JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION最新文献

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Osteopathic Approach to Treatment of Carpal Dysfunction: The Carpal Mobilization Technique. 整骨疗法治疗腕功能障碍:腕关节动员技术。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-11-01 DOI: 10.7556/jaoa.2020.120
Thomas R Mehner, Drew D Lewis
{"title":"Osteopathic Approach to Treatment of Carpal Dysfunction: The Carpal Mobilization Technique.","authors":"Thomas R Mehner, Drew D Lewis","doi":"10.7556/jaoa.2020.120","DOIUrl":"https://doi.org/10.7556/jaoa.2020.120","url":null,"abstract":"","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 11","pages":"783-784"},"PeriodicalIF":1.1,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38338863","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}
引用次数: 0
The Battle Between Politics and Science Is Costing Us a Timely Victory Over the COVID-19 Pandemic. 政治与科学之间的斗争使我们失去了战胜COVID-19大流行的及时胜利。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-11-01 DOI: 10.7556/jaoa.2020.141
Marc B Hahn
{"title":"The Battle Between Politics and Science Is Costing Us a Timely Victory Over the COVID-19 Pandemic.","authors":"Marc B Hahn","doi":"10.7556/jaoa.2020.141","DOIUrl":"https://doi.org/10.7556/jaoa.2020.141","url":null,"abstract":"<p><p>Against the backdrop of the COVID-19 pandemic, the author discusses what he views as a persistent tension between the nature and aims of politics vs science. He outlines a call to action for osteopathic physicians to stand with science, advocate for best practices, undertake dialogue with local and state health authorities, and act as role models for colleagues and patients alike.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 11","pages":"806-807"},"PeriodicalIF":1.1,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38469817","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}
引用次数: 1
Recurrent Condylomata Acuminata in a Transplant Patient. 移植患者复发性尖锐湿疣一例。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.126
Ritchie Delara, Longwen Chen, Tonia Young-Fadok, Megan Wasson
{"title":"Recurrent Condylomata Acuminata in a Transplant Patient.","authors":"Ritchie Delara,&nbsp;Longwen Chen,&nbsp;Tonia Young-Fadok,&nbsp;Megan Wasson","doi":"10.7556/jaoa.2020.126","DOIUrl":"https://doi.org/10.7556/jaoa.2020.126","url":null,"abstract":"","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"711-712"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38331336","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}
引用次数: 1
Musculoskeletal Conditions in Patients With Diabetes: A Narrative Review. 糖尿病患者的肌肉骨骼状况:叙述性综述。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.123
Dylan Shafer, Jake Gooing, Vincent Lee, Michael A Seffinger
{"title":"Musculoskeletal Conditions in Patients With Diabetes: A Narrative Review.","authors":"Dylan Shafer,&nbsp;Jake Gooing,&nbsp;Vincent Lee,&nbsp;Michael A Seffinger","doi":"10.7556/jaoa.2020.123","DOIUrl":"https://doi.org/10.7556/jaoa.2020.123","url":null,"abstract":"<p><p>Diabetes mellitus (DM) is a multisystem disease that affects millions of people worldwide. The vascular and cardiac effects of DM have been well-studied, but little is known about the prevalence of musculoskeletal (MSK) conditions in patients with DM. This review provides an in-depth analysis of a cross-sectional study investigating the presence of several common MSK disorders in patients with DM. This review also analyzes current literature to update health care professionals about the MSK conditions associated with DM.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"660-664"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38338865","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}
引用次数: 1
A Pilot Study of Jugular Compression (Queckenstedt maneuver) for Cranial Movement Perception. 颈静脉压迫(Queckenstedt手法)对颅运动知觉的初步研究。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.119
Alessandra Abenavoli, Stefano Pisa, Alberto Maggiani
