68 Participants Needed

Osteopathic Manipulative Therapy for Respiratory Diseases

MM
AA
Overseen ByAndrew Ackerman, MS
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: Geisinger Clinic
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial investigates whether Osteopathic Manipulative Therapy (OMT) can help people with respiratory illnesses recover more quickly when combined with standard treatments like medication. It compares two groups: one receiving usual care and the other receiving both usual care and OMT, which involves hands-on techniques to promote healing. The trial seeks participants recently diagnosed with a respiratory condition, such as sinusitis or bronchitis, who are visiting the Geisinger 65-Forward Buckhorn clinic. As an unphased trial, this study offers a unique opportunity to explore innovative treatment options and contribute to advancing medical knowledge.

Will I have to stop taking my current medications?

The trial does not specify whether you need to stop taking your current medications. It mentions that Osteopathic Manipulative Therapy will be added alongside other standard care, which may include medication.

What prior data suggests that Osteopathic Manipulative Therapy is safe for respiratory diseases?

Research shows that Osteopathic Manipulative Therapy (OMT) is generally safe for patients. Doctors use this hands-on treatment to address various conditions, especially those involving muscles and bones. Studies have found that patients tolerate OMT well, with few reports of serious side effects.

Some research has explored OMT for breathing problems, such as in individuals with chronic obstructive pulmonary disease (COPD). These studies found that participants managed the therapy without major issues. However, while OMT is considered safe, its application can vary. Patients should consult their healthcare provider to determine if it's suitable for them.12345

Why are researchers excited about this trial?

Researchers are excited about Osteopathic Manipulative Therapy (OMT) for respiratory diseases because it offers a hands-on approach that differs from the standard medication-based treatments like inhalers and steroids. OMT uses techniques like the lymphatic pump to enhance lymphatic flow and improve respiratory function, potentially offering relief without pharmaceuticals. This method could complement existing treatments, providing a holistic option that focuses on the body’s natural healing processes.

What evidence suggests that Osteopathic Manipulative Therapy is effective for respiratory diseases?

Research has shown that Osteopathic Manipulative Therapy (OMT), which participants in this trial may receive, can assist people with breathing problems. One study found that OMT might improve exercise ability and ease breathing issues in individuals with severe COPD, a lung disease. Another review found that OMT could reduce pain and enhance the quality of life for people with various conditions. OMT is believed to work by improving chest movement and aiding fluid movement in the body. While it may not directly improve lung function tests like FEV1, it can assist with other aspects of breathing. These findings suggest OMT could be a helpful addition to standard treatments for respiratory illnesses.23678

Who Is on the Research Team?

MM

Margaret Moore, DO

Principal Investigator

Physician

Are You a Good Fit for This Trial?

This trial is for patients recently diagnosed with respiratory illnesses like bronchitis, sinus infections, and pneumonia. It's open to those who are receiving standard care for these conditions but have not yet tried Osteopathic Manipulative Therapy (OMT).

Inclusion Criteria

Patients being seen for respiratory illness symptoms at Geisinger 65-Forward Buckhorn, PA clinic for care
I am between 65 and 100 years old.
I was recently diagnosed with an upper respiratory illness, sinusitis, bronchitis, or pneumonia.

Exclusion Criteria

I have or had liver disease.
I am currently healing from a bone fracture.
I am currently undergoing cancer treatment.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive standard care with or without lymphatic pump OMT therapy for respiratory illness

5 days
2 visits (in-person)

Follow-up

Participants are monitored for symptom severity and duration after treatment

1 year
Electronic survey on day of diagnosis and 5 days later

What Are the Treatments Tested in This Trial?

Interventions

  • Osteopathic Manipulative Therapy
Trial Overview The study tests if adding OMT to usual care improves recovery in respiratory illness patients. The goal is to see if symptoms resolve faster and the overall sickness duration decreases compared to standard treatment alone.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: TreatmentExperimental Treatment1 Intervention
Group II: ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Geisinger Clinic

Lead Sponsor

Trials
159
Recruited
1,976,000+

Published Research Related to This Trial

In a study involving 884 patients, the incidence of adverse events immediately after osteopathic manipulative treatment (OMT) was found to be low at 2.5%, with pain or discomfort being the most common complaint.
Women reported experiencing adverse events more frequently than men, suggesting a potential demographic factor in the response to OMT, but overall, the rate of adverse events was lower than those reported in other manual therapy practices.
Characterizing Adverse Events Reported Immediately After Osteopathic Manipulative Treatment.Degenhardt, BF., Johnson, JC., Brooks, WJ., et al.[2022]
In a study of 1310 osteopathic manipulative medicine (OMM) consultations, 47% were for musculoskeletal complaints, with back pain being the most common reason, indicating a strong focus on treating physical pain in hospitalized patients.
A significant portion of consultations (27%) were for newborn feeding difficulties, suggesting that OMT may also be beneficial for pediatric patients, but overall awareness among physicians about its broader applications, including respiratory issues and postoperative recovery, appears limited.
Osteopathic Manipulative Medicine Consultations for Hospitalized Patients.Levy, VJ., Holt, CT., Haskins, AE.[2022]
A systematic review of 23 studies found that the majority of adverse events (AEs) following osteopathic manipulative treatment (OMT) were mild, accounting for 98% of reported AEs, indicating a generally safe profile for this treatment.
The study established a patient safety benchmark for post-OMT AEs at 1.0 AEs per 100 post-OMT interval-days, providing a reference point for future research and comparisons in patient safety within osteopathic manipulative medicine.
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model.Unger, MD., Barr, JN., Brower, JA., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/22305244/
Osteopathic manipulative treatment effectiveness in severe ...This study suggests that OMT+PR may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to PR alone.
An overview of systematic reviews on the efficacy and ...The summarized results of the reviews show that OMT and CST are effective in reducing pain, reducing functional impairment and improving quality of life in ...
Asthma and Osteopathic Manipulative TreatmentThe effect of Osteopathic Manipulative Treatment (OMT) has been studied in adult patients with chronic obstructive pulmonary disease (COPD) and children ...
Osteopathic Manipulative Medicine: A Brief Review of the ...Decrease sympathetic nervous system activity, increase respiratory excursion, increase chest wall mobility and lymphatic flow. [42,43,44,45].
Short-term effect of osteopathic manual techniques (OMT) on ...Osteopathic techniques do not seem to improve lung health, as reflected in FEV1 and FVC, but they improve the respiratory function aspects reflected by PEF.
Efficacy of osteopathic manipulation as an adjunctive ...Osteopathic manipulative treatment (OMT) is a nonpharmacologic manual therapy developed in the late nineteenth century before the use of antibiotics. OMT ...
Efficacy and safety of osteopathic manipulative treatment... safety of osteopathic manipulative treatment (OMT) for ... manual therapy and problems due to inadequate reporting of trial methodology and results.
The immediate effect of individual manipulation techniques on ...A well designed study of 17 subjects with more advanced COPD treated over 9 to 12 months found osteopathic manipulative treatment (OMT) ...
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