Osteopathy Articles and Abstracts

For medical practitioners and osteopaths - Osteopathy Journal Articles Catalog. Osteopathy
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Osteopathy Journal Articles



Record 881 to 920
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Monitoring ocular changes that may accompany use of dental appliances and/or osteopathic craniosacral manipulations in the treatment of TMJ and related problems
Weiner, L. B., L. A. Grant, et al. (1987), Cranio 5(3): 278-85.

More suggested changes to osteopathic medical curriculum
Clark, R. C. (1994), J Am Osteopath Assoc 94(5): 370, 372.

Morphometry of bone. Are parameters from the iliac crest reliable indicators of renal-insufficiency osteopathy?
Oberholzer, M., W. Remagen, et al. (1986), Anal Quant Cytol Histol 8(3): 250-4.
Abstract: Bone samples from 25 autopsy cases with chronic renal insufficiency were analyzed stereologically. The findings in the iliac crest were found to be representative of those of the rib, femur condyle and lumbar vertebra for the following stereologic parameters: volume of osteoid seems related to total bone volume VV(OID/BONE), surface of osteoid seams related to total bone volume SV(OID/BONE) and surface of osteoid seams in relation to trabecular surface SS(OID/TRAB). In addition, the value of various stereologic parameters for the classification of osteopathies was checked.

MSU osteopathic college goal: to train quality family physicians
Magen, M. S. (1972), Mich Med 71(20): 642-3.

MSU School of Osteopathic Medicine committed to quality work, programs
Magen, M. S. (1979), Mich Med 78(5): 86.

Multiple sclerosis article ignores conventional and osteopathic treatment options
Schreier, E. M. (2000), J Am Osteopath Assoc 100(3): 140.

Musculoskeletal disorders: does the osteopathic medical profession demonstrate its unique and distinctive characteristics?
Sun, C., G. J. Desai, et al. (2004), J Am Osteopath Assoc 104(4): 149-55.
Abstract: The authors used the National Ambulatory Medical Care Survey: 1999 Summary to compare the practice patterns of osteopathic and allopathic physicians in the management of musculoskeletal disorders in family practice settings. Patient and physician characteristics, diagnostic test ordering patterns, treatments, and amount of time spent with patients during visits were compared. Patients who visited osteopathic physicians were more likely to be middle-aged and referred, with injury-related visits that were self-paid. Osteopathic physicians spent more time with patients, ordered a greater number of nontraditional diagnostic tests, and provided more manual and complementary modes of therapy. In contrast, although most of the patients seen by both osteopathic and allopathic physicians were white, allopathic physicians had a greater percentage of patients who were of an ethnic minority or under Medicaid or Medicare. Allopathic physicians ordered a greater number of traditional diagnostic tests and prescribed more medications. Based on the nationally representative data, osteopathic physicians used physiotherapy (including osteopathic manipulative treatment and physical modes of therapy) and complementary treatments to a greater degree in their physician-patient contacts. In contrast, allopathic physicians spent more resources on diagnosis versus treatment (eg, physiotherapy) and seemed to focus on the search for a nonstructural medical cause.

Name change diminishes osteopathic medicine's approach
Chapek, L. (2000), J Am Osteopath Assoc 100(6): 344.

National Board of Osteopathic Medical Examiners in the 21st century
Meoli, F. G., T. Cavalieri, et al. (2000), J Am Osteopath Assoc 100(11): 703-6.

National osteopathic pediatrician survey
Ryan, M. E. (1986), J Am Osteopath Assoc 86(8): 520-5.

National study of the impact of managed care on osteopathic physicians
Horan, J. (2000), J Am Osteopath Assoc 100(4): 218-24, 227.
Abstract: The study reported here was designed to provide insight into the impact managed care has had on osteopathic physicians' ability to practice medicine, as well as data to substantiate the prevalence of the specific problems encountered by the 40,000 osteopathic physicians in the United States. New data on the extent to which osteopathic physicians use osteopathic manipulative treatment was also obtained, as a review of the literature revealed only two previous surveys on the use of osteopathic manipulative treatment. The American Osteopathic Association hired an independent research company to conduct the survey.

