8 - Research in OMT (Qureshi)

Question 1

If osteopathic physicians want to utilize OMT in practice and be paid for it by insurance/3rd party payers, then we need…

Answer 1

MORE RESEARCH IN OMM

Question 2

If you palpate someone, can you fix someone?

Answer 2

Yes, this is manual medicine

Question 3

T or F: It is difficult to achieve reliable and valuable research due to changes that occur in biological tissue with palpation.

Answer 3

True! palpating is a form of manual medicine.

Question 4

What do you need for evidence based osteopathic medicine research?

a) methods to evaluate and quantify manual techniques
b) have all techniques up to date with modern scientific standards
c) research reviewed by peers
d) all of the above

Answer 4

d) all of the above

Question 5

Which of the below are some problems with studies of osteopathic manipulative care or osteopathic care?

a) impossible to blind manipulator
b) not desirable to blind patients
c) may wish to determine the effect of patient knowledge as part of care
d) must be designed with blind data collection - control for bias (extraneous variables)
e) sham group not really possible
f) difficult to measure “skill”

Answer 5

ALL OF THEM

Question 6

In OMT, which is not a requirement to measure skill?

a) reliable system to measure technique
b) common definition on the quantification of the elements
c) understanding of quality of the elements of performance that are considered skillful

Answer 6

c) understanding of quality of the elements of performance that are considered skillful

Question 7

T or F: The OMT research world is moving toward simulations or models (like spring models) to allow for more consistent conditions

Answer 7

True!

Question 8

[TQ?] What is sham manipulation?

You should be able to differentiate between sham vs. control groups

Answer 8

Sham manipulation is something that mimics an intervention

Question 9

Which study has the highest level of evidence of all research, including MANY randomized control trials?

a) a meta analysis
b) a systematic review
c) a randomized control study
d) a case study

Answer 9

b) systematic review

Question 10

Which study evaluates the statistical analyses of several randomized controlled trials?

a) a meta analysis
b) a systematic review
c) a randomized control study
d) a case study

Answer 10

a) meta analysis

Question 11

Which study is the most reliable single study form of scientific evidence due to controlled conditions for confounding variables and controlling for bias??

a) a meta analysis
b) a systematic review
c) a randomized control study
d) a case study

Answer 11

c) a randomized control study

Question 12

Which study is the least reliable form of scientific research?

a) a meta analysis
b) a systematic review
c) a randomized control study
d) a case study

Answer 12

d) a case study

Question 13

After how many years are research studies considered outdated?

Answer 13

5 years. Boo.

Question 14

Which is not true regarding a study done by John C. Licciardone and the Osteopathic Research enter in Texas in 2005 and 2010?

a) Level of pain reduction persists for at least 3 months and can persist through the 2nd year of treatment
b) it was the very first systematic review and meta-analysis of osteopathic literature of it’s kind
c) it was a study that wanted to assess the effectiveness of OMT as complementary treatment of Low Back Pain
d) The results indicated that OMT significantly reduced LBP demonstrated with Significant pain reduction.

Answer 14

a) Level of pain reduction persists for at least 3 months and can persist through the 1st (not 2nd) year of treatment

Question 15

Which is not true regarding a study done by John C. Licciardone and the Osteopathic Research enter in Texas in 2005 and 2010?

a) Additional research is necessary for how effects are exerted and are the benefits long lasting and cost effective.
b) OMT is more effective for acute than chronic LBP.
c) The study was not approved by the Agency for Healthcare Research and Quality and the National Guideline Clearinghouse (NGC)

Answer 15

c) The study was not approved by the Agency for Healthcare Research and Quality and the National Guideline Clearinghouse (NGC)

IT WAS approved by both groups.

Question 16

What is not true about the study done by Dr. Tamar McReynolds and Dr. Barry Sheridan in 2005?

a) Pts received OMT reported significantly greater in pain intensity
b) OMT is as effective as IM keterolac in providing pain relief
c) OMT is significantly better than IM keterolac at reducing pain intensity
d) OMT is a reasonable alternative to parenteral non steroidal anti-inflammatory medication in patients with acute neck pain in the ED setting.

Answer 16

b) OMT is only AS EFFECTIVE (not significantly better) as IM keterolac in providing pain relief

Question 17

What is NOT true about the study done by Dr. John C. Licciardone released in 2004 about OMT following knee or hip arthroplasty?

a) patients were randomly assigned to groups that received either OMT or sham tx in addition to standard care
b) manipulation was individualized and performed according to study guidelines regarding frequency, duration and technique
c) Results showed OMT protocol does appear to be as efficacious in knee rehabilitation population

Answer 17

c) Results showed OMT protocol does NOT appear to be as efficacious in knee rehabilitation population

This is her study to show that OMT is now for everything

Question 18

What is not true about the study done by Dr. Peter Guiney et al on the effects of OMT in pediatric patients with asthma?

a) This was a randomized control trial
b) With 95% Confidence interval, the results for OMT group showed statistically significant improvement of 7 L/minute to 9 L/minute for peak expiratory flow rates
c) OMT has no therapeutic effect among this patient population

Answer 18

c) OMT has no therapeutic effect among this patient population

Question 19

Which of the following is not true regarding OMT and pregnancy studies?

a) the biggest study to date looked at 160 women receiving OMT during pregnancy vs. 161 receiving no OMT
b) OMT groups showed statically significant decreases in occurrence of preterm delivery
c) OMT groups showed statically significant decreases in occurrence of meconium stained amniotic fluid
d) OMT groups showed no change in the use of forceps during delivery.

Answer 19

d) OMT groups showed statistically significant change in the use of forceps during delivery (not NO change)

Question 20

T or F: Infant having multiple acute episodes of otitis media would benefit from OMT treatment because they would have less episodes of otitis media, fewer surgical procedures, more surgery free months, and an increased number of negative tympanograms.

Answer 20

True.

Question 21

Which of the following is not true regarding more recent OMT research?

a) Doming of the diaphragm produces a positive increment (increase in pressure) in the lower esophageal sphincter (LES) pressure region soon after it’s performance.
b) OMT significant increases both thoracic and intestinal duct lymph flux shown by increases in monocyte chemotxaic protein, cytokines and chemokines post OMT.
c) In a dog study, lymphatic pump manipulation increases superoxide dismutase and nitrotyrosine (inflammatory mediators)
d) OMT can decrease hospital length of stay in post-op ileus cases from 5 days to 3 days.
e) OMT treatment in autistic children saw improved appetite and improved eye contact, but increased vomiting incidences.

Answer 21

E)

OMT treatment in autistic children saw improved appetite, improved eye contact, and LESS incidences of vomiting,

Question 22

What is true regarding the study done by Wietling et al in 2013 on the Effect of Post-op medical and functional recovery of coronary artery bypass graft patients?

a) They compared 3 groups: OMT w/ standard post-care vs. placebo and standard post care vs. standard post care
b) OMT patients were discharged half a day earlier than control and placebo
c) OMT patients passed stool half a day earlier than control and placebo
d) All of the above

Answer 22

d) All of the above