Osteopathy Articles and Abstracts

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

Osteopathy Journal Articles

Record 1281 to 1320
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Rigid patterns of thought must never halt osteopathic progress
Eggleston, A. A. (1951), J Osteopath (Kirksvill) 58(11): 13-7; passim.

RN's professional acts: hospital accountability. Case in point: South Bend Osteopathic Hosp. v. Phillips (411 N.E. 2d 387 - IND.)
Regan, W. A. (1981), Regan Rep Nurs Law 21(8): 4.

Roentgen observations in diabetic osteopathy
Gondos, B. (1968), Radiology 91(1): 6-13.

Role of keto acids in the prophylaxis and treatment of renal osteopathy
Frohling, P. T., R. Schmicker, et al. (1988), Contrib Nephrol 65: 123-9.
Abstract: KA administration given in addition to a low-protein diet leads to a reduction of PTH secretion followed by diminishing of osteofibrosis. Osteomalacia will also be reduced by a better control of the calcium-phosphate metabolism, an increase of 1,25-(OH)2-D levels, and a lower burden of aluminum. Therapeutic levels of 25-OH-D and calcitonin (caused by simultaneous administration of vitamin D) are probably necessary to achieve this effect. KA are not only the optimum form of substitution in the nutritional treatment of chronic renal failure, but they seem to be very effective in the treatment of renal osteodystrophy.

Role Of Osteopathic Manipulative Therapy In Emotional Disorders: A Physiologic Hypothesis
Bradford, S. G. (1965), J Am Osteopath Assoc 64: 484-93.

Roleof the osteopathic physician in public health
Larimore, G. W. (1969), J Am Osteopath Assoc 68(12): 1235-9.

Rose-colored view. The boom in osteopathy: what DOs are doing right
Peck, P. (1987), Physicians Manage 27(5): 81-6, 89.

Rural osteopathic family physician supply: past and present
Tooke-Rawlins, D. (2000), J Rural Health 16(3): 299-300.

Saccharated ferric oxide-induced osteomalacia in Japan: iron-induced osteopathy due to nephropathy
Sato, K. and M. Shiraki (1998), Endocr J 45(4): 431-9.
Abstract: Saccharaed ferric oxide (SFO)-induced osteomalacia develops when excessive SFO infusions are administrated to patients with anemia for prolonged periods for a few years. The small particles and almost neutral saccharide of SFO filter through the glomerular tufts into the renal tubules, resulting in impairment of proximal renal tubular function, particularly renal reabsorption of phosphate and 1alpha-hydroxylase activity, resulting in decreased serum levels of phosphorus and active vitamin D, both of which lead to development of hypophosphatemic osteomalacia. Furthermore, SFO, at concentrations attainable in serum, exacerbates the osteomalacia by inhibiting bone formation directly. In contrast to itai-itai disease, another iatrogenic osteomalacia due to cadmium nephropathy 44, the proximal renal tubular function impairment induced by SFO is reversible simply by discontinuing the nephrotoxin, which is followed by improvement of all the clinical manifestations, except bone deformities. So far, SFO-induced osteomalacia, that is, SFO-induced osteopathy due to nephropathy, has been reported only in Japan, probably due to the lax surveillance system of the health insurance scheme. All physicians who prescribe SFO should be aware of its severe adverse effects. We hope that such iatrogenic osteomalacia caused by abusive infusion of SFO will never again be reported in our country.

Scientific research in osteopathy
Burton, A. K. (1985), Br J Rheumatol 24(1): 2-4.

Segmental definition: Part II. Application of an indirect method in osteopathic manipulative treatment
Johnston, W. L. (1988), J Am Osteopath Assoc 88(2): 211-7.

Seize opportunity to foster osteopathic pride
Bahrami, P. (1999), J Am Osteopath Assoc 99(3): 130.

Selected skeletal dysplasias: craniomandibular osteopathy, multiple cartilaginous exostoses, and hypertrophic osteodystrophy
Alexander, J. W. (1983), Vet Clin North Am Small Anim Pract 13(1): 55-70.

Selection criteria for applicants in primary care osteopathic graduate medical education
Bates, B. P. (2002), J Am Osteopath Assoc 102(11): 621-6.
Abstract: Program directors of American Osteopathic Association (AOA)-approved primary care graduate training programs were surveyed concerning the relative importance of 12 academic and 10 nonacademic performance-based variables related to trainee selection. Programs holding both AOA and Accreditation Council for Graduate Medical Education approval were also compared to programs holding only AOA approval. Results were compared to a previous osteopathic survey and to similar surveys among allopathic programs. Nonacademic variables remain among those most highly valued by directors, though a possible trend toward the academic variables was perceived. Implications for colleges of osteopathic medicine, program directors, and students are discussed.

