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Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project.
J Am Osteopath Assoc. 2002 Jun; 102(6):321-5.JA

Abstract

Osteopathic physicians caring for patients with fibromyalgia syndrome (FM) often use osteopathic manipulative treatment (OMT) in conjunction with other forms of standard medical care. Despite a growing body of evidence on the efficacy of manual therapy for the treatment of selected acute musculoskeletal conditions, the role of OMT in treating patients with chronic conditions such as FM remains largely unknown. Twenty-four female patients meeting American College of Rheumatology criteria for FM were randomly assigned to one of four treatment groups: (1) manipulation group, (2) manipulation and teaching group, (3) moist heat group, and (4) control group, which received no additional treatment other than current medication. Participants' pain perceptions were assessed by use of pain thresholds measured at each of 10 bilateral tender points using a 9-kg dolorimeter, the Chronic Pain Experience Inventory, and the Present Pain Intensity Rating Scale. Patients' affective response to treatment was assessed using the Self-Evaluation Questionnaire. Activities of daily living were assessed using the Stanford Arthritis Center Disability and Discomfort Scales: Health Assessment Questionnaire. Depression was assessed using the Center for Epidemiological Studies Depression Scale. Significant findings between the four treatment groups on measures of pain threshold, perceived pain, attitude toward treatment, activities of daily living, and perceived functional ability were found. All of these findings favored use of OMT. This study found OMT combined with standard medical care was more efficacious in treating FM than standard care alone. These findings need to be replicated to determine if cost savings are incurred when treatments for FM incorporate nonpharmacologic approaches such as OMT.

Authors+Show Affiliations

Department of Osteopathic Manipulative Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth 76107, USA. rgamber@hsc.unt.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12090649

Citation

Gamber, Russell G., et al. "Osteopathic Manipulative Treatment in Conjunction With Medication Relieves Pain Associated With Fibromyalgia Syndrome: Results of a Randomized Clinical Pilot Project." The Journal of the American Osteopathic Association, vol. 102, no. 6, 2002, pp. 321-5.
Gamber RG, Shores JH, Russo DP, et al. Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. J Am Osteopath Assoc. 2002;102(6):321-5.
Gamber, R. G., Shores, J. H., Russo, D. P., Jimenez, C., & Rubin, B. R. (2002). Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. The Journal of the American Osteopathic Association, 102(6), 321-5.
Gamber RG, et al. Osteopathic Manipulative Treatment in Conjunction With Medication Relieves Pain Associated With Fibromyalgia Syndrome: Results of a Randomized Clinical Pilot Project. J Am Osteopath Assoc. 2002;102(6):321-5. PubMed PMID: 12090649.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. AU - Gamber,Russell G, AU - Shores,Jay H, AU - Russo,David P, AU - Jimenez,Cynthia, AU - Rubin,Benard R, PY - 2002/7/2/pubmed PY - 2002/9/7/medline PY - 2002/7/2/entrez SP - 321 EP - 5 JF - The Journal of the American Osteopathic Association JO - J Am Osteopath Assoc VL - 102 IS - 6 N2 - Osteopathic physicians caring for patients with fibromyalgia syndrome (FM) often use osteopathic manipulative treatment (OMT) in conjunction with other forms of standard medical care. Despite a growing body of evidence on the efficacy of manual therapy for the treatment of selected acute musculoskeletal conditions, the role of OMT in treating patients with chronic conditions such as FM remains largely unknown. Twenty-four female patients meeting American College of Rheumatology criteria for FM were randomly assigned to one of four treatment groups: (1) manipulation group, (2) manipulation and teaching group, (3) moist heat group, and (4) control group, which received no additional treatment other than current medication. Participants' pain perceptions were assessed by use of pain thresholds measured at each of 10 bilateral tender points using a 9-kg dolorimeter, the Chronic Pain Experience Inventory, and the Present Pain Intensity Rating Scale. Patients' affective response to treatment was assessed using the Self-Evaluation Questionnaire. Activities of daily living were assessed using the Stanford Arthritis Center Disability and Discomfort Scales: Health Assessment Questionnaire. Depression was assessed using the Center for Epidemiological Studies Depression Scale. Significant findings between the four treatment groups on measures of pain threshold, perceived pain, attitude toward treatment, activities of daily living, and perceived functional ability were found. All of these findings favored use of OMT. This study found OMT combined with standard medical care was more efficacious in treating FM than standard care alone. These findings need to be replicated to determine if cost savings are incurred when treatments for FM incorporate nonpharmacologic approaches such as OMT. SN - 0098-6151 UR - https://www.unboundmedicine.com/medline/citation/12090649/Osteopathic_manipulative_treatment_in_conjunction_with_medication_relieves_pain_associated_with_fibromyalgia_syndrome:_results_of_a_randomized_clinical_pilot_project_ L2 - http://jaoa.org/article.aspx?volume=102&page=321 DB - PRIME DP - Unbound Medicine ER -