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Length of postoperative hospital stay for patients undergoing coronary arterial bypass graft surgical procedures. Abbreviation: OMT, osteopathic manipulative treatment.
Source publication
Context: Several studies have investigated the use of osteopathic manipulative treatment (OMT) after coronary artery bypass graft (CABG) operations; however, there is little information regarding the effect of OMT in the postoperative recovery of patients undergoing CABG operations.
Methods: Patients scheduled to undergo a CABG operation were volun...
Citations
... Data extraction was performed, and the following information was collected from each study: author and publication year, number of patients, study method, type of surgery, effects measured, anatomical regions for OMT, OMT techniques, and relevant statistical data ( Table 1). It should be noted that Wieting et al. included a placebo OMT group of 18 patients alongside the OMT and control groups [7]. No other study reviewed included a placebo OMT group. ...
... For streamlining purposes, data collected for the OMT placebo group in Wieting et al. were not used in this meta-analysis and are not included in our total patient number (n = 519). [7]. We excluded 18 of those 53 patients due to receiving placebo treatment. ...
... We excluded 18 of those 53 patients due to receiving placebo treatment. After the exclusion of the placebo group, the total number of patients from Wieting et al. [7] included in our analysis is n = 35. CABG = coronary artery bypass graft; BM = bowel movement; RCT = randomized controlled trial; LOS = length of stay; ME = muscle energy; MFR = myofascial release; BLT = balanced ligamentous tension Individually, three of the five studies (Racca et al. [6], Crow et al. [9], and Baltazar et al. [10]) showed a statistically significant reduction in postoperative LOS in the OMT treatment group. ...
... A variety of different body systems and surgical techniques have been researched including musculoskeletal, cardiac, pulmonary, oncologic, and more [1,5,. These studies have demonstrated decreased symptoms at viscerosomatic levels of treatment [19,25], improved lymphatic circulation [37], improved cardiac function and perfusion [26], decreased length of hospital stay [11,14,29,35], decreased pain [20,21,24,28,29,31,32,34,36,38], decreased pain medication use [1,22,28,39] and decreased morbidity [29]. ...
... The search yielded six studies that looked at the use of OMT in patients who were undergoing cardiothoracic surgeries [10,13,17,26,32,35], with three of these being coronary artery bypass (CABG) surgeries [26,32,35], one being a posterolateral thoracotomy [17], one being a thoracoabdominal resection of the esophagus [13], and one being an excision of a primary pulmonary leiomyosarcoma [10]. Some of the most common OMT techniques that were used were MFR, diaphragm doming, rib raising, and ME [10,13,17,26,32,35]. ...
... The search yielded six studies that looked at the use of OMT in patients who were undergoing cardiothoracic surgeries [10,13,17,26,32,35], with three of these being coronary artery bypass (CABG) surgeries [26,32,35], one being a posterolateral thoracotomy [17], one being a thoracoabdominal resection of the esophagus [13], and one being an excision of a primary pulmonary leiomyosarcoma [10]. Some of the most common OMT techniques that were used were MFR, diaphragm doming, rib raising, and ME [10,13,17,26,32,35]. ...
Surgery is a common and often necessary treatment option for a wide range of medical conditions, with an estimated 40 to 50 million surgeries performed in the US alone each year. While the various types of surgeries performed may be effective in treating or managing different conditions, the post-operative period can be challenging for patients. Osteopathic manipulative treatment (OMT) is a hands-on approach to medical care that seeks to restore balance and harmony to the body from the lens of an interconnected mind, body, and spirit. Given the potential for adverse events in patients following surgical treatments, OMT may be a viable adjunct post-operatively to enhance patient care and recovery. The purpose of this scoping review is to evaluate the state of current research examining the effectiveness of OMT in improving outcomes in post-operative patients. Three hundred articles were collected; 53 duplicates were removed. Eleven independent reviewers evaluated all 247 articles. Thirty articles were identified, including nine in general surgery, six in cardiothoracic surgery, five in orthopedic surgery, four in spinal surgery, three in neurosurgery, and three others (otolaryngology, oral/maxillofacial, and gynecologic surgery). Post-operative patients were treated with various OMT techniques with myofascial release and muscle energy being some of the most common treatments utilized in all surgical fields. Many studies demonstrated the benefits of OMT usage including significant pain relief, improved and earlier bowel function, and decreased lengths of hospital stay. This study demonstrates how OMT can be effective in reducing post-operative pain, reducing the incidence of post-operative ileus, and shortening the length of stay. Further research into the utilization of OMT in post-operative patients should be considered a potential adjunct to surgical intervention, especially in vulnerable patient populations.
