Browsing by Subject "osteopathic manipulative medicine"
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Item Development of the Attitudes Toward Osteopathic Principles and Practice Scale (ATOPPS): Preliminary Results(2002-05-01) Russo, David P.Russo, David P., Development of the Attitudes Toward Osteopathic Principles and Practice Scale (ATOPPS): Preliminary Results. Master of Public Health, May 2002, 11 pp., 2 tables, bibliography, 19 titles. Little is known about how student attitudes toward osteopathic principles and practice (OPP) develop and evolve over the course of their osteopathic medical education. Interviews were conducted with osteopathic medical students, osteopathic manipulative medicine (OMM) residents, fellows, and physician specialists. These interviews were summarized in a 39-item instrument administered to 127 students at the completion of their core OMM rotation at UNTHSC-TCOM. Factor analysis of student responses to the 39 candidate items yielded two interpretable factors. 14 of the original 39 statements were eliminated and the smaller second factor was dropped. Factor 1 contained items reflecting both positive and negative attitudes toward the application OPP in patient care, medical education, and professional distinctiveness. Two internal consistency estimates of reliability were computer for the revised 25-item ATOPPS. Estimates for the split-half coefficients for part 1 were .89, for part 2 was .87; the Spearman-Brown coefficient alpha was .93Item Effects of Osteopathic Manipulative Treatment on the Inflammatory Mediators Related to Asthma(2015-05-01) Ragland, Christina E.; David C. Mason; Rita Patterson; Sid E. O'BryantThe purpose of this study was to explore the impact of OMT on the macroscopic and microscopic measures of asthma. This was accomplished through a repeated measures design, and the asthma quality of life questionnaire was used to assess asthma severity. Inflammatory proteins known as cytokines, fractional exhaled nitric oxide, and spirometry were used to assess for change immediately after the OMT was performed. Although no statistically significant changes were measured, inflammatory cytokines specific to asthma decreased (IL-4, IL-5), while more general inflammatory cytokines increased after OMT (IL-6, CRP). Spirometry showed a slight decrease in FEV1 and FVC after OMT, although this decrease was neither statistically nor clinically significant. These trends illustrate the need for further investigation into the mechanism of OMT and its role in asthma treatment. The inflammatory cascade that drives asthma is complex and other diseases and lifestyle habits also generate and modify inflammation in the body. As such confounding factors such as gastroesophageal reflux disease, obesity, COPD, and cigarette smoking, should be taken into consideration in future studies.Item Integration of Osteopathic Manipulative Medicine into Differential Diagnosis Training: A Study Evaluating Teaching Strategies and Their Influence on Student Learning(2007-05-01) IrvineMoore, LaPonna Rae; Gamber, Russell; Shores, Jay H.; Oglesby, MichaelIrvineMoore, LaPonna R. Integration of Osteopathic Manipulative Medicine into Differential Diagnosis Training: A study evaluating teaching strategies and their influence on student learning. Master of Science in Clinical Research and Education, May 2007, 109 pp, 16 tables, 14 figures, bibliography 118 titles. This study compared traditional lecture versus a computer-based cognitive science-based approach in training 2nd year medical students to perform low back pain differential diagnosis with integrated osteopathic diagnoses and findings. Research subjects were tested on diagnostic capabilities and outcomes were compared. Students’ opinion and feedback was assessed through a computer-based questionnaire. Although the two groups performed equally with respect to overall mean and osteopathic diagnoses, the treatment group performed better on difficult questions. Eighty percent of student attitudes were positive toward computer-based learning and its utility in uniquely osteopathic concepts. Cognitive science-based teaching modalities may increase diagnostic competencies and positively affect learning of uniquely osteopathic concepts.Item Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain(2002-05-01) Russo, David P.; Scott Stoll; John C. Licciardone; Russell GamberRusso, David P., Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain. Master of Science, May 2002, 15 pp., 1 table, 1 