Posts by: Daniele Gualdi

Resolution of dacryostenosis after osteopathic manipulative treatment

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Journal of the American Osteopathic Association
This case report is on a 9-month-old boy with persistent dacryostenosis who was scheduled for lacrimal duct probing after first-line treatments failed. After a single session of osteopathic manipulative treatment, the patient’s epiphora and other symptoms resolved, and he no longer needed surgical probing … ABSTRACT

Effectiviness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: A systematic review and meta-analysis

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Journal of Bodywork and Movement Therapies
Patients with long-lasting pain problems often complain of lack of confidence and trust in their body. Through physical experiences and reflections they can develop a more positive body- and self-experience. Body awareness has been suggested as an approach for treating patients with chronic pain and other psychosomatic conditions. The aim of this systematic review is to assess the effectiveness of body awareness interventions (BAI) in fibromyalgia (FM) and chronic fatigue syndrome (CFS) … 
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Management of mood disorders by osteopaths in New Zeeland: A survey of current clinical practice

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International Journal of Osteopathic Medicine
Early detection of mood disorders in primary health care can help prevent progression. In this context, a primary health care practitioner such as an osteopath may play an important role. The purpose of the study was to explore how a population of osteopaths in New Zealand with internet access identify, assess and manage clients with mood disorders and to describe their previous education and further educational needs related to mood disorders … ABSTRACT

Evidence, theory and variability in osteopathic practice

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In the broadest sense of evidence, there are many types that inform the rich variety of osteopathic practice across the world. Clinical research evidence focussing on the effectiveness of interventions may be categorised as falling within a hierarchy. Meta-analyses and systematic reviews at the top of the hierarchy above individual randomised controlled trials, followed by different types of observational studies and finally opinion and expertise at the bottom. Hierarchies like this rank research designs and methods and depend on the research question at hand … ABSTRACT

Osteopathic manipulative treatment use in the emergency department: A retrospective medical record review

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The Journal of the American Osteopathic Association
Although the use of osteopathic manipulative treatment (OMT) appears to be declining, data on the use of OMT in the emergency department (ED) are not available. The objective of this study was to determine the quantity and characteristics of OMT performed in a single, community academic ED that houses an osteopathic emergency medicine residency … ABSTRACT

Effectiviness of osteopathic manipulative treatment for carpal tunnel syndrome: A pilot project

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The Journal of the American Osteopathic Association
For this single-blinded quasi-controlled trial, nine participants with carpal tunnel syndrome received osteopathic manipulative treatment (OMT) for six consecutive weeks. The main outcome measures were the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), a sensory symptom diagram (SSD), patients’ estimate of overall change, electrophysiologic testing of the median nerve (trans-carpal-tunnel motor and sensory nerve conduction velocity and amplitude ratio) and carpal tunnel ultrasound imaging of the cross-sectional area of the median nerve and transverse carpal ligament length and bowing. All outcome measures were administered before the first OMT session and after six weeks … MORE

The location of the inferior angle of the scapula in relation to the spine in upright position: A systematic review of the literature and meta-analysis

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Chiropractic & Manual Therapies
Practitioners in several of the health care professions use anatomical landmarks to identify spinal levels, both in order to enhance diagnostic accuracy and to specifically target the site of intervention. Authoritative sources usually state the upright inferior scapular angle (IAS) aligns with the spinous process (SP) of T7, but some specify the T7-8 interspace or the T8 SP. The primary goals of this study were to systematically review the relevant literature; and conduct a meta-analysis of the pooled data from retrieved studies to increase their statistical power … MORE

Physical activity, fear avoidance, and chronic non-specific pain: A narrative review

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Journal of Bodywork and Movement Therapies
Chronic non-specific pain (CNSP) and physical inactivity have become increasingly prevalent in the United States; however, the associations between the two remain unclear. The lack of clarity may be due to the presence of a third variable, the individual’s pain coping strategy … ABSTRACT

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: A randomized clinical trial

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Spine
In this comparative effectiveness trial, 107 adults with acute low back pain (LBP) were randomized to receive manual-thrust manipulation (MTM), mechanical-assisted manipulation (MAM) and usual medical care (UMC). The participants in the two manipulation groups were treated twice weekly for four weeks, while the subjects who received UMC were seen three times in four weeks. Linear regression showed a statistically significant advantage of MTM at four weeks compared with MAM and UMC. Responder analysis, defined as 30% and 50% reductions in Oswestry LBP Disability Index scores, revealed a significantly greater proportion of responders in the MTM group compared with the MAM and UMC groups. Similar between-group results were found for pain. No statistically significant group differences were found between MAM and UMC or for any comparison at three or six months … ABSTRACT

Scimitar syndrome: A rare explanation for a common symptom with an osteopathic approach

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International Journal of Osteopathic Medicine
The patient in this case was a 68-year-old woman who had dyspnea for five months. Examination disclosed decreased right-sided breath sounds and the presence of right-sided heart sounds. An osteopathic evaluation revealed acute and chronic somatic dysfunction and viscerosomatic changes … ABSTRACT

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