Rehabilitation with osteopathic manipulative treatment after lumbar disc surgery: A randomised, controlled pilot study

Kim, Byungh Ho J.; Ahn, Jung Hoon; Cho, Hee Cheol; Kim, Dong Yun; Kim, Tae Yeong; Yoon, Bum Chul

doi:10.1016/j.ijosm.2014.11.003

Cited by 9 publications

(23 citation statements)

References 24 publications

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“…Postoperative measurements of pain and analgesia consumption were used to evaluate OMT in 5 studies. 21 – 23 , 25 , 27 Two studies measured postoperative pain using the Visual Analogue Scale (VAS), 22 a Pain-o-Meter, and the Brief Pain Inventory–Short Form. 27 Probst et al 25 used a numerical rating scale (NRS) to record pain intensity levels in a randomized controlled pilot trial and reported a decrease in pain following abdominal surgery in the OMT group (n = 10) compared to the control group (n = 10) during the first 5 postoperative days (a decrease of 2 units of the NRS [ P < .01] for the OMT group).…”

Section: Resultsmentioning

confidence: 99%

“… 27 Probst et al 25 used a numerical rating scale (NRS) to record pain intensity levels in a randomized controlled pilot trial and reported a decrease in pain following abdominal surgery in the OMT group (n = 10) compared to the control group (n = 10) during the first 5 postoperative days (a decrease of 2 units of the NRS [ P < .01] for the OMT group). Kim et al 22 conducted a prospective, randomized controlled pilot study where OMT treatment was compared with an exercise intervention program in the rehabilitation phase after lumbar disc surgery. Change in VAS prior to and after the intervention was nonsignificant for leg pain ( P = .81) and lower back pain ( P = .29) when comparing the OMT group (n = 16) and the exercise group (n = 17).…”

Section: Resultsmentioning

confidence: 99%

“…21 – 23 Goldstein et al 21 conducted a study with 4 groups (1, Preoperative saline and Postoperative sham-OMT [n = 9]; 2, Preoperative saline and Postoperative OMT [n = 10]; 3, Preoperative morphine and Postoperative sham-OMT [n = 10]; 4, Preoperative morphine and Postoperative OMT [n = 10]) among patients scheduled for abdominal hysterectomy, and the authors found that group 4 consumed significantly ( P = .011) less postoperative morphine compared to group 3, but this level was nonsignificant compared to groups 1 and 2. Kim et al 22 reported a decrease in weekly analgesia consumption in both the OMT group and the exercise group, with a larger decrease in the OMT group, though it was statistically nonsignificant ( P = .28). Licciardone et al 23 reported no significant difference in analgesia consumption (mg/day) in the form of acetaminophen ( P = .68) and hydrocodone ( P = .71) between patients receiving OMT (n = 30) compared to sham-OMT (n = 30) in the context of rehabilitation after knee or hip arthroplasty.…”

Section: Resultsmentioning

confidence: 99%

“…Functionality was included as a distinct measure in the results of a minority of the included studies. 22 , 23 , 26 However, all the 10 articles analyzed included some form of results indicating functional independence, such as length of hospital stay (LOS) and/or joint mobility, improved peripheral circulation, and increased mixed venous oxygen saturation.…”

Section: Resultsmentioning

confidence: 99%

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Osteopathic Manipulative Treatment in Surgical Care

Sposato¹,

Bjerså

2018

J Evid Based Complementary Altern Med

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Background.A growing trend in surgical care is the investigation and incorporation of multimodal interventions into standardized programs. Additionally, manual therapies such as osteopathic manipulative treatment (OMT) are being used with patients in surgical care. Yet the scientific dialogue and the use of OMT in surgical care are currently insubstantial.Objective.The aim of this study was to present an overview of published research articles within the subject field of OMT in surgical care.Method.Summative review of peer-reviewed research articles published in osteopathic journals during the period 1990 to 2017. In total, 10 articles were identified.Result.Previous research has been conducted within the areas of abdominal, thoracic, gynecological, and/or orthopedic surgery with measured outcomes such as pain, analgesia consumption, length of hospital stay, and range of motion. Heterogeneity was identified in usage of osteopathic techniques, treatment duration, and occurrence, as well as in the treating osteopath’s experience.Conclusion.Despite the small number of research articles within this field, both positive measured effects as well as the absence of such effects were identified. Overall, there was a heterogeneity concerning surgical contexts, diagnoses, signs and symptoms, as well as surgical phases in current interprofessional osteopathic publications. In this era of multimodal surgical care, we argue that there is an urgent need to evaluate OMT in this context of care and with a proper research approach.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Osteopathic Manipulative Treatment in Surgical Care

Sposato¹,

Bjerså

2018

J Evid Based Complementary Altern Med

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“…We found no trials that specifically investigated MMT following discectomy. There were 3 pilot studies published by Kim et al investigated OMT versus active control following microdiscectomy [72][73][74].…”

Section: Discectomymentioning

confidence: 99%

Manipulative and manual therapies in the management of patients with prior lumbar surgery: A systematic review

Daniels

Cupler

Gliedt

et al. 2021

Complementary Therapies in Clinical Practice

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Background The purpose was to identify, summarize, and rate scholarly literature that describes manipulative and manual therapy following lumbar surgery. Methods The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered with PROSPERO. PubMed, Cochrane Database of Systematic Reviews, ICL, CINAHL, and PEDro were searched through July 2019. Articles were screened independently by at least two reviewers for inclusion. Articles included described the practice, utilization, and/or clinical decision making to post surgical intervention with manipulative and/or manual therapies. Data extraction consisted of principal findings, pain and function/disability, patient satisfaction, opioid/medication consumption, and adverse events. Scottish Intercollegiate Guidelines Network critical appraisal checklists were utilized to assess study quality. Results Literature search yielded 1916 articles, 348 duplicates were removed, 109 full-text articles were screened and 50 citations met inclusion criteria. There were 37 case reports/case series, 3 randomized controlled trials, 3 pilot studies, 5 systematic/scoping/narrative reviews, and 2 commentaries. Conclusion The findings of this review may help inform practitioners who utilize manipulative and/or manual therapies regarding levels of evidence for patients with prior lumbar surgery. Following lumbar surgery, the evidence indicated inpatient neural mobilization does not improve outcomes. There is inconclusive evidence to recommend for or against most manual therapies after most surgical interventions.

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