| For medical practitioners and osteopaths - Osteopathy Journal Articles Catalog. |
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| The model curriculum: assuring quality in postdoctoral osteopathic education Alschuler, M. (1986), J Am Osteopath Assoc 86(11): 724-6. |
| The muscle hypothesis: a model of chronic heart failure appropriate for osteopathic medicine Rogers, F. J. (2001), J Am Osteopath Assoc 101(10): 576-83. Abstract: Chronic heart failure is one of the most serious medical problems in the United States, affecting some 4 million persons. In spite of its common occurrence, and comprehensive literature regarding this condition, no unifying hypothesis has been accepted to explain the signs and symptoms of chronic heart failure. The cardiocirculatory and neurohormonal models place an emphasis on left ventricular ejection fraction and cardiac output and do not provide appropriate explanations for the symptoms of breathlessness and fatigue. The muscle hypothesis supplements these conventional models. It proposes that abnormal skeletal muscle in heart failure results in activation of muscle ergoreceptors, leading to an increase in ventilation and sensation of breathlessness, the perception of fatigue, and sympathetic activation. At least one fourth of patients with chronic heart failure are limited by skeletal muscle abnormalities rather than cardiac output. Cardiac rehabilitation exercise can lead to an increase in exercise capacity that is superior to that gained from digitalis or angiotensin-converting enzyme inhibitors. Exercise tends to reverse the skeletal muscle myopathy of chronic heart failure and reduces the abnormal ergoreflex. Other interventions that have been shown to have a favorable outcome include localized muscle group training, respiratory muscle training, and dietary approaches. The possibility that osteopathic manipulative treatment might be of benefit is an attractive, but untested, possibility. |
| The necessity for emphasizing and strengthening the manipulative service offered in osteopathic hospitals. 1947 Peckham, F. F. (2000), J Am Osteopath Assoc 100(11): 748-9. |
| The organizational rejuvenation of osteopathy: a reflection of the decline of professional dominance in medicine Baer, H. A. (1981), Soc Sci Med A 15(5): 701-11. |
| The osteopathic approach to cardiac and pulmonary problems Frymann, V. M. (1978), J Am Osteopath Assoc 77(9): 668-73. |
| The osteopathic approach to fluid and electrolyte therapy Corson, S. A. and E. O. Corson (1953), J Am Osteopath Assoc 53(4): 202-9. |
| The osteopathic approach to obstetrics Sandler, S. (1983), Midwife Health Visit Community Nurse 19(9): 365. |
| The osteopathic concept in its second century: Is it still germane to specialty practice Greenman, P. E. (1976), J Am Osteopath Assoc 75(6): 589-95. |
| The osteopathic concept of disease. A critical evaluation Northup, G. W. (1950), J Am Osteopath Assoc 50(4): 209-11. |
| The osteopathic cranial concept: fact or fiction? Ferre, J. C. and J. Y. Barbin (1991), Surg Radiol Anat 13(3): 165-70. |
| The osteopathic distinction: fact or fancy? Peppin, J. F. (1993), J Med Humanit 14(4): 203-22. Abstract: Since osteopathic medicine's inception its distinction has been proclaimed steadfastly in the osteopathic literature. The uniqueness has been claimed to reside in: (1) rigid adherence to A.T. Still's tenets; (2) osteopathic manipulative treatment (OMT); (3) claims of "holism"; (4) "osteopathic principles", (5) esoteric definitions; and (6) other suggested differences. None of these claims can be successfully defended. An aspect of the osteopathic distinction may lie in the didactic of OMT per se. Certain experiences in medical school contribute to the "reconstruction" of the student's view of the patient. Touch, through OMT, may be a quality that affects this change and helps make the osteopathic physician different. When blended with traditional medical modalities this may result in a unique medical perspective. The ideal approach for the osteopathic profession would be an honest evaluation of its function in society and its uniqueness in medicine. The profession may discover a uniqueness with touch as an integral part. |
| The osteopathic examination: an approach to teaching Fiel, N. J. (1974), J Am Osteopath Assoc 73(7): 526-33. |
| The Osteopathic Graduate Medical Education Development Initiative Kasovac, M. (2001), J Am Osteopath Assoc 101(11): 677-10. |
| The osteopathic hospital system; its opportunities and responsibilities in the service of health Levitt, A. (1956), J Am Osteopath Assoc 55(10): 647-50. |
| The osteopathic hospital: V. Is smallness bad? Northup, G. W. (1981), J Am Osteopath Assoc 80(5): 322. |
| The osteopathic lesion as the etiological factor in some common surgical disorders. 1948 Conley, G. J. (2001), J Am Osteopath Assoc 101(8): 467-70. |
| The osteopathic lesion complex; the effects of the experimental osteopathic lesion, chemical irritants in the muscle at the level of the sixth thoracic segment, and chemical irritants in the liver Cole, W. V. (1949), J Am Osteopath Assoc 49(3): 135-41, illust. |
| The osteopathic lesion in the obstetric patient mechanism and clinical aspects Denslow, J. S. (1955), J Am Osteopath Assoc 55(2): 146-50. |
