Eisenhart Anita W, Gaeta Theodore J, Yens David P
Department of Emergency Medicine, St Barnabas Hospital, Bronx, NY, USA.
J Am Osteopath Assoc. 2003 Sep;103(9):417-21.
The purpose of this study was to evaluate the efficacy of osteopathic manipulative treatment (OMT) as administered in the emergency department (ED) for the treatment of patients with acute ankle injuries.
Patients aged 18 years and older with unilateral ankle sprains were randomly assigned either to an OMT study group or a control group. Independent outcome variables included edema, range of motion (ROM), and pain. Both groups received the current standard of care for ankle sprains and were instructed to return for a follow-up examination. Patients in the OMT study group also received one session of OMT from an osteopathic physician.
Patients in the OMT study group had a statistically significant (F = 5.92, P = .02) improvement in edema and pain and a trend toward increased ROM immediately following intervention with OMT. Although at follow-up both study groups demonstrated significant improvement, patients in the OMT study group had a statistically significant improvement in ROM when compared with patients in the control group.
Data clearly demonstrate that a single session of OMT in the ED can have a significant effect in the management of acute ankle injuries.
本研究旨在评估急诊科（ED）采用整骨手法治疗（OMT）对急性踝关节损伤患者的治疗效果。
年龄在18岁及以上的单侧踝关节扭伤患者被随机分为OMT研究组或对照组。独立的结果变量包括水肿、活动范围（ROM）和疼痛。两组均接受当前踝关节扭伤的标准护理，并被要求返回进行随访检查。OMT研究组的患者还接受了整骨医生的一次OMT治疗。
OMT研究组的患者在接受OMT干预后，水肿和疼痛有统计学意义的改善（F = 5.92，P = .02），并且ROM有增加的趋势。尽管在随访时两个研究组均显示出显著改善，但与对照组患者相比，OMT研究组的患者在ROM方面有统计学意义的改善。
数据清楚地表明，在急诊科进行一次OMT对急性踝关节损伤的治疗可产生显著效果。
