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White C, Xie Y, Bigham J, Stanczak A, Ninan D, Hu CAA. Osteopathic Manipulative Medicine and Disorders: An Overview of Peer-Reviewed Publications 2018-2022. Cureus 2024; 16:e62185. [PMID: 38863772 PMCID: PMC11166471 DOI: 10.7759/cureus.62185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2024] [Indexed: 06/13/2024] Open
Abstract
Context Osteopathic manipulative medicine (OMM) has been claimed to be effective in various human disorders and conditions. There have been many anecdotal claims to lend credence to the efficacy of this treatment modality. Recently, much work has been done in evidence-based, government-funded projects, and clinical trials in OMM research, and these studies have further demonstrated the efficacy of OMM as direct, integrated, or complementary mechanisms in treating various conditions. Objectives As the field of OMM research has grown significantly in the past few years, we set out to analyze the peer-reviewed publications on OMM in human disorders between January 2018 and December 2022. Methods We used keywords and terms which included "osteopath," "osteopathic," osteopathic manipulative medicine," "osteopathic manipulative treatment," and "disorder," to systematically sample two public databases, PubMed and Science Direct. After the first query was recorded, we then applied more specific and stringent criteria to identify publications that (a) were written in English, (b) contained at least one human disorder/condition treated by OMM, (c) were co-authored by at least one osteopathic physician-scientist, and (d) contained at least one OMM technique. Results Our initial sampling of databases resulted in 404 publications. After applying our screening criteria, we identified and analyzed 249 (62%; 249/404) qualified publications in "OMM and Human Disorders" We then categorized them into (a) types of publications, (b) country origins of corresponding author(s), (c) groups of disorder and condition, (d) classification of the OMM used, and (e) relating the treated conditions with the five models of OMM. We found that in the 249 publications, 158 (63%) are research articles, 66 (27%) review papers, and 25 (10%) case reports. In addition, nine countries, the United States, Italy, Brazil, Spain, France, Germany, Canada, the United Kingdom (UK), and Australia contributed most of the publications of OMM. VOSviewer analysis identified a wide range of human disorders that were effectively treated with OMM. These included musculoskeletal, low back pain, neurological, headache, inflammation (including autoimmune conditions, COVID-19, lymphatic drainage), neonate/preterm infant disorders, anxiety, and dizziness. Conclusions Our comprehensive analysis showed that there has been a significant increase in peer-reviewed OMM publications in recent years, led by the United States osteopathic physician-scientists and European osteopathic scientists. OMM was found effective in treating not only common conditions such as pneumonia, low back pain, and musculoskeletal disorders, but also disorders such as inflammation, dizziness, headache, anxiety, and neonate/preterm infant disorders.
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Affiliation(s)
- Cameron White
- Department of Biomedical Sciences and Department of Osteopathic Manipulative Medicine, Kansas College of Osteopathic Medicine, Wichita, USA
| | - Yahui Xie
- Department of Biomedical Sciences and Department of Osteopathic Manipulative Medicine, Kansas College of Osteopathic Medicine, Wichita, USA
| | - Jeremy Bigham
- Department of Osteopathic Manipulative Medicine, Kansas College of Osteopathic Medicine, Wichita, USA
| | - Ava Stanczak
- Department of Osteopathic Manipulative Medicine, Kansas College of Osteopathic Medicine, Wichita, USA
| | - David Ninan
- Department of Biomedical Sciences and Department of Osteopathic Manipulative Medicine, Kansas College of Osteopathic Medicine, wichita, USA
| | - Chien-An A Hu
- Department of Biomedical Sciences, Kansas College of Osteopathic Medicine, Wichita, USA
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Hasan S, Ahlgren CD, Lipphardt M, Chrumka A, Zaman R, Khan R, Waheed M, Higginbotham DO, Saleh E, McCarty SA. #lowbackpain on TikTok: A New Frontier for Orthopaedic Medical Education. J Am Acad Orthop Surg Glob Res Rev 2024; 8:01979360-202404000-00015. [PMID: 38648295 PMCID: PMC11037729 DOI: 10.5435/jaaosglobal-d-23-00181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 01/30/2024] [Accepted: 02/19/2024] [Indexed: 04/25/2024]
Abstract
INTRODUCTION Low back pain has become a substantial health problem in all developed countries. Many healthcare professionals and content creators have begun sharing their treatment methods and opinions through social media, especially the video-based platform TikTok. TikTok has been downloaded more than 2.6 billion times with over a billion daily users. Its influence on public health makes it imperative that information be accurate and safe. This study aims to analyze TikTok's most popular content on lower back pain and how orthopaedic surgeons contribute on this growing platform. OBJECTIVES To analyze TikTok's most popular content on lower back pain and how orthopaedic surgeons are and can contribute on this growing platform. METHODS A TikTok search conducted on April 22, 2023, using the terms '#lowerbackpain'and '#lowbackpainrelief,' resulted in numerous videos, 100 of which met inclusion criteria. Videos were included if they were related to the content, had more than 1000 views, were in English, and were not duplicates. Video characteristics were recorded and evaluated for quality by two reviewers using DISCERN. A two-sample t-test was used to assess differences. RESULTS Overall, the top videos on lower back pain had an average of 2,061,396 views, with a mean DISCERN score of 34. The mean total DISCERN score was 36 and 34 for physicians and nonphysicians, respectively, while the video by the orthopaedic surgeon (n = 1) scored 31. The most recommended treatments included at-home exercises (n = 75) and visiting a chiropractor (n = 4). CONCLUSION We find that the information presented by nonphysicians offered quick, at-home fixes to medical problems without offering any research or proven data to support their claims. We cannot overlook Tiktok's immense influence in the realm of orthopaedic health as it has become a sphere of information dissemination and education. Thus, we suggest that there is not necessarily a need for a greater number of surgeons and/or resident physicians to involve themselves on the platform, but rather the involvement of governing bodies and spine societies to put out position statements for our patients.
