Physical Medicine / OMM
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/21743
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Browsing Physical Medicine / OMM by Author "Liganor, Roselle E."
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Item Evaluation of a Physical Exam Test for Determination of Leg Length Discrepancy Versus the Standard Postural X-ray Series in Low Back Pain Patients(2015-03) Picciotti, Brett; Crow, William; Liganor, Roselle E.; Laniewicz, Natalie; Boone, AaronObjective: To determine if the hip (pelvic) swing test for short leg is equivalent to the postural x-ray series for determination of leg length discrepancy in patients with low back pain. Methods: Patients between the ages of 18 and 65 years who presented to the UNTHSC Department of OM with low back pain and a short leg on clinical exam were enrolled in the study. A hip swing test was performed with the patient barefoot. The test was repeated with heel lifts of various heights to determine which lift allowed for equal rotational motion of the hips. The height of the correct heel lift was recorded in the patient’s chart. Each patient was then referred to Radiology Associates for a postural standing x-ray series. The measure of sacral base unleveling was recorded. The correlation between physical exam test and postural x-ray results was analyzed using a kappa correlation. Results: 30 subjects participated in the study. All subjects underwent the hip swing test and postural standing x-rays. There was a positive correlation (P value) between heel lift height, as determined by physical exam test, and sacral base unleveling measured with imaging. Conclusion: The study shows that the hip swing test may be as reliable and clinically applicable as postural standing x-rays in the evaluation of leg length discrepancy in patients with low back pain. These findings have the potential to alleviate the need for x-rays in the future, thus saving money and reducing the risk of radiation exposure to patients.Item The Effects of Osteopathic Manipulative Treatment on GI Motility(2015-03) Liganor, Roselle E.; Watters, Jacob W.; Jouett, Noah P.; Hensel, Kendi L.; Smith, Michael L.Introduction Since its inception, osteopathic manipulative treatment (OMT) has been used for a variety of clinical conditions. Studies have shown that OMT can affect the autonomic nervous system as measured by heart rate variability, thereby demonstrating somatovisceral effects, and are theorized to affect gastrointestinal (GI) function by altering autonomic balance and GI motility. We hypothesize that OMT will demonstrably affect GI activity as measured by electrogastrography (EGG), a non-invasive measure of GI motility. Materials and Methods This is an IRB-approved randomized controlled trial. EGG was used to measure gastric motility before, during and after either an OMT protocol or a time control (TC). The OMT protocol included specific techniques. Results 15 subjects have enrolled to date. Five subjects’ data were eliminated due to motion artifact. The OMT group (n=5) exhibited a 22 ± 4 % change in EGG % 2-4 cycles per minute (CPM), compared with 10 ± 0.40 % change in the TC group (n=5) (p=0.014). Further, OMT shifted the dominant power of the EGG spectrum significantly greater than TC (p=0.037). OMT did not appear to alter the dominant frequency of the gastric motility (p=0.841). Conclusion OMT appears to either (a) increase the power of the EGG spectra within 2-4 CPM or (b) shift power away from 2-4 CPM to more tachygastric frequencies. This indicates an increase in gastric electrical activity in response to OMT, but more study is needed to determine the significance and relevance of these findings.