Journal of Osteopathic Medicine最新文献

{"title":"A biopsychosocial approach to pediatric symptom presentations: avoiding diagnostic overshadowing and symptom shadowing.","authors":"Patricia Valassis, Tyler Cymet","doi":"10.1515/jom-2026-0114","DOIUrl":"https://doi.org/10.1515/jom-2026-0114","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413036","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":"Osteopathic manipulative treatment in pediatric care: from the inception of osteopathic medicine to 1950, a historical literature review.","authors":"Francesca Baroni, Anna Corisio, Christian Lunghi, Torsten Liem","doi":"10.1515/jom-2025-0268","DOIUrl":"https://doi.org/10.1515/jom-2025-0268","url":null,"abstract":"<p><strong>Context: </strong>Since its inception, osteopathic medicine has included pediatric patients within its clinical scope, addressing a wide range of congenital, postural, respiratory, neurological, and musculoskeletal conditions.</p><p><strong>Objectives: </strong>This study aimed to review historical osteopathic literature for the analysis of osteopathic manipulative treatment (OMT) utilized for the management of pediatric patients.</p><p><strong>Methods: </strong>This structured historical literature review, conducted between June and October 2025, examined osteopathic literature published from 1874 to 1950, with a focus on pediatric OMT. Online archive searches were conducted utilizing Medical Subject Headings (MeSH)-derived keywords. Articles were screened for relevance to OMT in pediatric patients and caregiver guidance, excluding those that did not provide details on manipulative interventions. The assessed outcomes encompassed reported health conditions, the use of OMT, the duration of osteopathic interventions, guidance provided to caregivers, and the outcomes reported. Data were analyzed utilizing a reflective brainstorming model, with findings organized into key themes relevant to contemporary osteopathic practice. Articles lacking descriptions of manipulative interventions were excluded.</p><p><strong>Results: </strong>The initial literature search identified 227 articles, of which 126 were excluded for not meeting the inclusion criteria. A total of 28 articles were deemed eligible and included in this review. The extracted data are structured into five thematic areas: health issues reported, OMT, time frame of. OMT, caregiver guidance and behavioral approaches, and reported outcomes. These data are presented through integrated narrative and tabular syntheses.</p><p><strong>Conclusions: </strong>This review highlights the evolution of osteopathic medicine in pediatrics, emphasizing its role in managing various pediatric conditions with gentle, individualized treatments. Osteopathic medicine focuses on improving health, restoring function, and preventing invasive interventions. Its child- and family-centered approach aligns with modern healthcare models that prioritize prevention and well-being. Given its safety and effectiveness, particularly in musculoskeletal and developmental disorders, osteopathic medicine remains a valuable tool in pediatric care. Further research is needed to validate these findings and to expand osteopathic medicine's role in child health, fostering a more integrated healthcare model.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354063","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":"Emerging treatment options for vaginismus: a comprehensive review of current evidence and future directions.","authors":"Ashley Lauver, David Addison, Jadyn Anderson, BreAnna Boyle, Halley McDonald, Daniela Rizzo, Angela Schraml, Corinne Jedynak-Bell, Trina Mansour, John Ashurst","doi":"10.1515/jom-2025-0204","DOIUrl":"https://doi.org/10.1515/jom-2025-0204","url":null,"abstract":"<p><p>Vaginismus is a condition characterized by involuntary vaginal muscle contraction leading to pain and distress that significantly impacts sexual health, psychological well-being, and quality of life. While conventional treatments, including behavioral therapy, physical therapy, and vaginal dilators, remain the cornerstone of management, their efficacy is often limited, and barriers such as stigma and access persist. Advancements such as botulinum toxin injections and topical agents show promise in reducing pain and muscle hypertonicity. Technological innovations, including laser and radiofrequency (RF) therapy, as well as neurostimulation techniques, aim to enhance muscle relaxation and modulate nerve activity. Additionally, psychological and integrative interventions, such as virtual reality-based exposure therapy and mind-body practices, address the emotional and psychological dimensions of the condition. Advances in personalized medicine, including biomarker research, offer the potential to tailor treatments to