Osteopathy may decrease obstructive apnea in infants: a pilot study

Osteopathy may have a positive influence on the incidence of obstructive apneas
during sleep in infants with a previous history of obstructive apneas as measured by
polysomnography : a pilot study
Yvan Vandenplas*, Etienne Denayer, Thierry Vandenbossche, Luc Vermet, Bruno Hauser, Jean DeSchepper and Agnes Engelen

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Abstract
Background: Obstructive apnea is a sleep disorder characterized by pauses in breathing during.
Sleep: breathing is interrupted by a physical block to airflow despite effort. The purpose of this study was to test if osteopathy could influence the incidence of obstructive apnea during sleep in infants.
Methods: Thirty-four healthy infants (age: 1.5–4.0 months) were recruited and randomized in two groups; six infants dropped out. The osteopathy treatment group (n = 15 infants) received 2 osteopathic treatments in a period of 2 weeks and a control group (n = 13 infants) received 2 nonspecific treatments in the same period of time. The main outcome measure was the change in the number of obstructive apneas measured during an 8-hour polysomnographic recording before and after the two treatment sessions.
Results: The results of the second polysomnographic recordings showed a significant decrease in the number of obstructive apneas in the osteopathy group (p = 0.01, Wilcoxon test), in comparison to the control group showing only a trend suggesting a gradual physiologic decrease of obstructive apneas. However, the difference in the decline of obstructive apneas between the groups after treatment was not significant (p = 0.43).
Conclusion: Osteopathy may have a positive influence on the incidence of obstructive apneas during sleep in infants with a previous history of obstructive apneas as measured by polysomnography. Additional research in this area appears warranted.

Osteopathic Medicine and Primary Care 2008, 2:8 doi:10.1186/1750-4732-2-8

 

Osteopathic Manipulative Treatment in the Emergency department for Patients With Acute Ankle Injuries

Study Objective: The purpose of this study was to evaluate the efficacy of osteopathic
manipulative treatment (OMT) as administered in the emergency department (ED) for the treatment of patients with acute ankle injuries.

Methods: Patients aged 18 years and older with unilateral ankle sprains were randomly assigned either to an OMT study group or a control group. Independent outcome variables included edema, range of motion (ROM), and pain. Both groups received the current standard of care for ankle sprains and were instructed to return for a followup examination. Patients in the OMT study group also received one session of OMT from an osteopathic physician.

Results: Patients in the OMT study group had a statistically significant (F = 5.92, P = .02) improvement in edema and pain and a trend toward increased ROM immediately following intervention with OMT. Although at follow-up both study groups demonstrated significant improvement, patients in the OMT study group had a statistically significant improvement in ROM when compared with patients in the control group.

Conclusions: Data clearly demonstrate that a single session of OMT in the ED can have a significant effect in the management of acute ankle injuries.

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Anita W. Eisenhart, DO
Theodore J. Gaeta, DO, MPH
David P. Yens, PhD

Osteopathic Manipulative Treatment in Prenatal Care

The use of osteopathic manipulative treatment (OMT) during pregnancyhas a long tradition in osteopathic medicine. A retrospectivestudy was designed to compare a group of women who receivedprenatal OMT with a matched group that did not receive prenatalOMT. The medical records of 160 women from four cities who receivedprenatal OMT were reviewed for the occurrence of meconium-stainedamniotic fluid, preterm delivery, use of forceps, and cesareandelivery. The randomly selected records of 161 women who werefrom the same cities, but who did not receive prenatal OMT,were reviewed for the same outcomes.

The results of a logisticregression analysis were statistically reliable, chi2 (4, N= 321) = 26.55; P < .001, indicating that the labor and delivery outcomes, as a set, were associated with whether OMT was administered during pregnancy. According to the Wald criterion, prenatal OMT was significantly associated with meconium-stained amniotic fluid (Z = 13.20, P < .001) and preterm delivery (Z = 9.91; P < .01), while the use of forceps was found to be marginally significant (Z = 3.28; P = .07). The case control study found evidence of improved outcomes in labor and delivery for women who received prenatal OMT, compared with women who did not. A prospective study is proposed as the next step in evaluating the effects of prenatal OMT.

HH King; MA Tettambel; MD Lockwood; KH Johnson; DA Arsenault; R Quist

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