PMID: 22582197May 15, 2012Paper

Efficacy of osteopathic manipulative treatment for low back pain in euhydrated and hypohydrated conditions: a randomized crossover trial

The Journal of the American Osteopathic Association
Justine ParkerRobert E Kappler

Abstract

Low back pain (LBP) affects up to 85% of all persons at some time in life and is a condition for which osteopathic manipulative treatment (OMT) has been shown to be beneficial. Measures that can improve the efficacy of OMT would further benefit patients; one such measure, hydration status, was explored in this study. To determine whether there is a relationship between a patient's hydration status before OMT for LBP and the outcome of that treatment. A randomized, single-blind crossover study conducted from March to December 2010. Outpatient academic center. Eight women and 11 men with LBP of 1 to 12 months duration. Both euhydrated and hypohydrated conditions were achieved in each participant by modifying water consumption for 36 hours before OMT sessions. PARTICIPANTS received 2 sessions of OMT, each in a different hydration condition and with a 1-week washout period in between. Pre- and posttreatment visual analog scale scores for pain, number and severity of somatic dysfunction as scored on the somatic dysfunction severity scale, and number of asymmetric landmarks found on the osteopathic standing structural examination. Improvements in total and severe number of lumbar somatic dysfunction (P=.001 and P=.013, respectively) ...Continue Reading

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