individual patient needs. Despite these developments, challenges remain in ensuring accessibility, overcoming stigma, and conducting robust clinical trials to establish efficacy and safety. Osteopathic physicians may contribute to multidisciplinary management by addressing musculoskeletal dysfunction associated with pelvic floor disorders through osteopathic manipulative medicine (OMM). This review highlights the importance of a multidisciplinary, patient-centered approach to managing vaginismus and underscores the need for further research to refine and expand therapeutic options. A comprehensive literature search of the PubMed, JSTOR (Journal Storage), and EBSCO databases was conducted between December 2024 and August 2025, and articles were selected based on accessibility and relevance. The majority of the studies evaluated multimodal approaches, including pelvic floor physical therapy (PFPT), cognitive behavioral therapy (CBT), pharmacologic interventions, and combined strategies. Reported success rates varied widely (71-100 %). Newer technological advances such as laser and RF therapies, photobiomodulation (PBM), and virtual-reality therapies all found significance (p<0.05) in treatment protocols and outcome definitions. Limited data were available regarding long-term outcomes, recurrence rates, and cultural/ethnic variations. Current evidence supports a multimodal approach as the most effective strategy for managing vaginismus. However, heterogeneity in study design, diagnostic criteria, and outcome measures limits the generalizability. Standardized protocols and larger, high-quality trials are needed to improve diagnosis and optimize care for patients with vaginismus.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354037","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":"Association of physical activity, self-reported health, and endoscopic colorectal screening among US adults age 45-54: evidence from the Behavioral Risk Factor Surveillance System.","authors":"Maurine Hart, Emily DuBuc, Amanda Myers, Nicole Farrar, Micah Hartwell","doi":"10.1515/jom-2025-0094","DOIUrl":"https://doi.org/10.1515/jom-2025-0094","url":null,"abstract":"<p><strong>Context: </strong>Early detection of colon cancer through screening is critical for improving long-term survival outcomes; however, only 54 % of the United States (U.S.) population that is eligible to have a colon cancer screening receive one. Previous research found that people who participate in physical activity (PA) are less likely to get screened due perception of having low risk. However, health organizations have lowered the age to initiate screening as more cases are being reported among younger U.S. residents.</p><p><strong>Objectives: </strong>This study aimed to examine the association between colon cancer screening and self-reported health status for individuals meeting aerobic PA guidelines among individuals aged 45-54.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of the 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. We included all participants between the ages of 45 and 54 who responded to the questionnaire regarding colonoscopy and sigmoidoscopy examinations, and the supplementary module that features PA and sedentary behaviors.</p><p><strong>Results: </strong>Among 1118 respondents, 503 (45.5 %) reported having undergone colon cancer screening via colonoscopy or sigmoidoscopy, whereas 615 (54.5 %) had not. Screening prevalence differed by insurance status (p=0.002), with higher rates among insured individuals (483/1034; 47.2 %) compared with uninsured individuals (11/65; 19.2 %). Screening also varied by race/ethnicity (p=0.022); rates were highest among White respondents (353/732; 49.9 %) and lowest among Asian respondents (16/60; 27.3 %). Screening did not significantly differ by education, sex, overweight/obesity status, transportation access, place of residence, or PA status (all p>0.05). Among respondents meeting aerobic PA guidelines (n=1048), 489 (47.0 %) reported screening. Neither cardiovascular disease (CVD) risk (adjusted odds ratio [AOR]=1.22, 95 % confidence interval [CI]: 0.87-1.70) nor self-reported good health (AOR=0.89, 95 % CI: 0.52-1.51) was associated with screening. Among those meeting both aerobic and strength training guidelines (n=541), 255 (48.8 %) reported screening. In this group, reporting good or better health was associated with lower odds of screening (AOR=0.37, 95 % CI: 0.15-0.90), while CVD risk remained nonsignificant (AOR=1.33, 95 % CI: 0.80-2.23).</p><p><strong>Conclusions: </strong>Our analysis found no link between colon cancer screening and self-reported health status for those meeting aerobic guidelines, but those who met both aerobic and strength training guidelines were less likely to get screened. Uninsured individuals and Asian Americans also had lower screening rates. These findings highlight the need for targeted public health campaigns to address screening disparities, particularly among active individuals and underserved communities.