Journal of Osteopathic Medicine最新文献

{"title":"Comparison of training background and characteristics between osteopathic and allopathic team physicians in professional sports leagues.","authors":"Brandon D Rust, Ambika Singh, Matthew T McKinley, Joseph Imler, Mackenzie Elting, Ryan Callahan, Christopher L Rennie, Leighann C Krasney","doi":"10.1515/jom-2026-0065","DOIUrl":"https://doi.org/10.1515/jom-2026-0065","url":null,"abstract":"<p><strong>Context: </strong>Team physicians (TPs) play a critical role in professional sports, providing medical care for athletes under high-pressure conditions. These positions are highly competitive, influenced by previous affiliations, training pedigree, and institutional connections, with fellowship training increasingly essential. Although the number of osteopathic (Doctor of Osteopathic Medicine [DO]) physicians in the United States has grown substantially, TPs in professional sports remain predominantly filled by allopathic (Doctor of Medicine [MD]) physicians, and the training pathways of DO TPs are not well characterized.</p><p><strong>Objectives: </strong>The objective of this study is to compare the training and demographic characteristics of DO and MD TPs in professional sports leagues.</p><p><strong>Methods: </strong>Publicly available sources were utilized to identify all DO and MD physicians serving as head team physicians (HTPs), TPs, or consulting physicians across seven major US professional sports leagues (National Football League [NFL], Major League Baseball [MLB], National Basketball Association [NBA], Women's National Basketball Association [WNBA], National Hockey League [NHL], Major League Soccer [MLS], and National Women's Soccer League [NWSL]). Data on gender, specialty, medical education, residency and fellowship training, years in practice, clinical practice type, practice setting, and research productivity were collected across the leagues for both osteopathic and allopathic training backgrounds.</p><p><strong>Results: </strong>Among 676 TPs and consultants, most were MDs (93.3 %) and male (91.3 %), with DOs more often being female (22.2 % vs. 7.8 %) and in early-career stages (p<0.05). Specialty distribution differed by degree, with DOs overrepresented in Family Medicine (15.6 %) and underrepresented in orthopedic surgery (1.2 %) (p<0.001). Training locations partially aligned with current team affiliation, particularly for residency, but research productivity did not differ by degree. The majority practiced in urban settings within private or academic institutions, although DOs were less frequently urban-based (5.0 %) than MDs (p=0.028).</p><p><strong>Conclusions: </strong>US professional sports team physicians (PSTPs) are predominantly MD-trained and male, with DO physicians and women underrepresented, especially in orthopedic surgery. Career stage, research productivity, and practice settings were generally similar across degree types, highlighting potential external factors, such as the presence of longstanding institutional affiliations and informal referral networks, that may influence access to these roles.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the mental health of medical students during their dedicated study period for COMLEX Level 1 vs. Level 2 after the change of COMLEX Level 1 to pass/fail.","authors":"Tarana Zaman, Kassianna Politis, Rachael Lee, Edward Magalhaes, Deborah West, David Redden","doi":"10.1515/jom-2024-0125","DOIUrl":"https://doi.org/10.1515/jom-2024-0125","url":null,"abstract":"<p><strong>Context: </strong>The United States Medical Licensing Examination (USMLE) Step 1 and Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Level 1 transitioned to a Pass/Fail (P/F) designation in 2022. While this change is meant to improve medical students' mental health during their first-level licensure examination period, it is also critical to consider how this may affect students during their second-level licensure examination period. Because this scoring transition is relatively recent, limited studies have investigated how this change has affected student quality of life (QoL). Even fewer studies have analyzed COMLEX-USA specifically.</p><p><strong>Objectives: </strong>This study aims to investigate the QoL of osteopathic medical students during their designated study periods (DSPs) for COMLEX-USA Level 1 and Level 2 after the transition of COMLEX-USA Level 1 to a P/F designation.</p><p><strong>Methods: </strong>The study design consisted of an online survey distributed to fourth-year osteopathic medical students in the Class of 2024 via the Council of Osteopathic Student Government Presidents (COSGP), with a total of 253 participants. Participants were included in the study if they were members of the Class of 2024 and if they took COMLEX-USA Level 1 as P/F and Level 2 as numerically scored. The survey included identical questions for COMLEX-USA Level 1 vs. Level 2 regarding QoL parameters during DSPs on a Likert scale, and the sign test was utilized to analyze the results.