OMM Question

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Try a google search on tensegrity. Some practitioners think that OMM re-establishes the normal structure of the host and therefore re-establishes the tensegrity phenomenon in the body.
 
so all the research done pertaining to mechanism is done under this?
 
try searching for the following:


HVLA (high velo/low ampli)
Muscle Energy
Fascial articulation etc.

Also, and I don't know what this will pull up do an author search for: Walton, Mitchell (junior and senior), Kappler and company.
 
I just find it surprising that there is not much that I can find when searching for Osteopathic Manipulative Medicine (in the scientific literature sense aka. not just the JAOA... I searched google, scirus.com, pubmed and came up with very little) which is the proper title established not only in AOA but every book, article, piece of literature I can find that describes osteopathic medicine. Is there anything outside the JAOA that show more promising results for OMM regarding the mechanism of treatment? If so can I have a link, if not could someone possibly explain why this is? I am very interested in learning more about evidence based support for OMM.
 
I just find it surprising that there is not much that I can find when searching for Osteopathic Manipulative Medicine (in the scientific literature sense aka. not just the JAOA... I searched google, scirus.com, pubmed and came up with very little) which is the proper title established not only in AOA but every book, article, piece of literature I can find that describes osteopathic medicine. Is there anything outside the JAOA that show more promising results for OMM regarding the mechanism of treatment? If so can I have a link, if not could someone possibly explain why this is? I am very interested in learning more about evidence based support for OMM.


It is difficult to fund. They are difficult experiments to perform objectively. They are very very very difficult to standardize.
 
I just find it surprising that there is not much that I can find when searching for Osteopathic Manipulative Medicine (in the scientific literature sense aka. not just the JAOA... I searched google, scirus.com, pubmed and came up with very little) which is the proper title established not only in AOA but every book, article, piece of literature I can find that describes osteopathic medicine. Is there anything outside the JAOA that show more promising results for OMM regarding the mechanism of treatment? If so can I have a link, if not could someone possibly explain why this is? I am very interested in learning more about evidence based support for OMM.

Ever heard of a leap of faith?

Probably gonna have to close your eyes and jump on this one.

You will come to realize that yes, some of it makes sense, physiologically. Other stuff (cranial) is reallllllllllly hard to swallow.
 
Leap of faith in science? If it doesn't have substantial evidence or scientific support why is it taught? How are we expected to treat people based solely off of a leap of faith?(cranial)
 
http://forums.studentdoctor.net/showthread.php?t=319582&page=2

you'll have to skim through a lot of BS postings, but some of the links people included are actually really good (i.e.: depakote #70, jillibean #75). i skimmed a few of the articles and the overall impression i got was that patients who received OMM reported improvements faster and by the time both groups were discharged they reported similar improvements but the OMM groups tended to need less meds.
 
Leap of faith in science? If it doesn't have substantial evidence or scientific support why is it taught? How are we expected to treat people based solely off of a leap of faith?(cranial)

Simple. Don't treat people with the modalities that you can't make yourself understand.
 
This is one of the "problems" with Osteopathic medicine at the moment, however the research side of osteopaths is growing. When you open schools and teach people to be good practitioners, not many people wanting to go into research will attend that school. Therefore there has not been much research done on solely Osteopathic techniques. But these days more schools are doing more research so in a few years this shouldn't be a problem.

Leap of faith in science? If it doesn't have substantial evidence or scientific support why is it taught? How are we expected to treat people based solely off of a leap of faith?(cranial)

There are tons of things on both sides of the profession that are taught without "substantial evidence", simply because it is very difficult to get "substantial evidence". Lets take something like the longterm effect of taking Vitamin C over a 50 year period. How do you do a study on that yet? How do you have results? Yet most doctors would agree that it is a good thing to do.

Same with OMM, it is very difficult to do objective standardized double blind placebo controlled studies with. Yet it does lots of good for lots of people. So just because we don't yet have tons of studies mean it shouldn't be used?
 
there is a study in the current jaoa detailing the specific problems and suggestions in conducting research with manual tecniques
 
Leap of faith in science? If it doesn't have substantial evidence or scientific support why is it taught? How are we expected to treat people based solely off of a leap of faith?(cranial)

I was just rereading your question regarding leaps of faith in science.


Is that not how we discovered that the world was indeed round, rather than flat?

Is that now how we discovered that the planets revolve around the sun? People believed both of those before there was 'substantial evidence'
 
You are right in saying that without philosophy of a future perspective we would be very slow in advancing in science. Also realize that it took centuries for us to accept that the world was round because of the belief system at that period in time. What made the transition easier was science. Not just one experiment but multiple experiments showing the same thing. establishing "substantial support" for the hypothesis or theory.

On top of that I'm not saying we shouldn't use OMM the way that you presented it as "Ever heard of a leap of faith?Probably gonna have to close your eyes and jump on this one." perhaps didn't represent the research, knolwedge background of OMM as accuratly as it should have been portrayed.

My comments have been made to show how I found it hard to believe when I started researching the subject that I could only find very few articles on the OMM. The reason why I was suprised was because of the osteopathic push for OMM as one of its biggest distictions from allopathic medicine.

