Historical Review Flashcards

1
Q

When did the AOA formed the AT Still Research Institute?

A

1909

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2
Q

What 5 schools remained after the merger in California?

A

Kirksville, Chicago, KC, Philadelphia, and Des Moines

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3
Q

When did outside sources begin to fund Osteopathic research?

A

1970s-2000

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4
Q

Where was the Osteopathic Research Center placed and around what time?

A

Texas School

after 2001-2007 because this time period we lacked a research institute

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5
Q

How can we define OMM research?

A
  • Institutional
  • Autonomics and Immune
  • Functions Spinal Cord
  • Facilitation
  • OMT efficacy
  • Whole patient care
  • Any and all research at a COM
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6
Q

What is the official definition of OMM research?

A

“Investigator has to state relevance of proposed project to Osteopathic philosophy and principles, theories, mechanisms or practice.”

-AOA Bureau of Research

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7
Q

Louisa Burns, DO 1870-1958

A
  • Director, AT Still Research Institute 1917-1935
  • Paid AOA researcher until 1950
  • Experimentally induced spinal fixations in animals & then noted the effects of these lesions on brain, heart, GI, reproductive organs, lungs, kidneys (S-V Relfexes)
  • V-S reflexes
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8
Q

Wilbur Cole, DO

A
  • studied with Dr. Burns 1948-50
  • reproduced her experiments and data
  • internal validation
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9
Q

J.S. Denslow, DO (1906-?)

A
  • Did numerous studies documenting & quantifying muscle, muscle reflex & autonomic changes in areas of somatic dysfunction (“osteopathic lesion”).
  • “Reflex Activity in the Spinal Extensors”, utilized EMG/palpation correlation: documented spinal muscle reflex changes in areas of osteopathic lesions.
  • Standard Terminology Proponent (so people from different schools can best communicate)
  • Facilitation of spinal cord
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10
Q

I.M. Korr, Ph.D. (1909-2004)

A
  • Performed studies documenting changes in galvanic skin resistance as a result of disturbances in autonomic function, in areas of skin of subjects associated with palpatory findings of somatic dysfunction
  • Axoplasmic flow & the trophic function of nerves
  • Facilitation of spinal cord (with Denslow)
  • Sympatheticotonia (heighten sympathetic tone in disease states)
  • promoted entire DO-pt interaction
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11
Q

Who is the second great philosopher of Osteopathic medicine?

A

I.M. Korr, Ph.D.

  • he added physiology to Dr. Stills anatomical foundation
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12
Q

Wiliam L. Johnston, DO, FAAO (1921-2003)

A
  • reliability studies
  • validity studies
  • viscerosomatic reflexes
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13
Q

What happened in the influenza epidemic of 1918?

A

DOs&raquo_space;»> MDs

due to OMT…sure

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14
Q

LA County Osteopathic Hospital (Unit II)

A

DOs had a lower mortality, decreased days average LOS, and they matched MDs coroner’s cases

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15
Q

DOs vs. MDs LBP tx

A

DO pts used much less NSAIDs, muscle relaxants, and PT

*outcome was the same (except less medications for DO pts)

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16
Q

OMT and Pancreatitis

A

when treated with OMT, they had decreased length of stay and analgesic use, and increased pt satisfaction

17
Q

OMT and Ankle Sprain

A

OMT group had decreased edema/pain and increased ROM

18
Q

OMT and Elderly Pneumonia

A
  • oral Abs: equal
  • IV Abx: less in OMT
  • AII Abx: less in OMT
  • LOS: less in OMT
19
Q

OMT and Otitis Media in children

A
  • fewer episodes of AOM
  • fewer surgical procedures
  • More mean surgery free months
  • Increased frequency of normal tympanograms
20
Q

OMT and Spleen Pump

A
  • OMT splenic pump increased immune cell counts
21
Q

What have we shown with dog lab with lymphatic pump tx?

A

 An increase of flow of lymph in the thoracic duct
 Increase in the # of circulating leucocytes
 Abdominal pump showed greater increase than thoracic pump

22
Q

What was found increased in the lymph in the dog model?

A

 Lymphocytes: CD4, CD8, IgA B-cells, IgG B-cells
(Memory cells already exposed to antigens)
 Neutrophils
 Monocytes

23
Q

How long does it take to maximize release form LNs?

A

2 minutes

 Nitric oxide influences contraction of lymph vessels
 Inflammation stimulates the release of NO

24
Q

What was done after the dog model to support the results?

A

rat model - had similar findings

25
Q

Does LPT protect against pneumonia & Influenza?

A

 Control and sham treatment group showed a steady increase of
bacteria in bronchial washings
 LPT group after 2-3 treatments showed a steady decline in # of bacteria in bronchial washings

26
Q

What were the groups in the rat tx?

A

a. Control group under anesthetic
b. Sham tx: sigh touch under anesthesia
c. LPT under anesthesia

27
Q

What was found in the LPT group compared to the control/sham group at day 3?

A
  • significant reduction in numbers of pulmonary bacteria

- increased concentration of SP-D, IL- 6, IL-17, IL-12 and enhanced production of NO2 & IL-6 by alveolar macrophages

28
Q

Does LPT lead to metastasis of cancer?

A

no

  • some studies show they have less tumor cells actually