</p><p><strong>Results: </strong>During their DSP for COMLEX-USA Level 2, participants reported better mental health (p=0.0017), more time for hobbies (p=0.0072), more time spent with loved ones (p<0.0001), higher levels of physical activity (p=0.0199), higher overall QoL (p=0.004), and higher confidence in passing (p=0.0003) compared to during their DSP for COMLEX-USA Level 1. Although the QoL parameters were nearly all significantly better for participants during their DSP for COMLEX-USA Level 2, a total of 137 participants (54.1 %) reported that they felt greater perceived stress for the COMLEX-USA Level 2 examination. However, this proved to not be statistically significant (p=0.1852).</p><p><strong>Conclusions: </strong>The newly established P/F designation for first-level licensure examinations was implemented to improve student well-being. This study's results indicate an overall better QoL for survey participants from the Class of 2024 during their COMLEX-USA Level 2 DSP as compared to QoL during their COMLEX-USA Level 1 DSP. Still, there is some suggestion that the mental burden previously associated with first-level licensure examinations has potentially been deferred to second-level licensure examinations. Further studies would be required to clearly delineate the impact of COMLEX Level 1 having a P/F designation on medical student wellness and the residency application process.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of cardiac rehabilitation following cerebrovascular accident: a systematic review.","authors":"Dan Yacubovich, Nicholas R Eltman, Rebecca J Raskin-Wish, Rayna A Patel, Randel L Swanson Ii","doi":"10.1515/jom-2026-0081","DOIUrl":"https://doi.org/10.1515/jom-2026-0081","url":null,"abstract":"<p><strong>Context: </strong>The brain is highly vulnerable to circulatory disruptions, including cerebrovascular accident (CVA or stroke). Stroke survivors can benefit from cardiac rehabilitation (CR).</p><p><strong>Objectives: </strong>This systematic review evaluated the safety and efficacy of CR in stroke survivors.</p><p><strong>Methods: </strong>PubMed and Embase databases were screened from 1993 to May 2025 for articles utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. We included randomized controlled trials (RCTs), nonrandomized clinical trials/studies, cohort studies (prospective or retrospective), case-control studies, and large case series (≥10 participants). Two independent researchers screened articles utilizing the Participant, Interventions, Comparisons, Outcomes, and Study design (PICOS) criteria for inclusion in the review, and a third person was utilized to resolve any conflicts. Data were abstracted from selected studies to a structured spreadsheet, which included information on study characteristics, adverse events, withdrawals, and functional outcomes.</p><p><strong>Results: </strong>A total of 2,239 records were identified through database searching, including PubMed (n=2039) and Embase (n=200). After removal of duplicates (n=180), 2059 records underwent title and abstract screening. Of these, 1986 records were excluded, and 73 studies were sought for retrieval. Of the 73 studies, 9 were not retrieved. The remaining 64 full-text articles were assessed for eligibility, of which 52 were excluded due to incorrect study design (n=28), failure to report adverse events (n=15), incorrect intervention (n=6), or incorrect patient population (n=3). A total of 12 studies were included in the review. Out of the studies included, five studies reported adverse events in ranging severity. All events were considered unrelated to the use of CR, due to lower-graded events being expected occurrences of physical exertion, whereas severe and fatal events were attributed to pre-existing comorbidities, unrelated illnesses, or external factors. Withdrawal rates and events were reported in all 12 studies, which showed that withdrawal was unrelated to CR and based more on logistical and medical events present within the patient population. All studies reported improvement in functional outcomes; however, a mix of statistically significant and nonsignificant results were observed, contingent upon the specific outcome measure evaluated.</p><p><strong>Conclusions: </strong>Collectively, the data suggest that CR is a safe intervention for poststroke rehabilitation and has the potential to improve functional outcomes in patients. However, variability in functional outcomes highlights the need for individualized CR protocols.