The AAO Journal, 2024/06, 34(2):28. doi: 10.53702/i2375-5717-34.2.16, type of study: ,rct,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

lower extremities [27]
MET [640]
muscle energy technique [180]
randomized controlled trial [947]

Abstract:

Background: Osteopathic manipulative treatment (OMT) can help treat pain and rigidity; symptoms associated with Parkinson’s Disease (PD). LE function plays a role in gait and the ability to perform ADLs. This study aims to define the effects of OMT in decreasing rigidity to increase one’s ability to perform ADLs and increase function. OMT has shown improvement in PD gait and symptomatology. Hypothesis: We hypothesize that participants receiving OMT will have improved self-reported benefits and lower extremity functionality. Methods: Subjects with PD and lower extremity pain were recruited in this, IRB approved BHS1850, prospective randomized control trial. Subjects were assessed pre-treatment with a lower extremity functional scale (LEFS). The treatment group received muscle energy technique. The control group received passive range of motion without reaching the physiologic barrier. One week later, participants were reassessed via phone call utilizing the LEFS and a post-study survey. Data was analyzed with SPSS using independent t-tests with significance set at alpha 0.05, and a significant LEFS change of 9 points, demonstrated in prior literature. Results: Data analysis revealed no statistically significant differences in LEFS scores between the treatment (n=3) and control group (n=3) from pre to post treatment. LEFS scores averaged a -3 change for control and +7 change for study, with one participant from each group having a significant >9-point increase, one control participant had a >9-point decrease. The post study survey was completed by 5/6 participants and showed greater self-reported benefits from study versus control participants. Conclusions: Self-reported scores and opinions demonstrated numerous benefits of OMT in increasing functionality and the ability to perform everyday tasks. These findings set a precedent for potential benefits of MET in PD.