Evidence Based OMT Flashcards
(42 cards)
Types of research used in osteopathic medicine
1) inter-examiner reliability
2) standardized technique/treatment protocols effectiveness
3) Chart review
Challenges and Limitations
- 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
Early accomplishments in OMM research
“facilitation”- viscerosomatic and somatovisceral reflex
- reliability of examiners and treatment protocol
- standardization of terminology and measurements
How were metabolic processes studied?
- 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
Diseases processes
- Acute Otitis Media (AOM)
- Pneumonia
AT Still MD DO function as a reasearcher
- observed, studied, questioned, constructed testable hypotheses
- knowledge of current research on OMM come from basis of his questioning
What did the AOA do in 1909?
-formed the AT Still research institute with $16,000
What kind of research was encouraged at the COMs in the first 1/3 of the 1900s?
- 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
Who helped progress the growth in research in the 1940s?
Denslow and Korr as they started working on facilitated segment
Why were DOs much busier after WWII
many MDs were deployed overseas
What happened in 1950s that brought controversy in California?
- 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
What 5 schools remained after the merger?
Kirksville, Chicago, KC, Philadelphia, Des Moines
When did the expansion of new schools begin?
1970-2000
What occurred during the expansion of new schools?
- outside sources began funding osteopathic research
- residency programs began requiring research projects adding the evidence base
Where were funds established for a research center?
Texas School of Osteopathic Med (ORC)
What formed after the ORC?
AT Still University Research Institute
What is seen in research 2008 to present?
- expanding research in US and around the world
- more multidisciplinary cooperation in projects and symposiums
Who are early researchers in Osteopathic Med?
Louisa Burns Wilbur Cole J Stedman Denslow Irvin M. Korr William Johnston
First person to dedicate career to OMM research
Louisa Burns
Experimentally induced spinal fixations in animals and noted effects of these lesions on brain, heart, GI, reproductive organs, lungs, kidneys
Louisa Burns
Founded the AT Still Research University in 1914
Louisa Burns
Director AT Still Research Institute 1917-1935
Louisa Burns
Who studied with Dr. Burns in 1948-1950
Wilbur Cole
Published numerous articles and served as Bureau of Research for the AOA
Wilbur Cole