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A biodynamic osteopathic approach with attentive touch improves postural stability in healthy adults: a randomized controlled trial.","authors":"Roberto Bettoni, Giacomo Consorti, Margherita Scattolin, Diego Scattolin, Alessandra Abenavoli","doi":"10.1515/jom-2025-0101","DOIUrl":"https://doi.org/10.1515/jom-2025-0101","url":null,"abstract":"<p><strong>Context: </strong>Postural balance (PB) is essential for daily activities, injury prevention, and rehabilitation, and it can be objectively assessed through stabilometric analysis of center-of-pressure (CoP) oscillations. Beyond biomechanical factors, postural control is influenced by fascial function, interoception, and emotional-autonomic states, which may alter postural sway even in asymptomatic individuals. Osteopathic manipulative treatment (OMT) and other manual therapies have been shown to modify stabilometric parameters, suggesting a potential regulatory effect on balance. Moreover, the insular response to affective touch is modulated by the practitioner's attentional focus, indicating that an attentive, gentle touch may engage interoceptive networks in a specific way and thereby influence postural control.</p><p><strong>Objectives: </strong>This study examined whether a biodynamic osteopathic approach (BOA) characterized by a light, attentive touch could enhance postural stability in asymptomatic adults compared to a sham nonattentive touch (NAT) and a no-treatment (NT) control.</p><p><strong>Methods: </strong>From September to December 2023, a parallel, three-arm randomized controlled trial (1:1:1) was conducted in a private osteopathic clinic. Healthy adults were recruited via mailing lists and collaborating general practitioners, and they randomized to a BOA, an NAT or an NT. All participants underwent stabilometric assessment of CoP sway with eyes open (OE) and eyes closed (CE) immediately before and after the allocated condition. The primary outcome was the change in variance of velocity (VV) of the CoP. Analyses were conducted on absolute and percentage pre-post differences utilizing linear regression models adjusted for relevant covariates.</p><p><strong>Results: </strong>Only participants receiving BOA demonstrated a statistically significant reduction in CoP velocity variance (p<0.001). In the OE and CE conditions, over 90 % of subjects in the BOA group showed improved stability, whereas this proportion was substantially lower in the NAT and NT groups.</p><p><strong>Conclusions: </strong>A BOA utilizing light and attentive touch significantly improved PB in a healthy population, highlighting the possible influence of interoceptive and attentional mechanisms. These findings support further exploration of maximalist, perception-focused osteopathic interventions for postural optimization, both for prevention and performance enhancement.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound assessment of T7 vertebral kinematics during induced segmental rotation.","authors":"Levi Stacken, Brynn Stacken, Agatha Beier, Michael Megown, Joshua Vance, Joon Bang, Mary Ying-Fang Wang, Zane Starks, Brian Degenhardt","doi":"10.1515/jom-2025-0200","DOIUrl":"https://doi.org/10.1515/jom-2025-0200","url":null,"abstract":"<p><strong>Context: </strong>Clinical assessment of vertebral segment motion in the horizontal plane relies on applying anterior force to the tissues overlying transverse processes (TPs). Although current osteopathic principles suggest that this force induces vertebral rotation around a vertical axis, this mechanism has not been verified.</p><p><strong>Objectives: </strong>The objective of this study was to assess whether anterior force applied to the TP of the seventh thoracic vertebra (T7) induced vertebral rotation about a vertical axis.</p><p><strong>Methods: </strong>Ten healthy, adult participants volunteered for our cross-sectional observational study. With participants prone, we utilized ultrasound to identify the lateral portion of the T7 TPs. Over that point, a human-controlled, 3D-printed thumb applied 40 N of force. To evaluate TP motion, we obtained ultrasound recordings from two positions: (1) medial to the applied force with a slight angular shift to assess ipsilateral TP displacement; and (2) directly over the contralateral TP to assess contralateral TP displacement. We performed six pushes on each TP, three recorded by the ultrasound on the ipsilateral side and three on the contralateral side, totaling 12 pushes per participant. We visualized and measured TP displacement secondary to the forces applied during each push on the ultrasound video recordings. A 3D motion capture system tracked reflective markers on the thumb, and the ultrasound probe was utilized to measure vertical displacement and angular shift from baseline (no force) to peak force, providing quality control for manual handling. We utilized a mixed-effects model to compare ipsilateral and contralateral TP displacement and to adjust for confounders such as variability in force and ultrasound probe movement during data capture.