Selection criteria in postgraduate osteopathic medical education
Bates, B. P., C. K. Bates, et al. (1988), J Am Osteopath Assoc 88(3): 391-5.

Severe arthropathy and osteopathy following combined renal/pancreas transplantation
Derfus, B. A., G. F. Carrera, et al. (1992), Transplantation 53(3): 678-81.

Sinusitus Supplement missing osteopathic component
Dudley, G. (1998), J Am Osteopath Assoc 98(10): 539-40.

Sir William Osler then and now: thoughts for the osteopathic profession
Calabrese, L. H. (2005), J Am Osteopath Assoc 105(5): 245-9.

So you want to be an. osteopath
Hocking, J. (1999), Nurs Times 95(9): 32-3.

Soft tissues in areas of osteopathic lesion. 1947
Denslow, J. S. (2001), J Am Osteopath Assoc 101(7): 406-9.

Somatic dysfunction, osteopathic manipulative treatment, and the nervous system: a few facts, some theories, many questions
Korr, I. M. (1986), J Am Osteopath Assoc 86(2): 109-14.

Somatovisceral response following osteopathic HVLAT: a pilot study on the effect of unilateral lumbosacral high-velocity low-amplitude thrust technique on the cutaneous blood flow in the lower limb
Karason, A. B. and I. P. Drysdale (2003), J Manipulative Physiol Ther 26(4): 220-5.
Abstract: INTRODUCTION: Spinal manipulative treatment is widely used among manual therapists, although knowledge regarding the absolute physiological effects has not been clearly established. In this study, 20 healthy male subjects underwent a unilateral high-velocity low-amplitude thrust (HVLAT) to the lumbosacral junction, while the cutaneous blood flow in the corresponding dermatome of the lower limb was monitored. METHODS: Subjects underwent a sham manipulation before the actual manipulation and acted as their own control. Laser Doppler flowmetry was used to measure relative changes in the cutaneous blood flow over the L5 dermatome for 5 minutes before the sham manipulation, for 5 minutes between the sham and the actual manipulation, and for 5 minutes after the spinal adjustment. Analysis of variance (ANOVA) and Tukey post hoc analysis was used in the interpretation of the data. RESULTS: Twelve nonsmoking subjects, who received a successful HVLAT manipulation, showed a significant increase (P <.001) in blood perfusion, both ipsilaterally and contralaterally. Six smokers responded with a significant decrease in blood flow ipsilaterally (P <.01) and contralaterally (P <.001) after HVLAT manipulation. CONCLUSION: The results from this study support previous published hypotheses that spinal adjustments outside the region of the sympathetic outflow result in an increase in cutaneous blood flow. Further studies will be needed to confirm the outcome of this study, and more knowledge is needed regarding the specific neurophysiological effects of spinal manipulation.

Some effects of the osteopathic vertebral lesion in striated musculature and associated structures
Cole, W. V. (1950), J Am Osteopath Assoc 49(10): 513-22.

Some observations on the use of osteopathic therapy in the care of patients with cardiac disease
Johnson, F. E. (1972), J Am Osteopath Assoc 71(9): 799-804.

Some problems in making osteopathic spinal manipulative therapy appropriate and specific
Bailey, H. W. (1976), J Am Osteopath Assoc 75(5): 486-99.

Some thoughts on an osteopathic curriculum
Korr, I. M. (1975), J Am Osteopath Assoc 74(8): 685-8.

Special services in accredited osteopathic hospitals for cardiovascular and chronic respiratory patients
Pekover, J., M. Robins, et al. (1971), J Am Osteopath Assoc 70(8): 794-813.

Special services in accredited osteopathic hospitals for cardiovascular and chronic respiratory patients
Robins, M. and E. P. Crowell (1966), J Am Osteopath Assoc 66(2): 181-206.

Specific osteopathic manipulate treatment
Keller, J. A. (1952), J Osteopath (Kirksvill) 59(6): 19-21.

Spinal irritation and osteopathy
Schiller, F. (1971), Bull Hist Med 45(3): 250-66.

Spinal manipulation for low-back pain: a treatment package agreed to by the UK chiropractic, osteopathy and physiotherapy professional associations
Harvey, E., A. K. Burton, et al. (2003), Man Ther 8(1): 46-51.
Abstract: Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial--a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.

Sports injuries: how osteopathy can help
Moule, T. G. (1979), Nursing (Lond)(4): 163-5.