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259942","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":"Long-term chronic pain outcomes among patients treated by osteopathic physicians: per-protocol analysis of a retrospective cohort study.","authors":"John C Licciardone, Ronse Raphi, Kamri N McKnight, Reshan N Warnesuriye, Jisu Kim, Jeffrey Black, Subhash Aryal","doi":"10.1515/jom-2025-0228","DOIUrl":"https://doi.org/10.1515/jom-2025-0228","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;Osteopathic medical care has been associated with better long-term outcomes in an intention-to-treat analysis of data from a retrospective cohort study involving chronic low back pain (CLBP). The beneficial outcomes attributable to osteopathic medical care were mediated by physician empathy and osteopathic manipulative treatment (OMT) in the subset of patients who consistently utilized osteopathic physicians compared with those who utilized allopathic physicians.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study utilized data from the previously reported study to conduct a per-protocol analysis to determine the outcomes of osteopathic medical care utilizing a pragmatic research design in which patients consistently received osteopathic or allopathic medical care during long-term follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective cohort study was conducted utilizing patients with CLBP selected from the Pain Registry for Epidemiological, Clinical, and Interventional Studies and Innovation (PRECISION) from September 2016 through August 2024. Patients were followed at quarterly encounters after enrollment to determine whether they consistently received care for low back pain from either osteopathic or allopathic physicians. Data pertaining to pain, function, pain impact, health-related quality of life (HRQOL), and the frequency of chronic widespread pain (CWP) and CLBP recovery were measured at quarterly encounters for up to 36 months. Both unadjusted and adjusted results were measured over time. The latter were computed utilizing generalized estimating equations (GEEs) with covariates including sociodemographic and clinical characteristics. The clinical relevance of treatment-group differences was measured utilizing Cohen's &lt;i&gt;d&lt;/i&gt; statistic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There were 1,078 patients in the study, including 132 (12.2 %) and 946 (87.8 %) treated by osteopathic and allopathic physicians, respectively. A total of 5,836 encounters were completed over 36 months, including 818 (14.0 %) and 5,018 (86.0 %) in the osteopathic and allopathic medical care groups, respectively. The adjusted means (95 % confidence intervals [CIs]) for patients treated by osteopathic vs. allopathic physicians were 6.0 (5.6-6.3) vs. 6.4 (6.2-6.7) for low back pain intensity (p=0.002); 13.5 (12.2-14.9) vs. 15.3 (14.4-16.2) for back-related disability (p&lt;0.001); 30.2 (28.3-32.0) vs. 31.8 (30.7-33.0) for pain impact (p=0.03); 38.6 (37.3-40.0) vs. 37.2 (36.4-38.0) for physical function (p=0.01); 52.7 (50.9-54.5) vs. 54.3 (53.1-55.6) for depression (p=0.02); and 56.4 (54.9-58.0) vs. 58.0 (56.9-59.1) for sleep disturbance (p=0.01). These results all favored osteopathic medical care and the results for low back pain intensity (Cohen's &lt;i&gt;d&lt;/i&gt;=0.23), back-related disability (Cohen's &lt;i&gt;d&lt;/i&gt;=0.27), and physical function (Cohen's &lt;i&gt;d&lt;/i&gt;=0.21) exceeded the threshold for clinical relevance. Osteopathic medical care was also associated with","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259874","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":"Osteopathic manipulative treatment among long-term opioid prescribed patients.","authors":"Brian K Yorkgitis, Ira Harmon, Azad Khan, Fern Webb, Gabriel Brat","doi":"10.1515/jom-2024-0265","DOIUrl":"https://doi.org/10.1515/jom-2024-0265","url":null,"abstract":"<p><strong>Context: </strong>Nonpharmacologic treatments are recommended for the treatment of pain including osteopathic manipulative treatment (OMT). It has been shown there is low utilization of OMT and disparities in access in patient with pain conditions.</p><p><strong>Objectives: </strong>The objective of this study is to describe the current landscape of OMT receipt as an adjunct in adult patients prescribed opioids. Through the exploration of a national outpatient database, this study will discern if there are disparities to receiving OMT.