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“That’s The Way We Have Always Done It”: Resetting the Hips

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 17-18. doi: Subito , type of study: cross sectional study

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/10/493538/LBORC-NUFA-Poster-Abstracts-2023-Residents)

Keywords:

curriculum [229]
cross sectional study [597]
hip [316]
OMT [2951]
osteopathic manipulative treatment [2973]
osteopathic medicine [1540]

Abstract:

Introduction/Background: In Osteopathic Medicine, techniques are commonly passed down through generations, including “Resetting the Hips”(RTH). RTH is performed to align the pelvis prior to diagnosing innominate somatic dysfunction (I-SD). In the literature, RTH is discussed and taught inconsistently, has varied terminology, and its’ efficacy has not been reported. Objective: This two-part study includes: a survey and a prospective study. Part one aims to determine if and how Osteopathic medical schools (OMSc) teach RTH. Part two aims to determine if RTH impacts I-SD diagnosis. We hypothesize there will be a variation in the way RTH is taught at OMSc and RTH will not impact I-SD diagnosis. Methods: We surveyed Educational Council of Osteopathic Principles (ECOP) members regarding RTH use, taught as active or passive, introduction timing, and terminology used. We conducted a prospective, single-blinded, randomized control study of 150 osteopathic medical students and staff into 3 groups: No RTH, active RTH, and passive RTH. ONMM residents or faculty performed all landmark assessments. We utilized a paired design with comparison made using a RMLE-based score test. The primary hypothesis was compared using McNemar’s test for paired proportions using Type I error. Results: 28 (54.9%) surveys were returned. 27 (96.4%) teach RTH. 80.8% teach RTH with active hip lowering and 61.5% active leg return. Final prospective data will be analyzed statistically for the poster. Discussion/Conclusion: Variations were found in the teachings and use of RTH. RTH does not impact I-SD diagnosis. These findings will assist in advancing osteopathic OMSc curriculum. Future studies could evaluate prone RTH, interraterreliability, or evaluator dominant eye impact. Limitations include: recruitment population, interrater reliability, and response rate of survey.


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