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Can intraocular pressure be influenced by osteopathic treatment?

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2009/12, Pages: 81, type of study: randomized controlled trial

Free full text   (https://www.osteopathic-research.com/s/orw/item/2910)

Keywords:

intraocular pressure [8]
osteopathic manipulative treatment [2973]
OMT [2951]
randomized clinical trial [26]
WSO [433]

Abstract:

Study Design single-blind, randomized, clinical study Outline/Problem Definition A flow diagram was created to show the organizational and study flow. All the study’s developments are clearly visible and categorized in this flow diagram. Figure 6.1: Flow diagram of sample construction. Research Question & Objective Goal;The study's goal is to examine if an osteopathic treatment approach can lower intraocular pressure. The patients were only treated with medicines previously. The goal here lies in establishing if it is possible to bring about a decrease in intraocular pressure with the osteopathic treatments described in further detail. A further goal is to review and confirm what earlier osteopathic studies have measured and determined (esser, 2002, billgeri, 2006) Hypothesis H0 Hypothesis; No changes in intraocular pressure occur through osteopathic treatements. H1 hypothesis; It is possible to lower intraocular pressure with an osteopathic treatement approach. Relevance for the Patients The hypothesis that it is possible to reduce intraocular pressure with an osteopathic treatment approach has only been confirmed with reservations. Relevance for Osteopathy Osteopathic intervention has a positive influence on intraocular pressure. Clear tendencies can be read from the measurement data in this study. It has the character of a pilot study and should be pursued further in any case with an enlarged experimental group and an equally large control group from which one can and should acquire more data. Methodology This study concerns a random sample that should demonstrate the effectiveness of osteopathic treatment in case of increased intraocular pressure. The effect of treatment is recorded by measuring the intraocular pressure with a tonometer (Gold standard, see 6.7). Blind procedure: The single-blind procedure was used. Patients did not know in which group they were assigned. Randomization: A randomization list was compiled in advance. Assignment of randomization numbers to patients occurred through a person independent of the study. Group division: Patients were divided into treatment group A (experimental group) and treatment group B (control group) based on the randomization list. Results Eight study subjects (32%) averaged a higher intraocular pressure after the first treatment than before it, five maintained the same intraocular pressure (20%), and 12 achieved a reduced intraocular pressure (48%). After the second therapy unit’s treatment, four test subjects (16%) indicated an average higher intraocular pressure than before treatment. The intraocular pressure of nine others remained the same (36%), while 12 subjects achieved a lower intraocular pressure (48%). The issue and the hypothesis have only been confirmed conditionally. The intraocular pressure was influenced by osteopathic intervention even if not to a significant degree. Other studies on this topic are recommended, but one should lengthen the duration of the study and increase the number of treatments. Critical Reflection/Perspectives/Conclusions The purpose of the study was to determine the effectiveness of osteopathic treatments for patients with increased intraocular pressure experimentally. In comparison to existing studies that used at least identical techniques among all patients treated (Esser, 2002; Bilgeri, 2006), should primary dysfunctions detected here individually be treated individually with individual techniques? The call for a scientific approach should bear in mind that both an experimental and control group were used. This approach had not been selected in one of the studies cited (Esser, 2002), so that this study possessed only conditional significance. The hypothesis that it is possible to reduce intraocular pressure with an osteopathic treatment approach has only been confirmed with reservations.


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