The Experts below are selected from a list of 804 Experts worldwide ranked by ideXlab platform
Karen T. Snider - One of the best experts on this subject based on the ideXlab platform.
-
characteristics and management of pregnant patients from a neuromusculoskeletal Medicine osteopathic Manipulative Medicine clinic
The Journal of the American Osteopathic Association, 2020Co-Authors: Leah D Frank, Shalini Bhatia, Karen T. SniderAbstract:Context Osteopathic Manipulative Medicine (OMM) is considered beneficial in the treatment of pregnant women, but few studies have outlined the presenting complaints and diagnoses that warrant consideration and utilization of osteopathic Manipulative treatment (OMT) in this population. Objective To describe the characteristics of pregnant patients receiving OMM at a neuromusculoskeletal Medicine (NMM)/OMM specialty outpatient clinic, for the purpose of identifying patients who would benefit from referral to NMM specialty clinics or to be considered for treatment by DOs in non-NMM specialty clinics. Methods Electronic health records were reviewed from a single clinic for a 3-year period from October 2015 through September 2018 for patient encounters involving patients with an International Classification of Diseases 10th Revision code for pregnancy. Data regarding patient demographics, payment methods, presenting complaints, treatment modalities, regions treated, and assessment diagnoses were collected and analyzed. Results Records showed 465 clinical encounters with 194 pregnant patients (mean [SD] number of encounters per patient, 2.4 [2.0]). The most common presenting complaints involved the back (371; 55.4%), hip and pelvis (99; 14.8%), neck (62; 9.3%), and head (54; 8.1%). The most common clinical assessments were lumbar and thoracic spine neuromusculoskeletal diagnoses (420; 53.0%). There were 2604 somatic dysfunction assessments documented; lumbar (409; 15.7%) and sacral (396; 15.2%) somatic dysfunction were most commonly assessed. There were 2518 OMT techniques documented, and muscle energy was most frequently used (406; 16.1%). Conclusions This data, which documents the most frequent presenting complaints of pregnant patients in an NMM/OMM clinic, may be used by clinicians to better understand the role of OMM as an obstetric adjunctive treatment approach and to identify conditions to investigate in future outcome studies.
-
Characteristics and Management of Pregnant Patients From a Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine Clinic.
The Journal of the American Osteopathic Association, 2020Co-Authors: Leah D Frank, Shalini Bhatia, Karen T. SniderAbstract:Context Osteopathic Manipulative Medicine (OMM) is considered beneficial in the treatment of pregnant women, but few studies have outlined the presenting complaints and diagnoses that warrant consideration and utilization of osteopathic Manipulative treatment (OMT) in this population. Objective To describe the characteristics of pregnant patients receiving OMM at a neuromusculoskeletal Medicine (NMM)/OMM specialty outpatient clinic, for the purpose of identifying patients who would benefit from referral to NMM specialty clinics or to be considered for treatment by DOs in non-NMM specialty clinics. Methods Electronic health records were reviewed from a single clinic for a 3-year period from October 2015 through September 2018 for patient encounters involving patients with an International Classification of Diseases 10th Revision code for pregnancy. Data regarding patient demographics, payment methods, presenting complaints, treatment modalities, regions treated, and assessment diagnoses were collected and analyzed. Results Records showed 465 clinical encounters with 194 pregnant patients (mean [SD] number of encounters per patient, 2.4 [2.0]). The most common presenting complaints involved the back (371; 55.4%), hip and pelvis (99; 14.8%), neck (62; 9.3%), and head (54; 8.1%). The most common clinical assessments were lumbar and thoracic spine neuromusculoskeletal diagnoses (420; 53.0%). There were 2604 somatic dysfunction assessments documented; lumbar (409; 15.7%) and sacral (396; 15.2%) somatic dysfunction were most commonly assessed. There were 2518 OMT techniques documented, and muscle energy was most frequently used (406; 16.1%). Conclusions This data, which documents the most frequent presenting complaints of pregnant patients in an NMM/OMM clinic, may be used by clinicians to better understand the role of OMM as an obstetric adjunctive treatment approach and to identify conditions to investigate in future outcome studies.
-
Osteopathic Manipulative Medicine Practice Patterns of Third-Year and Fourth-Year Osteopathic Medical Students: An Educational Research Project.