Nerve compression syndromes as models for research on osteopathic manipulative treatment
Luckenbill-Edds, L. and G. B. Bechill (1995), J Am Osteopath Assoc 95(5): 319-26.
Abstract: Experimental and clinical studies of nerve compression syndromes show that ischemia or edema, singly or combined, causes responses in nerves that lead to alterations in impulse conduction and to commonly observed clinical signs. Because osteopathic manipulative treatment (OMT) is thought to affect microcirculation and anatomic positioning of structures, nerve compression syndromes appear ideal as models for studying how OMT accomplishes results. We recommend that researchers develop experimental protocols or clinical studies of nerve compression syndromes that will use anatomic, histologic, and physiologic criteria to monitor the effects of OMT. Techniques such as soft tissue, muscle energy, counterstrain, or myofascial release are appropriate for study in nerve compression syndromes. Such studies are necessary to understand the biologic basis of OMT.

New HIV series helps to define osteopathic physicians' role in AIDS epidemic
Calabrese, L. H. (1992), J Am Osteopath Assoc 92(1): 63-4.

Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic manipulative medicine (Review)
Salamon, E., W. Zhu, et al. (2004), Int J Mol Med 14(3): 443-9.
Abstract: Throughout the history of medicine we have seen the progression of medical therapies from the empirical to the counter-intuitive, with much pressure being placed upon the scientific community to distinguish the two. This exercise has proven the effectiveness of numerous modern therapeutic techniques that have been adapted into modern medicine with remarkable success. While it is certain that many of these techniques yield beneficial results, the mechanisms by which these results are achieved have not been fully realized. In the present report, we consider the case of osteopathic manipulative medicine (OMM), which represents a therapeutic technique developed over a century ago as a means of non-invasive treatment for numerous ailments. Our intention is to use current findings from our laboratory, as well as those of our colleagues in the area of nitric oxide (NO) research to explain the mechanism through which osteopathic manipulations aid the patient. These reports demonstrate that fluidic motions applied to vascular and nerve tissue in a manner comparable to manipulations can cause a remarkable increase in NO concentration within the blood and vasculature. These findings combined with the overwhelming amount of research into the beneficial effects of constitutive NO provide a dynamic theoretical framework to explain the therapeutic effects of OMM.

Non-aluminic adynamic bone disease in non-dialyzed uremic patients: a new type of osteopathy due to overtreatment?
Cohen-Solal, M. E., J. L. Sebert, et al. (1992), Bone 13(1): 1-5.
Abstract: Adynamic bone disease, characterized by a low bone formation rate with normal or reduced amount of unmineralized osteoid, is supposed to be the consequence of aluminum intoxication in uremic patients. However, the emergence of adynamic bone disease has been recently reported in hemodialyzed patients in the total absence of aluminum overload. This study was aimed to assess whether such a histological pattern of adynamic bone disease was already present in uremic patients not yet on dialysis. Twenty-seven asymptomatic uremic patients (mean age +/- SD 43 +/- 10 years, mean creatinine clearance 19 +/- 3 ml/mm) were studied and bone biopsies were repeated in 16 of them after 18 +/- 10 months of treatment with oral calcium carbonate (1-3 g of elemental calcium/day) and calcidiol (21 +/- 14 micrograms/day). None of the patients received aluminum hydroxide, and the search for bone aluminum deposits was negative in all patients both before and after treatment. Two patients fulfilled the criteria of adynamic bone disease on their post-treatment biopsies. They originated from patients classified as having normal bone histology before treatment. Comparison with the other patients showed that they had comparable plasma C-terminal PTH but higher plasma creatinine than patients with normal bone histology and lower plasma C-terminal PTH than patients with osteitis fibrosa but comparable plasma creatinine. The plasma levels of 1,25(OH)2D reached values above normal after treatment in these two patients. It is suggested that adynamic bone disease not related to aluminum intoxication can develop in uremic patients independently of dialysis, and is favored by a relative hypoparathyroidism for the degree of renal failure, possibly induced by elevated plasma concentrations of calcitriol.

Nonosteomalacic osteopathy associated with chronic hypophosphatemia
de Vernejoul, M. C., P. Marie, et al. (1982), Calcif Tissue Int 34(3): 219-23.
Abstract: We studied bone histomorphometry in 19 patients with chronic hypophosphatemia related to an idiopathic renal phosphate wasting and without histological osteomalacia. Nine patients had renal lithiasis (group 1), three had radiological osteoporosis (group 2), and seven had lumbar pain (group 3). In the whole group of 19 patients, serum phosphate levels were low (24.9 +/- 2.1 mg/l), calcium in blood was normal, calcium in urine was increased, and iPTH was low. Histomorphometric data showed decreased osteoblastic surfaces with normal resorption surfaces, normal osteoid volume and calcification front. There was no correlation between serum phosphate level and histomorphometric parameters. There was no statistical difference between the data of the 3 groups of hypophosphatemic patients. We concluded that chronic hypophosphatemia in the adult doses not always lead to osteomalacia but to an unusual osteopathy characterized by an osteopenia due to an isolated decrease in bone formation. The respective importance of phosphate deficiency and of decreased iPTH level in the pathogenesis of this osteopathy is uncertain.

