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OMT in Headache Management: Systematic Review and Meta-Analysis Protocol

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 13-14. doi: Subito , type of study: Meta analysis

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/7/500955/LBORC-NUFA-Poster-Abstracts-2024-Clinician-amp)

Keywords:

headache [159]
meta analysis [72]
OMT [3752]
osteopathic manipulative treatment [3772]
protocol [54]

Abstract:

Introduction: Previous systematic reviews exploring the effectiveness of OMT in treating headaches did not perform a pooled meta-analysis to investigate the effectiveness of various outcomes. Objectives: This systematic review aims to provide pooled meta-analyses on the effectiveness of OMT in managing headaches due to musculoskeletal dysfunction and the associated harm outcomes. We hypothesize that OMT will be beneficial in improving headache symptoms that contribute to disability. Methods and Results: Prospero registration: CRD42023449356. We will search multiple databases, including OstMed and PubMed, for randomized controlled trials (RCTs) investigating OMT for musculoskeletal headaches in adults from the inception to September 2023. The eligible trials compare OMT techniques to another form of treatment. Outcomes of interest are headache frequency and severity, quality of life, disability due to headaches, and return to work; harm outcomes are dropouts due to ineffectiveness, adverse effects, and all-cause dropout rates. We will pool separately for individual outcomes according to OMT type and comparators. We will report effect estimates with weighted mean differences for continuous outcomes and odds ratios with 95% confidence intervals for binary outcomes. We will assess the risk of bias (ROB) using the modified Cochrane ROB for RCTs. We will determine heterogeneity in the pooled analysis based on the visual inspection of the forest plot and I2 and where required we will explore the heterogeneity with the prespecified apriori. The Grading of Recommendations Assessment, Development and Evaluation assessment tool will be used for data synthesis and to assess evidence quality. Conclusions: Our findings will be of importance to patients and osteopathic practitioners and will identify areas for future research on the inclusion of OMT in the management of musculoskeletal headaches.


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