Osteopathic treatment for pregnant or post-partum women

Key messages from this Snapshot Summary include:

  • There is low to moderate evidence that supports osteopathic manual treatment (OMT) for pelvic, girdle or low back pain during pregnancy and postpartum.
  • Non-specific effects of therapy play a role in outcomes as OMT was never shown to be superior to sham treatment even though it was shown to be superior to usual care or relaxation.

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Manual therapy in the management of asthma

Key messages from this Snapshot Summary include:

  • Patient-rated measures such as quality of life, medication use, anxiety and exertion tend to improve irrespective of therapeutic modality
  • Favourable changes in spirometric measures are usually seen in smaller, lower quality studies
  • Lack of validated sham treatment is highlighted in several studies
  • Published research on the treatment and management of asthma in adults and children is limited, and is of variable quality

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Kinesiology tape in the management of musculoskeletal disorders

Key messages from this Snapshot Summary include:

  • Kinesiology tape may offer short-term reduction in pain but does not appear to provide long-term pain relief
  • Pain-reducing effects of kinesiology tape may not be large enough to be significant to patients
  • Kinesiology tape appears safe, relatively cheap, and no serious adverse effects were reported in the literature reviewed

The full Snapshot Summary is available as a PDF to download. Read more

Exercise therapy in the management of hip and knee osteoarthritis

Key messages from this Snapshot Summary include:

  • There is strong evidence suggesting that exercise in general can help patients manage the pain of hip and knee osteoarthritis.
  • Appropriate exercise can be prescribed irrespective of age, pain level, comorbidity and disability.
  • Catering to the patient’s specific needs and circumstances may improve adherence, which is important for improvements in outcomes.

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Systematic review of manual therapy for excessively crying infants

The journal BMJ Open has published our paper “Manual therapy for unsettled, distressed and excessively crying infants: a systematic review and meta-analyses”. This large piece of work took upward of a year to complete, and required our small charity to take on two extra team members: one professional systematic reviewer, and one osteopath who very generously gave up her free time to help. Read more

Acceptance and mindfulness in the management of persistent pain

Key messages from this Snapshot Summary include:

  • Mindfulness-based interventions (MBIs) can positively influence the way in which individuals respond to and cope with pain experiences. Evidence that MBIs alter the experience of pain itself is weak.
  • Depression is a common comorbidity, and patients with persistent pain are more likely to have higher levels of anxiety symptoms.

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Exercise therapy in the management of shoulder pain

Key messages from this Snapshot Summary include:

  • For rotator cuff disorders, Exercise therapy — including stretching, range of motion exercises, and strengthening — may result in greater pain reduction when combined with other therapies, including manual therapy and acupuncture.
  • For frozen shoulder, exercise should only be recommended once movement can be tolerated after the acute phase.

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Manual therapy in the management of tendinopathy

Key messages from this Snapshot Summary include:

  • Tendinopathy is generally accepted to be the result of tendon derangement and adverse mechanical loading, in the absence of inflammation.
  • For patients with rotator cuff tendinopathy, there is low-to moderate quality evidence supporting the use of manual therapy to reduce pain, but not to improve function.

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