Normandy Osteopathic Hospital's Medical Management-Optifast program
Alford, S. (1986), Osteopath Hosp Leadersh 30(8): 5-7.

Nurse changes testimony & notes: credibility issue. Case in point: Georgia Osteopathic Hosp. v. O'Neal (403 S.E. 2d 235--GA (1991))
Tammelleo, A. D. (1991), Regan Rep Nurs Law 32(3): 2.

Nursing practice in an osteopathic community
Flarey, D. L. (1991), Nurs Adm Q 15(3): 29-36.

Obtaining credentials for osteopathic manipulative medicine
Kuchera, M. L. (1996), Am Fam Physician 54(5): 1467.

Ohio Osteopathic Network of Excellence: establishing a statewide telehealth consortium
Phillips, B. O. and C. Duffrin (2001), J Am Osteopath Assoc 101(12): 720-4.

OLIO+: an osteopathic medicine database
Woods, S. E. (1991), Med Ref Serv Q 10(4): 49-58.
Abstract: OLIO+ is a bibliographic database designed to meet the information needs of the osteopathic medical community. Produced by the American Osteopathic Association (AOA), OLIO+ is devoted exclusively to the osteopathic literature. The database is available only by subscription through AOA and may be accessed from any data terminal with modem or IBM-compatible personal computer with telecommunications software that can emulate VT100 or VT220. Apple access is also available, but some assistance from OLIO+ support staff may be necessary to modify the Apple keyboard.

On diabetic osteopathy: a radiographic study of 21 patients
Whitehouse, F. W. and M. Weckstein (1978), Diabetes Care 1(5): 303-4.
Abstract: Twenty-one diabetic patients with anesthetic peripheral neuropathy who never suffered a foot infection or local ulceration had roentgenograms of both feet to seek whether osseous changes characteristic of diabetic osteopathy were present. We found nine patients with vascular calcification (all 21 patients had palpable pedal pulses); four patients with ancient fractures; one patient with two phalangeal erosions; and two patients with equivocal osseous cystic lesions. No patient had findings typical of diabetic osteopathy. From this study, plus experience with other diabetic patients who had infected, ulcerated feet, we conclude that diabetic osteopathy represents healing or healed lesions of local osteomyelitis.

OOH (Oklahoma Osteopathic Hospital) centers on smooth recoveries
LaPrade, T. (1988), Osteopath Hosp Leadersh 32(7): 22-3.

Opinions of MDs, RNs, allied health practitioners toward osteopathic medicine and alternative therapies: results from a Vermont survey
McPartland, J. M. and P. L. Pruit (1999), J Am Osteopath Assoc 99(2): 101-8.
Abstract: The authors surveyed 191 allopathic physicians (MDs), registered nurses (RNs), and allied health professionals (AHPs) regarding their opinions toward osteopathic medicine and alternative therapies. A self-administered questionnaire was distributed to these healthcare professionals practicing in a rural region of west-central Vermont. Participants responded to six questions concerning osteopathic medicine and 18 types of alternative therapies. These questions addressed safety issues, efficacy, personal experience, patient referrals, interest in learning more about alternative medicine, and whether alternative medicine should be provided at the regional hospital. The number of positive responses was totaled as a positive opinion score (POS) for each respondent. Survey results indicated that MDs' general acceptance of osteopathic medicine was less than that of relaxation techniques, massage therapy, self-help groups, and acupuncture. Allopathic physicians' opinions toward osteopaths mirrored that shown toward chiropractors. Nevertheless, MDs responded more positively to osteopathy than did RNs and AHPs. Overall, RNs had a higher opinion of alternative therapies (mean POS 50.4) than did AHPs (mean POS 41.7) or MDs (mean POS 36.0; F = 4.98; P-value = 0.009). Among MDs, primary care providers averaged a POS of 41.1, while specialists had a mean POS of 24.0 (F = 6.85; P-value = 0.012). Overall, female respondents had a mean POS of 45.7 and men had a mean POS of 37.0 (F = 3.91; P-value = 0.051). The POS did not correlate with age (Pearson's r test; r = -0.105).

