Physical Medicine / OMM
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/21666
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Browsing Physical Medicine / OMM by Author "Patterson, Rita"
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Item Defining Muscle Energy: A Multidisciplinary Approach(2018-03-14) Son, David; Patterson, Rita; Hensel, Kendi; Newey, CarterTitle: Defining Muscle Energy: A Multidisciplinary Approach Author: David Son, DO, MPH, Carter Newey, OMS-3, Kendi Hensel, DO, PhD, and Rita M. Patterson, PhD Abstract Purpose: Manual manipulation is predominantly practiced among three professions: osteopathic medicine, chiropractic, and physical therapy. One treatment modality involves patients’ muscle contraction against practitioners’ counterforce. It is known as Muscle Energy Technique (MET) by osteopathic physicians, Autogenic Inhibition (AI) by chiropractors, and Proprioceptive Neuromuscular Facilitation (PNF) by physical therapists. Although these techniques involve the same principles, little is known about how each profession perceives and applies it to their practice. Understanding the approaches of each field can not only clarify patients’ past treatment histories but also yield opportunities for effective co-management. The objective of this project is to discuss the similarities and differences of this type of manipulative therapy. Methods: Gathering and utilizing information obtained online and in written literature, this study compares treatment steps and applications of this form of muscle-based manual manipulation among osteopathic medicine, chiropractic, and physical therapy. Results: Osteopathic MET – 1) Affected segment taken to restrictive barrier 2) Sub-maximal isometric contraction 3) Relaxation for 3-5 seconds 4) Segment taken to new restrictive barrier 5) Repeat 3-5 times Chiropractic AI – 1) Post-Isometric Relaxation (PIR), which is identical to Osteopathic MET 2) Post-Facilitation Stretch (PFS): 2a) Maximal muscular contraction for 5-10 seconds 2b) Complete relaxation 2c) Rapid maximal stretch for 10 seconds 2d) Relaxation for 20 seconds Physical Therapist PNF – One continuous spiral motion of extremity in diagonal pattern via: 1) Passive range of motion 2) Active range of motion 3) Sustained isotonic contraction on full range of motion Conclusions: Understanding these variations in technique maximizes its potential to be taken into a more comprehensive and advanced treatment modality that can be communicated and utilized by all three professions. This can augment the quality of manual medicine in patient care.Item Effects of Practicing Osteopathic Manipulation Technique (OMT) on Hand Function(2018-03-14) Surve, Sajid; Patterson, Rita; Barnum IV, Frederick; Chang, Mary EllenEffects of Practicing Osteopathic Manipulative Treatment (OMT) on Hand Function Sajid Surve, DO; Rita Patterson, PhD; Mary Ellen Chang, OMS-II; Frederick Barnum IV, PGY-1 Purpose: Physicians who practice osteopathic manipulative treatment (OMT) rely on their hands to diagnose and treat patients. Due to the nature of medical practice, OMT practitioners’ experience increases as a function of age. Conversely, the general population’s hand function decreases with age, but skilled finger movement training improves an aging population’s hand functionality. Therefore, we hypothesize that OMT practitioners’ hand grip strength is maintained, or even improved, over untrained individuals within the same gender and age bracket in spite of increasing age. Methods: 90 OMT practitioners at American Academy of Osteopathy’s 2017 Convocation self-reported demographic data via Qualtrics, such as age, gender, height, weight, and length of OMT practice. Then, we measured their intrinsic and extrinsic grip strength with a key pinch grip and Jamar dynamometer, respectively. Finally, participants allowed investigators to take photos of their hands with a ruler in-frame, so that anthropometric data including hand length and volume could be extrapolated. Results: Preliminary data analysis shows that male OMT practitioners’ grip strength improves with age and that females’ decreases minimally. Other collected data is currently undergoing analysis and significance has yet to be determined. After factoring in subjects’ BMI and hand volume and comparing these values with accepted standards, we believe the data will show that OMT practitioners outperform their non-practitioner counterparts in extrinsic and intrinsic grip strength. Conclusions: Our study paves the way for future tests in this population to determine if practicing OMT affects practitioners in quantifiable ways, such as increasing hand dexterity and tactile sensitivity.