Renewable natural resources--Jamaica.
Power resources--Jamaica.]]> https://repository.nyitlibrary.org/files/original/b9c8bd162010fa75b334eba7129e4e27.pdf]]> https://repository.nyitlibrary.org/files/original/28ed48020f9ee6d38764afa98365a000.pdf]]> https://repository.nyitlibrary.org/files/original/eea5c1ac61a432a0f8d1785771d2d49d.pdf]]> https://doi.org/10.17645/up.7753]]> Factories—Design and construction]]> https://repository.nyitlibrary.org/files/original/3feb36b6fca631b7d0f9bcccda6eb0a4.pdf]]> Electric power--Conservation.]]> https://repository.nyitlibrary.org/files/original/7e06d1225805b802216f1b4a0a8b8a11.pdf]]> Dwellings--Design and construction.
Architecture, Domestic--Caribbean Area.]]> https://repository.nyitlibrary.org/files/original/38e7ffa300176b1735ceab75267e1165.pdf]]> https://repository.nyitlibrary.org/files/original/a87e8c811008fb46d98cdae7e317cb5a.pdf]]> https://repository.nyitlibrary.org/files/original/1b565ba1e14611e9df2ae0adc72e64bd.pdf]]> https://repository.nyitlibrary.org/files/original/9ff0d64bf2bd6b1512c6aaf8c37f994f.pdf]]> Food industry and trade--Consolidation.]]> https://repository.nyitlibrary.org/files/original/e2eba3c93ac76d6ee074bfca2fa7f75e.pdf]]> Labor productivity.
Labor turnover.]]> https://repository.nyitlibrary.org/files/original/d1dfdda34bdb5ff0b8eccf28ae219a08.pdf]]> Medical records - Access control - United States]]> https://repository.nyitlibrary.org/files/original/bbf7ac0dfd0db3379dd6eb8bfd89d695.pdf]]> Corporations--Security measures.
Security systems.]]> https://repository.nyitlibrary.org/files/original/31ec37fd2054e90f3e80a8e47315a292.pdf]]> Humans
Index Medicus
Low Back Pain
Manipulation, Osteopathic
Pain Management
Treatment Outcome]]> Context

Osteopathic manipulative treatment (OMT) is used to treat chronic pain conditions. However, few guidelines focusing on chronic pain management include recommendations for OMT.

Objectives

To evaluate previous literature on the use of OMT for improving chronic pain.

Methods

A literature search was conducted on MEDLINE/PubMed and ScienceDirect on August 26–27, 2019, using the terms “osteopathic,” “chronic,” and “pain,” yielding a total of 312 MEDLINE/PubMed articles and 515 ScienceDirect articles. Eligibility criteria required that studies investigate pain, functional status, or medication usage through an experimental design, focusing on human subjects with chronic pain who had various forms of OMT administered by osteopathically trained individuals in which the comparator group received no intervention, a sham or placebo, or conventional care. Three authors independently performed literature searches and methodically settled disagreements over article selection.

Results

In the 22 articles included in our study that examined OMT use in chronic pain conditions, we evaluated primary outcomes of pain (22; 100%) and functional status (20; 90.9%), and the secondary outcome of medication usage (3; 13.6%). The majority of articles showed that OMT resulted in a significant decrease in pain levels as compared to baseline pain levels or the control group (20; 90.9%) and that OMT resulted in an improvement in functional status (17; 77.3%). In articles that did not find a significant difference in pain (2; 9.1%) or functional status (3; 13.6%), there were overall outcomes improvements noted. All articles that investigated medication usage (3; 13.6%) showed that OMT was effective in decreasing patients’ medication usage. Our study was limited by its small sample size and multimodal comparator group exclusion.

Conclusions

OMT provides an evidence-based management option to reduce pain levels, improve functional status, and decrease medication usage in chronic pain conditions, especially low back pain (LBP). Pain management guidelines should include OMT as a resource to alleviate chronic pain.

]]> Journal of Osteopathic Medicine, Volume 121, Issue 3, February 2021, pages 307-317]]> This work is licensed under the Creative Commons Attribution 4.0 International License.]]> https://repository.nyitlibrary.org/files/original/a22e1fa244f0c6fdc0c731c37505d7fd.pdf

]]> https://doi.org/10.1515/jom-2019-0284]]> Franzetti, M., Dries, E., Stevens, B., Berkowitz, L., & Yao, S. C. (2021). Support for osteopathic manipulative treatment inclusion in chronic pain management guidelines: a narrative review. In Journal of Osteopathic Medicine (Vol. 121, Issue 3, pp. 307–317). Walter de Gruyter GmbH. https://doi.org/10.1515/jom-2019-0284]]> https://repository.nyitlibrary.org/files/original/476bedd48a2cfa06535bdb4dbecd62d1.pdf]]> Steam power plants.]]> https://repository.nyitlibrary.org/files/original/5bea921e9f5959408a630d19703ab4e4.pdf]]> https://repository.nyitlibrary.org/files/original/d5b4f6f8f08549844b7820c38ec40166.pdf]]> https://repository.nyitlibrary.org/files/original/fd174ccd17519c0d1bfcaf867b9d6dd8.pdf]]> Architecture—Designs and plans]]> https://repository.nyitlibrary.org/files/original/0c053df913a2a062491ff7de65f5fc97.pdf]]> Drug safety]]> Cell Death Discovery, Volume 8, Issue 1, March 2022]]> Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third-party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.]]> https://repository.nyitlibrary.org/files/original/0f3bc12089774adc10ecddcd37e4a624.pdf]]> https://doi.org/10.1038/s41420-022-00936-3]]> Freeling, J. L., Scholl, J. L., Eikanger, M., Knoblich, C., Potts, R. A., Anderson, D. J., Rower, J. E., Farjoo, M. H., Zhao, H., Pillatzki, A., & Rezvani, K. (2022). Pre-clinical safety and therapeutic efficacy of a plant-based alkaloid in a human colon cancer xenograft model. In Cell Death Discovery (Vol. 8, Issue 1). Springer Science and Business Media LLC. https://doi.org/10.1038/s41420-022-00936-3]]>