The Osteopathic Way

Maria T. Gentile, D.O.

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Treatment of Pain and Injury

Outcome & Case Data - Osteopathic Manipulative Treatment

NEUROLOGICAL PROBLEMS

MULTIPLE SCLEROSIS

Yates HA , Vardy TC , Kuchera ML , Ripley BD , and Johnson JC
Effects of osteopathic manipulative treatment and concentric and eccentric maximal-effort exercise on women with multiple sclerosis: a pilot study.
JAOA: The Journal of the American Osteopathic Association 2002 May;102(5):267-275, quiz 299-300

Findings indicate that osteopathic manipulative treatment (OMT) combined with maximal-effort exercise (MEE) significantly increases strength and ambulatory levels while not increasing fatigue in female patients with MS who have low to medium impairment. Qualitative data show that this intervention also produces beneficial effects in activities of daily living.

 

(Thank you to Lydia Kibiuk - http://web.sfn.org/content/Publications/BrainBriefings/ms.html for allowing me use of her graphic image)

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Yates HA , Vardy TC , Kuchera ML , Ripley B , and Johnson JC
Prolonged effects of maximal effort exercise and osteopathic manipulative treatment on women with multiple sclerosis: a pilot study. Journal of Osteopathic Medicine (Australia) 2002 Apr;5(1):42-43

The combined effect of MEE and OMT significantly increases strength and ability to walk in female MS patients and does not increase fatigue, a major symptom of MS. The effects on walking and strength were maintained through a 9-month follow-up period.

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STROKE

Maxwell S
The use of OMT in stroke rehabilitation.  The AAO Journal: A Publication of the American Academy of Osteopathy 1999 Spr;9(1):18-20

The survivors of a stroke lead lives ranging from normal full function to a high degree of permanent impairment. The case and discussion presented illustrate how osteopathic physicians can increase the quality of life for people left with musculoskeletal disabilities and decreased motor function in the post-acute care 
setting by using OMT treatment strategies to address some of the complications of strokes.   

(Thanks to Prof. Nancy Rothwell at http://www.biomed2.man.ac.uk/biology/ns/njr/what2.html for allowing me use of their graphic image)

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PERIPHERAL NEUROPATHY 

Larson NJ , Walton MW , Hunt HH , and Kelso AF
A double-blind clinical study of the effects of manipulative treatment of patients with peripheral nerve complaints [meeting abstract]
JAOA: The Journal of the American Osteopathic Association 1976 Nov;76(3):209

The patients used in the primary research project were those whose peripheral nerve complaints were not associated with other disease problems. The study showed that a good therapeutic response was obtained by treatment and that the temperature of

                                    the affected limb was changed as a result of the manipulation.   

(Thanks to Support Your Back - www.supportyourfeet.com for allowing me use of their graphic image)

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   BELL’S PALSY

Hallihan MR , Walton FC Sr , McConnell JE , and Wyatt WE
A prospective clinical study on the efficacy of osteopathic manipulative treatment for Bell's palsy patients.  JAOA: The Journal of the American Osteopathic Association 1984 Sep;84(1):75

This study showed improvement in the symptoms of Bell’s Palsy associated with a response of the palpatory findings and changes in circulation to the affected areas. 

 

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