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 study is to see Osteopathic Manipulative Therapy, or OMT, can aid in treating patients being seen for respiratory illness and associated symptoms. The hypothesis is that the addition of OMT therapy, alongside other standard care (such as a medication), can help lessen patient symptoms sooner than just other treatment alone, and the duration of the condition will shorten as well.

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.

Is osteopathic manipulative therapy generally safe for humans?

Osteopathic manipulative therapy (OMT) is a popular treatment, but the safety data is not well-defined, and there is no clear benchmark for patient safety. Some studies have looked into adverse events (unwanted effects), but more research is needed to understand how often and how severe these events are.12345

How is osteopathic manipulative therapy different from other treatments for respiratory diseases?

Osteopathic manipulative therapy (OMT) is unique because it involves hands-on techniques to improve respiratory function by addressing physical dysfunctions in the body, such as those in the spine and ribcage, rather than relying solely on medications. This approach aims to enhance breathing mechanics and overall respiratory health, offering a complementary option to traditional drug treatments.24678

What data supports the effectiveness of the treatment Osteopathic Manipulative Therapy for respiratory diseases?

Research shows that Osteopathic Manipulative Therapy (OMT) can improve outcomes in patients with chronic obstructive pulmonary disease (COPD), such as better lung function and quality of life, when combined with traditional treatments. Additionally, OMT has been found to help with other conditions like pneumonia and recovery after surgery, suggesting it may be beneficial for various respiratory issues.248910

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

I am between 65 and 100 years old.
Patients being seen for respiratory illness symptoms at Geisinger 65-Forward Buckhorn, PA clinic for care
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 25 participants with COPD, four osteopathic techniques (thoracic lymphatic pump with and without activation, rib raising, and myofascial release) were found to cause mild adverse effects on pulmonary function immediately after treatment, with TLP with activation specifically increasing residual volume.
Despite the negative changes in objective pulmonary function measures, most participants reported feeling they could breathe better after the manipulative treatments, indicating a potential disconnect between subjective experience and objective measurements.
The immediate effect of individual manipulation techniques on pulmonary function measures in persons with chronic obstructive pulmonary disease.Noll, DR., Johnson, JC., Baer, RW., et al.[2022]
In a study of 20 patients with severe COPD, combining osteopathic manipulative treatment (OMT) with pulmonary rehabilitation (PR) significantly improved exercise capacity, as measured by the 6-minute walk test, with the OMT group walking an average of 72.5 meters more than the PR-only group.
The OMT group also experienced a significant reduction in residual volume and an increase in FEV1, indicating improved lung function, compared to the PR-only group, highlighting the potential benefits of OMT in managing COPD.
Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: a pilot study.Zanotti, E., Berardinelli, P., Bizzarri, C., et al.[2012]
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]

Citations

The immediate effect of individual manipulation techniques on pulmonary function measures in persons with chronic obstructive pulmonary disease. [2022]
Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: a pilot study. [2012]
Osteopathic Manipulative Medicine Consultations for Hospitalized Patients. [2022]
Efficacy of osteopathic treatment in patients with stable moderate-to-severe chronic obstructive pulmonary disease: a randomized controlled pilot study. [2020]
Immediate effects of osteopathic manipulative treatment in elderly patients with chronic obstructive pulmonary disease. [2022]
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. [2023]
Characterizing Adverse Events Reported Immediately After Osteopathic Manipulative Treatment. [2022]
Efficacy and safety of osteopathic manipulative treatment: an overview of systematic reviews. [2022]
Short-term effect of osteopathic manual techniques (OMT) on respiratory function in healthy individuals. [2020]
10.United Statespubmed.ncbi.nlm.nih.gov
Osteopathic philosophy and emergent treatment in acute respiratory failure. [2004]
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