Physical Medicine / OMM
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/21719
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Browsing Physical Medicine / OMM by Author "Hensel, Kendi"
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Item Osteopathic Manipulative Techniques Alter Gastric Myoelectrical Activity in Healthy Subjects(2016-03-23) Jouett, Noah; Van den raadt, Amber; Smith, Michael; Hensel, Kendi; Shadiack, EdwardINTRODUCTION: Osteopathic Manipulative Techniques (OMT) have been shown to alter autonomic control of heart rate. However, it is unclear if OMT affects control of gastric myoelectrical activity (GMA). HYPOTHESIS: We hypothesized that OMT significantly alters power spectral density (PSD) analyses of electrogastrography (EGG) recordings compared with sham OMT. METHODS: IRB approval was obtained for this protocol. Subjects were studied before and after sham treatment and OMT (both vagal and sympathetic directed techniques) on separate days in a cross-over design. 15 minute EGG recordings were obtained before and after each intervention and after a water challenge (WC; a standard vagal stimulus of GMA). The WC involved drinking 500 mL of 16 οC water over 5 min. Percent power in the normogastric range (PPN; 2-4 counts/min) was estimated from PSD analyses of EGG recordings. Absolute percent change of PPN (∆PPN) from baseline to post-intervention and baseline to post-WC was computed and compared using paired t-tests and two-way repeated-measures ANOVA. RESULTS: OMT significantly altered ∆PPN versus sham control (sham: 5.3%, OMT: 24.5%, P=0.015). WC significantly altered ∆PPN compared to sham control (post-sham ∆PPN: 5.3%, post-drink ∆PPN: 30.3%, P CONCLUSIONS: We conclude that (a) OMT significantly alters GMA compared to sham control and (b) that OMT produces similar changes in GMA to WC.Item Safety of Osteopathic Manipulative Treatment on Labor and Delivery Outcomes(2016-03-23) Roane, Brandy; Smith-Barbaro, Peggy; Hensel, Kendi; Chaphekar, Anita V.1. Objective: Osteopathic Manipulative Treatment (OMT) has been used in pregnant women since its beginning, but little quality data exists on its safety. The Pregnancy Research in Osteopathic Manipulation Optimizing Treatment Effects (PROMOTE) study was a NIH-funded, randomized controlled clinical trial with the objective of evaluating the safety and efficacy of OMT during third-trimester pregnancy. 2. Materials and Methods: In PROMOTE, 400 study subjects were randomly assigned to one of three study groups: Usual Care Only (UCO), Usual Care plus Placebo Ultrasound Treatment (PUT) or Usual Care plus OMT (OMT). The primary objective of the current analysis was to evaluate safety of OMT on labor and delivery by comparing the incidence of high-risk status of pregnant women; labor and delivery outcomes such as length of labor, perineal lacerations, operative vaginal delivery, meconium-stained amniotic fluid; and APGARs of infants born to mothers in each of the three study groups. 3. Results: Data from this study showed that the application of the OMT protocol does not result in increased risk of high-risk status, in fact, women who received OMT were less likely to develop high risk status. The OMT protocol also did not increase risk of precipitous labor, conversion to caesarian section, perineal laceration, meconium-stained amniotic fluid, or requiring the use of forceps or a vacuum device. In all the maternal outcomes examined, no difference was reported among the three study groups with the exception of incidence of prolonged labor. Women receiving OMT were able to successfully labor longer and vaginally deliver with no increased incidence of complications, including perineal laceration, episiotomy, and use of forceps or vacuum device. 4. Conclusion: These results suggest that the OMT protocol as applied in PROMOTE is a safe intervention during the third trimester.