Osteopathic care for low back pain and neck pain: A cost-utility analysis

Verhaeghe, Nick; Schepers, Janne; Dun, Patrick van; Annemans, Lieven

doi:10.1016/j.ctim.2018.06.001

Cited by 18 publications

(6 citation statements)

References 36 publications

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Section: Discussionmentioning

confidence: 99%

“…However, OM was reported to be a cost-effective strategy in patients with neck pain when compared with usual care, although it involved additional costs. 31 In former publications, 33,34 the cost-utility analysis identified reported improvements in pain and quality of life in patients with neck or back pain at a cost of £3760 per QALY gained. 32 Future studies should investigate efficacy by investigating specific therapeutic effects of OM in comparison with a sham procedure and with other effective therapy methods.…”

Section: Patients and Treatmentmentioning

confidence: 99%

“…30 Previous studies have indicated that OM may be cost effective for the management of neck pain in the general population; however, the published comparative effectiveness and health economics studies are of insufficient quality and quantity to draw further conclusions. [31][32][33][34] To our knowledge, studies investigating the effectiveness, safety, costs, or cost effectiveness of OM in musicians with cNP are not available. 35 The primary study aim was to evaluate the effect of five OM treatments in comparison with no OM treatment during 12 weeks on the subjectively perceived neck pain intensity in adult violinists and violists, including music students, with cNP.…”

Section: Introductionmentioning

confidence: 99%

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The effect of osteopathic medicine on pain in musicians with nonspecific chronic neck pain: a randomized controlled trial

Rotter

Fernholz

Binting

et al. 2020

Therapeutic Advances in Musculoskeletal

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Background: Nonspecific chronic neck pain (cNP) is common in adult violinists and violists and is often treated with osteopathic medicine (OM), although the effectiveness of this treatment has not been determined to date. This study aimed to evaluate the effectiveness and safety of OM in adult violinists and violists with cNP. Methods: In a two-armed randomized controlled single-center open trial, adult violinists and violists, including music students, with cNP (⩾12 weeks) were randomized to either five individualized OM sessions (OM group) or to no intervention (control group, CG) in the outpatient clinic for integrative medicine, Charité - Universitätsmedizin Berlin, Germany. All patients received a musicians’ medicine consultation and paracetamol on demand. The primary outcome parameter was the neck pain intensity on a visual analog scale (VAS, 0–100 mm, 0 = no pain, 100 = worst imaginable pain) after 12 weeks. Secondary outcomes included neck pain disability (Neck Disability Index, NDI, 0–100%) after 12 weeks. The last follow-up visit was after 52 weeks. Statistical analysis included analysis of covariance adjusted for respective baseline value. Results: Altogether, 62 outpatients were included [OM group ( n = 28), CG ( n = 34); 81% female; mean age, 41.6 ± 11.1 years; mean baseline neck pain, 55.9 ± 11.6 mm]. After 12 weeks, OM was associated with an improvement in the OM group versus the CG in neck pain on the VAS [14.6 mm (95% confidence interval 8.0; 21.2) versus 40.8 mm (34.7; 46.9), p < 0.001, Cohen’s d = 1.4], and neck pain disability as determined by the NDI [8.8% (6.7; 10.8) versus 17.2% (15.3; 19.1), p < 0.001]. Some improvements were maintained until 52 weeks of follow-up. No serious adverse events were observed. Conclusions: The results of this study suggest that OM might be effective in reducing pain intensity in adult violinists and violists with nonspecific cNP. Further studies should investigate the efficacy of OM in comparison with a sham procedure and with other effective therapy methods in high-quality multicenter trials. Trial registration: WHO Trial Registration https://apps.who.int/trialsearch/NoAccess.aspx?aspxerrorpath=/trialsearch/Trial2.aspx by German Clinical Trials Register DRKS00009258, Universal Trial Number (UTN): U1111-1173-5943.

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Section: Discussionmentioning

confidence: 99%

Section: Patients and Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of osteopathic medicine on pain in musicians with nonspecific chronic neck pain: a randomized controlled trial

Rotter

Fernholz

Binting

et al. 2020

Therapeutic Advances in Musculoskeletal

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show abstract

“…Current evidence suggests that osteopathic treatment may improve pain and function in patients with spinal complaints [56], including chronic NP [57] and acute and chronic non-specific LBP [58][59][60] even during pregnancy and postpartum [61]. OMT was recommended for patients with LBP [31], indicated to benefit medical care [62], proposed to be included within chronic pain management guidelines [63], and even reported to be dominant and cost-effective compared to usual care in the management of LBP and NP, respectively [64]. Still, the current body of evidence lacks robustness due to methodological shortfalls and counterevidence is available as well [65][66][67].…”