Staining for histologic diagnosis of aluminum osteopathy--application of confocal laser scanning microscopy to observation for offminum in bones from aluminum-treated, subtotally nephrectomized rats
Teraki, Y., A. Uchiumi, et al. (1998), Kaibogaku Zasshi 73(4): 317-28.
Abstract: To histologically detect excess aluminum (Al) taken up by bones in a rat model of renal failure prepared by 5/6-nephrectomy, non-decalcified bone tissue sections from specimens of the tibia, femur, rib and ilium were stained with a newly developed lumogallion reagent and examined for aluminum by confocal laser scanning microscopy. The assay revealed that Al contents in the tibia and femur of Al-treated rats tended to be a few-fold higher, compared to controls. With the lumogallion stain technique, Al in bones could be detected and identified at Al concentrations of > or = 9.0 micrograms/g in bone tissues. The reaction of the metal with lumogallion is specific and proved to be positive even at concentrations of excess Al so low as to be undetectable by conventional methods. The present observation disclosed that, unlike the generally accepted view, the Al was accumulated not in the calcification front but was distributed diffusely or as aggregates at high concentration in osteoid tissues. Z mode scans of the slides permitted steric delineation of the state of Al accumulation in bone tissues. The method described herein is considered a useful means for clinical diagnosis of aluminum osteopathy.

Standard osteopathic manipulative treatment acutely improves gait performance in patients with Parkinson's disease
Wells, M. R., S. Giantinoto, et al. (1999), J Am Osteopath Assoc 99(2): 92-8.
Abstract: Patients with Parkinson's disease exhibit a variety of motor deficits which can ultimately result in complete disability. The primary objective of this study was to quantitatively evaluate the effect of osteopathic manipulative treatment (OMT) on the gait of patients with Parkinson's disease. Ten patients with idiopathic Parkinson's disease and a group of eight age-matched normal control subjects were subjected to an analysis of gait before and after a single session of an OMT protocol. A separate group of 10 patients with Parkinson's disease was given a sham-control procedure and tested in the same manner. In the treated group of patients with Parkinson's disease, statistically significant increases were observed in stride length, cadence, and the maximum velocities of upper and lower extremities after treatment. There were no significant differences observed in the control groups. The data demonstrate that a single session of an OMT protocol has an immediate impact on Parkinsonian gait. Osteopathic manipulation may be an effective physical treatment method in the management of movement deficits in patients with Parkinson's disease.

Standardization of the hospital record for osteopathic structural examination: Part 2. Effects of an educational intervention on documentation of palpatory and structural findings and diagnosis
Friedman, H. D., W. L. Johnston, et al. (1996), J Am Osteopath Assoc 96(9): 529-36.
Abstract: The purpose of this two-part study was to develop and test an instructional videotape for use in the osteopathic hospital setting; to standardize a procedure for documentation of palpatory and structural findings and diagnoses; and to examine the program's influence on the correlation of palpable and structural findings with a diagnostic impression of somatic dysfunction. To that end, the authors analyzed results of a survey of the medical records of 20 osteopathic training hospitals. Patients' charts were randomly pulled before and after house staff who performed admitting hospital examinations viewed an educational videotape. The videotape emphasized that the structural and palpatory screening examination should simply answer the question, "Is there a problem in the musculoskeletal system?" Chi-square analysis was used to evaluate the frequency of documentation of altered structural findings (structure, motion, tissue changes) and the diagnostic impression of somatic dysfunction and their correlation. Based on more than 300 reviewed charts, the authors found that the frequency of documentation of structural and palpatory examination was not significantly altered after house staff viewed the videotape. A sequence of hospital-based instruction in osteopathic principles and practices has been initiated at more than 50 osteopathic medical institutions, and the problems related to continuing medical education and clinical research in osteopathic medicine are discussed.

Standardization of the hospital record for osteopathic structural examination: recording of musculoskeletal findings and somatic dysfunction diagnosis
Seffinger, M. A., H. D. Friedman, et al. (1995), J Am Osteopath Assoc 95(2): 90-6.
Abstract: The diagnosis of somatic dysfunction is supported by the recording of positive musculoskeletal findings (altered structure, motion, tissue). We conducted a national survey to assess the status of the documentation of this relationship in the hospital setting. The 26 participating osteopathic training hospitals submitted 719 admitting physical examination forms, of which 417 (58%) met study criteria (adult patients on medicine or surgical service with a musculoskeletal examination documented on the chart). On 234 charts (56%), at least one positive finding was recorded but no diagnosis of somatic dysfunction was stated. Of 14 charts with a diagnosis of somatic dysfunction, 10 had a positive musculoskeletal finding recorded. The relationship between positive musculoskeletal findings and somatic dysfunction is not being documented on osteopathic training hospital admitting physical examination forms. Proper documentation of a somatic dysfunction diagnosis and related positive musculoskeletal findings will enable multisite research on the relationship between somatic dysfunction and other health problems documented on the hospital medical record. A multiple data collection system that is workable, reliable, and reproducible was developed as a result of this study.

