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PubMedDate not supplied

Intraexaminer reliability of identifying a dysfunctional segment in the thoracic and lumbar spine.

OBJECTIVE: To examine the intrarater reliability of identifying a manipulable lesion in the lumbar and thoracic spine. METHODS: An experienced osteopath used dynamic and static examination to assess 12 asymptomatic subjects for signs of joint dysfunction in the thoracic and lumbar spine. The selected segment was marked with an UV invisible mark. A second examiner visualized these marks with an UV lamp and recorded them on acetates for analysis; this process was then repeated an hour later. The distance from the marks to a fixed point was measured and within-day intrarater reliability was calculated using intraclass correlation coefficients (ICCs). RESULTS: The ICC(1,1) for the thoracic spine was 0.70 (95% confidence interval [CI], 0.27-0.90). In the lumbar spine the ICC(1,1) was 0.96 (95% CI, 0.87-0.99). CONCLUSION: This study shows that the lumbar spine joint perceived to be the joint most likely to benefit from a high-velocity low-amplitude thrust can be identified with good within-day reliability in an asymptomatic sample using a defined examination protocol. However, the reliability in identifying a joint exhibiting signs of segmental dysfunction in the thoracic spine was poor.

Adult↗
PubMed1995

Hospital guidelines for diagnosis-related groups/osteopathic manipulative treatment.

The DRG/OMT [Diagnosis-Related Groups/Osteopathic Manipulative Treatment] Master Matrix is a tabulated guideline for helping osteopathic physicians and hospitals document their unique form of health-care. The DRG/OMT Master Matrix is a quality management tool designed for osteopathic physician care of hospitalized patients. It furnishes a mechanism for relating various diagnostic entities to probable areas of somatic dysfunction. This matrix and the accompanying patient record aid the physician in recording diagnosis and treatment, thus providing the hospital with documentation of osteopathic patient care's competitive advantage. In a hospital record review, OMT use increased from 5% to 15% of patients after the DRG/OMT Master Matrix was introduced.

Clinical Protocols↗
PubMedDate not supplied

An overview of osteopathic medicine.

Despite an initial lack of acceptance by mainstream medicine, and amidst projections of a serious oversupply of physicians, the osteopathic profession continues to grow, successfully competing for shrinking health care resources and attracting the attention of insurers and those in managed care. However, a recent telephone survey of 800 health maintenance organization beneficiaries suggested that the public is not yet familiar with osteopathic medicine. The history, philosophy, and current status of the osteopathic profession are presented, along with theories of the physiologic basis of and supporting evidence for palpatory diagnosis and manipulative therapy.

History, 20th Century↗
PubMed2000

Use of a computer-assisted clinical case (CACC) SOAP note exercise to assess students' application of osteopathic principles and practice.

Osteopathic medical students are future osteopathic physicians, and how they view the manipulative aspect of patient care will have an effect on the distinctiveness of osteopathic medicine. To encourage students' application of osteopathic principles and practice, a Web-based computer-assisted clinical case (CACC) was designed, for which students were required to submit a SOAP (Subjective, Objective, Assessment, Plan) note. Results from the CACC-SOAP note exercise indicate that the experience engages medical students and can determine the students' abilities to recognize osteopathic principles in patient care.

Computer-Assisted Instruction↗