The Journal of the American Osteopathic Association, 2020Co-Authors: Karen T. Snider, Rachel Couch, Shalini BhatiaAbstract:Context Colleges of osteopathic Medicine (COMs) are required to provide hands-on osteopathic Manipulative Medicine (OMM) training during clerkship years, but this can be challenging given that students are in a variety of clinical sites and often train with allopathic physicians. Objective To identify student OMM practice patterns documented on required OMM practice logs detailing 10 OMM treatments each semester as part of a 3-semester third- and fourth-year clerkship curriculum and to determine whether these practice patterns varied by supervisor type (osteopathic vs allopathic) and semester. Methods The OMM practice logs from 2 class years were retrospectively reviewed for patient and supervisor characteristics and OMM treatment details. Semesters included 2 third-year semesters and an extended fourth-year semester. Results Between July 2015 and March 2018, 1018 OMM practice logs were submitted detailing 10,150 treatments involving 4655 clinical (45.9%) and 5474 volunteer (53.9%) patients. Logs contained up to 10 treatments per log; 26.0% included only clinical patients, 17.4% included only volunteer patients, and 56.6% included both. Significantly more clinical patients (1708 [36.7%]) were treated during the first semester of the third year than the other 2 semesters (P
-
osteopathic Manipulative Medicine practice patterns of third year and fourth year osteopathic medical students an educational research project
The Journal of the American Osteopathic Association, 2020Co-Authors: Karen T. Snider, Rachel Couch, Shalini BhatiaAbstract:Context Colleges of osteopathic Medicine (COMs) are required to provide hands-on osteopathic Manipulative Medicine (OMM) training during clerkship years, but this can be challenging given that students are in a variety of clinical sites and often train with allopathic physicians. Objective To identify student OMM practice patterns documented on required OMM practice logs detailing 10 OMM treatments each semester as part of a 3-semester third- and fourth-year clerkship curriculum and to determine whether these practice patterns varied by supervisor type (osteopathic vs allopathic) and semester. Methods The OMM practice logs from 2 class years were retrospectively reviewed for patient and supervisor characteristics and OMM treatment details. Semesters included 2 third-year semesters and an extended fourth-year semester. Results Between July 2015 and March 2018, 1018 OMM practice logs were submitted detailing 10,150 treatments involving 4655 clinical (45.9%) and 5474 volunteer (53.9%) patients. Logs contained up to 10 treatments per log; 26.0% included only clinical patients, 17.4% included only volunteer patients, and 56.6% included both. Significantly more clinical patients (1708 [36.7%]) were treated during the first semester of the third year than the other 2 semesters (P<.001). The supervisor's credentials were identified as an osteopathic physician for 6639 treatments (65.4%) and an allopathic physician for 768 (7.6%). No difference was found in the proportion of clinical to volunteer patients supervised by osteopathic or allopathic physicians (P=.34). Neuromusculoskeletal complaints accounted for 10,847 (90.7%) chief complaints, and nonneuromusculoskeletal complaints accounted for 1115 (9.3%). The most commonly treated body regions were the thoracic (6255 [61.4%]), cervical (4932 [48.4%]), and lumbar (4249 [41.7%]). More body regions were treated on clinical patients than on volunteer patients (mean, 2.7 vs 2.6, respectively; P=.04). Commonly used techniques were muscle energy (6570 [64.5%]); high-velocity, low-amplitude (4054 [39.8%]); soft tissue (3615 [35.5%]); balanced ligamentous tension/indirect techniques (2700 [26.5%]); and myofascial release (1944 [19.2%]). Conclusion More than 80% of students documented OMM practice on clinical patients for their required OMM practice logs. Both osteopathic and allopathic physicians provided supervision. Chief complaints and types of osteopathic Manipulative treatment used were consistent with current clinical practice. Areas identified for enhanced didactic education included OMM for nonneuromusculoskeletal complaints.
-
Characteristics and Treatment of Pediatric Patients in an Osteopathic Manipulative Medicine Clinic.