| The osteopathic lesion syndrome. VIII. The effects of an experimental vertebral lesion on the gross structure of the atlanto-occipital region Cole, W. V. (1950), J Am Osteopath Assoc 49(9): 447-50. |
| The osteopathic lesion syndrome. X. The effects of an experimental vertebral articular strain on the sensory unit Cole, W. V. (1952), J Am Osteopath Assoc 51(8): 381-7. |
| The osteopathic management of anterior metatarsalgia Pratt, W. A. (1949), J Am Osteopath Assoc 49(3): 142-4. |
| The osteopathic management of trigeminal neuralgia Lay, E. M. (1975), J Am Osteopath Assoc 74(5): 373-89. |
| The osteopathic medicine game: new strategies for winning Meyer, C. T. (1994), J Am Osteopath Assoc 94(9): 715-8, 723-31. Abstract: The recruitment and retention of osteopathic medical students by osteopathic medical institutions is arguably the most important priority facing the profession today. Residencies accredited by the Accreditation Council on Graduate Medical Education are now the major competitors for osteopathic medical students; osteopathic residency graduates are readily accepted at most hospitals; and osteopathic medical faculty are regularly appointed to university and government positions. As a result, many osteopathic medical institutions are having difficulty in filling their training programs and recruiting faculty and medical staff physicians. These recruitment problems can be resolved by the development of graduate medical education (GME) programs that are competitive with their allopathic GME counterparts, but hospitals and colleges must do so by developing a new approach to osteopathic GME. Osteopathic GME must sell academic quality by developing a university-like environment in the hospitals conducting training programs. Osteopathic training hospitals should consider requiring their directors of medical education to develop strategic plans for GME which result in the development of competitive programs. |
| The osteopathic orthopedic surgeon and industrial back problems Gerber, A. (1972), J Occup Med 14(11): 851-3. |
| The osteopathic physician and third party medicine Classen, T. F. (1959), J Am Osteopath Assoc 59: 133-8. |
| The Osteopathic Physician's Contribution To The Nation's Physical Fitness McNeely, S. A. (1963), J Am Osteopath Assoc 63: 223-8. |
| The osteopathic physician-trustee perspective Fraser, D. L. (1979), Mich Hosp 15(6): 12-3. |
| The osteopathic problem Meadors, M. L. (1968), J S C Med Assoc 64(1): 19-20. |
| The osteopathic problem Smith, M. C. (1954), Nebr State Med J 39(3): 79-83. |
| The osteopathic problem Vest, W. E. (1953), Fed Bull 39(2): 35-8. |
| The osteopathic profession and the public health Eveleth, T. B. (1956), J Am Osteopath Assoc 55(5): 320-2. |
| The outlook for osteopathic medical specialists within a reformed healthcare system Ross-Lee, B., M. A. Weiser, et al. (1994), J Am Osteopath Assoc 94(7): 558-67. Abstract: Osteopathic specialists enjoy the unique advantages of practicing in a profession with the recommended mix of generalists and specialists as healthcare reform heats up. Ironically, market reforms, driven by cost-containment, challenge the infrastructure of osteopathic physician practice, hospital care, and osteopathic education, all of which support the generalist/specialist mix that healthcare reformers are trying to attain. The authors trace the development of specialties in the osteopathic medical profession in response to persecution and isolation, and explain the differences between allopathic and osteopathic medical specialists. They document the rationale of a physician mix favoring an increased proportion of generalists. Finally, they argue persuasively that no one has a stronger motivation to help position the osteopathic medical infrastructure for survival than the osteopathic medical specialist. |
| The paradox of osteopathy Howell, J. D. (1999), N Engl J Med 341(19): 1465-8. |
| The passive straight leg raising test in the diagnosis and treatment of lumbar disc herniation: a survey of United kingdom osteopathic opinion and clinical practice Rebain, R., G. D. Baxter, et al. (2003), Spine 28(15): 1717-24. Abstract: STUDY DESIGN: Postal questionnaire survey. OBJECTIVES: To carry out a confidential postal survey of United Kingdom osteopaths in order to record and assess their use of the passive straight leg raising test in the diagnosis of, and choice of, manipulation for lumbar disc herniation. The study also sought to determine whether an association existed between osteopaths' manipulation of suspected lumbar disc herniation and their use of the straight leg raising test, the length of their working hours, and their use of manipulation for the treatment of other lumbar conditions. SUMMARY OF BACKGROUND DATA: The literature is not agreed on important aspects of the straight leg raising test, or on the use of spinal manipulation for suspected lumbar disc herniation. This is thought to be the first study to investigate opinion and practice in a large group of spinal manipulators, in this case United Kingdom osteopaths. METHODS: A questionnaire was sent to all 1030 United Kingdom osteopaths registered with the