Effect of Osteopathic Manipulative Treatment on Activity Lim
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Osteopathic manipulative treatment (OMT) is frequently offered to people with nonspecific low back pain (LBP). A Study was conducted to compare the efficacy of standard OMT vs sham OMT for reducing LBP-specific activity limitations at 3 months in persons with nonspecific subacute or chronic LBP.

Six sessions (1 every 2 weeks) of standard OMT or sham OMT were delivered by nonphysician, nonphysiotherapist osteopathic practitioners.

Results:
--Overall, 200 participants were randomly allocated to standard OMT and 200 to sham OMT, with 197 analyzed in each group; the median (range) age at inclusion was 49.8 years, 235 of 394 participants were women, and 359 of 393 were currently working.

--The mean (SD) duration of the current LBP episode was 7.5 months. Overall, 164 patients in the standard OMT group and 159 patients in the sham OMT group had the primary outcome data available at 3 months.

--The mean (SD) Quebec Back Pain Disability Index scores for the standard OMT group were 31.5 at baseline and 25.3 at 3 months, and in the sham OMT group were 27.2 at baseline and 26.1 at 3 months.

--The mean reduction in LBP-specific activity limitations at 3 months was -4.7 and -1.3 for the standard OMT and sham OMT groups, respectively.

--At 12 months, the mean difference in mean reduction in LBP-specific activity limitations was -4.3, and at 3 and 12 months, the mean difference in mean reduction in pain was 1.0 and 2.0, respectively. There were no statistically significant differences in other secondary outcomes.

--4 and 8 serious adverse events were self-reported in the standard OMT and sham OMT groups, respectively, though none was considered related to OMT.

In this randomized clinical trial of patients with nonspecific subacute or chronic LBP, standard OMT had a minor effect on LBP-specific activity limitations as compared to sham OMT.

Source: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2777527?resultClick=1
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