The Journal of the American Osteopathic Association, 2020Co-Authors: Grady Kaiser, Brian F. Degenhardt, J. Michael Menke, Karen T. SniderAbstract:Context Osteopathic Manipulative Medicine (OMM) is recognized as an adjunctive medical approach for the treatment of pediatric patients, but few studies have detailed the pediatric conditions that prompt the use of osteopathic Manipulative treatment (OMT) or the types and frequency of OMT used. Objective To present descriptive data of pediatric patients receiving OMT from a neuromusculoskeletal Medicine/OMM outpatient clinic. Methods Data were drawn from electronic health records from a single outpatient specialty clinic for pediatric clinical encounters involving OMT that took place between January 1, 2014, and December 31, 2016. Encounter notes and billing records were reviewed for demographic information, presenting complaints, clinical assessments, somatic dysfunction assessments, OMT techniques used, and payment method. Data were categorized by patient age and analyzed. Results Five hundred thirty-seven pediatric patients (321 girls, 216 boys) received OMT during the study. These patients accounted for 1688 clinical encounters (1106 for girls, 582 for boys). Mean (SD) number of encounters was 2.7 (1.3) encounters for boys and 3.5 (1.1) encounters for girls. A higher percentage of patients younger than age 2 were boys, while a higher percentage of patients older than age 2 were girls (both P=.005). Musculoskeletal complaints and assessments were the most common for children aged 6 years and older; misshapen head, feeding difficulties, and colic were the most frequently reported for children younger than 6 years. There were 8557 somatic dysfunction assessments documented; thoracic and cervical somatic dysfunction were most commonly assessed. There were 8485 OMT techniques documented, and myofascial release was most frequently used. Encounters with self-pay patients (n=72) involved fewer somatic dysfunction assessments (P
Zachary Nye - One of the best experts on this subject based on the ideXlab platform.
-
Comprar First AID for the COMPLEX an osteopathic Manipulative Medicine review | Zachary Nye | 9780071473910 | Mcgraw-Hill Interamericana
2007Co-Authors: Zachary NyeAbstract:Tienda online donde Comprar First AID for the COMPLEX an osteopathic Manipulative Medicine review al precio 38,33 € de Zachary Nye, tienda de Libros de Medicina, Libros de Reumatologia - Osteoporosis
-
comprar first aid for the complex an osteopathic Manipulative Medicine review zachary nye 9780071473910 mcgraw hill interamericana
2007Co-Authors: Zachary NyeAbstract:Tienda online donde Comprar First AID for the COMPLEX an osteopathic Manipulative Medicine review al precio 38,33 € de Zachary Nye, tienda de Libros de Medicina, Libros de Reumatologia - Osteoporosis
-
first aid for the comlex an osteopathic Manipulative Medicine review e book
2007Co-Authors: Zachary NyeAbstract:Preface Section I: Guide to Efficient Examination Preparation Introduction Section II: OMT Fundamentals Somatic Dysfunction Overview of Techniques Section III: Regional and Systems-Based Assessment Regional Diagnosis Osteopathic Principles and Considerations of Clinical Medicine: A Systems-Based Approach Section IV: Historical Highlights, Key Points, and Musculoskeletal Tests High-Yield Topics for the COMLEX Section V: Osteopathic Treatments and Techniques Cranial Treatment Cervical Treatment Thoracic, Rib, and Diaphragm Techniques Lumbar Techniques Sacrum and Pelvis Techniques Extremity Techniques Systematic Techniques Appendix: Abbreviations Index
George B. Stefano - One of the best experts on this subject based on the ideXlab platform.
-
Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic Manipulative Medicine (Review)
International journal of molecular medicine, 2004Co-Authors: Elliott Salamon, Wei Zhu, George B. StefanoAbstract:Throughout the history of Medicine we have seen the progression of medical therapies from the empirical to the counter-intuitive, with much pressure being placed upon the scientific community to distinguish the two. This exercise has proven the effectiveness of numerous modern therapeutic techniques that have been adapted into modern Medicine with remarkable success. While it is certain that many of these techniques yield beneficial results, the mechanisms by which these results are achieved have not been fully realized. In the present report, we consider the case of osteopathic Manipulative Medicine (OMM), which represents a therapeutic technique developed over a century ago as a means of non-invasive treatment for numerous ailments. Our intention is to use current findings from our laboratory, as well as those of our colleagues in the area of nitric oxide (NO) research to explain the mechanism through which osteopathic manipulations aid the patient. These reports demonstrate that fluidic motions applied to vascular and nerve tissue in a manner comparable to manipulations can cause a remarkable increase in NO concentration within the blood and vasculature. These findings combined with the overwhelming amount of research into the beneficial effects of constitutive NO provide a dynamic theoretical framework to explain the therapeutic effects of OMM.