</p><p><strong>Methods: </strong>Through a deidentified, national health record database, patients with seven categories of pain-provoking conditions who receive ≥3 opioid prescriptions were queried for receipt of OMT. Demographics, pain conditions, prescribed opioid morphine milliequivalent dose, and insurance data were analyzed.</p><p><strong>Results: </strong>Of 98,892 patients meeting the inclusion criteria, 1,371 (1.4 %) received OMT. Patients under 60 years, female, White race, and having multiple pain-provoking conditions were more likely to receive OMT. Medicaid was the most common payer type for those who received OMT. Hispanic and Black patients received less OMT than non-Hispanic White patients.</p><p><strong>Conclusions: </strong>Despite recommendations for nonpharmacologic therapies to treat pain, OMT use remains low among patients on long-term opioid therapy for pain-provoking conditions. In this study, there were racial and ethnic differences with White patients receiving OMT more often than others. Further work is needed to assure access to OMT as part of a patient's pain treatment plan across all populations.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253698","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":"Psychoactive medication use and cardiac electrophysiology in hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder: a retrospective analysis.","authors":"Riya Kaushal, Ian Snyder, Ermin Tale, Liat Jarkon, Bernadette Riley, Todd J Cohen","doi":"10.1515/jom-2025-0053","DOIUrl":"https://doi.org/10.1515/jom-2025-0053","url":null,"abstract":"<p><strong>Context: </strong>Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorder (HSD) are connective tissue disorders associated with musculoskeletal manifestations and significant psychiatric comorbidities. Psychoactive medications commonly utilized in these populations raise concerns regarding potential cardiac effects.</p><p><strong>Objectives: </strong>This study explores associations between psychoactive medication utilization and electrocardiogram (ECG) parameters in patients with hypermobile Ehlers-Danlos syndrome (hEDS) and HSD to provide insight into potential cardiac considerations in this population.</p><p><strong>Methods: </strong>This retrospective analysis included de-identified data from patients referred for cardiac evaluation at the Long Island Heart Rhythm Center between January 2019 and June 2023. Diagnosis of EDS and HSD were made utilizing the 2017 International Classification criteria. Psychiatric diagnoses were classified per DSM-5 criteria, and psychoactive medications were categorized utilizing NIH guidelines. ECG parameters, psychiatric diagnoses, and psychoactive medication use were compared between groups. Statistical analyses included Student's t-tests for continuous variables, chi-square or Fisher's exact tests for categorical variables, and odds ratio (OR) calculations.</p><p><strong>Results: </strong>Among 109 patients (hEDS: n=75; HSD: n=34), psychiatric diagnoses were more prevalent in hEDS patients (72 vs. 38.2 %; p=0.008), with significant differences in trauma- and stressor-related disorders (p=0.009) and ADHD (p=0.006). hEDS patients had a higher mean psychoactive medication use (1.8 vs. 1.1; p=0.019) and greater anticonvulsant use (33.3 vs. 8.8 %; p=0.008). In a subset with ECG data (n=62), QTc intervals were significantly shorter in hEDS patients (421.62 ± 22.47 ms vs. 436.73 ± 18.74 ms; p=0.022), yet within normal ranges. QTc prolongation was more frequent in HSD patients (26.7 vs. 6.4 %; OR 5.33; 95 % confidence interval (CI) [1.04-27.39]; p=0.045).</p><p><strong>Conclusions: </strong>hEDS patients had a higher psychiatric burden and psychoactive medication use than HSD patients, but ECG parameters largely remained within normal limits. The increased QTc prolongation in HSD patients highlights potential cardiovascular risks, requiring further investigation. Routine cardiovascular monitoring and interdisciplinary care are recommended for hypermobile patients on psychoactive medications.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164815","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":"Behind clinic doors: a history of covert recording legislation and implications for clinical practice.","authors":"Judith J Regan, Donald N Pyle, Mousa Botros, Renee L Stewart, Kendyl L Stewart, Rebecca S Stenersen, Kyra Frank","doi":"10.1515/jom-2026-0046","DOIUrl":"https://doi.org/10.1515/jom-2026-0046","url":null,"abstract":"<p><p>Access to mobile recording devices and the prevalence of telehealth encounters have increased dramatically in recent years. These circumstances create opportunities for patients to record their clinical encounters, and some states do not require permission from the physician to do so. State laws that define requirements to record conversations vary significantly, and clinicians may be unaware of their own