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OMT: Reducing Pain and Changing International Patient Perception

Journal: The Journal of the American Osteopathic Association Date: 2013/03, 113(3):Pages: 236-237. doi: Subito , type of study: pretest posttest design

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2013.113.3.224/html)

Keywords:

OMT [3741]
osteopathic manipulative treatment [3761]
patients [145]
perception [131]
Peru [8]
pretest posttest design [212]

Abstract:

Background: During a Michigan State University College of Osteopathic Medicine (MSUCOM) medical mission in Mala, Peru, osteopathic manipulative treatment (OMT) was offered to patients. Hypothesis: If OMT reduces pain in these patients, then this treatment will induce positive perceptions and patients will seek out OMT again in the future. Because Peru recently granted medical practicing rights to osteopathic physicians (ie, DOs), we felt that exposing patients to OMT would be helpful in furthering the practice of the profession in Peru. Patients were referred to OMT by physicians because of complaints of pain, headache, and other issues that were not appropriate for pharmaceutical intervention. Methods: Osteopathic manipulative treatment was administered by second- and fourth-year osteopathic medical students from MSUCOM to 57 patients from August 6-9, 2012. Six patients were excluded from this study because of incomplete data. To measure the change in pain, a pre- and posttreatment survey was given. Pain was assessed by a subjective pain scale of 0 to 10. The surveys also asked about knowledge of OMT and what treatment they had received in the past. After the treatment, patients were surveyed on how they felt about the treatment they received, if they would seek out OMT again, and if they felt that OMT would be useful for other medical problems. The treatment used for most somatic dysfunctions was muscle energy. For patients complaining of headaches, suboccipital release, sinus release, and other cranial techniques were used. Twenty patients (39%) had superior innominate shears that were managed with high-velocity, low-amplitude technique. Forty-nine patients (96%) reported a reduction in pain (mean, 3.4 points). Two patients did not report any current pain but instead reported numbness that improved in sensation after treatment. Eighteen patients (35%) described the treatment as relaxing, whereas others simply stated that it was “bien.” Results: After treatment, 50 (98%) reported they would seek out OMT again and 49 (96%) said that it would be useful for other medical problems. Twenty-three patients (45.1%) previously sought outpatient care for their pain; 5 had seen a chiropractor or Huesero (Peruvian bone setter). Fourteen (28%) received hospitalization and nonsteroidal anti-inflammatory drugs, which was the most common type of treatment received. Conclusion: Osteopathic manipulative treatment reduced pain in patients seen at the clinic in Mala, and patients will seek out OMT again. However, the lack of DOs practicing OMT in Peru will keep patients from getting the care they seek.


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