Jane C. Johnson - One of the best experts on this subject based on the ideXlab platform.
-
The effect of osteopathic Manipulative treatment on length of stay in posterolateral postthoracotomy patients: A retrospective case note study
International Journal of Osteopathic Medicine, 2015Co-Authors: Regina K. Fleming, Karen T. Snider, Kent J. Blanke, Jane C. JohnsonAbstract:Length of stay; Osteopathic manipula- tive treatment; Osteopathic manipula- tive Medicine; Postthoracotomy; Length of stay Abstract Objective: This study retrospectively evaluated the effect of OMT on length of stay (LOS) in hospitalized posterolateral postthoracotomy patients. Methods: Inpatient medical records of patients who received posterolateral thora- cotomies with lung resection between 1998 and 2011 were reviewed for demo- graphic data, LOS, thoracotomy surgery data, consultation data excluding osteopathic Manipulative Medicine, discharge data, and osteopathic Manipulative Medicine consultation data. Results: Thirty-eight patients received posterolateral thoracotomies with lung resection; 23 patients received OMT and 15 did not. The mean (standard deviation) LOS was 11.0 (6.8) days (range, 5e29 days) for those who received OMT and 10.4 (5.5) days (range, 3e22 days) for those who did not (P ¼ .90). Five patients devel- oped postoperative ileus, and all had received OMT. Patients receiving 2 surgical
-
Retrospective medical record review of an osteopathic Manipulative Medicine hospital consultation service.
The Journal of the American Osteopathic Association, 2013Co-Authors: Karen T. Snider, Eric J. Snider, Brett R Degooyer, Allison M Bukowski, Regina K. Fleming, Jane C. JohnsonAbstract:Context In the first half of the 20th century, nearly all osteopathic physicians used osteopathic Manipulative Medicine (OMM) in the care of hospitalized patients. Over the past few decades, however, inpatient OMM care has declined and is more commonly provided by OMM specialists. Objective To retrospectively evaluate the details of a specialty-level OMM inpatient consultation service. Methods Inpatient OMM consultations that took place at Northeast Regional Medical Center in Kirksville, Missouri, between July 1998 and March 2008 were identified from billing records. Consultations were reviewed for demographic information, admission location, postoperative status, intensive care unit and mechanical ventilation usage, admission and discharge diagnoses, consultation reasons and final diagnoses, areas of somatic dysfunction treated and types of osteopathic Manipulative treatment (OMT) techniques used, and hospital length of stay (LOS). Results A total of 1509 OMM consultations were identified (580 for male patients [38%]; 929 for female patients [62%]; mean [SD] age, 54 [31] years [range, 0-99 years]), representing 11% of all inpatient consultations. Of these, 1372 consultations (91%) were initiated in the inpatient acute care facility, 87 (6%) in the inpatient acute rehabilitation facility, and 50 (3%) in the skilled nursing facility. Further, 265 consultations (18%) were for postoperative patients, 187 (12%) were for patients in the intensive care unit, and 54 (4%) were for patients receiving mechanical ventilation at the time of the consultation. The most common admission diagnoses were hypertension, routine newborn care, lower respiratory infection, chronic obstructive pulmonary disease, and gastrointestinal symptoms. The most common reasons for OMM consultation were chest/rib pain, spinal pain, lower respiratory infection (adjunctive treatment), cranial asymmetry, and infant feeding disorder. The most common types of OMT techniques used were myofascial release, balanced ligamentous tension, muscle energy, soft tissue, and inhibition. The mean (SD) LOS was 5.7 (3.3) days (range, 0-48 days), while the mean (SD) number of days the patient received OMT was 3.1 (2.2) days. Conclusion Medical records reviewed in the current study revealed that OMM consultations were ordered primarily for musculoskeletal complaints, respiratory problems (adjunctive treatment), and newborn care. A variety of OMT techniques were used. Further retrospective study is warranted to determine if OMM had an effect on LOS.