{"title":"A Pilot Study of Jugular Compression (Queckenstedt maneuver) for Cranial Movement Perception.","authors":"Alessandra Abenavoli,&nbsp;Stefano Pisa,&nbsp;Alberto Maggiani","doi":"10.7556/jaoa.2020.119","DOIUrl":"https://doi.org/10.7556/jaoa.2020.119","url":null,"abstract":"<p><strong>Context: </strong>Osteopathy in the cranial field (OCF) is among the most controversial topics of osteopathic practice. The mechanism by which cranial movement (CM) occurs is poorly understood, but includes speculation that intracranial pressure can generate a movement of the cranial bones. If this model is valid, an increase in intracranial pressure produced by bilateral compression of internal jugular veins, or the Queckenstedt maneuver (Q-test), should be detectable.</p><p><strong>Objective: </strong>To determine whether osteopaths can perceive a palpable change in CM when the Q-test is applied.</p><p><strong>Methods: </strong>Blindfolded osteopaths experienced in OCF evaluated the CM of volunteers as a trained clinician applied the Q-test. The osteopaths reported any change in CM amplitude during 3 different 1-minute periods. The total number of variations perceived in each period (PV) by all osteopaths on all volunteers was analyzed. The Kruskal Wallis test was used to evaluate the differences between the test periods. The Mann-Whitney test was used for a pairwise comparison. Statistical significance was set at P≤.05.</p><p><strong>Results: </strong>Eight osteopaths participated in this study and evaluated the CM of 6 volunteers. A Kruskal-Wallis test of the PV between monitoring periods revealed a statistically significant difference (P<.001). A Mann-Whitney Test showed there was a significant increase in PV between the compression period and the 2 other monitoring periods (base P=.003 and expectation P=.009).</p><p><strong>Conclusion: </strong>Osteopaths could detect a change in the amplitude of CM after the Q-test was applied. Although this was a small-scale pilot study, our data represent a starting point for understanding whether an intracranial or an extracranial mechanism is responsible for the CM.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"647-654"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7556/jaoa.2020.119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38450577","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}
引用次数: 2
Osteopathic Medical Licensing Compliance With the Americans With Disabilities Act of 1990. 骨科医疗执照遵从1990年美国残疾人法案。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.115
Katherine A Lincoln, Beth E Wagner
{"title":"Osteopathic Medical Licensing Compliance With the Americans With Disabilities Act of 1990.","authors":"Katherine A Lincoln,&nbsp;Beth E Wagner","doi":"10.7556/jaoa.2020.115","DOIUrl":"https://doi.org/10.7556/jaoa.2020.115","url":null,"abstract":"<p><strong>Context: </strong>Physicians have an increased rate of depression and suicide compared with nonphysician peers. State medical licensure questions about mental health deter physicians from seeking mental health care. Several previous studies have examined state medical licensing board compliance with the Americans with Disabilities Act (ADA) of 1990, but none have included osteopathic licensing boards.</p><p><strong>Objective: </strong>To evaluate compliance of state osteopathic medical licensing boards with ADA requirements regarding mental health.</p><p><strong>Methods: </strong>State medical licensing applications for 51 states, including the District of Columbia (DC), and 16 states with osteopathic licensing entities were reviewed for ADA compliance in questions about mental health. In states where both osteopathic and allopathic applications were available, questions and compliance were compared.</p><p><strong>Results: </strong>Fourteen of 51 states (including DC) were grossly out of compliance with ADA statutes. In states where osteopathic and allopathic licensing were both available, 7 of 16 asked different mental health questions of osteopathic physicians than their allopathic physician counterparts. Of those 7 states, 6 of the osteopathic boards were out of compliance with ADA, while their allopathic counterparts were either compliant or intermediately compliant.</p><p><strong>Conclusion: </strong>To improve physician wellbeing, corrective action must be taken to create ADA-compliant language in medical licensing so physicians can seek treatment for mental health conditions without discrimination by licensing boards. Osteopathic physicians should be aware that there is a discrepancy in state licensure compliance compared with allopathic requirements in some states.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"641-646"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38309516","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}
