Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Identifieur interne : 000043 ( Pmc/Curation ); précédent : 000042; suivant : 000044Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Auteurs : Sheldon Yao ; John Hassani ; Martin Gagne ; Gebe George ; Wolfgang GilliarSource :
- Journal of Visualized Experiments : JoVE [ 1940-087X ] ; 2014.
Abstract
Pneumonia, the inflammatory state of lung tissue primarily due to microbial infection, claimed 52,306 lives in the United States in 20071 and resulted in the hospitalization of 1.1 million patients2. With an average length of in-patient hospital stay of five days2, pneumonia and influenza comprise significant financial burden costing the United States $40.2 billion in 20053. Under the current Infectious Disease Society of America/American Thoracic Society guidelines, standard-of-care recommendations include the rapid administration of an appropriate antibiotic regiment, fluid replacement, and ventilation (if necessary). Non-standard therapies include the use of corticosteroids and statins; however, these therapies lack conclusive supporting evidence4. (Figure 1)
Osteopathic Manipulative Treatment (OMT) is a cost-effective adjunctive treatment of pneumonia that has been shown to reduce patients’ length of hospital stay, duration of intravenous antibiotics, and incidence of respiratory failure or death when compared to subjects who received conventional care alone5. The use of manual manipulation techniques for pneumonia was first recorded as early as the Spanish influenza pandemic of 1918, when patients treated with standard medical care had an estimated mortality rate of 33%, compared to a 10% mortality rate in patients treated by osteopathic physicians6. When applied to the management of pneumonia, manual manipulation techniques bolster lymphatic flow, respiratory function, and immunological defense by targeting anatomical structures involved in the these systems7,8, 9, 10.
The objective of this review video-article is three-fold: a) summarize the findings of randomized controlled studies on the efficacy of OMT in adult patients with diagnosed pneumonia, b) demonstrate established protocols utilized by osteopathic physicians treating pneumonia, c) elucidate the physiological mechanisms behind manual manipulation of the respiratory and lymphatic systems. Specifically, we will discuss and demonstrate four routine techniques that address autonomics, lymph drainage, and rib cage mobility: 1) Rib Raising, 2) Thoracic Pump, 3) Doming of the Thoracic Diaphragm, and 4) Muscle Energy for Rib 1.5,11
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DOI: 10.3791/50687
PubMed: 24836893
PubMed Central: 4173698
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Sheldon Yao<affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia</title><author><name sortKey="Yao, Sheldon" sort="Yao, Sheldon" uniqKey="Yao S" first="Sheldon" last="Yao">Sheldon Yao</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Hassani, John" sort="Hassani, John" uniqKey="Hassani J" first="John" last="Hassani">John Hassani</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gagne, Martin" sort="Gagne, Martin" uniqKey="Gagne M" first="Martin" last="Gagne">Martin Gagne</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="George, Gebe" sort="George, Gebe" uniqKey="George G" first="Gebe" last="George">Gebe George</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gilliar, Wolfgang" sort="Gilliar, Wolfgang" uniqKey="Gilliar W" first="Wolfgang" last="Gilliar">Wolfgang Gilliar</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24836893</idno><idno type="pmc">4173698</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173698</idno><idno type="RBID">PMC:4173698</idno><idno type="doi">10.3791/50687</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000043</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000043</idno><idno type="wicri:Area/Pmc/Curation">000043</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000043</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia</title><author><name sortKey="Yao, Sheldon" sort="Yao, Sheldon" uniqKey="Yao S" first="Sheldon" last="Yao">Sheldon Yao</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Hassani, John" sort="Hassani, John" uniqKey="Hassani J" first="John" last="Hassani">John Hassani</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gagne, Martin" sort="Gagne, Martin" uniqKey="Gagne M" first="Martin" last="Gagne">Martin Gagne</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="George, Gebe" sort="George, Gebe" uniqKey="George G" first="Gebe" last="George">Gebe George</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gilliar, Wolfgang" sort="Gilliar, Wolfgang" uniqKey="Gilliar W" first="Wolfgang" last="Gilliar">Wolfgang Gilliar</name><affiliation><nlm:aff id="ID1">Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</nlm:aff><wicri:noCountry