| For medical practitioners and osteopaths - Osteopathy Journal Articles Catalog. |
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| Effectiveness of a sham protocol and adverse effects in a clinical trial of osteopathic manipulative treatment in nursing home patients Noll, D. R., B. F. Degenhardt, et al. (2004), J Am Osteopath Assoc 104(3): 107-13. |
| Effects of a structured curriculum in osteopathic manipulative treatment (OMT) on osteopathic structural examinations and use of OMT for hospitalized patients Shubrook, J. H., Jr. and J. Dooley (2000), J Am Osteopath Assoc 100(9): 554-8. Abstract: Osteopathic manipulative treatment (OMT) is a defining feature of osteopathic medicine; however, use of OMT by osteopathic physicians is declining. Recent studies reveal that many osteopathic physicians are abandoning use of OMT as early as medical school. Current national efforts are aimed at reversing this trend by standardizing osteopathic medical records and clinical training in OMT. The authors found that a structured clinical curriculum in OMT taught to house staff significantly increased the percentage of patients who received osteopathic structural examinations and the percentage of patients who received OMT as part of their hospital care. |
| Effects of adding sacral base leveling to osteopathic manipulative treatment of back pain: a pilot study Hoffman, K. S. and L. L. Hoffman (1994), J Am Osteopath Assoc 94(3): 217-20, 223-6. Abstract: A selected group of patients with sacral base unleveling greater than 2 mm were studied to determine the effects of osteopathic manipulative treatment (OMT) and heel lifting on chronic low-back pain. The McGill-Melzack Pain Questionnaire administered by trained personnel was used to assess the patient's pain before and after treatments. Five patients with no experience with manual treatment were treated with nonsteroidal anti-inflammatory drugs (NSAIDs) and OMT for restrictions in spinal motion. Their improvement was statistically significant. Seven patients who had been treated previously with OMT and NSAIDs received heel lifts of graduated thickness until the sacral base was within 2 mm of being level. Attaining a "level" sacral base with heel lifts also provided a statistically significant relief from low-back pain. |
| Effects of osteopathic manipulation on several different physiologic functions. 3. Measurement of changes in several different physiologic parameters as a result of osteopathic manipulation Clymer, D. H., F. L. Levin, et al. (1972), J Am Osteopath Assoc 72(2): 204-7. |
| Effects of osteopathic manipulation on several different physiologic functions. IV. Absence of crossover effect Kolman, S., P. Getson, et al. (1974), J Am Osteopath Assoc 73(8): 669-72. |
| Effects of osteopathic manipulative treatment and concentric and eccentric maximal-effort exercise on women with multiple sclerosis: a pilot study Yates, H. A., T. C. Vardy, et al. (2002), J Am Osteopath Assoc 102(5): 267-75. Abstract: The research objectives of this study were to evaluate the effects of osteopathic manipulative treatment (OMT) combined with maximal-effort exercise (MEE) on strength, coordination, endurance, and fatigue in female patients with multiple sclerosis (MS). Seven female subjects with MS participated in the 12-week study, which included intervention with OMT and MEE twice per week. Standardized tests for progression of MS and fatigue were used. Strength (maximal effort and impulse) was measured with the IsoPump exercise machine (IsoPump USA, Cleveland, Miss) during the three phases of the exercise protocol. Significant changes occurred in all but one measure of strength and on the 25-foot walk (P <.05), but not on the block-and-box test. The change in fatigue scores was not significantly different. Findings indicate that OMT combined with MEE significantly increases strength and ambulatory levels while not increasing fatigue in female patients with MS who have low to medium impairment. Qualitative data show that this intervention also produces beneficial effects in activities of daily living. |