General Osteopathic Council in January 2000. It comprised four sections: personal characteristics, professional characteristics, background to low back pain cases, details of straight leg raising test understanding and use within the diagnosis and treatment of lumbar disc herniation. RESULTS: A response rate of 44% was achieved. United Kingdom osteopaths' opinions of low back pain and lumbar disc herniation clinical presentations, details of straight leg raising test mode of action, procedure, and interpretation were in keeping with the literature. Fifty-four percent of respondents sometimes employed manipulation in the treatment of lumbar disc herniation, but most of the others described the practice as "dangerous." The literature is similarly divided on the practice. Chi-square and Cramer V analysis implied that respondents were not influenced in choosing manipulation for lumbar disc herniation by their use of the straight leg raising test (chi2 = 4.002, df = 3, Cramer V = 0.0959, P = 0.261, alpha 0.05, n = 435). A moderate association implied that the frequency of use of such manipulation for all lumbar conditions influenced the choice of that treatment for lumbar disc herniation (chi2 = 81.808, df = 4, Cramer V = 0.4302, P < 0.001, alpha = 0.05, n = 442). There was also a weak association suggesting that hours worked per week influenced the choice of manipulation for lumbar disc herniation (chi2 = 9.840, df = 3, Cramer V = 0.1499, P = 0.020, alpha = 0.05, n = 438). CONCLUSIONS: Respondents to this survey frequently treated low back pain and often employed the straight leg raising test in its diagnosis. Their recognition of the clinical presentation of lumbar disc herniation and their use and understanding of the straight leg raising test were in keeping with the literature. Respondents were divided nearly equally between those who would expect patient benefit from the use of manipulation for lumbar disc herniation and those who criticized the practice. There is a need for further research into the clinical reasoning employed for the manipulative treatment of lumbar disc herniation. |
| The physical fitness of first-year osteopathic medical students Licciardone, J. C. and R. D. Hagan (1992), J Am Osteopath Assoc 92(3): 327-33. Abstract: The authors studied the physical fitness of first-year students attending an osteopathic medical college between 1981 and 1986. Overall, 319 (49.2%) of all students entering during this period participated in a comprehensive health and fitness assessment. The mean treadmill performance times for men and women were 20.4 minutes and 15.5 minutes, respectively, using a modified Balke protocol. Men and women were at the 72nd and 79th percentiles, respectively, for physical fitness. In multivariate regression models that adjusted for confounding variables, body fat percentage was a highly significant negative predictor of fitness in both men and women. Forced vital capacity was also a highly significant predictor in women. The results of the study suggest that the fitness of medical students can be improved by implementing health promotion measures that encourage regular physical activity and dietary modification. A greater emphasis on health promotion in the medical curriculum may help students to adopt more healthy behaviors and, in addition, encourage them to provide preventive medical counseling to their patients. |
| The physiologic response of the nose to osteopathic manipulative treatment: preliminary report Kaluza, C. L. and M. Sherbin (1983), J Am Osteopath Assoc 82(9): 654-60. |
| The place of the osteopathic concept in the healing art. 1947 Denslow, J. S. (2001), J Am Osteopath Assoc 101(1): 35-41. |
| The progression of osteopathic medicine internationally: a survey of America-trained DOs practicing abroad Shadday, G. J., G. G. Papadeas, et al. (1988), J Am Osteopath Assoc 88(9): 1095-8. |
| The pull toward the vacuum: osteopathic medical education in the 1980s Cummings, M. (1990), J Am Osteopath Assoc 90(4): 353-62. Abstract: During the 1980s, the two major influences in osteopathic medical education were the increasingly large number of new DOs seeking internships and residencies and the loss of training sites as a result of the shrinking osteopathic hospital network. Owing mainly to a declining interest in primary care by young MDs, allopathic postdoctoral program directors, particularly in primary care specialties, began to actively recruit osteopathic physicians. An oversupply of positions on the allopathic postdoctoral side and an undersupply of residency positions in osteopathic postdoctoral programs contributed to a crossover trend. The programs approved by the Accreditation Council for Graduate Medical Education have made significant inroads in attracting DOs. It has reached the point where two out of every three DOs currently training in a primary care residency can be found in an allopathic program. If it continues, this pattern will have a significant impact on the character of osteopathic medical education. |
| The relation of the osteopathic somatic lesion to visceral pathology; the A. D. Becker Memorial Address, 1950 Robuck, S. V. (1951), J Am Osteopath Assoc 50(6): 321-4. |