</p><p><strong>Results: </strong>Of the 10 participants, 6 (60 %) were women, mean (SD) age was 25.3 (1.6) years, and mean body mass index (BMI) was 22.6 (1.0) kg/m². The mean (SD) maximum applied force was 40.7 (2.1) N, and vertical displacement of the 3D-printed thumb was 9.7 (2.4) mm. After adjusting for confounders, a significant difference was found between ipsilateral and contralateral TP displacement (p<0.001); the ipsilateral TP moved anteriorly (mean [SE]=4.5 [0.2] mm), and the contralateral TP moved posteriorly (mean [SE]=1.1 [0.2] mm).</p><p><strong>Conclusions: </strong>Our results indicated that the ipsilateral TP moved approximately 4 times more than the contralateral TP and suggested that the thoracic vertebrae do not rotate on a purely vertical axis when pushing anteriorly on the TP. Instead, the observed vertebral segment motion suggested a mechanism of coupled motion consisting of primarily anterior translation and some rotation rather than a simple rotation around a central axis.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the neurosurgery match gap in medical schools without home residency programs: a curricular proof of concept.","authors":"Kyle McGrath, Allie L Sinclair, Laura B Ngwenya, Francesco T Mangano","doi":"10.1515/jom-2025-0248","DOIUrl":"https://doi.org/10.1515/jom-2025-0248","url":null,"abstract":"<p><strong>Context: </strong>Students at medical schools without home residency programs face barriers such as limited research opportunities, lack of faculty mentorship, and minimal specialty exposure that result in lower match rates in competitive fields like neurosurgery and reduce workforce diversity.</p><p><strong>Objectives: </strong>We sought to design and implement a structured, year-long research curriculum as a proof-of-concept model to explore whether such programming may improve specialty match outcomes for students from underresourced institutions.</p><p><strong>Methods: </strong>Following Kern's six-step curriculum development process, we developed a research elective to be completed between the third and fourth years of medical school beginning in 2021. To minimize financial and logistical barriers, participants retained part-time enrollment, preserving financial aid, insurance, and malpractice coverage. Students engaged in immersive research and clinical experiences at sponsoring institutions with neurosurgery residency programs. To assess the broader perceived need for similar programs, a survey was distributed to the American College of Osteopathic Surgeons Medical Student Section (ACOS-MSS), with over 140 responses, inquiring about research year participation and interest.</p><p><strong>Results: </strong>In this initial proof-of-concept cohort, all four students who have utilized this curriculum successfully matched into neurosurgery programs. Given the small sample size, these results should be interpreted with caution, because students may have benefited from additional factors supportive of matching independent of the curriculum. Of 146 ACOS-MSS survey respondents, 5 (3.4 %) were currently completing a research year, whereas 49 (33.6 %) indicated that they would be interested in or would consider embarking on a research gap year if available - most commonly in surgical specialties such as neurosurgery, plastic surgery, and cardiothoracic surgery.</p><p><strong>Conclusions: </strong>This proof-of-concept suggests that a dedicated research year may offers a pathway for those without home residency programs to enhance competitiveness during the match process, although larger prospective studies are needed to establish efficacy. The high level of interest identified among osteopathic medical students highlights a widespread need for standardized, accessible specialty-development curricula. Broader adoption could promote diversity in medical education by expanding access to competitive specialties and fostering partnerships between osteopathic and allopathic institutions.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum infectious morbidity in patients with medication-controlled gestational diabetes mellitus: a retrospective cohort study.","authors":"Victoria E Boyd, Eleanore Rominger, Maria Figueroa, Amanda J Young, Celia Gray, A Dhanya Mackeen","doi":"10.1515/jom-2025-0172","DOIUrl":"https://doi.org/10.1515/jom-2025-0172","url":null,"abstract":"<p><strong>Context: </strong>Gestational diabetes mellitus (GDM) has been associated with increased infectious morbidity antenatally. However, it is unclear whether the risk of infections in this population remains elevated postpartum.</p><p><strong>Objectives: </strong>The objective of this study was to evaluate whether medication-controlled gestational diabetes mellitus (A2GDM) increases the risk for infectious morbidity in the postpartum period.