The AAO Journal, 2022/09, 32(3):42-47. doi: 10.53702/2375-5717-32.3.42, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article-abstract/32/3/42/485425/Effectiveness-of-Osteopathic-Manipulation)

Keywords:

case report [736]
elbow [33]
OMT [3925]
osteopathic manipulative treatment [3946]
pediatric bone fracture [1]
supracondylar humeral fractures [1]
children [321]
pediatrics [573]

Abstract:

Pediatric bone fractures are a common occurrence, particularly among youth sports participants. Supracondylar humeral fractures are the most common pediatric elbow fracture, accounting for approximately 60% of all pediatric elbow fractures for children less than 10 years of age. For nondisplaced supracondylar humeral fractures, the standard of care is to immobilize the affected arm with an above the elbow-long cast for 3 weeks. Following cast removal, the recommendations for rehabilitation are conflicting, between doing some physical therapy as part of recovery or no therapy and letting the arm heal on its own for upwards of 12 weeks. The purpose of this case report was to observe if the addition of osteopathic manipulation treatment (OMT) could improve the somatic dysfunctions associated with post-immobilization elbow stiffness and reduce the amount of recovery time. Various OMT techniques were utilized over a span of 8 sessions across 4 weeks. The use of OMT provided relief of stiffness and return to full range of motion of the affected upper extremity joints. The incorporation of OMT as a part of a recovery regimen could be considered for future utilization, research, and evaluation.