-
Investigation of an electromyographic normalization task for the deep thoracic paraspinal muscles
International Journal of Osteopathic Medicine, 2008Co-Authors: Gary Fryer, Michael Bird, Barry Robbins, Jane C. JohnsonAbstract:Gary Fryer , Michael Bird , Barry Robbins , Jane C. Johnson d a A.T. Still Research Institute, Kirksville, MO, USA; Department of Osteopathic Manipulative Medicine, Kirksville College of Osteopathic Medicine, Kirksville, MO, USA; Centre for Aging, Rehabilitation and Exercise Science, Victoria University, Melbourne, Australia b Truman State University, Kirksville, MO, USA c Kirksville College of Osteopathic Medicine, Kirksville, MO, USA d A.T. Still Research Institute, Kirksville, MO, USA
Michael L Kuchera - One of the best experts on this subject based on the ideXlab platform.
-
documenting pressures used for manual diagnosis and treatment of cervical spine somatic dysfunction
2012Co-Authors: Joseph Yoha, Michael L Kuchera, Precious Barnes, Frank Casella, Jeffrey A NelsonAbstract:High Velocity Treatment of Cervical Spine Somatic Dysfunction Michael L. Kuchera, DO, FAAO; Precious L. Barnes, DO, MS, MS; Frank J. Casella; Jeffery H. Nelson; Joseph Yoha, Terence Vardy, DO (AUS) Human Performance & Biomechanics Laboratory of the Department of Osteopathic Manipulative Medicine and Center for Chronic Disorders of Aging; Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131
-
Effects of Abdominal Shape on Abdominal “Slosh” during Pedal Pump Osteopathic Manipulative Treatment
Journal of Bodywork and Movement Therapies, 2012Co-Authors: Glenn Klucka, Jeffrey A Nelson, John Irwin, Veronica Ferencz, Nicole E. Myers, Michael L KucheraAbstract:s 521 S Effects of Abdominal Shape on Abdominal “Slosh” during Pedal Pump Osteopathic Manipulative Treatment Glenn Klucka, OMS IV , John Irwin, Veronica Ferencz, DO, MBA, MS , Nicole Myers, DO, MS , Jeffrey Nelson, Michael L. Kuchera, DO, FAAO * Human Performance & Biomechanics Laboratory of the Department of Osteopathic Manipulative Medicine and Center for Chronic Disorders of Aging; Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131, USA * Corresponding author. Tel.: þ1 215 871 6168; fax: þ1 215 871 6361. E-mail address: michaelkuc@pcom.edu (M.L. Kuchera). L IN IC A L A P P L IC A T IO N S : A B S T R A C T
-
Applying osteopathic principles to formulate treatment for patients with chronic pain.
The Journal of the American Osteopathic Association, 2007Co-Authors: Michael L KucheraAbstract:Osteopathic Manipulative Medicine (OMM) is a physician-directed approach to patient care that incorporates diagnostic and therapeutic strategies to address body unity issues, enhance homeostatic mechanisms, and maximize structure-function interrelationships. Osteopathic physicians integrate a thorough medical history with palpatory examination of a patient to ascertain distinctive characteristics and origins of the patient's pain, to evaluate how pain uniquely affects the patient, and to determine whether segmental, reflex, or triggered pain phenomena coexist in the patient. Osteopathic Manipulative Medicine expands differential diagnoses by allowing the physician to consider somatic dysfunction and implement treatment options via integration of specific aspects of complementary care into state-of-the-art pain management practices. Prescriptions formulated through an OMM algorithm integrate each osteopathic tenet with biopsychosocial and patient education models, as well as manual Medicine, pharmacologic, and rehabilitation techniques proportionate to individual needs. This "refreshed" version of an article originally published in September 2005 includes the addition of an anecdotal case scenario in which application of osteopathic principles and practice created a personalized, effective treatment plan for the described patient's chronic pain.
-
Osteopathic Manipulative Medicine considerations in patients with chronic pain.
The Journal of the American Osteopathic Association, 2005Co-Authors: Michael L KucheraAbstract:Osteopathic Manipulative Medicine (OMM) incorporates diagnostic and therapeutic strategies that address body unity, homeostatic mechanisms, and structure-function interrelationships. In regard to pain, osteopathic physicians take thorough histories guided by palpatory examination to determine the quality, duration, and origin of this condition, how it uniquely affects the individual, and whether segmental, reflex, or triggered pain phenomena coexist. Osteopathic Manipulative Medicine expands differential diagnoses by considering somatic dysfunction and treatment options by integrating specific aspects of complementary care into state-of-the-art pain management practices. Prescriptions formulated through an OMM algorithm integrate each osteopathic tenet with biopsychosocial and patient education models and medication, rehabilitation, and manual Medicine techniques proportionate to individual needs.