The Journal of the American Osteopathic Association
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Psoas syndrome is an easily missed diagnosis. However, it is important to consider this condition as part of the differential diagnosis for patients presenting with low back pain--particularly for osteopathic physicians, because patients may view these practitioners as experts in musculoskeletal conditions. ⋯ After the correct diagnosis was made, he was treated by an osteopathic physician using osteopathic manipulative treatment, in conjunction with at-home stretches between office treatments. At his 1-month follow-up appointment, he demonstrated continued improvement of symptoms and a desire for further osteopathic manipulative treatment.
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J Am Osteopath Assoc · Aug 2012
Randomized Controlled TrialPreventative osteopathic manipulative treatment and the elderly nursing home resident: a pilot study.
Elderly nursing home residents are generally in poor health. Many residents report pain on a daily basis, few are independent in their activities of daily living, and most take a large number of medications. ⋯ Twice monthly OMT and LT protocols reduced the number of hospitalizations and decreased medication usage in elderly nursing home residents.
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J Am Osteopath Assoc · Jul 2012
Randomized Controlled TrialSomatic dysfunction and its association with chronic low back pain, back-specific functioning, and general health: results from the OSTEOPATHIC Trial.
Somatic dysfunction is diagnosed by the presence of any of 4 TART criteria: tissue texture abnormality, asymmetry, restriction of motion, or tenderness. ⋯ The present study demonstrates that somatic dysfunction, particularly in the lumbar and sacrum/pelvis regions, is common in patients with chronic LBP. Forthcoming extensions of the OSTEOPATHIC Trial will assess the efficacy of OMT according to baseline levels of somatic dysfunction.
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J Am Osteopath Assoc · May 2012
Randomized Controlled TrialEfficacy of osteopathic manipulative treatment for low back pain in euhydrated and hypohydrated conditions: a randomized crossover trial.
Low back pain (LBP) affects up to 85% of all persons at some time in life and is a condition for which osteopathic manipulative treatment (OMT) has been shown to be beneficial. Measures that can improve the efficacy of OMT would further benefit patients; one such measure, hydration status, was explored in this study. ⋯ Outcome measures improved for all participants, with greater improvement observed after participants were treated in the euhydrated condition than when in the hypohydrated condition. It is reasonable for clinicians to recommend that patients increase their hydration to optimize treatment.