| Effects of osteopathic manipulative treatment in patients with cervicothoracic pain: pilot study using thermography Walko, E. J. and C. Janouschek (1994), J Am Osteopath Assoc 94(2): 135-41. Abstract: To provide information on how cervicothoracic pain responds to osteopathic manipulative treatment, five subjects with acute or chronic pain received appropriate medication and three osteopathic manipulative treatments by the principal investigator using thrust and nonthrust techniques. The mean number of findings by both investigators on structural examination decreased considerably immediately after each of the three treatments. The number of findings increased in week 2 and decreased in week 3. The principal investigator observed a further decrease by the final session, but the coinvestigator reported an increase. The pain scale score improved an average of nearly 30%. Thermography showed cooling of the cervicothoracic region in all subjects and conversion to a normal pattern in four. Osteopathic manipulative treatment should be considered for patients with acute or chronic cervicothoracic pain. The use of thermographic analysis in clinical osteopathic research seems warranted. |
| Effects of osteopathic manipulative treatment on pediatric patients with asthma: a randomized controlled trial Guiney, P. A., R. Chou, et al. (2005), J Am Osteopath Assoc 105(1): 7-12. Abstract: Asthma is a common chronic condition that has long plagued the pediatric patient population. Asthma in children can cause excessive school absenteeism, hospitalizations, and even death. Osteopathic manipulative treatment (OMT) is an underutilized noninvasive treatment method for patients with asthma. The use of OMT may help decrease mortality and morbidity rates among this patient group. The authors conducted a randomized controlled trial attempting to demonstrate the therapeutic relevance of OMT in the pediatric asthma population. With a confidence level of 95%, results for the OMT group showed a statistically significant improvement of 7 L per minute to 9 L per minute for peak expiratory flow rates. These results suggest that OMT has a therapeutic effect among this patient population. The authors suggest that more clinical trials are required to better demonstrate the effectiveness of OMT in patients with asthma. |
| Effects of partial and total colectomy on mineral and acid-base homoeostasis in the rat: magnesium deficiency, hyperphosphaturia and osteopathy, in the presence of high serum 1,25-dihydroxyvitamin D but normal parathyroid hormone Croner, R., P. O. Schwille, et al. (2000), Clin Sci (Lond) 98(6): 649-59. Abstract: The effects of colectomy on acid-base status, extra-osseous and bone minerals, calciotropic hormones and bone morphology have not yet been studied. To rectify this, groups of normally fed male rats were subjected to distal (n=11), proximal (n=12) or total (n=12) colectomy. Sham-operated rats (n=12) served as controls. At 112 (+/-2) days after colectomy the following changes were noted: (1) weight gain was delayed; (2) faecal excretion of calcium and phosphorus was normal, whereas that of magnesium was increased; (3) intestinal calcium secretion and absorption of calcium and phosphorus were normal, but magnesium absorption was decreased; (4) urinary excretion of magnesium was also decreased, that of phosphorus was increased, and that of pyridinium and deoxypyridinium tended to be high; (5) the serum levels of ionized magnesium, total calcium, 25-hydroxyvitamin D and parathyroid hormone were normal, while that of 1,25-dihydroxyvitamin D was markedly elevated; and (6) bone magnesium and phosphorus content were decreased, but bone calcium was normal, and thus the bone calcium/phosphorus ratio was high. These abnormalities were associated with moderate metabolic acidosis, as reflected by high urinary ammonium, low citrate and low total CO(2), but normal blood gases. Significant structural abnormalities of bone were not detectable, but trabecular bone tended to show rarefication. Distal colectomy had the least effect, whereas proximal and total colectomies had a distinct effect, on these parameters. It is concluded that colectomy in the rat causes: (1) a syndrome of magnesium deficiency of intestinal origin, compensated metabolic acidosis, urinary phosphorus loss, and high circulating 1,25-dihydroxyvitamin D levels, with the degree depending on the extent of surgical resection; and (2) brittle bones, a feature characteristic of low bone magnesium and more generalized magnesium deficiency. The mechanisms leading to this syndrome are unknown, but altered tissue levels of magnesium and phosphorus may play a key role. |
| Electromyographic and skin resistance responses to osteopathic manipulative treatment for low-back pain Ellestad, S. M., R. V. Nagle, et al. (1988), J Am Osteopath Assoc 88(8): 991-7. |