引用次数: 2
A Case of Resolved Vincristine-Induced Constipation Following Osteopathic Medicine in a Patient With Infantile Fibrosarcoma. 小儿纤维肉瘤患者骨疗法治疗后长春新碱诱导便秘1例。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.102
Jennifer A Belsky, Kimberly Wolf, Bhuvana A Setty
{"title":"A Case of Resolved Vincristine-Induced Constipation Following Osteopathic Medicine in a Patient With Infantile Fibrosarcoma.","authors":"Jennifer A Belsky,&nbsp;Kimberly Wolf,&nbsp;Bhuvana A Setty","doi":"10.7556/jaoa.2020.102","DOIUrl":"https://doi.org/10.7556/jaoa.2020.102","url":null,"abstract":"<p><p>Vincristine-induced constipation is a common side effect in pediatric oncology patients. We report the case of an infant with histologic diagnosis of infantile fibrosarcoma who developed significant constipation because of ongoing vincristine administration. She was treated with osteopathic manipulative treatment and had significant improvement in symptoms. She was able to stop her home lactulose bowel regimen without signs or symptoms of constipation. This case demonstrates the benefit of osteopathic manipulative treatment for chemotherapy-induced constipation as an effective and simple supportive care option without added adverse events.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"691-695"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38376911","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}
引用次数: 3
The Role of Musculoskeletal Disorders in Chronic Disease: A Narrative Review. 肌肉骨骼疾病在慢性疾病中的作用:述评
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.134
Masumi G Asahi, David Briganti, Eric Cam, Michael A Seffinger
{"title":"The Role of Musculoskeletal Disorders in Chronic Disease: A Narrative Review.","authors":"Masumi G Asahi,&nbsp;David Briganti,&nbsp;Eric Cam,&nbsp;Michael A Seffinger","doi":"10.7556/jaoa.2020.134","DOIUrl":"https://doi.org/10.7556/jaoa.2020.134","url":null,"abstract":"<p><p>Chronic diseases and musculoskeletal conditions are responsible for a significant portion of the global disease burden and are frequently comorbid, such as with low back pain in patients who also have chronic organ disease. Low back pain is the leading cause of long-term disability and is the most common reason adults seek adjunctive treatment, including osteopathic manipulative treatment (OMT). OMT has been shown to be effective in relieving low back pain and improving back-specific functioning. In this narrative review, the authors summarize literature published in the last decade and analyze the relationship between musculoskeletal disorders and systemic medical conditions such as diabetes mellitus; they also discuss the efficacy and cost-effectiveness of OMT in managing somatic dysfunction in patients with chronic diseases.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"665-670"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38386822","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}
引用次数: 2
Osteopathic Manipulative Treatment for a Recognizable Pattern of Somatic Dysfunction Following Laparoscopic Cholecystectomy. 腹腔镜胆囊切除术后躯体功能障碍可识别模式的整骨手法治疗。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-10-01 DOI: 10.7556/jaoa.2020.111
Mandalyn Mills, Karlin Sevensma, Jamie Serrano
{"title":"Osteopathic Manipulative Treatment for a Recognizable Pattern of Somatic Dysfunction Following Laparoscopic Cholecystectomy.","authors":"Mandalyn Mills,&nbsp;Karlin Sevensma,&nbsp;Jamie Serrano","doi":"10.7556/jaoa.2020.111","DOIUrl":"https://doi.org/10.7556/jaoa.2020.111","url":null,"abstract":"<p><strong>Context: </strong>Previous literature has demonstrated the prevalence and socioeconomic impact of postoperative pain in surgery patients. Somatic dysfunction has been demonstrated as a cause, but literature documenting osteopathic manipulative treatment (OMT) in surgery patients is lacking.</p><p><strong>Objective: </strong>To describe typical patterns of and common treatments for somatic dysfunction in patients following laparoscopic cholecystectomy.