Osteopathic manipulation improves functional status in patients with non-specific chronic back pain in a rural outpatient setting
Context: Osteopathic manipulative treatment (OMT) is a widely used methodology for the clinical treatment of spine-related pain. Recent reports have been especially positive regarding the use of OMT for chronic back pain. However, published reports have been focused on populations available within large university-based institutions, with rural-based hospitals and their clientele unrepresented within the professional literature.
Objective: The objective of this multi-year study was to examine the effects of OMT on spine-related chronic pain and its effects on dimensions of functional ability in a rural setting served by a safety-net hospital.
Methods: In this study, 151 participants with chronic (>6 months) spine-related pain (mean age 54.58 ± 11.88 years) completed at least 2 office visits. The Oswestry Disability Index (ODI) was used to assess 10 dimensions (pain intensity, personal care, lifting, walking, sitting, sleeping, standing, sex life, social life, and travel) and a total score of functional ability related to back pain.
Results: A 2-way mixed-model, repeated-measures analysis of variance (ANOVA) with time (pre- and post-office visit) as the within-participants factor and with sex as the between-participants factor resulted in a significant main effect from pretest to posttest, (F(1,149) = 67.12, P < .001, η2p = .311), but not a significant interaction between time and gender, (F(1,149) = .426, P = .515, η2p = .003).
Conclusions: The results of this study support the hypothesis that OMT improved measures of functional ability related to pain intensity, unrelated to sex. The rural nature of the clinical setting provided a unique population for this study.
Information Technology and Cybersecurity
Chronic pain, OMT, Oswestry disability index, Rural
Wilson, D. J., J. L. Gorham, T. Lamb, S. Lui, and T. Daniel. "Osteopathic Manipulation Improves Functional Status in Patients with Non-Specific Chronic Back Pain in a Rural Outpatient Setting." AAO Journal 28, no. 2 (2018): 29-33.