| Electromyographic studies. I. Consideration in the evaluation of osteopathic therapy England, R. W. and P. W. Deibert (1972), J Am Osteopath Assoc 72(2): 221-3. |
| End-stage renal disease in an osteopathic hemodialysis facility: a 10-year study D'Addezio, C. and G. L. Slick (1983), J Am Osteopath Assoc 82(10): 752-9. |
| Environmental factors promoting the effective use of a computer-assisted clinical case for second-year osteopathic medical students Baer, R. W. and N. R. Chamberlain (1998), J Am Osteopath Assoc 98(7): 380-5. Abstract: Computer-aided clinical cases (CACC) have the potential to complement and/or supplement other types of problem-based learning exercises in modern medical curricula. Deploying a CACC learning experience requires institutional commitment to technology and a belief by administration, faculty, and students that "climbing a steep growth curve" is worth the effort. Several aspects of the institutional environment at the Kirksville College of Osteopathic Medicine (KCOM) led to the development of the CACC exercise described in this article, including the need to design a uniform, supplemental, Internet-based learning experience and assessment exercises for students doing clinical rotations at off-site facilities. The CACC learning experience was enthusiastically accepted by second-year medical students as an integrative and clinically relevant educational experience. The success of this CACC exercise has helped to promote the development of other innovative applications of technology of medical education at KCOM. |
| Establishment of behavioral parameters for the evaluation of osteopathic treatment principles in a rat model of arthritis Hallas, B., S. Lehman, et al. (1997), J Am Osteopath Assoc 97(4): 207-14. Abstract: Unilateral arthritis was produced in rats by use of methylated bovine serum albumin in a model of antigen-induced arthritis. The progression of arthritis was measured by computerized motion analysis, bilateral joint circumference, voluntary extension force of the hindlegs, and length of ankle extension. Animals with induced arthritis were assigned to treated and untreated groups on the basis of approximately equal deficits by the parameters measured. A third group of rats, which did not have arthritis induced and received no treatment, served to establish mean normal parameters. Modified techniques of muscle energy, passive movement of the ankle and knee, and passive myofascial stretch were applied to the animals, and the animals were exercised in a mechanized exercise wheel. Parameters associated with gait were examined by computerized motion analysis of walking. Animals treated with manipulation and exercise improved significantly relative to untreated animals with antigen-induced arthritis in vertical ankle lift, ankle-based and foot-based stride lengths, knee circumference, and normalized extension of the ankle. The results demonstrate that the parameters identified can be used to detect functional deficits and significant improvement from those deficits can be derived from a nonpharmacologic treatment paradigm that includes osteopathic manipulation and exercise in an animal model of arthritis. These parameters may be useful in the identification of the relative benefits of independent treatment variables including frequency of osteopathic manipulation and exercise and the relative benefits of each in this model. Also, they may elucidate how these treatments produce their beneficial effects clinically. |
| Evaluating the clinical skills of osteopathic medical students Gimpel, J. R., D. O. Boulet, et al. (2003), J Am Osteopath Assoc 103(6): 267-79. Abstract: Because clinical skills play an important role in health services, many medical credentialing organizations are making performance-based assessments part of the board-certification and licensure processes. While clinical skills are taught and evaluated at colleges of osteopathic medicine, the development and validation of standardized assessment methodologies is far from complete. The purpose of this study was to gather data to support the use of a performance-based assessment of osteopathic clinical skills. A sample of 121 fourth-year osteopathic medical students was tested using the Comprehensive Osteopathic Medical Licensing Examination-USA performance-based clinical skills examination (COMLEX-USA-PE) prototype, a standardized patient performance evaluation that involves a series of 12 simulated encounters. Students were evaluated in a number of domains that included history taking, physical examination, osteopathic manipulative treatment techniques, written communication and clinical problem solving, and physician-patient communication. The analysis of data from 1452 standardized patient encounters suggests that reliable and valid scores can be obtained using the current prototype. The use of COMLEX-USA-PE to assess the readiness of osteopathic medical students to provide patient care in supervised graduate medical education training programs is supported. |
