Physical Medicine / OMM
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/30451
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Browsing Physical Medicine / OMM by Author "Hensel, Kendi"
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Item Baseline Range of Motion of the Lower Limb in Parkinsonian Gait is Consistent Among Treatment and Control Groups(2021) Terrell, Zachary; Moudy, Sarah; Hensel, Kendi; Patterson, RitaPurpose: Tens of thousands of people are diagnosed with Parkinson's disease (PD) each year, making PD the second most common neurodegenerative disorder. The overarching goal for this project is to examine the efficacy of osteopathic manipulative treatment (OMT), and osteopathic cranial manipulative medicine (OCMM) particularly, in improving Parkinsonian gait. However, the purpose of this study is to serve as a preliminary analysis and comparison of the baseline joint angle data across experimental PD groups. We hypothesize that no significant differences will be found in the baseline range of motion (ROM) of each joint across randomly-assigned treatment and sham PD groups. Methods: An 18-camera motion analysis system was used in conjunction with 54 reflective markers on the body to capture three-dimensional position data in a short treadmill walking trial before the application of a whole-body (including OCMM techniques), neck-down, or sham OMT protocol. Ankle, knee, and hip joint ROM in the sagittal plane during the gait cycle was compared across treatment and control groups. Results: Baseline ROM at the hip, knee, and ankle joints across experimental groups (two treatment groups and one sham group) was comparable within one standard deviation of the mean of each group. 5.4, 11.4, and 5.7-degree variations in mean ROM were found between groups at the hip, knee, and ankle respectively. Conclusion: This preliminary analysis shows that experimental groups are not likely to significantly differ in baseline range of motion. These results validate the randomization of participants in our research design.Item Whole Body OMT as a Treatment for Postural Instability in Parkinson's Patients(2021) Patterson, Rita; Gibson, Keenan; Hensel, KendiBackground: Osteopathic Manipulation Treatment (OMT) is a manual therapy directed at relieving somatic dysfunction in patients. OMT has shown in previous studies to improve postural stability in specific patient groups and may be a treatment option for movement disorders. Parkinson's Disease (PD) is one such movement disorder where falls are a major cause of patient morbidity. However, an OMT protocol for PD has not been established. Methods: We performed a randomized control trial on PD and healthy patients to determine the efficacy of an OMT protocol. Group A received OMT treatment of the full body including cranial manipulation, Group B received OMT treatment from the neck down, and Group C received a "sham" OMT treatment. Pre- and Post-treatment clinical measurements of postural stability consisted of Functional Reach (FR) and Timed Up and Go (TUG) tests. Biomechanical measurements of quiet standing sway were observed using a 12 Camera motion analysis system and a force plate. Results: Patients showed improvement in the times to complete the TUG test across all three treatment groups with the greatest improvement (-0.52 s) demonstrated by Group A (p < 0.05). FR results showed improvement in all three treatment groups with the greatest change (+3.5cm) occurring in Group B (p< 0.05). Biomechanical data showed an increase in the RMS in the x and z directions following treatment (p >0.05). Conclusions: Full body OMT that includes cranial techniques may improve postural stability and be considered as part of a multi-therapy management of PD.