2016
DOI: 10.7556/jaoa.2016.157
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Osteopathic Manipulative Treatment for Somatic Dysfunction After Acute Severe Traumatic Brain Injury

Abstract: Somatic dysfunction caused by traumatic brain injury (TBI) may be managed by osteopathic manipulative treatment (OMT). In this case report, the authors describe 2 patients with severe TBI who were each treated with OMT in a level-1 regional trauma center. Both patients received OMT beginning in the acute care phase of injury. Somatic dysfunction improved during the course of treatment, and no adverse effects of OMT were noted. More comprehensive research may clarify the efficacy and adverse effects of OMT as p… Show more

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Cited by 5 publications
(6 citation statements)
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“…Of the studies reviewed, 10 examined chiropractic or OMT. The majority were case studies, 18,19,[87][88][89][90][91][92] with one retrospective and one prospective observational study. 93,94 Chronic TBI was examined in 4 studies, 18,19,90,91 acute TBI in 5 studies, 88,89,[92][93][94] and subacute TBI in 1 study.…”
Section: Chiropractic/osteopathic Manipulationmentioning
confidence: 99%
“…Of the studies reviewed, 10 examined chiropractic or OMT. The majority were case studies, 18,19,[87][88][89][90][91][92] with one retrospective and one prospective observational study. 93,94 Chronic TBI was examined in 4 studies, 18,19,90,91 acute TBI in 5 studies, 88,89,[92][93][94] and subacute TBI in 1 study.…”
Section: Chiropractic/osteopathic Manipulationmentioning
confidence: 99%
“…Upon discharge, both patients had a GCS score of 15. The techniques used were ligamentous tension and myofascial release with a focus on the cranium, cervical spine, and diaphragm [ 8 ].…”
Section: Reviewmentioning
confidence: 99%
“…Further OMT techniques such as sinus drainage, occipito-atlantal (OA) junction release, and compression of the fourth ventricle (CV4) may be used as a potential adjunctive therapy to reduce inflammation in the brain. Such techniques increase lymphatic drainage and normalize cerebrospinal fluid production and flow [ 8 , 50 ].…”
Section: Reviewmentioning
confidence: 99%
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“…Research is needed to better understand the effects of these techniques on patient outcomes.Major depressive disorder and attention deficit/ hyperactivity disorder have been associated with increased brain inflammation [19][20][21]. It is also postulated that several OMT modalities, including balanced membranous tension, have anti-inflammatory effects on the brain by improving lymphatic flow and decreasing the number of inflammatory cells and cytokines that induce these pathologic changes [21][22][23]. Thus, we theorize that our patient's mood and concentration improvements were likely related to the specific OMT techniques we performed on him during his office visit.…”
mentioning
confidence: 99%