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Osteopathic Manipulative Treatment (OMT) Techniques Utilized for Specific Post-COVID Symptoms Based on Physician Survey Results

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 27. doi: Subito , type of study: cross sectional study

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p13.xml)

Keywords:

clinical reasoning [81]
cross sectional study [863]
OMT [3779]
osteopathic manipulative treatment [3799]
osteopathic physicians [206]
post-covid [3]

Abstract:

Introduction: COVID-19 impacts multiple body systems, resulting in a wide range of symptoms for patients. Osteopathic Manipulative Treatment (OMT) has the potential to aid in the treatment of post-COVID symptoms. However, there is currently limited data on the application of OMT for post-COVID-19 symptoms, and no established OMT protocols exist for treating long COVID. This survey aims to identify the most commonly treated symptoms and the preferred OMT techniques used by physicians, with the goal of establishing a foundation for developing a treatment protocol. Objective: To assess the application of osteopathic manipulative treatment (OMT) for patients with post-COVID symptoms. Methods: This NYIT IRB BHS-1719 approved survey was nationally distributed through osteopathic associations to physicians who use OMM for post-covid symptoms. Participants participated via an anonymous redcap survey. Five gift cards were randomly offered for participation. Survey data was gathered and analyzed. Results: 48 of the 56 of respondents reported using OMT to treat patients post COVID-19 symptoms. OMT was most commonly applied for neurological symptoms (200/508), followed by musculoskeletal (174/508) and pulmonary symptoms (75/508). Within all categories, the following symptoms were most treated: fatigue (12.2%), dyspnea (5.5%), cough (5.7%), headache (6%), and muscle pain or tenderness (5.5%). From the various techniques, physicians found osteopathic cranial manipulation medicine (18.9%), balanced ligamentous tension (16.2%), and lymphatic drainage (15.8%) to be most beneficial for improvement of these symptoms. Conclusion: The study results indicated that physicians most frequently used OMT to treat neurological complaints, followed by musculoskeletal and pulmonary issues. Preferred treatment techniques included cranial, indirect, and lymphatic methods. This data can help design future studies on OMT protocols to effectively address the most common symptoms treatable with OMT.


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