) in the treatment of musculoskeletal disorders, and to identify knowledge gaps that can be addressed through educational outreach. This study aimed to evaluate public perceptions and attitudes toward Osteopathic Manipulative Medicine (OMM) by conducting a nationwide survey. It also sought to examine how demographic and socioeconomic factors influence awareness and utilization of OMM. Insights gained from the survey will guide the development of targeted educational materials to enhance public understanding, promote the distinctiveness of osteopathic medicine, and clarify the role of OMM in the treatment of musculoskeletal disorders. Methods: A nationwide, web-based cross-sectional survey was conducted targeting U.S. adults aged 18 years and older. Demographic data collected included age, location, race, ethnicity, income, marital and employment status, and number of children. The survey, administered via Random Device Engagement (RDE) methodology, was distributed within mobile apps to a randomized sample of users who opted in through non-monetary incentives. The survey included questions designed to assess knowledge of OMM, prior experiences with osteopathic care, perceived effectiveness in managing MSDs, and interest in nonpharmacological treatments. Quantitative analysis included frequency distributions, univariate analysis, and multivariate logistic regression to assess predictors of positive perceptions and reduced medication use associated with OMM. Results: A total of 100 valid responses were analyzed after exclusion of fraudulent or incomplete entries. Respondents represented a demographically diverse population across the United States. The most frequently cited uses of OMM were for back pain (30%), neck pain (25%), arthritis (18%), and chronic pain (16%). Regarding effectiveness, 33% of participants rated OMM as “Extremely Effective,” while 27% reported it as “Very Effective.” Key benefits included pain relief, improved mobility, reduced medication use, and non-invasiveness. Multivariate analyses showed that prior experience with OMM was significantly associated with willingness to recommend it to others (p < 0.05) and with reduced reliance on opioids (p < 0.01). Awareness of osteopathic distinctiveness remained low, with many respondents conflating OMM with chiropractic care. Conclusion: Findings highlight a favorable perception of OMM among those familiar with its use in managing musculoskeletal disorders, yet widespread knowledge gaps persist among the general public. The data support the need for targeted educational efforts that promote OMM as a safe, effective, and evidence-based alternative to pharmacologic interventions. This work strengthens the case for broader integration of osteopathic principles in mainstream care and underscores the importance of public outreach in reinforcing osteopathic distinctiveness. Future steps will involve the development and deployment of educational materials to address misconceptions and improve access to OMM services.


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