... One retrospective case study investigated that there are no difference days of hospitalization following OMT in posterolateral post thoracotomy patients as severity of illness was greater for those who received OMT. [23], [25], [26] More recently, there has been research investigating the effect of MFR on pulmonary function following CABG and pleural effusions, it has been shown that myofascial release improves lung function. [29], [20] One summative review investigated effect of OMT in various surgical care and concluded that the OMT reduces pain, use of analgesia and length of hospitalization and improves mobility. ...
Background: Cardiovascular disease includes disease of heart and blood vessels. It is most common causes of mortality around the globe as well as in India.[1],[2] Cardiac rehabilitation and secondary prevention programs aim to improve all lifestyle habits, quality of life and physical and psychological function. However, surgical procedures like coronary artery bypass grafting have some complications. They may affect different systems but most frequent Complications are pulmonary complications. As a result of Surgical trauma in highly vascularised and innervated pleura and chest wall, severe pain after sternotomy occurs. which will cause weakens the respiratory muscles, reduces chest expansion, glenohumeral joint and spine mobility, as well as lessen expectoration of secretions. Purpose: To provide an overview of current evidence with respect to: Effect of manual therapy (OMT, MFR) in post sternotomy acute and chronic pain. Immediate effect of manual therapy pulmonary system. Effect of manual therapy functional recovery and length of hospital stay, reduce analgesia consumption, improve ROM. Effect of MFR on pulmonary function. Methodology: ➢ Search engines used were: • Google scholar • PubMed • PEDro • ScienceDirect • ResearchGate ➢ Key words used were: • Sternotomy • Post sternotomy pain • Pulmonary function • Myofascial release • OMT • Respiratory function and sternotomy Total 10 studies were selected. Results: Evidences were reviewed and analysis was done. Articles shows that MFR reduce post-operative pain, improve respiratory function, reduces length of stay and dose of analgesia consumption. Conclusion: Based on evidences, it is reviewed that MFR and manual therapy is beneficial in seance of reducing pain and improving pulmonary function in post sternotomy patients. Keywords: Sternotomy, Post sternotomy pain, Pulmonary function, Myofascial release, OMT, Respiratory function and sternotomy.
... normal autonomic tone, improve circulation and immune response, and restore physiologic function. 4 Many studies have examined the effects of OMT on common conditions in inpatients, with outcomes such as decreased respiratory failure and mortality in pneumonia, 5 improved pulmonary function in asthma, 6 decreased time to flatus in postoperative ileus, 7 faster recovery after cardiac surgery, [8][9][10] decreased need for opiate analgesia after abdominal surgery, 11 and decreased postpartum pain. 12 Several newer studies suggest that manual medicine can also be helpful in recovering from pancreatitis, 13 lysing visceral adhesions, 14 treating small bowel obstruction, 15 and improving balance disorders and dizziness. ...
Context:
Although osteopathic manipulative treatment (OMT) is predominantly known for its benefits in improving musculoskeletal pain, many studies have examined the effects of OMT on hospitalized patients with a variety of conditions, showing improved outcomes in conditions such as pneumonia, postoperative and postpartum recovery, preterm newborn recovery, and newborn feeding dysfunction.
Objective:
To determine the reasons osteopathic manipulative medicine (OMM) consultations are being ordered at a tertiary care teaching hospital.