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Affiliation(s)
- Sazid Hasan
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Conner D. Ahlgren
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Matthew Lipphardt
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Alexandria Chrumka
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Razeen Zaman
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Ridwana Khan
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Muhammad Waheed
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Devan O. Higginbotham
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Ehab Saleh
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
| | - Scott A. McCarty
- From the William Beaumont Hospital, Royal Oak, MI (Mr. Hasan); Oakland University William Beaumont School of Medicine, Rochester, MI (Mr. Hasan, Dr. Saleh); the Department of Orthopaedic Surgery, Beaumont Hospital, Royal Oak, MI (Dr. Ahlgren, Dr. Lipphardt, Dr. Chrumka, and Mr. Zaman); the University of Michigan College of Literature, Science and the Arts, Ann Arbor, MI (Ms. Khan); and the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Waheed, Dr. Higginbotham, and Dr. McCarty)
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Zhang J, Jiang N, Xu H, Wu Y, Cheng S, Liang B. Efficacy of cognitive functional therapy in patients with low back pain: A systematic review and meta-analysis. Int J Nurs Stud 2024; 151:104679. [PMID: 38219428 DOI: 10.1016/j.ijnurstu.2023.104679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/19/2023] [Accepted: 12/21/2023] [Indexed: 01/16/2024]
Abstract
BACKGROUND Low back pain is a major public health problem worldwide, and there exists evidence that cognitive functional therapy may help improve patients' health condition. However, the utilization of cognitive functional therapy for low back pain is limited, and its clinical efficacy remains unclear. OBJECTIVES To determine the efficacy of cognitive functional therapy in the management of disability, pain intensity, and fear-avoidance beliefs in low back pain patients. DESIGN Systematic review and meta-analysis. METHOD A comprehensive study search of Pubmed, Web of Science, Medline, CINAHL, Embase, PsycINFO, and the Cochrane Library databases was conducted from their inception to August 14th, 2023. Two researchers independently conducted the literature search and data extraction. All statistical analysis was performed using Stata Version 17.0. RESULTS A total of eight randomized controlled trials were included. In the short-term, cognitive functional therapy significantly improved disability (7 studies, SMD = -1.05, 95 % CI = -1.74 to -0.35, I2 = 95.37 %, GRADE = very low), pain intensity (7 studies, SMD = -1.02, 95 % CI = -1.89 to -0.15, I2 = 97.21 %, GRADE = very low), and fear-avoidance beliefs (4 studies, SMD = -0.89, 95 % CI = -1.30 to -0.47, I2 = 82.49 %, GRADE = very low). In the medium-term, cognitive functional therapy also significantly improved disability (3 studies, SMD = -0.48, 95 % CI = -0.82 to -0.14, I2 = 77.97 %, GRADE = very low), pain intensity (3 studies, SMD = -0.34, 95 % CI = -0.58 to -0.10, I2 = 55.55 %, GRADE = very low), and fear-avoidance beliefs (2 studies, SMD = -0.62, 95 % CI = -1.19 to -0.04, I2 = 88.24 %, GRADE = very low). In the long-term, cognitive functional therapy significantly improved disability (4 studies, SMD = -0.54, 95 % CI = -0.95 to -0.13, I2 = 85.87 %, GRADE = very low) and fear-avoidance beliefs (3 studies, SMD = -0.76, 95 % CI = -1.17 to -0.34, I2 = 80.34 %, GRADE = very low). CONCLUSION Cognitive functional therapy might be effective in reducing disability and fear-avoidance beliefs at any of short-, medium- and long-term follow-ups, and reducing pain at short- and medium-term follow-ups. No definitive conclusions can be drawn about the impact of cognitive functional therapy on low back pain patients due to the very low certainty evidence base. Additional rigorous randomized controlled trials are needed to further confirm these findings. REGISTRATION NUMBER CRD42022287123 (PROSPERO).
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Affiliation(s)
- Jiaxin Zhang
- Department of Nursing, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045, China
| | - Nan Jiang
- School of Nursing, Jilin University, Changchun 130021, China
| | - Huiying Xu
- Department of Ultrasound, The First Hospital of Jilin University, Changchun 130000, China
| | - Yi Wu
- School of Nursing, Peking University, 100191, China
| | - Siming Cheng
- Jilin General Aviation Vocational and Technical College, Jilin 132000, China
| | - Bing Liang
- School of Nursing, Jilin University, Changchun 130021, China.
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