Evidence Base of OMM

Question 1

definitions of osteopathic research

Answer 1

must be relevant to osteopathic philosphy, principles, theory, mechanisms or practice
(institutional, autonomica nd immune functions, spinal cord facilitation, OMT efficacy, whole pt care)

Question 2

Louisa burns contribution

Answer 2

director of AT still research unvieristy
AOA researcher
induced spinal fixations in animals and noted the effects of these lesions on brain, heart, GI, reproductive organs, lungs, kidneys
SOMATOVISCERAL REFLEXES
also worked on VS reflexes

Question 3

Wilbur Cole contribution

Answer 3

reproduced burns experiments and data, providing internal validation

Question 4

J.S. Denslow contribution

Answer 4

muscle, muscle reflex and autonomic changes in areas of somatic dsyfunction
reflex activity of spinal extensors
spinal muscle reflex changes in areas of osteopathic lesions

standard terminology proponent

facilitation of spinal cord

Question 5

I.M. Korr contribution

Answer 5

skin reistance in response to disturbances in autonomic function
axoplasmic flow
trophic function of nerve
facilitation of spinal cord (with denslow)
syjmpatheticotonia
promoted DO-pt interaction as research paradigm
added phys to OMM

Question 6

William L. Johnston contribution

Answer 6

reliability
validity
viscersomatic reflexes

Question 7

spanish flu epidemic

Answer 7

OMM had overall lower mortality

esp with pneumonia complication

Question 8

LA county hospital unit II

Answer 8

DO unit saw 1/7 of patients and delivered 1/3 of OB patients because pts liked them more
Lower mortality
lower time in length of stay

Question 9

1999 comparison for Lower back pain

Answer 9

fewer had to use NSAIDs/ Muscle relaxers/PT

outcomes no different, just less medication/PT for DO patients

Question 10

what were the 5 clinical trials

Answer 10

inflammatino - pancreatitis/ankle sprain
infection -
pneumonia, otitis media, spleen pump

Question 11

OMT and pancreatitis outcomes

Answer 11

decreased LOS
decreased analgesic use
increased pt satisfaction

Question 12

OMT ankle sprain outcomes

Answer 12

OMT group had decreased edema, pain, increased ROM

Question 13

Pneumonia OMM study outcomes

Answer 13

lower rates of hospitalizations in all categories as compared to sham touch treatment

Question 14

otitis media study outcomes

Answer 14

OMT gropu had fewer episodes of AOM
fewer surgical procedures
more mean surgery free months
increased frequency of normal tympanograms

Question 15

spleen pump study outcomes

Answer 15

OMT splenic pump increased immune cell counts

Question 16

lymph pump efficacy

Answer 16

increased flow of lymph in thoracic duct
increase in number of circulating leukocytes
abdominal pump showed greater increase than thoracic pump
takes 2 minutes

Question 17

other resources

Answer 17

American academy of osteopathy 
osteopathic research committee 
national osteopathic research center in fort worth texas 
OSTMED.DR
JAOA