Characterizing Adverse Events Reported Immediately After Osteopathic Manipulative Treatment

The Journal of the American Osteopathic Association
Brian F DegenhardtLisa Norman

Abstract

Although adverse events in various types of manual therapy have been previously investigated, little is known about the incidence and types of adverse events that occur after osteopathic manipulative treatment (OMT). To estimate the incidence and characterize the types of adverse events that patients report after OMT and prior to leaving the office to increase the likelihood of identifying adverse events caused by OMT. As part of a prospective study evaluating the use and effectiveness of OMT, patients assessed how they felt immediately after OMT compared with before OMT using a 5-point ordinal rating scale (much better, better, about the same, worse, much worse). For patients who indicated they felt their condition had changed, a follow-up, open-ended question asked them to describe how it had changed. Patients who felt worse or much worse were considered to have experienced an adverse event. Two reviewers independently coded the types of adverse events based on the descriptions provided by the patients. Generalized logistic regression models were used to calculate incidence rates and 95% CIs for the types of adverse events. These models were also used to calculate the ORs and 95% CIs for associations of adverse events with de...Continue Reading

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Citations

Jun 28, 2018·The Journal of the American Osteopathic Association·Michael A Seffinger
Apr 23, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Kilian Dräger, Rainer Heller
Aug 9, 2020·Journal of Pain Research·John C LicciardoneBrook Amen
Dec 4, 2019·The Journal of the American Osteopathic Association·Ahmad I HusseinRichard T Jermyn
Apr 9, 2021·Journal of Osteopathic Medicine·Dmitry EsterovKyle Weiss
May 27, 2021·Expert Review of Anti-infective Therapy·Emil LeshoMaryrose Laguio-Vila
Aug 20, 2021·Journal of Osteopathic Medicine·Joanna L Kramer, Kathleen De Asis

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