| Evaluating the rationale of the osteopathic internship Smith, A. B. (2004), J Am Osteopath Assoc 104(6): 230; discussion 231. |
| Evaluation of faculty resources to meet curricular needs in an osteopathic medical school Howell, J. N., M. Weiser, et al. (2000), J Am Osteopath Assoc 100(11): 727-31. |
| Evaluation of osteopathic manipulative treatment training by practicing physicians in Ohio Spaeth, D. G. and A. M. Pheley (2002), J Am Osteopath Assoc 102(3): 145-50. Abstract: The authors mailed a survey designed to evaluate beliefs about osteopathic manipulative treatment (OMT) training to the 2318 osteopathic physicians registered with the Ohio Osteopathic Association. Responses were received from 871 osteopathic physicians (response rate, 38%). Fifty-three percent of the respondents had used OMT with patients at least once during the week before the survey. With regard to OMT training, 60% rated their experience during medical school as acceptable; during postgraduate training the acceptable rating dropped to 9%. Osteopathic manipulative treatment training through continuing medical education programs was rated as acceptable by 26% who had participated in these programs. Forty percent of the respondents reported that they were practicing less OMT now than when they originally entered practice, while 20% reported using OMT procedures more often. No significant correlation was observed between OMT training satisfaction during medical school and current use of OMT. However, a strong negative correlation was observed between satisfaction with postgraduate OMT training and OMT use. This survey did not detect any association between year of graduation and use of OMT. |
| Eveleth Tb: Proposed Amendments To The Bylaws And Revision Of The Code Of Ethics Of The American Osteopathic Association Collins, B. E., H. L. Davis, et al. (1964), J Am Osteopath Assoc 63: 817-20. |
| Evidence Base Presented--and Expanding--for Investment in Tobacco Dependence Curricula for Osteopathic Medical Education Montalto, N. J. and T. S. Priester (2005), J Am Osteopath Assoc 105(9): 402-3. |
| Excise "allopathic" from osteopathic terminology Cummings, C. H. (1989), J Am Osteopath Assoc 89(5): 562, 566, 571. |
| Experiences with required and elective didactic courses--New York College of Osteopathic Medicine Plotnick, S. (1989), Bull N Y Acad Med 65(9): 946-7; discussion 962-3. |
| Experiences with required and elective didactic courses--UMDNJ/New Jersey School of Osteopathic Medicine Stein, T. P. (1989), Bull N Y Acad Med 65(9): 948-9; discussion 962-3. |
| Experimental calcipenic osteopathy Gyarmati, J., Jr., M. Petko, et al. (1984), Gegenbaurs Morphol Jahrb 130(4): 583-92. Abstract: Calcipenic osteopathy was used as a model, in order to reveal the diagnostic value and capacity of the noninvasive radiological methods (microradioscopy, densitometry, and Roentgen-morphometry), in comparison with the results of histological, histomorphometrical, and atomic absorption methods. The study proved that calcipenic diet causes an osteoporosis in the experimental animals. The alterations observed meet both the histological and radiological criteria. |
| Experimental renal osteopathy Krempien, B. and E. Ritz (1971), Isr J Med Sci 7(3): 522-4. |
| Exploring the benefit of semantics in the osteopathic profession Smith, A. (2003), J Am Osteopath Assoc 103(2): 70. |
