{"id":13933,"date":"2024-04-23T08:00:08","date_gmt":"2024-04-23T06:00:08","guid":{"rendered":"https:\/\/osteopathie-liem.de\/effectiveness-and-safety-of-osteopathic-manipulative-treatment\/"},"modified":"2024-04-23T08:00:08","modified_gmt":"2024-04-23T06:00:08","slug":"effectiveness-and-safety-of-osteopathic-manipulative-treatment","status":"publish","type":"post","link":"https:\/\/osteopathie-liem.de\/en\/effectiveness-and-safety-of-osteopathic-manipulative-treatment\/","title":{"rendered":"Effectiveness and safety of osteopathic-manipulative treatment"},"content":{"rendered":"<p>The aim of the study by Bagagiolo et al.<br \/>\n(2022) is to examine available clinical evidence on the efficacy and safety of osteopathic manipulative therapy (OMT) for various conditions.<br \/>\nAn electronic search was conducted in seven databases: PubMed, EMBASE, CINAHL, Scopus, JBI, Prospero and Cochrane Library from inception to November 2021.<br \/>\nInclusion criteria for the selection of studies were systematic reviews and meta-analyses of randomized controlled trials evaluating the efficacy and safety of OMT in all diseases.<br \/>\nData extraction and synthesis Data were extracted independently by two authors.<br \/>\nThe AMSTAR-2 tool was used to assess the methodological quality of the RCTs and AMs.<br \/>\nThe review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.<br \/>\nThe literature search identified 9 SRs or MAs conducted between 2013 and 2020, with 55 primary studies involving 3740 participants.<br \/>\nThe reviews covered a wide range of conditions, including acute and chronic non-specific low back pain (NSLBP, four reviews), chronic non-specific neck pain (CNSNP, one review), chronic non-cancer pain (CNCP, one review), pediatric (one review), neurological (primary headache, one review), and irritable bowel syndrome (IBS, one review).<br \/>\nAlthough the effect sizes and quality of evidence varied, the investigators reported that OMT was more effective than comparator medications in relieving pain and improving functional status in acute\/chronic NSLBP, CNSNP and CNCP.<br \/>\nDue to small sample size, conflicting results, and high heterogeneity, the evidence for the effectiveness of OMT in pediatric conditions, primary headache, and irritable bowel syndrome was questionable.<br \/>\nAdverse events were not reported in most studies.<br \/>\nThe methodological quality of the included studies was classified as low or critically low according to AMSTAR-2.<br \/>\nConclusion: Based on currently available recommendations and pivotal trials, there is promising evidence of potential efficacy of OMT for musculoskeletal conditions, a systematic review from 2022 showed.<br \/>\nLimited and inconclusive evidence is available for pediatric conditions, primary headache and IBS.<br \/>\nFurther well-conducted systematic reviews and meta-analyses are needed to confirm and extend the efficacy and safety of OMT.<br \/>\nStrengths of this study: The review was conducted in accordance with the Cochrane Handbook for the Systematic Review of Interventions and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.<br \/>\nInclusion criteria were limited to systematic reviews and meta-analyses of randomized controlled trials that included patients with any condition.<br \/>\nWeaknesses of this study: As only randomized controlled trials in which OMT was performed by osteopathic physicians or osteopaths were included, some relevant systematic reviews may have been missed.                    <span style=\"color: #808080;\">Bagagiolo D, Rosa D, Borrelli F. Efficacy and safety of osteopathic manipulative treatment: an overview of systematic reviews.<br \/>\nBMJ Open.<br \/>\n2022 Apr 12;12(4):e053468.<br \/>\ndoi: 10.1136\/bmjopen-2021-053468.<br \/>\nPMID: 35414546; PMCID: PMC9021775.    <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A systematic review from 2022 &#8211; which included 9 studies with 3740 participants &#8211; showed that there is promising evidence for the potential effectiveness of OMT in musculoskeletal disorders.<\/p>\n","protected":false},"author":3,"featured_media":13934,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":42,"footnotes":""},"categories":[76],"tags":[],"class_list":["post-13933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopathy"],"acf":[],"_links":{"self":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts\/13933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/comments?post=13933"}],"version-history":[{"count":0,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts\/13933\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/media\/13934"}],"wp:attachment":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/media?parent=13933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/categories?post=13933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/tags?post=13933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}