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Osteopathic manipulative treatment of somatic dysfunction among patients in the family practice clinic setting: a retrospective analysis.
J Am Osteopath Assoc. 2005 Dec; 105(12):537-44.JA

Abstract

CONTEXT

Relatively little has been published about contemporary use of osteopathic manipulative treatment (OMT) in family practice.

OBJECTIVE

To provide an "epidemiology" of somatic dysfunction, assessing prevalence and severity of somatic dysfunction encountered in the family practice setting, also characterizing physician use of OMT.

DESIGN

Retrospective analysis of Outpatient Osteopathic SOAP Note Form data collected in 1998 and 1999 by 20 osteopathic medical trainee-investigators under the supervision of seven site-based osteopathic physicians.

SETTING

Three university-based, osteopathic family practice clinics.

RESULTS

The authors analyzed records for 1331 patient encounters and 424 adult patients. The mean (SD) age of patients was 56.9 years (16.2 years), and 71% were women. The median number of days between repeat encounters was 29 days. Somatic dysfunction was diagnosed in 418 (31%) patient encounters, affecting a total of 1199 anatomic regions (2.9+/-1.2 anatomic regions per patient). Investigators used OMT in 335 (25%) patient encounters to treat a total of 952 anatomic regions (2.8+/-1.2 anatomic regions per patient). For women, the odds ratio for receiving OMT was 1.4 (95% confidence interval [CI], 1.0-2.2); for patients using analgesics, anti-inflammatory agents, or muscle relaxants, the odds ratio was 2.2 (95% CI, 1.2-4.1). Immediately after OMT, investigators reported that patients' somatic dysfunction resolved or improved in a total of 747 (96%) anatomic regions and remained unchanged in 32 (4%) anatomic regions (P<.001). The authors used cluster analysis to classify anatomic regions by prevalence and severity of somatic dysfunction.

CONCLUSION

Somatic dysfunction was diagnosed in almost one-third of patient encounters. In one-quarter of patient encounters, investigators used OMT.

Authors+Show Affiliations

University of North Texas Health Science Center at Fort Worth-Texas College of Osteopathic Medicine, Fort Worth, TX 76107-2644, USA. jlicciar@hsc.unt.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16424463

Citation

Licciardone, John C., et al. "Osteopathic Manipulative Treatment of Somatic Dysfunction Among Patients in the Family Practice Clinic Setting: a Retrospective Analysis." The Journal of the American Osteopathic Association, vol. 105, no. 12, 2005, pp. 537-44.
Licciardone JC, Nelson KE, Glonek T, et al. Osteopathic manipulative treatment of somatic dysfunction among patients in the family practice clinic setting: a retrospective analysis. J Am Osteopath Assoc. 2005;105(12):537-44.
Licciardone, J. C., Nelson, K. E., Glonek, T., Sleszynski, S. L., & des Anges Cruser, . (2005). Osteopathic manipulative treatment of somatic dysfunction among patients in the family practice clinic setting: a retrospective analysis. The Journal of the American Osteopathic Association, 105(12), 537-44.
Licciardone JC, et al. Osteopathic Manipulative Treatment of Somatic Dysfunction Among Patients in the Family Practice Clinic Setting: a Retrospective Analysis. J Am Osteopath Assoc. 2005;105(12):537-44. PubMed PMID: 16424463.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Osteopathic manipulative treatment of somatic dysfunction among patients in the family practice clinic setting: a retrospective analysis. AU - Licciardone,John C, AU - Nelson,Kenneth E, AU - Glonek,Thomas, AU - Sleszynski,Sandra L, AU - des Anges Cruser,, PY - 2006/1/21/pubmed PY - 2006/4/12/medline PY - 2006/1/21/entrez SP - 537 EP - 44 JF - The Journal of the American Osteopathic Association JO - J Am Osteopath Assoc VL - 105 IS - 12 N2 - CONTEXT: Relatively little has been published about contemporary use of osteopathic manipulative treatment (OMT) in family practice. OBJECTIVE: To provide an "epidemiology" of somatic dysfunction, assessing prevalence and severity of somatic dysfunction encountered in the family practice setting, also characterizing physician use of OMT. DESIGN: Retrospective analysis of Outpatient Osteopathic SOAP Note Form data collected in 1998 and 1999 by 20 osteopathic medical trainee-investigators under the supervision of seven site-based osteopathic physicians. SETTING: Three university-based, osteopathic family practice clinics. RESULTS: The authors analyzed records for 1331 patient encounters and 424 adult patients. The mean (SD) age of patients was 56.9 years (16.2 years), and 71% were women. The median number of days between repeat encounters was 29 days. Somatic dysfunction was diagnosed in 418 (31%) patient encounters, affecting a total of 1199 anatomic regions (2.9+/-1.2 anatomic regions per patient). Investigators used OMT in 335 (25%) patient encounters to treat a total of 952 anatomic regions (2.8+/-1.2 anatomic regions per patient). For women, the odds ratio for receiving OMT was 1.4 (95% confidence interval [CI], 1.0-2.2); for patients using analgesics, anti-inflammatory agents, or muscle relaxants, the odds ratio was 2.2 (95% CI, 1.2-4.1). Immediately after OMT, investigators reported that patients' somatic dysfunction resolved or improved in a total of 747 (96%) anatomic regions and remained unchanged in 32 (4%) anatomic regions (P<.001). The authors used cluster analysis to classify anatomic regions by prevalence and severity of somatic dysfunction. CONCLUSION: Somatic dysfunction was diagnosed in almost one-third of patient encounters. In one-quarter of patient encounters, investigators used OMT. SN - 0098-6151 UR - https://www.unboundmedicine.com/medline/citation/16424463/Osteopathic_manipulative_treatment_of_somatic_dysfunction_among_patients_in_the_family_practice_clinic_setting:_a_retrospective_analysis_ L2 - http://jaoa.org/article.aspx?volume=105&amp;page=537 DB - PRIME DP - Unbound Medicine ER -