code="subfield">New York Institute of Technology College of Osteopathic Medicine</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Visualized Experiments : JoVE</title><idno type="eISSN">1940-087X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Pneumonia, the inflammatory state of lung tissue primarily due to microbial infection, claimed 52,306 lives in the United States in 2007<sup>1</sup> and resulted in the hospitalization of 1.1 million patients<sup>2</sup>. With an average length of in-patient hospital stay of five days<sup>2</sup>, pneumonia and influenza comprise significant financial burden costing the United States $40.2 billion in 2005<sup>3</sup>. Under the current Infectious Disease Society of America/American Thoracic Society guidelines, standard-of-care recommendations include the rapid administration of an appropriate antibiotic regiment, fluid replacement, and ventilation (if necessary). Non-standard therapies include the use of corticosteroids and statins; however, these therapies lack conclusive supporting evidence<sup>4</sup>. (Figure 1)</p><p>Osteopathic Manipulative Treatment (OMT) is a cost-effective adjunctive treatment of pneumonia that has been shown to reduce patients’ length of hospital stay, duration of intravenous antibiotics, and incidence of respiratory failure or death when compared to subjects who received conventional care alone<sup>5</sup>. The use of manual manipulation techniques for pneumonia was first recorded as early as the Spanish influenza pandemic of 1918, when patients treated with standard medical care had an estimated mortality rate of 33%, compared to a 10% mortality rate in patients treated by osteopathic physicians<sup>6</sup>. When applied to the management of pneumonia, manual manipulation techniques bolster lymphatic flow, respiratory function, and immunological defense by targeting anatomical structures involved in the these systems<sup>7,8, 9, 10</sup>.</p><p>The objective of this review video-article is three-fold: a) summarize the findings of randomized controlled studies on the efficacy of OMT in adult patients with diagnosed pneumonia, b) demonstrate established protocols utilized by osteopathic physicians treating pneumonia, c) elucidate the physiological mechanisms behind manual manipulation of the respiratory and lymphatic systems. Specifically, we will discuss and demonstrate four routine techniques that address autonomics, lymph drainage, and rib cage mobility: 1) Rib Raising, 2) Thoracic Pump, 3) Doming of the Thoracic Diaphragm, and 4) Muscle Energy for Rib 1.<sup>5,11</sup></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author><author><name sortKey="Kochanek, K" uniqKey="Kochanek K">K Kochanek</name></author><author><name sortKey="Murphy, S" uniqKey="Murphy S">S Murphy</name></author><author><name sortKey="Tejada Vera, B" uniqKey="Tejada Vera B">B Tejada-Vera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, Mj" uniqKey="Hall M">MJ Hall</name></author><author><name sortKey="Defrances, C" uniqKey="Defrances C">C DeFrances</name></author><author><name sortKey="Williams, S" uniqKey="Williams S">S Williams</name></author><author><name sortKey="Golosinskiy, A" uniqKey="Golosinskiy 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Downey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hodge, Lm" uniqKey="Hodge L">LM Hodge</name></author><author><name sortKey="King, Hh" uniqKey="King H">HH King</name></author><author><name sortKey="Williams Jr, Ag" uniqKey="Williams Jr A">AG Williams Jr</name></author><author><name sortKey="Reder, Sj" uniqKey="Reder S">SJ Reder</name></author><author><name sortKey="Belavadi, Tj" uniqKey="Belavadi T">TJ Belavadi</name></author><author><name sortKey="Simecka, Jw" uniqKey="Simecka J">JW Simecka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hodge, Lm" uniqKey="Hodge L">LM Hodge</name></author><author><name sortKey="Bearden, Mk" uniqKey="Bearden M">MK Bearden</name></author><author><name sortKey="Schander, A" uniqKey="Schander A">A Schander</name></author><author><name sortKey="Huff, Jb" uniqKey="Huff J">JB Huff</name></author><author><name sortKey="Williams Jr, A" uniqKey="Williams Jr A">A Williams Jr</name></author><author><name sortKey="King, Hh" uniqKey="King H">HH King</name></author><author><name sortKey="Downey, Hf" uniqKey="Downey H">HF Downey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Prajapati, P" uniqKey="Prajapati P">P Prajapati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huff, Jb" uniqKey="Huff J">JB Huff</name></author><author><name sortKey="Schander, A" uniqKey="Schander A">A Schander</name></author><author><name sortKey="Downey, Hf" uniqKey="Downey H">HF Downey</name></author><author><name sortKey="Hodge, Lm" uniqKey="Hodge L">LM Hodge</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Vis Exp</journal-id><journal-id