</p><p><strong>Methods: </strong>This is a retrospective cohort study that was conducted from January 1, 2010 to October 31, 2023, evaluating 46,756 singleton pregnancies across a healthcare system. We evaluated whether patients with A2GDM have a higher risk for infection in the postpartum period (within 6 weeks) as compared to patients without GDM. Composite infectious morbidity was the primary outcome: this included surgical site infection (SSI), bacterial vaginosis, vaginal candidiasis, urinary tract infection, mastitis, and postpartum endometritis. Secondary outcomes included 30-day readmission for obstetrical reasons or gynecologic surgery.</p><p><strong>Results: </strong>Patients with A2GDM did not have an increase in infectious complications in the postpartum period as compared to patients without GDM (odds ratio [OR] 1.17, confidence interval [CI] 0.96-1.42). There was no increased risk of being admitted due to an obstetrical reason (OR 1.37, CI 0.86-2.18) or for gynecologic surgery (OR 1.00, CI 0.65-1.53).</p><p><strong>Conclusions: </strong>Patients with A2GDM did not have a greater risk of an infectious complication or readmission for obstetrical or gynecologic indications in the postpartum period compared to patients without GDM. Thus, it is unlikely that glucose testing in the postpartum period will be beneficial to help prevent infectious morbidity.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of osteopathic mentorship during medical school, residency, and beyond for surgical subspecialties: review of literature.","authors":"Klea Agollari, Anthony Modica, Adam Bitterman","doi":"10.1515/jom-2024-0229","DOIUrl":"https://doi.org/10.1515/jom-2024-0229","url":null,"abstract":"<p><strong>Context: </strong>Quality mentorship for medical students and resident physicians throughout their medical education has been shown to be beneficial in supporting students in their academic and professional endeavors. There is no standardized approach for providing mentorship across institutions, and many students feel that they do not receive adequate mentorship. There is a paucity of literature about osteopathic mentorship, which is important to address due to the unique set of challenges faced by osteopathic medical students and residents.</p><p><strong>Objectives: </strong>This review aims to evaluate the quality and availability of osteopathic mentorship in medical education and to identify areas of improvement and barriers for implementing structured mentorship programs across institutions.</p><p><strong>Methods: </strong>A comprehensive search of PubMed and ClinicalKey was conducted to explore current practices for mentorship within the training world of medicine, focusing on osteopathic mentorship throughout medical school and residency training. Recommendations for improving mentorship and developing standardized approaches were derived.</p><p><strong>Results: </strong>Mentorship was strongly associated with improved specialty choice and residency match outcomes. Students prioritized honest feedback (75.4 %), responsiveness (70.8 %), and networking (60.8 %). Structured mentorship programs demonstrated high effectiveness, including a 100 % categorical surgery match rate in one cohort and significant perceived benefit (p<0.05). Osteopathic students reported limited mentorship (59.0 %) and significantly greater degree-based bias than allopathic peers (73.7 % vs. 16.0 %; p=0.001), with fewer research and mentorship opportunities. Targeted mentorship initiatives increased specialty interest (odds ratio [OR]=1.43; p=0.003) and improved match outcomes.</p><p><strong>Conclusions: </strong>Mentorship has been demonstrated to be beneficial in medicine for both medical students and residents. Mentorship is very valuable to help osteopathic medical students match competitive specialties for residency and to maximize their potential. Residents at training programs with established and well-structured mentorship programs demonstrated greater satisfaction and success.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective cognitive decline and mammograms: an examination of the Behavioral Risk Factor Surveillance System.","authors":"Alyson N Mack, Vanessa Donaldson, Stephanie Van Nortwick, Zach Monahan, Natasha Bray, Micah Hartwell","doi":"10.1515/jom-2026-0008","DOIUrl":"https://doi.org/10.1515/jom-2026-0008","url":null,"abstract":"<p><strong>Context: </strong>Breast cancer is the second leading cause of cancer death among women in the United States. Screening mammograms reduce mortality overall, but they present unique challenges in patients with cognitive impairments. Harms such as psychological distress and financial burden may outweigh benefits provided by screening mammograms. Those with subjective cognitive decline (SCD), defined as self-perceived cognitive decline without measurable cognitive impairment, are a population lacking clear recommendations, and SCD remains understudied regarding mammogram utilization.