Stoll Scott T, McCormick Justin, Degenhardt Brian F, Hahn Marc B
Department of Osteopathic Manipulative Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas 76107, USA.
Acad Med. 2009 Jun;84(6):737-43. doi: 10.1097/ACM.0b013e3181a43c19.
The osteopathic profession has long recognized the need to carry out research in order to improve clinical care. Osteopathic physicians have a particular obligation to carry out research in areas, such as osteopathic manipulative medicine (OMM), that are unique to osteopathic medicine. OMM is similar to manual therapy that is performed by other types of practitioners, but it has some distinctive characteristics. Osteopathic doctors also use OMM to treat infectious disease-not just musculoskeletal disorders.In 2001, several osteopathic professional organizations agreed to jointly fund a national osteopathic research center at one of the osteopathic medical colleges. Five osteopathic colleges submitted research proposals in response to a request for applications. The University of North Texas Health Science Center (UNTHSC) was chosen to be the site for the Osteopathic Research Center (ORC) and was funded for four years with $1.1M. Between 2002 and 2007, the ORC received an additional $11M in research support from multiple sources including federal funds. With this support, it has made substantive contributions to science. These include oversight of the recently completed four-year, $1.5M multicenter study on the efficacy of OMM as a treatment for pneumonia in the elderly and a three-year, $1.9M National Institutes of Health-funded developmental research center to perform mechanistic studies of some OMM actions.The authors discuss the long-term costs, benefits, and sustainability of the national ORC at UNTHSC in the contexts of research accomplished, the training of new medical osteopathic researchers, and an effort to develop other successful regional osteopathic research centers.
整骨疗法行业早就认识到开展研究以改善临床护理的必要性。整骨疗法医生有特别的义务在整骨疗法特有的领域开展研究,比如整骨手法医学(OMM)。OMM与其他类型从业者所进行的手法治疗类似,但它有一些独特的特征。整骨疗法医生还使用OMM来治疗传染病——而不仅仅是肌肉骨骼疾病。2001年,几个整骨疗法专业组织同意共同资助一所整骨医学院建立一个全国性的整骨疗法研究中心。五所整骨医学院根据申请要求提交了研究提案。北德克萨斯大学健康科学中心(UNTHSC)被选为整骨疗法研究中心(ORC)的所在地,并获得了为期四年、总计110万美元的资金。在2002年至2007年期间,ORC从包括联邦资金在内的多个来源获得了额外1100万美元的研究支持。在这种支持下,它为科学做出了实质性贡献。这些贡献包括对最近完成的一项为期四年、耗资150万美元的多中心研究的监督,该研究旨在探讨OMM作为老年人肺炎治疗方法的疗效;以及一个为期三年、由美国国立卫生研究院资助190万美元的发育研究中心,该中心对OMM的一些作用机制进行研究。作者在已完成的研究、新的整骨疗法医学研究人员的培训以及开发其他成功的地区性整骨疗法研究中心的努力等背景下,讨论了UNTHSC的全国性ORC的长期成本、收益和可持续性。