Opportunities for the osteopathic medical profession to pursue worldwide acclaim and recognition
Smith, D. A. (2000), J Am Osteopath Assoc 100(5): 282, 329.

Organized osteopathy has built for service and professional growth
Peckham, F. F. (1952), J Osteopath (Kirksvill) 59(4): 11-5.

Osteoclastogenesis and osteoclast activation in dialysis-related amyloid osteopathy
Kazama, J. J., H. Maruyama, et al. (2001), Am J Kidney Dis 38(4 Suppl 1): S156-60.
Abstract: Dialysis-related amyloid osteopathy (DRAO) is characterized by local osteoarticular lytic lesions, which sometimes cause a pathological fracture and reduce the quality of life in affected patients. In DRAO, active osteoclastic bone resorption is found at the bone surface facing the invaded synovial tissue and/or intervertebral disc, whereas reactive bone formation is absent. The eroded bone surface is covered with osteoclasts, suggesting the local promotion of osteoclastogenesis and osteoclast activation around DRAO. Inflammatory cells infiltrating the synovial tissue are likely to promote inflammatory osteolysis. Three possible pathways can be considered for the osteoclastogenesis and/or osteoclast activation in inflammatory osteolysis in DRAO: (1) indirect action of the inflammatory cytokines through the receptor activator of nuclear factor-kappaB ligand/osteoprotegerin ligand (RANKL/OPGL) expression in osteoblasts, (2) direct action of inflammatory cytokines, and (3) RANKL/OPGL expression in inflammatory cells. To apply antiosteoclastic agents as another therapy for DRAO, we have to clarify the roles of those pathways in local osteoclastogenesis and/or osteoclast activation.

Osteomyelitis of both femora in a patient on maintenance hemodialysis with severe uremic osteopathy
Krempien, B. and E. Ritz (1972), Virchows Arch A Pathol Pathol Anat 356(2): 119-26.

Osteopath admitted to medical society. Deviation from accepted practice. Student nurse accident
Regan, W. A. (1966), Hosp Prog 47(3): 20-4.

Osteopathic and "old school" results in mental diseases. 1933
Merrill, E. S. (2000), J Am Osteopath Assoc 100(8): 503-4.

Osteopathic and allopathic medicine
Gimlett, D. M. (1972), J Occup Med 14(12): 892.

Osteopathic approach may be helpful in war on terrorism
Rogers, F. J. (2002), J Am Osteopath Assoc 102(1): 8.

Osteopathic approach to sexual dysfunction: holistic care to improve patient satisfaction and prevent mortality and morbidity
Martin, R. B. (2004), J Am Osteopath Assoc 104(1 Suppl 1): S1-8.
Abstract: Erectile dysfunction has multiple causes; most commonly the causes are mixed, a combination of physical and physiologic dysfunction. Two hypothetical case presentations provide the context for a discussion of the neurologic basis of erectile dysfunction and sexual dysfunction from the perspective of osteopathic medicine's holistic approach. Both offer osteopathic physicians the challenge of correcting structural, biological, and chemical defects to restore normal function. One of the cases is representative of patients who do not tell their physicians about sexual dysfunction unless their physicians specifically ask, and even then, these patients are most likely to lie to protect their self-esteem. The second hypothetical patient is representative of those patients who consult their physicians for any reason other than sexual dysfunction, expecting their physicians to figure out the real problem. Both of the hypothetical patients require not only support, but also education and counseling to motivate them to adopt healthier lifestyles and choices. Both would benefit from osteopathic manipulative treatment to correct structural abnormalities, and an oral medication such as a phosphodiesterase type 5 inhibitor offers both patients a good and easily accepted treatment option for erectile dysfunction.

Osteopathic basics
Beal, M. C. (1980), J Am Osteopath Assoc 79(7): 456-9.

Osteopathic certification: the question of jurisdiction
Ward, W. D. and K. Illing (1985), J Am Osteopath Assoc 85(11): 732-5.

Osteopathic college alumni
Pennell, M. Y. (1962), J Am Osteopath Assoc 61: 755-62.

Osteopathic cranial lesions. 1948
Kimberly, P. E. (2000), J Am Osteopath Assoc 100(9): 575-8.

Osteopathic dilemma
Drew, F. E. (1966), Wis Med J 65(10): 415-6.

Osteopathic education
Mills, L. W. (1950), J Am Osteopath Assoc 49(5): 271-82.


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