Effect of OMT on Asthma Symptoms in Southwest Virginia
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|ClinicalTrials.gov Identifier: NCT00545376|
Recruitment Status : Completed
First Posted : October 17, 2007
Last Update Posted : July 22, 2019
There is a high prevalence of asthma in southwest Virginia and there are multiple osteopathic manipulative techniques (OMT) which are thought to improve lung function. However, there are inadequate studies regarding the effectiveness of using osteopathic manipulative treatment (OMT) as an office treatment or a home treatment to address obstructive lung disease. In addition, there is little information on the level of acceptance, use, and cost effectiveness of using OMT in rural southwest Virginia. The purpose of this study is to determine the viability of OMT treatment with asthma, the level of acceptance in selected clinics in southwest Virginia, and the effectiveness of home OMT education in order to implement a program to improve asthma control. The study hypotheses are: 1. Osteopathic manipulation delivered to the asthmatic patient will significantly improve spirometry values, thoracic excursion, and subjective asthma symptoms. (.05 alpha) 2.Patients who are taught and use a home treatment regime for asthma will significantly improve spirometry values, thoracic excursion, and subjective asthma symptoms after two weeks, compare with those who do not have home treatment.
3.Physicians educated on the use of OMT for asthma will increase their perceived future use of OMT as an adjunct to treat this disorder.
|Condition or disease||Intervention/treatment||Phase|
|Asthma||Procedure: Osteopathic Manipulative Treatment - in clinic Procedure: Osteopathic Manipulative Treatment - at home Other: Education to physicians||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||32 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||The Use of Osteopathic Manipulation in a Clinic and Home Setting to Address Pulmonary Distress as Related to Asthma in Southwest Virginia|
|Study Start Date :||October 2007|
|Actual Primary Completion Date :||January 2008|
|Actual Study Completion Date :||February 2008|
No Intervention: 1
This group will leave after the first visit without additional instruction and will be asked to return in two weeks for a follow up lung assessment.
This group, at the first visit, will be taught three home OMT techniques that a family member or friend can administer to them. They will be asked to do these techniques at least 4 times a week, up to every day, for two weeks before returning for a follow up lung assessment.
Procedure: Osteopathic Manipulative Treatment - in clinic
I will do a thoracic/rib screening and treatment with muscle energy or facilitated positional release, a diaphragm soft tissue release, suboccipital release, and a thoracic compression. This treatment takes 10 minutes and is only done at the first visit.
Procedure: Osteopathic Manipulative Treatment - at home
One group will learn how to do three home OMT techniques: suboccipital release, pectoral traction, and rib raising. They will be asked to do this at least 4 times a week for two weeks.
This arm is the physicians that I will recruit participants through. They will be exposed to education about the use of OMT for asthma.
Other: Education to physicians
I will educate physicians using demonstration and reading material as to the possible benefits of incorporating it into the treatment of asthma.
- Mini-AQLQ [ Time Frame: 2 weeks ]
- patient symptoms [ Time Frame: pre and post OMT and follow-up ]
- thoracic excursion [ Time Frame: pre and post OMT and follow up ]
- spirometry [ Time Frame: pre and post OMT and follow up ]
- physician acceptance survey [ Time Frame: pre and post study ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00545376
|United States, Virginia|
|Blacksburg, Virginia, United States, 24060|
|Principal Investigator:||Macy L Latter||VCOM|