Clinical Journal of Sport Medicine, 2024/03, 34(2):229. doi: 10.1097/JSM.0000000000001211, type of study: ,ret,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://journals.lww.com/cjsportsmed/fulltext/2024/03000/2024_amssm_oral_research_poster_presentations.13.aspx)

Keywords:

cervical spine [320]
concussion [38]
neck pain [180]
OMT [3925]
osteopathic manipulative treatment [3946]
retrospective study [339]

Abstract:

Purpose: Investigate clinical improvement and specific changes in objective vestibular and visual markers after Osteopathic Manipulative Therapy (OMT) in mTBI/PPCS patients. Methods and Study Design: Retrospective review of 210 encounters with OMT in 66 patients aged 15 to 75 in 2022 to 2023. Vestibular and visual markers were evaluated pre- and post-OMT procedure. Vestibular markers were assessed by way of center-of-gravity (COG) sway velocity. Visual markers were assessed using King Devick testing and near point convergence (NPC) break/recovery and accommodation. Results: Overall clinical improvement in cervicogenic symptoms was endorsed in the majority of patients (95.45%) post OMT. King Devick times significantly improved by an average of -2.48 seconds (P = 0.00000682). Vestibular sway markers improved by an average of -0.063 deg/sec (P = 0.0645) on same day postprocedure testing. The data presented for the King Devick test showed statistically significant improvement, while sway velocity data also suggests an improvement trend but was not significant. NPC break (P = 0.639) and recovery (P = 0.598), as well as accommodation (P = 0.641) present no significant change. Conclusions: OMT may have utility in reducing both immediate and long-term post-concussive cervicogenic symptoms including neck pain, headache, imbalance, visual dysfunction, and potentially exercise intolerance. The data suggests that OMT for uncomplicated mTBI patients without contraindications may be beneficial concerning cervical, visual, and vestibular profiles.