</p><p><strong>Methods: </strong>The authors retrospectively reviewed the billing records of all patients over 18 years of age who underwent laparoscopic cholecystectomy by a single surgeon and had postoperative outpatient OMT for right-side pain linked to somatic dysfunction between 2006 and 2018 at a community hospital in Grand Rapids, Michigan. Patients who underwent open cholecystectomy, who did not have documented somatic dysfunction, or had somatic dysfunction unrelated to their biliary disease were excluded.</p><p><strong>Results: </strong>Nine patients were selected for inclusion in this retrospective case series. All patients in the study demonstrated anterior right lower rib pain corresponding to posterior lower rib dysfunctions and rotated right and side-bent left thoracic spine dysfunctions between T5 and T11. Pain was successfully managed with muscle energy, high-velocity, low-amplitude, or soft tissue OMT.</p><p><strong>Conclusion: </strong>Postoperative pain following laparoscopic cholecystectomy can be related to right-sided thoracic and rib dysfunctions. This is important for early diagnosis of surgical patients with somatic dysfunction and initiation of appropriate OMT to decrease morbidity related to pain, functional status, and quality of life.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":"120 10","pages":"685-690"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38309487","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}
引用次数: 0
Evaluation of "Spin" in the Abstracts of Randomized Controlled Trial Reports in Cardiology. 评估心脏病学随机对照试验报告摘要中的 "自旋"。
IF 1.1
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION Pub Date : 2020-09-22 DOI: 10.7556/jaoa.2020.133
William B Roberts, Craig M Cooper, Mahmood Khattab, Patrick Neff, Dan Wildes, Cole Wayant, Matt Vassar
{"title":"Evaluation of \"Spin\" in the Abstracts of Randomized Controlled Trial Reports in Cardiology.","authors":"William B Roberts, Craig M Cooper, Mahmood Khattab, Patrick Neff, Dan Wildes, Cole Wayant, Matt Vassar","doi":"10.7556/jaoa.2020.133","DOIUrl":"10.7556/jaoa.2020.133","url":null,"abstract":"<p><strong>Context: </strong>The misrepresentation and distortion of research findings, known as \"spin,\" has been shown to affect clinical decision making. Spin has been found in randomized controlled trials (RCTs) published in various fields of medicine.</p><p><strong>Objective: </strong>To evaluate the abstracts of RCTs found in the cardiology literature for spin.</p><p><strong>Methods: </strong>The authors searched PubMed using a specific string of keywords to identify previously published articles documenting RCTs of cardiovascular treatments in humans. To be included, a cardiology trial had to randomize humans to an intervention, statistically compare 2 or more groups, and have a nonsignificant primary endpoint. Records were excluded if they did not meet these criteria. Data extraction was double-blinded and done using a pilot-tested Google Form. Items extracted from each trial included the title, journal, funding source, comparator arm, primary endpoint, statistical analysis of the primary endpoint, secondary endpoints, statistical analysis of secondary endpoints, and trial registration number (if reported). The 2 authors who screened records for inclusion were then asked whether spin was present in the abstract of the randomized trial. Spin in the title, abstract results, abstract conclusions, and selection of reported endpoints were considered.</p><p><strong>Results: </strong>Of the 651 PubMed citations retrieved by our search string, 194 RCTs with a clearly defined primary endpoint were identified. Of these 194 RCTs, 66 trials contained nonsignificant primary endpoints and were evaluated for spin. Of these trials, spin was identified in 18 of the 66 abstracts (27.3%).</p><p><strong>Conclusions: </strong>Spin was present in our sample of cardiology RCTs. Spin may influence clinical decision making by creating false impressions of the true validity of a drug or intervention.</p>","PeriodicalId":47816,"journal":{"name":"JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION","volume":" ","pages":"732-739"},"PeriodicalIF":1.1,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38503994","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}
引用次数: 0
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