Osteopathic Research Challenges

Question 1

What is osteopathic research?

Answer 1

Any research that may have an impact on osteopathic medicine
Not just OMT
“investigate problems that will lead to a better understanding and a more effective application of the philosophy and concepts of osteopathic medicine”

Question 2

Ways osteopathic research tries to help?

Answer 2

Basic science
intergrate science with clinical observation
Meta analysis
Qualitative
Epidemiology/outcome
manipulation

Question 3

Patient perspective questions?

Answer 3

Will this treatment work> how long will it take? expect what?

Question 4

Physician perspective?

Answer 4

cna is help practioners? are they safe? how it work?

Question 5

Case study research?

Answer 5

Observational

Qualitative

Question 6

Retrospective research?

Answer 6

Data already collected
meta analysis
literature review
chart review

Question 7

Prospective research?

Answer 7

Data will be collected

Standard clinical trial

Question 8

Randomized controlled trial, Randomized?

Answer 8

subject group assignment determined by random process

Question 9

Controlled?

Answer 9

study has a comparison group which does not receive the intervention in order to control the intervention and circumstances surrounding their experiment to ensure that results are not being influenced by other interfering variables

Question 10

Between subject study design?

Answer 10

treated group compared to historical control
historical control may not be very controlled
useful for severe diseases, ethical reasons, diseases with limited numbers

Question 11

Within subject study design?

Answer 11

Same subjects are control and experimental group
Longitudinal studies, subject baseline (control)
Control condition must be stable

Question 12

Crossover?

Answer 12

Control group eventually receives treatment

Control condition must be stable

Question 13

Placebo?

Answer 13

inactive substance that is indistinguishable from the active drug

Question 14

Placebo effect?

Answer 14

the simple pyschological effect of knowing that a treatment was being given could alleviate the symptoms by as much as 30%

Question 15

When is placebo ethically acceptable as the control?

Answer 15

when there is no gold standard intervention available which causally interferes with underlying condition

Question 16

Sham?

Answer 16

supposed to be a hands on treatment that has no effect

Question 17

Sham effect?

Answer 17

osteopathy holds that in addition to physician responding to dynamic changes in a patient’s function, patient responds to the attitudes and touch of the physician, thus sham treatment should have an effect

Question 18

Sham control valid?

Answer 18

if the intent of the study is to determine the effect of a specific and/or repeatable manipulation

Question 19

Osteopathic manipulative technique?

Answer 19

research provides info on effectiveness of technique
answer does it work, how does it work
A sham should be designed to simulate effects withoug providing therapy

Question 20

Osteopathic manipulative treatment?

Answer 20

research provides information on effectiveness of clinical practice, patient outcomes, ultimate
how does it work, how long till I fell better