journal-id-type="iso-abbrev">J Vis Exp</journal-id><journal-id journal-id-type="publisher-id">JoVE</journal-id><journal-title-group><journal-title>Journal of Visualized Experiments : JoVE</journal-title></journal-title-group><issn pub-type="epub">1940-087X</issn><publisher><publisher-name>MyJove Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24836893</article-id><article-id pub-id-type="pmc">4173698</article-id><article-id pub-id-type="publisher-id">50687</article-id><article-id pub-id-type="doi">10.3791/50687</article-id><article-categories><subj-group subj-group-type="heading"><subject>Medicine</subject></subj-group></article-categories><title-group><article-title>Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yao</surname><given-names>Sheldon</given-names></name><xref ref-type="aff" rid="ID1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hassani</surname><given-names>John</given-names></name><xref ref-type="aff" rid="ID1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gagne</surname><given-names>Martin</given-names></name><xref ref-type="aff" rid="ID1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>George</surname><given-names>Gebe</given-names></name><xref ref-type="aff" rid="ID1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gilliar</surname><given-names>Wolfgang</given-names></name><xref ref-type="aff" rid="ID1"><sup>1</sup></xref></contrib></contrib-group><aff id="ID1"><sup>1</sup>Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine</aff><author-notes><fn><p>Correspondence to: Martin Gagne at <email>mgagne@nyit.edu</email></p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>6</day><month>5</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>6</day><month>5</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<issue>87</issue><elocation-id>50687</elocation-id><permissions><copyright-statement>Copyright © 2014, Journal of Visualized Experiments</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. To view a copy of this license, visit<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link></license-p></license></permissions><abstract><p>Pneumonia, the inflammatory state of lung tissue primarily due to microbial infection, claimed 52,306 lives in the United States in 2007<sup>1</sup> and resulted in the hospitalization of 1.1 million patients<sup>2</sup>. With an average length of in-patient hospital stay of five days<sup>2</sup>, pneumonia and influenza comprise significant financial burden costing the United States $40.2 billion in 2005<sup>3</sup>. Under the current Infectious Disease Society of America/American Thoracic Society guidelines, standard-of-care recommendations include the rapid administration of an appropriate antibiotic regiment, fluid replacement, and ventilation (if necessary). Non-standard therapies include the use of corticosteroids and statins; however, these therapies lack conclusive supporting evidence<sup>4</sup>. (Figure 1)</p><p>Osteopathic Manipulative Treatment (OMT) is a cost-effective adjunctive treatment of pneumonia that has been shown to reduce patients’ length of hospital stay, duration of intravenous antibiotics, and incidence of respiratory failure or death when compared to subjects who received conventional care alone<sup>5</sup>. The use of manual manipulation techniques for pneumonia was first recorded as early as the Spanish influenza pandemic of 1918, when patients treated with standard medical care had an estimated mortality rate of 33%, compared to a 10% mortality rate in patients treated by osteopathic physicians<sup>6</sup>. When applied to the management of pneumonia, manual manipulation techniques bolster lymphatic flow, respiratory function, and immunological defense by targeting anatomical structures involved in the these systems<sup>7,8, 9, 10</sup>.</p><p>The objective of this review video-article is three-fold: a) summarize the findings of randomized controlled studies on the efficacy of OMT in adult patients with diagnosed pneumonia, b) demonstrate established protocols utilized by osteopathic physicians treating pneumonia, c) elucidate the physiological mechanisms behind manual manipulation of the respiratory and lymphatic systems. Specifically, we will discuss and demonstrate four routine techniques that address autonomics, lymph drainage, and rib cage mobility: 1) Rib Raising, 2) Thoracic Pump, 3) Doming of the Thoracic Diaphragm, and 4) Muscle Energy for Rib 1.<sup>5,11</sup></p></abstract><kwd-group kwd-group-type="author-generated"><kwd>Medicine</kwd><kwd>Issue 87</kwd><kwd>Pneumonia</kwd><kwd>osteopathic manipulative medicine (OMM) and techniques (OMT)</kwd><kwd>lymphatic</kwd><kwd>rib raising</kwd><kwd>thoracic pump</kwd><kwd>muscle energy</kwd><kwd>doming diaphragm</kwd><kwd>alternative treatment</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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