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OS II Midterm > Evidence Based OMT > Flashcards

Evidence Based OMT Flashcards

1
Q

Types of research used in osteopathic medicine

A

1) inter-examiner reliability
2) standardized technique/treatment protocols effectiveness
3) Chart review

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2
Q

Challenges and Limitations

A
  • availability and accessibility to patient records
  • sham effect (light touch) vs. placebo
  • number of patients, number of sites
  • examiner’s skills/experience level
  • funding sources
  • recruitment of patient population
  • what techniques to use
  • how many treatments and for how long
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3
Q

Early accomplishments in OMM research

A

“facilitation”- viscerosomatic and somatovisceral reflex

  • reliability of examiners and treatment protocol
  • standardization of terminology and measurements
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4
Q

How were metabolic processes studied?

A
  • techniques used to evaluate the effect on the immune systems
  • lymphatic pump techniques
  • which inflammatory markers or other blood components were used in the study
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5
Q

Diseases processes

A
  • Acute Otitis Media (AOM)

- Pneumonia

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6
Q

AT Still MD DO function as a reasearcher

A
  • observed, studied, questioned, constructed testable hypotheses
  • knowledge of current research on OMM come from basis of his questioning
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7
Q

What did the AOA do in 1909?

A

-formed the AT Still research institute with $16,000

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8
Q

What kind of research was encouraged at the COMs in the first 1/3 of the 1900s?

A
  • neural and physiologic aspects of somatic dysfunctions
  • effects of OMT on symptoms and immune function
  • effects formed the basis of the lines of study still used currently
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9
Q

Who helped progress the growth in research in the 1940s?

A

Denslow and Korr as they started working on facilitated segment

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10
Q

Why were DOs much busier after WWII

A

many MDs were deployed overseas

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11
Q

What happened in 1950s that brought controversy in California?

A
  • merger issues
  • made the 1960s a fight for survival of the osteopathic profession and not be absorbed into the AMA
  • missed out on early research expansion
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12
Q

What 5 schools remained after the merger?

A

Kirksville, Chicago, KC, Philadelphia, Des Moines

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13
Q

When did the expansion of new schools begin?

A

1970-2000

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14
Q

What occurred during the expansion of new schools?

A
  • outside sources began funding osteopathic research

- residency programs began requiring research projects adding the evidence base

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15
Q

Where were funds established for a research center?

A

Texas School of Osteopathic Med (ORC)

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16
Q

What formed after the ORC?

A

AT Still University Research Institute

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17
Q

What is seen in research 2008 to present?

A
  • expanding research in US and around the world

- more multidisciplinary cooperation in projects and symposiums

18
Q

Who are early researchers in Osteopathic Med?

A 
Louisa Burns
Wilbur Cole
J Stedman Denslow
Irvin M. Korr
William Johnston
19
Q

First person to dedicate career to OMM research

A

Louisa Burns

20
Q

Experimentally induced spinal fixations in animals and noted effects of these lesions on brain, heart, GI, reproductive organs, lungs, kidneys

A

Louisa Burns

21
Q

Founded the AT Still Research University in 1914

A

Louisa Burns

22
Q

Director AT Still Research Institute 1917-1935

A

Louisa Burns

23
Q

Who studied with Dr. Burns in 1948-1950

A

Wilbur Cole

24
Q

Published numerous articles and served as Bureau of Research for the AOA

A

Wilbur Cole

25
Q

Graduated from Kirksville, joined staff if KCOC in 1951

A

Wilbur Cole

26
Q

Who advocated for use of scientific instruments and measurements for the validation of osteopathic clinical findings and outcomes?

A

John Stedman Denslow

27
Q

Studies somatic dysfunction using EMG

A

John Stedman Denslow

28
Q

Became director of Kirksville and mentored Irwin Korr

A

John Stedman Denslow

29
Q

Physiologist in Kirksville 1945

A

Irvin Korr

30
Q

Proposed facilitated treatment of spinal cord and trophic functions of nerves

A

Irvin Korr

31
Q

Studied how emotional states can escalate the impact of increased sympathetic tone

A

Irvin Korr

32
Q

Remembered as a philosopher and visionary of osteopathic research

A

Irvin Korr

33
Q

Who completed the best inter-examiner reliability studies to date?

A

William Johnston

34
Q

Why were the inter-examiner reliability studies successful?

A
  • examiners worked together for extended periods of time to ensure they were able to attend to the same palpatory cues
  • palpatory procedures were carefully considered for their simplicity
  • palpatory cues were simplified to ensure reliability of the recorded findings
35
Q

What 3 things were Dr. Johnston noted for?

A
  • reliability studies
  • validity studies
  • viscerosomatic reflexes
36
Q

Some challenges to researching OMM

A
  • “objective: findings can only be appreciated by a subjective experience
  • variability in skills of those applying OMM
  • resources required to administer OMM to enough patients to achieve a well powered study
  • RTC work well for studying a small number of known variables that are easily measured
37
Q

Special Considerations in Osteopathic Manipulation Research

A
  • blinding examiners
  • control grou
  • placebo vs sham vs light touch groups
  • number of “arms” in the study
  • size (n) and drop out rate
  • inclusion criteria
  • dependent variables
38
Q

Current areas of Osteopathic research

A
  • clinical outcome based
  • inter-examiner reliability
  • safety (tolerance)
  • cost effective of OMM
39
Q

Current areas of Osteopathic research: Clinical Outcomes

A

AOM in Peds
Chronic Sinusitis
Pneumonia

40
Q

Current areas of Osteopathic research: Inter-examiner reliability

A

Inter-examiner
Inter-observer
Inter-rater

41
Q

Current areas of Osteopathic research: safety (tolerance)

A

Pregnancy

Rib Raising

42
Q

Current areas of Osteopathic research: Cost effective

A
  • cost effectiveness of OMM (secondary benefits of healthcare)
  • decreased length of hospital stay, duration of antibiotic use, etc.
  • cost savings to healthcare systems

OS II Midterm (14 decks)

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