Section: ; (2) Muscle Energy Technique (Met): (21) Definitionmentioning

confidence: 99%

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Preprint

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Background: Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. Methods: A 3x3 factorial randomised trial was performed to investigate the immediate-term effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. Primarily, we assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (main effect) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (interaction effect) using the MyotonPRO (at rest). Data were analysed using descriptive (mean, standard deviation, quantiles, and simple effect) and inductive statistics (Bayesian ANOVA). Results: 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n=20; n=20; n=19 and n=17, respectively). The CS produced frequent measurement errors and was excluded from analysis. The main effect changed significantly for F (-0.163 [0.060]; p=0.008), S (-3.060 [1.563]; p=0.048), R (0.594 [0.141]; p<0.001), and C (0.038 [0.017]; p=0.028) but not for D (0.011 [0.017]; p=0.527). The interaction effect did not change significantly (p>0.05). No adverse events were reported. Conclusion: OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable) at immediate term. However, the effect on HRMT was not modulated by muscle-technique interaction.

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“…To date, there is promising evidence that OMT could be an effective and safe treatment for patients with MSDs 18 , particularly for improving pain and function in patients with spinal complaints 19 like NP 20 and LBP 21 – 24 . Hence, OMT was recommended for patients with LBP 15 , 25 and was even reported to be dominant and cost-effective compared to usual care in the management of LBP and NP, respectively 26 . Still, the current body of evidence lacks robustness due to methodological shortfalls and counterevidence is available as well 27 – 29 .…”

Section: Introductionmentioning

confidence: 99%

Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial

Bohlen¹,

Schwarze²,

Richter

et al. 2022

Sci Rep

View full text Add to dashboard Cite

Musculoskeletal disorders (MSDs) are highly prevalent, burdensome, and putatively associated with an altered human resting muscle tone (HRMT). Osteopathic manipulative treatment (OMT) is commonly and effectively applied to treat MSDs and reputedly influences the HRMT. Arguably, OMT may modulate alterations in HRMT underlying MSDs. However, there is sparse evidence even for the effect of OMT on HRMT in healthy subjects. A 3 × 3 factorial randomised trial was performed to investigate the effect of myofascial release (MRT), muscle energy (MET), and soft tissue techniques (STT) on the HRMT of the corrugator supercilii (CS), superficial masseter (SM), and upper trapezius muscles (UT) in healthy subjects in Hamburg, Germany. Participants were randomised into three groups (1:1:1 allocation ratio) receiving treatment, according to different muscle-technique pairings, over the course of three sessions with one-week washout periods. We assessed the effect of osteopathic techniques on muscle tone (F), biomechanical (S, D), and viscoelastic properties (R, C) from baseline to follow-up (primary objective) and tested if specific muscle-technique pairs modulate the effect pre- to post-intervention (secondary objective) using the MyotonPRO (at rest). Ancillary, we investigate if these putative effects may differ between the sexes. Data were analysed using descriptive (mean, standard deviation, and quantiles) and inductive statistics (Bayesian ANOVA). 59 healthy participants were randomised into three groups and two subjects dropped out from one group (n = 20; n = 20; n = 19–2). The CS produced frequent measurement errors and was excluded from analysis. OMT significantly changed F (−0.163 [0.060]; p = 0.008), S (−3.060 [1.563]; p = 0.048), R (0.594 [0.141]; p < 0.001), and C (0.038 [0.017]; p = 0.028) but not D (0.011 [0.017]; p = 0.527). The effect was not significantly modulated by muscle-technique pairings (p > 0.05). Subgroup analysis revealed a significant sex-specific difference for F from baseline to follow-up. No adverse events were reported. OMT modified the HRMT in healthy subjects which may inform future research on MSDs. In detail, MRT, MET, and STT reduced the muscle tone (F), decreased biomechanical (S not D), and increased viscoelastic properties (R and C) of the SM and UT (CS was not measurable). However, the effect on HRMT was not modulated by muscle–technique interaction and showed sex-specific differences only for F.Trial registration German Clinical Trial Register (DRKS00020393).

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Osteopathic care for low back pain and neck pain: A cost-utility analysis

Cited by 18 publications

References 36 publications

The effect of osteopathic medicine on pain in musicians with nonspecific chronic neck pain: a randomized controlled trial

The effect of osteopathic medicine on pain in musicians with nonspecific chronic neck pain: a randomized controlled trial

Immediate effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: A factorial randomized trial

Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial

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