It’s hard providing evidence from trials that osteopathic manual treatment (OMT) helps relieved pain and improve function. These things aren’t the easiest to measure and your results are reliant on your participants’ reporting and their experience of the results.
However, on a positive note for the world of osteopathy…
Results from the OSTEOPATHIC Trial demonstrate changes in biomechanical dysfunction and low back pain reduction following osteopathic manual treatment.
The purpose of this study was to measure changes in biomechanical dysfunction following OMT and to assess how such changes predict subsequent low back pain (LBP) outcomes.
Secondary analyses were performed with data collected during the OSTEOPATHIC Trial wherein a randomized, double-blind, sham-controlled, 2 ¬ 2 factorial design was used to study OMT for chronic LBP. At baseline, prevalence rates of non-neutral lumbar dysfunction, pubic shear, innominate shear, restricted sacral nutation, and psoas syndrome were determined in 230 patients who received OMT. Five OMT sessions were provided at weeks 0, 1, 2, 4, and 6, and the prevalence of each biomechanical dysfunction was again measured at week 8 immediately before the final OMT session.
A short course of OMT commonly led to remission of biomechanical dysfunction of the lumbar spine, sacrum, and pelvis. However, only remission of psoas syndrome with OMT emerged as a significant predictor of subsequent LBP response. Additional research is indicated to corroborate these findings using an appropriate control treatment arm and other types of manual therapy.