Methods:
This descriptive study was conducted at an academic medical center with a well-established electronic health record system. A retrospective review examined data on all OMM consultations between January 1, 2015, and June 30, 2015. Reasons for consultations in a free text field were grouped into categories of "primary reason for consult" by a single reviewer. Demographics and patient location were also assessed.
Results:
Of 1310 total consultations included in the study, 620 (47.0%) listed a musculoskeletal complaint as the primary or only reason for a consultation, 231 (18.0%) of which were for back pain, followed by neck pain (69 [5.0%]) and headache (46 [4.0%]). The next most common reason for consultation was for newborn feeding difficulty (352 [27.0%]) or other newborn consultation (66 [5.0%]). A total of 272 consultations (21.0%) were not limited to musculoskeletal complaints and included general nonspecific discomfort (96 [7.0%]) or respiratory complaint (53 [4.0%]). A total of 209 (16.0%) consultations noted patients to be postoperative; 124 (9.5%) to be postpartum; 57 (4.4%) to have cystic fibrosis; and 21 (1.6%) to have constipation.
Conclusion:
The majority of inpatient OMM consultations were placed for musculoskeletal complaints, followed by newborn feeding problems. Although it is clear that some physicians think that OMT will help their patients for the aforementioned conditions, the number was still quite low, suggesting that many physicians may be unaware that OMT can help patients with conditions such as respiratory disorder, postoperative recovery, and constipation. There are many opportunities for treatment teams to be ordering OMM consultations as a way to reduce morbidity in their patients.
... [6][7][8][9][10][11][12][13][14][15] It has also been associated with decreased length of stay for hospitalized patients in various studies. 7,16 However, OMT research has inherent difficulties. Efficacy studies do not easily fit the scientific model because it is difficult to have a blinded protocol or to perform a sham manipulation. ...
The frequency with which patients utilize treatments encompassed by the term complementary/alternative medicine (CAM) is well documented. A number of these therapies are beginning to be integrated into contemporary medical practice. This article examines three of them: osteopathic manipulation, yoga, and acupuncture, with a focus on their physiological effects, efficacy in treating medical conditions commonly encountered by practitioners, precautions or contraindications, and ways in which they can be incorporated into clinical practice. Physicians should routinely obtain information about use of CAM as part of their patient history and should consider their role based on physiological effects and clinical research results.
Osteopathic manipulative treatment (OMT) is used in both inpatient and outpatient settings. Evidence suggests that OMT can reduce both patients’ recovery time and the financial cost of their acute medical treatment and rehabilitation. Multiple studies from neonatal intensive care units (NICUs) are presented in this article that demonstrate infants treated with OMT recover faster, are discharged earlier, and have lower healthcare costs than their non-OMT-treated counterparts. Data clearly show that adjunctive OMT facilitates feeding coordination in newborns, such as latching, suckling, swallowing, and breathing, and increases long-term weight gain and maintenance, which reduces hospital length of stay (LOS). Osteopathic techniques, such as soft tissue manipulation, balanced ligamentous tension, myofascial release, and osteopathic cranial manipulation (OCM), can reduce regurgitation, vomiting, milky bilious, or bloody discharge and decrease the need for constipation treatment. OMT can also be effective in reducing the complications of pneumonia in premature babies. Studies show the use of OCM and lymphatic pump technique (LPT) reduces the occurrence of both aspiration and environmentally acquired pneumonia, resulting in significantly lower morbidity and mortality in infants. Based on published findings, it is determined that OMT is clinically effective, cost efficient, a less invasive alternative to surgery, and a less toxic choice to pharmacologic drugs. Therefore, routine incorporation of OMT in the NICU can be of great benefit in infants with multiple disorders. Future OMT research should aim to initiate clinical trial designs that include randomized controlled trials with larger cohorts of infants admitted to the NICU. Furthermore, a streamlined and concerted effort to elucidate the underlying molecular mechanisms associated with the beneficial effects of OMT will aid in understanding the significant value of incorporating OMT into optimal patient care.
