A referred and volunteer sample of pediatric patients ranging in age from 7 months to 35 months with a history of recurrent otitis media (N=8) participated in this pilot cohort study with 1-year posttreatment follow-up. Intervention protocols required that subjects receive three weekly osteopathic structural examinations and sessions of osteopathic manipulative treatment. Five (62.5%) subjects had no recurrence of symptoms, two subjects had a clinically significant decrease in morbidity, and the remaining subject had a bulging tympanic membrane. The authors' observational study indicates that osteopathic manipulative treatment may change the progression of recurrent otitis media.
The literature has reported higher cranial rhythmic impulse rates obtained by instrumentation compared with palpation. The authors demonstrate that osteopathic physicians tend to palpate the cranial rhythmic impulse and Traube-Hering oscillation in a 1:2 ratio, providing insight into the illusiveness of positive interrater reliability studies.
Based on results from a variety of human and animal studies, the authors conclude that long-distance running does not increase the risk of osteoarthritis of the knees and hips for healthy individuals who have no other counterindications for this kind of physical activity. In fact, as the authors note, long-distance running may have a protective effect against joint degeneration.
The authors asked students graduating from an anonymous college of osteopathic medicine to complete a standardized and previously validated 25-question competency examination on musculoskeletal medicine. The authors compare their results with those previously reported for allopathic residents. Both groups failed to attain the minimum passing levels set by orthopedic program directors and directors of internal medicine programs.
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