Preventative Osteopathic Manipulative Treatment (OMT) and the Nursing Home Patient

A.T. Still University of Health Sciences

Status: Completed

Conditions: General Health Status

Treatments: Procedure: Light Touch; Procedure: Osteopathic Manipulative Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT01000142

501-332

Details and patient eligibility

About

This pilot research study will investigate the possible benefit that elderly nursing home patients may receive from regular Osteopathic Manipulative Medicine (OMM) care during the winter months. The study is based on the osteopathic philosophies that structure and function are interrelated and that the body has self-healing mechanisms. The body is expected to have optimized ability to heal itself "when all its parts are in place" (AT Still). This study is looking at subject population for whom their ability to take care of themselves is diminished by their underlying diseases. Based on the osteopathic philosophies, optimization of the nursing home patient's physical structure through osteopathic manipulative treatment (OMT) should enhance their body's homeostatic mechanisms. This study is assessing the validity of these philosophies by looking at the effect of OMT on the global health of these individuals.

Full description

This study will randomly assign 36 nursing home patients from two Kirksville nursing homes into three groups of twelve subjects: 1) treatment as usual (TAU) control group; 2) light touch (LT) group, and 3) standard OMT group.

This study will begin with rolling admission of volunteer nursing home patients starting in October 2009. Subjects in the LT and OMT group would receive focused musculoskeletal evaluations twice a month for 5 months (10 visits). The OMT group would also receive an OMT protocol each visit that would specifically address optimization of homeostatic mechanisms - balancing autonomic nervous system and improving lymphatic drainage- along with OMT that would specifically target somatic dysfunction found on that day's evaluation. The LT group subjects would receive a light touch protocol meant to simulate OMT. The TAU group will receive no intervention. The protocol period will end for all subjects by March 2010. All osteopathic examinations, assessments, and treatments will be performed at the participating nursing homes.

Throughout the protocol period, at the end of the winter (March 2010), and three months later (June 2010), retrospective chart reviews will be conducted on all subjects. All cause morbidity and mortality for all subjects will be assessed by monitoring their medications, health history changes, and hospitalizations.

Enrollment: 22 patients

Sex: All

Ages: 65 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Resident of Participating Nursing Home
• Life Expectancy of at Least 6 Months

Exclusion criteria

• Diagnosis of Terminal Cancer
• Diagnosis of Active Tuberculosis
• Diagnosis of Metabolic Bone Disease or Condition That Would Place Patient at Risk for Pathological Fracture
• Unable to Cooperate
• Unable to Tolerate OMT
• OMT is Contraindicated

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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22 participants in 3 patient groups

Treatment as Usual Control Group

No Intervention group

Light Touch Group

Sham Comparator group

Description:

Focused osteopathic musculoskeletal exam; contact ribs to simulate rib raising and paraspinal muscle inhibition; contact lower rib margin to simulate abdominal diaphragm release; palpate the four quadrants of the abdomen to simulate abdominal mesenteric/colon release; contact shoulders to simulate thoracic inlet release; contact suboccipital region to simulate thoracic inlet release.

Treatment:

Procedure: Light Touch

Standard OMT Group

Experimental group

Treatment:

Procedure: Osteopathic Manipulative Treatment