Standardized medical record: a new outpatient osteopathic SOAP note form: validation of a standardized office form against physician's progress notes
Sleszynski, S. L., T. Glonek, et al. (1999), J Am Osteopath Assoc 99(10): 516-29.
Abstract: The accuracy and efficiency of recording information on a one-page standardized Outpatient Osteopathic SOAP Note Form (SNF) was compared with that obtained using the physician's progress notes (PPN). Use of the SNF in lieu of the PPN would assure the physician that proper clinical data were recorded to ensure proof of need and care in any instances of refused reimbursement. Moreover, standardized SNFs could be used to document and analyze present treatment protocols, enabling medical advances. Ten osteopathic physicians, who were skilled in osteopathic manipulative treatment (OMT), enrolled 300 patients. Initial and follow-up examinations totaled 959 visits (statistical cases); 76 statistical variables were compared. Essentially all information recorded in the PPN was recorded on the SNF. A significant difference (P <.05) was found between the PPN data set and the SNF data set in all but 17 of the 76 variables. Greater content of information almost always was found with the SNF data set. In addition, the SNF contained information not found in the PPN, most notably the severity and response to treatment of detected somatic dysfunctions. Participating physicians stated that the SNF takes about the same amount of time to fill in as the PPN. This makes the SNF a practical instrument for accurately and efficiently obtaining patient data in all physicians' offices. The validation study conducted demonstrated that the Outpatient Osteopathic SOAP Note Form easily and accurately reflected information recorded in the PPN and that data recorded may be used by physicians in their individual practices or for the conduct of osteopathic research.

Standards for Pediatric Immunization Practices: an osteopathic physician's commentary and 'reality check'
Marino, R. V. (1993), J Am Osteopath Assoc 93(8): 847-54.
Abstract: The "Standards for Pediatric Immunization Practices," recommended by the National Vaccine Advisory Committee and approved by the US Public Health Service, provides guidance to clinicians as to what the National Vaccine Advisory Committee considers optimal practice. Each of the 18 recommendations reflects the ideal; unfortunately, life in the trenches is less than ideal. Providers must reflect on each point and consider how they might modify their own practices to help us to realize the goal of Healthy People 2000, that is, 90% immunization coverage by the child's second birthday. The Standards are clear. They are reprinted herein from MMWR (April 23, 1993;425). Following each is a response, sort of a reality check, from the author, a practicing clinician and practice administrator.

State healthcare reform: an arena for the osteopathic medical profession's influence
Ross-Lee, B. and M. A. Weiser (1994), J Am Osteopath Assoc 94(5): 404-8, 411-3.
Abstract: While healthcare reform proposals are debated at the national level, states continue to propose and implement reform measures to address Medicaid, health insurance, universal coverage and access, medical liability, and cost-containment. The authors examine the shared responsibility of the federal and state governments for healthcare regulation and the surprising number of powers that reside with the states. They review the major barriers to state reform represented by restrictions within Medicaid and the Employee Retirement Income Security Act of 1974 (ERISA) legislation. Established state programs in Maryland, Hawaii, and Arizona are revisited, and innovative reforms in Oregon, Tennessee, and Washington are examined. Finally, the authors concentrate on the reform measures under way in the five most heavily DO-populated states, pointing out the potential for one of the big three (Michigan, Pennsylvania, and Ohio) to emerge as a model for the larger states. They urge osteopathic physicians to exert influence, based on their record of serving the Medicaid and other underserved populations, in state settings where they can be most effective.

State of the art in standardized patient programs: a survey of osteopathic medical schools
Errichetti, A. M., J. R. Gimpel, et al. (2002), J Am Osteopath Assoc 102(11): 627-31.
Abstract: In 2001, the authors sent a survey to all 19 schools of osteopathic medicine requesting information about how standardized patients are used for clinical teaching and skills assessment. The purpose of this survey was to identify key people involved in standardized patient programs (SPPs), to gather information on the resources allocated by osteopathic medical schools, to determine the "state of the art" of standardized patient teaching and assessment in osteopathic medical schools, and to assess which SPPs would be available to assist in the development of the new component of the National Board of Osteopathic Medical Examiners licensing examination, the Comprehensive Osteopathic Medical Licensing Examination Performance Evaluation. The survey results revealed that 12 osteopathic medical schools have SPPs that teach and assess clinical skills, including history taking; physical examination (complete and focused); genital, rectal, and breast examinations; physician-patient communication, osteopathic manipulative medicine or osteopathic manipulative treatment. Details of the 12 schools' SPPs are highlighted.

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