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Use of osteopathic manipulative treatment to manage recurrent bouts of singultus

Journal: The Journal of the American Osteopathic Association Date: 2014/08, 114(8):Pages: 660-4. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2014.131/html?lang=de)

Keywords:

singultus [4]
hiccup [6]
osteopathic manipulative treatment [2973]
OMT [2951]
case report [514]

Abstract:

Singultus, or hiccups, are involuntary spasms of the diaphragm that in most cases are harmless and self-limited. Treatments are reserved for those cases that persist, and current options include pharmacotherapeutics, complementary methods (such as acupuncture), and osteopathic manipulative treatment. A 32-year-old woman with stiff person syndrome and concurrent aminoacidopathy in the setting of acute inpatient rehabilitation was experiencing daily bouts of singultus, ranging from 20-minute to 5-hour durations. Osteopathic manipulative treatment at the onset of spasm resulted in immediate cessation of and further suppression of singultus for approximately 12 to 24 hours. Overall, there was a noted reduction in singultus frequency, duration, and intensity, as well as better tolerance of physical and occupational therapy. The authors theorize that OMT could be a useful adjunct to, or replacement of, pharmacologic interventions for singultus, especially when pharmacologic therapies have failed.


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