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OS III Midterm > OMM Research > Flashcards

OMM Research Flashcards

1
Q

What are some areas of osteopathic research?

A
  • -clinical outcomes
  • -inter-rater reliability
  • -safety (including tolerance)
  • -LOS reduction
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2
Q

Who founded the AT Still Research Institute, when, and with how much money?

A
  • AOA
  • 1909
  • $16k
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3
Q

What is the history of osteopathy in CA during the 1950’s?

A
  • DO’s and MD’s merged

- osteopathic physicians were absorbed into the AMA

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4
Q

Which five osteopathic schools remained open after the merger?

A
  • Kirksville
  • Chicago
  • KC
  • Philly
  • Des Moines
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5
Q

When did a lot of the new osteopathic school open, a big expansion…?

A

1970-2000

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6
Q

Finally, after 2007, funds were provided to open an osteopathic research center where?

A

-Osteopathic Research Center (ORC) at the Texas School of Osteopathic Medicine

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7
Q

Who was the first person to fully dedicate a medical career to OMM research?

A

Louisa Burns (1870-1958) –director of the AT Still Research Institute from 1917-1935

  • began experimenting with bony lesions in animals and documenting the physiological/anatomic effects on their viscera
  • focused on physiology of the nervous system in relation to palpatory findings
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8
Q

What was Wilbur Cole known for in regards to OMM research?

A
  • -neuropsychiatry
  • -anatomic neurology
  • -was on staff at KC Osteopathic College (1951-1980)
  • -Dean of the College and Head of Psych and Neuro
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9
Q

What was John Denslow known for, in regards to OMM research?

A

–advocated for scientific instruments/measurements for validating osteopathic findings

  • -EMG to study effects of SD’s on muscle reflexes
  • -promoted use of consistent terminology
  • -became director of research at KCOM
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10
Q

What was Irvin Korr known for, in regards to OMM research?

A

–proposed the “facilitated segment”, which identifies the effect of sustained sympathetic tone on organs

–identified the trophic fxn of nn., whereby nn. conduct protein substances other than NTR’s to organs

–mind-body interrelationship and mechanisms that explain how emotions can impact sympathetic tone

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11
Q

What was William Johnston known for, in regards to OMM research?

A

–inter-examiner reliability studies

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12
Q

What are some challenges to researching OMM?

A

-“objective” findings that can only be appreciated by a subjective experience

  • variability in skills of those applying the OMT
  • resources
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13
Q

What were the details of the study of OMT on Middle Ear Effusion following Acute Otitis Media in Young Children?

A
  • -hypothesized that OMT would reduce MEE duration
  • -two groups: standard care only, SCO+OMT
  • -ages 6mos to 2yrs
  • -tympanogram and acoustic reflectometer
  • -statistically significant improvement after 3 visits
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14
Q

What were the details of the study of OMT in patients with lower extremity ulcers and edema?

A
  • -does lymphatic OMT improve healing of wounds
  • -preliminary phase (no Tx) and intervention period
  • -10mins of OMT 2x/wk
  • -measured wound surface area and leg volume
  • -may reduce edema and reverse wound growth
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15
Q

What were the details of the study of OMT in patients with chronic sinusitis?

A
  • -relief of sinus pain?
  • -score card before Tx and after Tx
  • -pain and congestion improved
    • all pt’s felt more relaxed post-Tx
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16
Q

What were the details of the palpatory accuracy of the lumbar spinous processes?

A
  • -faculty significantly more accurate than residents
  • -presence of 12th rib anomalies decreased accuracy
  • -significantly higher accuracy in male patients
  • -obesity significantly decreased accuracy
17
Q

What were the details of the PNA study in the hospitalized elderly?

A
  • -multi-center randomized control trial
  • -adjunct OMT, light touch, or conventional care only
  • -significantly shorter LOS for OMT group
  • -lower rate of ventilator-dependent respiratory failure
  • -lowers in-hospital mortality rates for ages 75+
18
Q

What were the details of the study of the safety of OMT during the third trimester of pregnancy?

A

–analyzed incidence of high-risk status, and L/D outcomes

  • -usual care + OMT, usual care + ultrasound, UCO
  • -high-risk status was less likely to develop w/ OMT
  • -OMT pt’s had significantly longer labors
19
Q

What were the details of the tolerance of rib-raising study in hospitalized patients?

A
  • -non-ICU pt’s w/ asthma, PNA, COPD, and CHF
  • -mean tolerance score was 1.8 (0-10 scale)
  • -well-tolerated by majority of pt’s
20
Q

What were the details of the study of OMT’s impact on LOS and costs in premies?

A
  • -systematic review and meta-analysis of 5 trials
  • -Tx of premies (by osteopaths) directly in crib/bed
  • -significantly decreased LOS by 2.71 days w/OMT
  • -significant cost-reduction
21
Q

What were the details of the 2008 post-op ileus study?

A
  • -review of 331 pt records using ANCOVA
  • -OMT group and non-OMT group
  • -OMT group had significantly shorter LOS by 2.8days
22
Q

What were the details of the 2013 post-op ileus study?

A
  • -retrospective cohort study of 55 pt’s
  • -OMT group and non-OMT group
  • -significantly shorter time to flatus for OMT group
  • -significantly shorter LOS in OMT group (by 5.4 days)

OS III Midterm (13 decks)

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