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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
Clinical and research protocol for osteopathic manipulative treatment of elderly patients with pneumonia
Donald R Noll1, Brian F Degenhardt, Christian Fossum
1Academic Medicine Inc, 800 W Jefferson St, Kirksville, MO 63501-1443, USA. dnoll@academicmedicine.com
Abstract:
Pneumonia in elderly patients is a major public health concern because of greater morbidity and mortality and longer hospital stays relative to younger populations. Based on the premise that osteopathic manipulative treatment (OMT) is beneficial in the management of pulmonary infections, the Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) was designed as a prospective randomized controlled trial to evaluate the efficacy of OMT as an adjunct to the current pharmacologic treatment of elderly patients hospitalized for pneumonia. The protocol developed for MOPSE has its origins in early osteopathic medical literature at a time when effective antibiotic therapy was unavailable and osteopathic physicians relied on physical examination and empiric reasoning to develop treatment strategies and OMT techniques to improve host defenses against pneumonia. The present paper reviews the early osteopathic medical literature to identify the reasoning behind the OMT techniques that are the basis for the design of the MOPSE protocol. Likewise, the contemporary medical literature relevant to the protocol is reviewed. Finally, a description of the study design and the OMT and light touch (sham) protocols used in MOPSE are provided.
Insights
Osteopathic manipulative treatment (OMT) may help elderly pneumonia patients. The Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) trial investigated OMT as a complementary therapy for hospitalized older adults with pneumonia.
Area of Science:
- Geriatrics
- Pulmonology
- Osteopathic Medicine
Background:
- Pneumonia poses significant health risks for elderly individuals, leading to increased morbidity, mortality, and hospitalization duration.
- Osteopathic manipulative treatment (OMT) has a historical basis for managing pulmonary infections, predating modern antibiotics.
- Early osteopathic literature suggests OMT can enhance host defenses against pneumonia.
Observation:
- The Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) is a prospective randomized controlled trial.
- This study evaluates OMT as an adjunct to standard pharmacologic treatment for hospitalized elderly pneumonia patients.
- The MOPSE protocol is informed by historical osteopathic principles and contemporary medical literature.
Findings:
- The paper details the rationale behind OMT techniques used in the MOPSE study.
- It reviews relevant early osteopathic and contemporary medical literature.
- The study design, including OMT and sham protocols, is described.
Implications:
- Understanding the historical context of OMT for pneumonia provides insight into its potential therapeutic role.
- This research aims to validate the efficacy of OMT as an adjunctive therapy in elderly pneumonia management.
- The findings may inform future clinical practice and research in geriatric respiratory care and osteopathic medicine.
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