states' policies. Furthermore, institutions may not have official guidelines addressing recording procedures in the clinical setting. Although research suggests that there are opportunities for consensual recordings to benefit healthcare delivery, covert recording of clinicians without their knowledge or consent has received less attention. This review explores the legislation governing recording laws, describes several cases involving recorded healthcare information, and reviews studies examining the risks and benefits of recording encounters. Finally, practical recommendations for healthcare providers and institutions are addressed, acknowledging the need for proactive transparency, trust, and therapeutic alliance in a rapidly changing healthcare landscape.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144871","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":"Role of osteopathic manipulative treatment in the management of persistent post-COVID-19 symptoms and functional outcomes: study protocol of a prospective pilot study.","authors":"Brian F Degenhardt, Yasir Rehman, Corey Luebbering, William H Divine, Marie Jackson","doi":"10.1515/jom-2026-0018","DOIUrl":"https://doi.org/10.1515/jom-2026-0018","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;The postacute sequelae of SARS-CoV-2 (PASC) are unexpected consequences of COVID-19 infections. Many patients continue to have PASC-related symptoms weeks to months after an infection, experiencing morbidity that affects daily living. Historically, many symptoms associated with PASC have been responsive to osteopathic manipulative medicine (OMM).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To develop and disseminate a standardized clinical protocol for evaluating the efficacy of osteopathic manipulative treatment (OMT) in managing PASC. This study will assess OMT's impact on symptoms and functional outcomes while systematically monitoring for adverse events (AEs) within this patient population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The protocol is a prospective, single-arm, pre-post treatment cohort study involving patients seeking OMT with PASC-related symptoms. Standardized outcome measures have been selected to assess PASC-related symptoms and lifestyle impact over a 6-month longitudinal period. Data collection will occur at enrollment (baseline), at every second OMT session, and at a final follow-up. This final assessment will be conducted either 6 months postenrollment or 2 months after the cessation of treatment, whichever occurs first. Pragmatic, personalized OMT based on the physicians' clinical findings and judgment is recommended to provide a realistic assessment of real-world OMT practice vs. a protocol-based intervention. The design developers recommend utilizing a web-based, HIPAA-compliant platform such as Research Electronic Data Capture (REDCap) to facilitate informed consent procedures, disperse and collect surveys, provide reminders for completing surveys, and store and manage data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;At baseline, participants will provide demographic and clinical data, including age, sex, race, smoking and employment status, pre-COVID-19 health status, and comorbidities. We will also document symptoms and treatments associated with their acute COVID-19 illness. Descriptive statistics will summarize baseline characteristics. Longitudinal outcomes - encompassing neurocognitive function, physical symptoms, quality of life, and work status - will be analyzed utilizing generalized linear mixed models (GLMMs). This approach accounts for clinician-level clustering and adjusts for potential confounding variables while monitoring for adverse effects.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This protocol provides a standardized, pragmatic framework to evaluate the impact of OMT on the multifaceted symptoms of PASC. By utilizing a longitudinal, real-world design and robust statistical modeling (GLMM), the study aims to establish evidence-based insights into how osteopathic intervention can improve functional outcomes and quality of life for PASC patients. Furthermore, this standardized approach facilitates multi-site collaboration, ensuring that findings are reproducible and scalable within the broader medical commu","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144905","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 definition of an osteopathic physician trained in the United States.","authors":"Regina K Fleming, Rebecca E Giusti, Karen T Snider, Garren P Gebhardt, Ryan Seals, Barbara Zajdel, Kurt Heinking","doi":"10.1515/jom-2025-0153","DOIUrl":"https://doi.org/10.1515/jom-2025-0153","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006931","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}