And yes long 12-15 year clinical studies are hard to do and cost a lot of money but if they aren't done people can die from that lack of knowledge. For example asbestos, smoking and the latency periods associated with the development of cancer. I'm not trying to say that OMM will cause any disease. I was and am excited about OMM because it has been shown to help people, I just feel like we should attempt to understand more about OMM.
 
my "leap of faith" comments were more toward how you described OMM, if its based off of "a leap of faith", then no I don't think it should be taught or used as treatment ofcourse your comment isn't true there is support and studies and I know I probably don't fully understand the difficulty in performing such research because I am currently not studying it in depth. I just hoped for more literature on the subject so I could start not only understanding it myself but be able to describe to others one of the main distinctions of Osteopathic medicne from allopathic. I rather not just tell them , its a leap of faith, I much rather point them in directions of good evidence based reasearch. I would like people to get a positive impression from Osteopathic medicine considering this is the area I wish to pursue. Also if lack of research in Osteopathic technique is an issue I would be interested in addressing it on a larger level to attempt to get more support for it. I think that OMM is a great idea and a great non invasive form of treatment. I would like more information on the topic and I assume that most premed-Osteopathic students appreciate the information.
 
my "leap of faith" comments were more toward how you described OMM, if its based off of "a leap of faith", then no I don't think it should be taught or used as treatment ofcourse your comment isn't true there is support and studies and I know I probably don't fully understand the difficulty in performing such research because I am currently not studying it in depth. I just hoped for more literature on the subject so I could start not only understanding it myself but be able to describe to others one of the main distinctions of Osteopathic medicne from allopathic. I rather not just tell them , its a leap of faith, I much rather point them in directions of good evidence based reasearch. I would like people to get a positive impression from Osteopathic medicine considering this is the area I wish to pursue. Also if lack of research in Osteopathic technique is an issue I would be interested in addressing it on a larger level to attempt to get more support for it. I think that OMM is a great idea and a great non invasive form of treatment. I would like more information on the topic and I assume that most premed-Osteopathic students appreciate the information.

czanetti, when I saw your avatar I thought to myself " I am suprised House hasn't used OMM to try to cure one of his patients" but then I remembered hes just an MD
 
LOL,some MD's learn OMM too you know, House is probably one of them considering his medical approach to disease 😉
 
Also realize that it took centuries for us to accept that the world was round because of the belief system at that period in time. What made the transition easier was science. Not just one experiment but multiple experiments showing the same thing. establishing "substantial support" for the hypothesis or theory.

No, it only took hundreds of years for "scientists" to understand that the world was round. They needed mathematical proof, but every uneducated sailor in the world knew it was round. They could see a ship approach from over the horizon and knew that it was true.

The reason why I was suprised was because of the osteopathic push for OMM as one of its biggest distictions from allopathic medicine.

There is no osteopathic push to be distinct from allopathic medicine. One of the four Osteopathic principles states, "Rational treatments...are to include all scientifically proven therapies. At the time that OMM was developed there was very little scientific basis to medicine. MDs were giving their patients mercury, arsenic and a whole host of other things that were, in effect, killing the same patients they were trying to heal. Early osteopaths didn't use a lot of drugs because they realized that the current drugs were killing people, and OMM worked in many cases without killing people. It's that simple. Today, OMM is only a very small part of osteopathic treatment. It is not taught because it separates osteopaths from allopaths, rather because it often has very good results.

I just feel like we should attempt to understand more about OMM.

There are lot of therapies that are in use today that we still have no idea of the mechanisms that actually make them work. But, we don't stop using them for that reason. If they are effective, even if we don't understand why, we still keep using them. There's been a big push toward EBM in recent years, but there are drawbacks as well. Medicine is controlled by insurance companies, and we all know that insurance companies just live to deny claims. Because of this, physicians have become hesitant, in some cases, to use therapies that have proven their worth, simply because there has never been an article about it in the NEJM. New and novel treatments are less likely to be tried simply because people are demanding to see "evidence" in the same type of journal articles that you are looking for now.
 
Try typing in "Counter strain Theory" along with intrafusal muscle fibers and extrafusal muscle fibers. It's the whole alpha vs gamma motor neuron thingy a bob:luck:


Ah yes, resetting the gain. Funny thing about that; it actually works, especially muscle energy.
 
when I do counterstrain on someone and they swear I "moved my finger" b/c the spot I'm touching doesn't hurt anymore is enough proof of that theory for me...
 
Same with OMM, it is very difficult to do objective standardized double blind placebo controlled studies with. Yet it does lots of good for lots of people. So just because we don't yet have tons of studies mean it shouldn't be used?

This is one of the problems I see with OMM research. While some of these studies are difficult to do difficulty should not be a reason not to do research. With large enough sample sizes the variations in the groups and standardization of treatment can be minimized.

What troubles me is the lack of objective research in the mechanisms of OMM. Regardless of the results of the therapy the first step in research should be showing the the applied therapies are producing the changes in the body that they claim. Ultrasound and fluroscopy are a few of many tools to first show that these procedures are causing the suggested changes then examine the positive benefits of the therapy.

I think that osteopathic schools should promote research in OMM by possibly adding programs like an DO/PhD that will pay for part of school. There are some programs that add 1 additional year of research in exchange for tuition for the 3rd and 4th years but anyone who has been involved in significant research understands the limitations of studies that are only worked on for 1 year.
 
I think that osteopathic schools should promote research in OMM by possibly adding programs like an DO/PhD that will pay for part of school. There are some programs that add 1 additional year of research in exchange for tuition for the 3rd and 4th years but anyone who has been involved in significant research understands the limitations of studies that are only worked on for 1 year.

PCOM is doing this now.

Our OMM Fellows begin research projects in the third year (of 5 total) so can really work on projects for 3 full years.

There are significant benefits to completing the fellowship and it has become more competitive in recent years.

As far as mechanism of OMM treatments, you need to define what specific technique you are talking about. There isnt a general "here is how it works" model.
 
good point what techniques are the most well documented and best understood out of all the OMM techniques?
 
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