</p><p><strong>Objectives: </strong>The objective of this study was to investigate the relationship between SCD and adherence to mammogram screening recommendations.</p><p><strong>Methods: </strong>To examine the relationship between SCD and mammogram utilization, we conducted a cross-sectional analysis utilizing the 2022 Behavioral Risk Factor Surveillance System (BRFSS) data set. Sociodemographic factors associated with screening rates within the SCD population were assessed. Logistic regression models were utilized to evaluate associations between mammogram screenings within the past 2 years, income levels, and other sociodemographic variables.</p><p><strong>Results: </strong>A total of 18,344 of the 22,442 (81.2 %) women aged 50-74 in the BRFSS reported having a mammogram in the past 2 years. A total of 1,360 (6.75 %) respondents reported a level of SCD that only affects memory, whereas 1,230 (5.38 %) reported having SCD that impacts memory and ADLs. Although mammogram screening rates decreased in individuals reporting SCD, the rate of decline was only statistically significant if ADLs were affected (AOR: 0.63, 95 % CI: 0.46-0.86; p=0.004). Furthermore, all groups' odds are significantly increased when income is >$50,000, except those in which ADLs are affected by SCD.</p><p><strong>Conclusions: </strong>Our data indicate similar mammogram screening rates between women with and without SCD as long as ADLs are not affected; however, once SCD impacts ADLs, screening rates for women drop significantly. Interestingly, we found that the women with the highest rates of screening are those with income greater than $50,000 with SCD but no impacts to ADLs and that screening disparities between rural and urban were nonsignificant. Given these contextual differences, additional screening guidelines for mammograms among women with SCD are warranted.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of osteopathic manipulative medicine in the treatment of low back pain: a scoping review and meta-analysis of patient-reported outcomes.","authors":"Kristin Putnam, Kelsey Harrington, Isain Zapata, Jensen Fisher, Matheus Cruz, Victoria Tuttle","doi":"10.1515/jom-2026-0017","DOIUrl":"https://doi.org/10.1515/jom-2026-0017","url":null,"abstract":"<p><strong>Context: </strong>Osteopathic manipulative treatment (OMT) has been shown to have a mild to moderate treatment effect on reducing low back pain and disability. This scoping review investigated whether OMT is an effective procedure-based approach in the treatment of mechanical low back pain in adults.</p><p><strong>Objectives: </strong>This study aims to determine the efficacy of OMT in the treatment of mechanical low back pain with regard to pain, disability, and quality of life (QoL) utilizing both a scoping review and meta-analysis from patient-reported outcome measures.</p><p><strong>Methods: </strong>A scoping review approach was selected due to heterogeneity in patient populations as well as intervention delivery and outcome reporting. A systematic literature search, unrestricted by language, was performed from November 2024 through June 2025 in electronic databases. Searches from the reference lists of other manuscripts identified additional studies. Only prospective randomized controlled trials (RCTs) were included; specific back pain or the use of treatment modalities other than OMT by licensed osteopathic providers were excluded. Three validated survey measures were utilized to determine outcomes: visual analog scale (VAS), Roland-Morris Disability Questionnaire (RMDQ), and the Oswestry Disability Index (ODI). Data extracted from the articles was analyzed as a meta-analysis.</p><p><strong>Results: </strong>In total, 2,516 articles were initially identified by our search criteria. Of those, 271 underwent full article review by two independent groups, ultimately resulting in the selection of 10 prospective RCTs that utilized OMT in the treatment of adult mechanical low back pain, including pregnant women. The use of OMT in the treatment of adult mechanical low back pain shows statistically significant improvement in patients' perception of pain (VAS), ability to perform tasks of daily living (ODI), and functional status (RMDQ).</p><p><strong>Conclusions: </strong>This scoping review mapped RCT evidence of OMT for mechanical low back pain and conducted structured data charting with quantitative synthesis where validated outcome measures overlapped. OMT is an effective treatment for mechanical low back pain in adult populations. Findings were consistent with moderate improvement of pain, QoL, and function with the use of OMT.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}