To determine the efficacy of osteopathic manipulative treatment in patients who recently underwent surgery for knee or hip osteoarthritis or for a hip fracture, 42 women and 18 men were randomly assigned to groups that received either osteopathic manipulative treatment or sham treatment in addition to standard care. Main outcome measures were changes in Functional Independence Measure scores and in daily analgesic use during the rehabilitation unit stay; length of stay; rehabilitation efficiency; and changes in Medical Outcomes Study Short Form-36 scores from rehabilitation unit admission to 4 weeks after discharge.
The authors explored the use of osteopathic manipulative treatment assessment in the context of a multistation standardized patient examination. Analysis of performance data from 121 fourth-year osteopathic medical students indicated that the ability to perform osteopathic manipulative treatment can be reliably and validly assessed using a combination of simulated patient encounters, trained osteopathic physician raters, and an objective rating tool.
The authors describe the preliminary efforts of a joint clinical clerkship program with students from regional osteopathic and allopathic medical schools at a major community teaching hospital in New England. Osteopathic principles and practice are consistently reinforced, exposing students from both medical backgrounds to them. It is hoped that this pilot program serves as a model for developing similar combined programs throughout the United States.
This report describes a 50-year-old man presenting with a malignant left-sided pleural effusion 3 months after coronary artery bypass grafting, with characteristics resembling a late post-coronary artery bypass grafting effusion.
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