Related Experiment Video
Updated: Jun 20, 2026

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
Overcoming barriers to the use of osteopathic manipulation techniques in the emergency department
Raymond J Roberge1, Marc R Roberge
1National Personal Protective Technology Laboratory/National Institute for Occupational Safety and Health/Centers for Disease Control and Prevention, Pittsburgh, PA.
Background:
Osteopathic Manipulation Techniques (OMT) have been shown to be effective therapeutic modalities in various clinical settings, but appear to be underutilized in the emergency department (ED) setting.
Objective:
To examine barriers to the use of OMT in the ED and provide suggestions to ameliorate these barriers.
Methods:
Literature review
Results:
While the medical literature cites numerous obstacles to the use of OMT in the ED setting, most can be positively addressed through education, careful planning, and ongoing research into use of these techniques. Recent prospective clinical trials of OMT have demonstrated the utility of these modalities.
Conclusion:
Osteopathic Manipulation Techniques are useful therapeutic modalities that could be utilized to a greater degree in the ED. As the number of osteopathic emergency physicians increases, the opportunity to employ these techniques should increase.
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...