| Factors influencing osteopathic physicians' decisions to enroll in allopathic residency programs Pecora, A. A. (1990), J Am Osteopath Assoc 90(6): 527-33. Abstract: A survey of osteopathic physicians who were training in non-American Osteopathic Association (AOA)-approved (ACGME-accredited) internal medicine programs was undertaken in 1988. This was done in response to the AOA approval and implementation of the recommendations of the Task Force to Explore Alternative Mechanisms for Approval of Postdoctoral Training. Of the 188 physicians surveyed by mail, 137 physicians' responses provided the data for the results presented here. These respondents represented 39% of those residents who were training in nonosteopathic medical programs in 1988 and whose records were on file with the AOA Department of Education. The questionnaire investigated the factors that influenced these physicians' decisions to enroll in non-AOA-approved (ACGME-accredited) internal medicine residency programs. These reasons are discussed along with suggested solutions to alter this unhealthy trend. |
| Failure to convince osteopathic medical students of OMT's worth increases risk of subspecialization Corbett, R. M. (2003), J Am Osteopath Assoc 103(2): 71. |
| Faith versus evidence: the real question in osteopathic medicine? Juhl, J. H. and G. L. Ostrow (2005), J Am Osteopath Assoc 105(3): 126-8. |
| Familial nephrogenic osteopathy due to excessive tubular reabsorption of inorganic phosphate; a new syndrome and a novel mode of relief Schneider, R. W. and A. C. Corcoran (1950), J Lab Clin Med 36(6): 985-6. |
| Family practitioners from osteopathic schools Blonder, R. D. (1971), N Engl J Med 284(17): 983. |
| Federal District Court rejects all claims by aggrieved physician. Stitzell v. York Memorial Osteopathic Hospital Hershey, N. (1992), Hosp Law Newsl 9(11): 1-7. |
| Female enrollment in colleges of osteopathic medicine: five years and five percentage points behind Baker, H. H. (1995), J Am Osteopath Assoc 95(10): 604-6. Abstract: An estimated one fifth of graduates of the colleges of osteopathic medicine (COMs) before 1910 were women. However, the proportion of women declined after 1900, so that by 1969, less than 3% of osteopathic medical students were women. Dramatic gains have been made in the past 25 years: for the 1993-1994 academic year, women made up 35% of all osteopathic medical students. Although these gains seem impressive, allopathic medical school enrollment comprised 40% women during the same academic year (5 percentage points higher than in osteopathic medical schools). Allopathic medical schools have had significantly more women enrolled every year between academic years 1969-1970 and 1993-1994. In academic year 1988-1989, allopathic medical schools already had an enrollment that consisted of 35% female students, a percentage that COMs would first reach 5 years later. Based on these findings, enrollment of women in COMs is 5 years and 5 percentage points behind that of allopathic medical schools. |
| Femoral neck metaphyseal osteopathy in the cat Queen, J., D. Bennett, et al. (1998), Vet Rec 142(7): 159-62. Abstract: This paper describes 17 cats that developed an idiopathic necrosis of the femoral neck. In four cats the lesions were bilateral when they were first examined and five cats developed lesions in the other limb within five months. They were all male cats, two years old or younger, and 15 had been neutered. The initial sign was a vague lameness which typically progressed, often acutely, to a more severe lameness. Radiography demonstrated radiolucency and loss of definition within the proximal femoral metaphysis, the femoral neck. In 12 cases there was a complete radiolucent line across the femoral neck. An excision arthroplasty was carried out on all the affected hips and the lameness resolved in all cases. The clinical and radiological signs suggest a primary bone resorption with secondary fracture of the femoral neck. The lesions have some similarities with Legg-Calve-Perthes' disease, traumatic fracture of the femoral neck, canine metaphyseal osteopathy, bacterial osteomyelitis and experimental feline herpes virus osteomyelitis. |
| Final farewell. Osteopathic Medical Center of Texas closes its doors Barr, P. (2004), Mod Healthc 34(41): 10. |
| Financial assistance resources for osteopathic medical students Reich, M. (1992), J Am Osteopath Assoc 92(11): 1378-82. |
| Financial assistance resources for osteopathic medical students Reich, M. M. (1993), J Am Osteopath Assoc 93(11): 1147-8, 1151-2. |
| Focused goals of osteopathic medical education achieve results Ward, W. D. (1993), J Am Osteopath Assoc 93(11): 1133. |
| Forecast for osteopathic medical education programs in the for-profit hospital environs Spink, G. C. (1997), J Am Osteopath Assoc 97(11): 630. |
| Formulating a prescription for osteopathic manipulative treatment Kimberly, P. E. (1980), J Am Osteopath Assoc 79(8): 506-13. |