figure, bibliography, 26 titles. Osteopathic physicians rely on specific clinical palpatory tests to diagnose somatic dysfunction of the neuromusculoskeletal system. The purpose of this study is to compare the interexaminer reliability of six common osteopathic clinical tests to severity ratings of somatic dysfunction in six body regions. Ten trained and clinically supervised predoctoral osteopathic manipulative medicine fellows collected palpatory data using the Standardized Outpatient Osteopathic Soap Note Form (SNF) and recorded findings for six pre-selected osteopathic clinical diagnostic tests as part of a randomized controlled trial of osteopathic manipulative treatment for chronic low back pain. Kappa coefficients were used to assess overall examiner agreement for the osteopathic clinical tests. Intraclass correlational coefficients (ICC) and Chronbach’s alpha were used to assess examiner agreement for the severity ratings. Kappa values for the six clinical tests ranged from 0 to 0.32. The single item ICC was 0.32, average item ICC was .74, and the coefficient alpha for internal consistency of the six body region scores was 0.80. These results indicate that diagnostic impressions of somatic dysfunction severity may be more reliable than outcomes from isolated osteopathic clinical tests.Item Osteopathic Focus in the Biomedical Sciences: A Survey of Biomedical Science Faculty at Osteopathic Medical Schools in the United States(2007-05-01) Ebert, Didi Elise; Rustin E. Reeves; Stuart Williams; Stuart WilliamsEbert, Didi E., Osteopathic Focus in the Biomedical Sciences: A Survey of Biomedical Science Faculty at Osteopathic Medical Schools in the United States. Master of Science (Clinical Research and Education), May, 2007, 73 pp., 6 tables, 2 figures, bibliography, 20 titles. The purpose of this study was to describe and evaluate the knowledge of osteopathic principles and osteopathic manipulative medicine (OMM) among biomedical science faculty at osteopathic medical schools (COMs) and to assess their attitudes towards the integration of osteopathic principles and OMM concepts into the biomedical science curriculum and biomedical science research. A cross-sectional survey was administered to biomedical science research. A cross-sectional survey was administered to biomedical science faculty at COMs within the United States. Descriptive statistics were used to characterize data, and means were compared between health science center faculty and non-health science center faculty and between anatomy faculty and non-anatomy faculty. The survey response rate was 29%. Overall, survey respondents demonstrated positive attitudes and high levels of knowledge regarding osteopathic principles and less positive attitudes toward OMM. Significant differences were noted between faculty at health science centers versus faculty at non-health science centers and between anatomy faculty and non-anatomy faculty. Data from this survey may be useful in designing strategies to increase the integration of osteopathic principles into the biomedical science curriculum.Item Preliminary Trial of a Survey Instrument to Detect Outcomes of Curriculum Reform in Osteopathic Manipulative Medicine(2004-05-01) von Lindeman, Alexa; Shores, Jay H.; Cruser, des Anges; Gamber, RusselVon Lindeman, Alexa. Preliminary Trial of as Survey Instrument to Detect Outcomes of Curriculum Reform in Osteopathic Manipulative Medicine. Master of Science (Clinical Research and Education), May 2004; 28 pp; 5 tables; 3 figures; references 17 titles. Purpose: To assess whether the attending physicians at the University of North Texas Health Science Center—Texas College of Osteopathic Medicine would perceive an increased student interest in osteopathy as well as show a personal increased interest in osteopathic principles and practice following a 2001 OMM curricular reform. Study Design: Surveys were mailed at the beginning and end of the 2002-2003 academic year. Responses were matched for pre-post comparisons. Results: Factor analysis identified 13 factors. ANOVA analysis did not achieve statistical significances between pre and post groups. Although regression analysis identified three factors that achieved statistical significance (p≤05), these were attributed to variables such as residency type, medical school and type of practice. Conclusion: The survey instrument was effective in detecting variables that influenced beliefs and practice. Future larger scale studies are needed to confirm the trends in the data.