Snider Karen T, Snider Eric J, Johnson Jane C, Hagan Celia, Schoenwald Conrad
Department of Osteopathic Manipulative Medicine, A.T. Still University-Kirksville College of Osteopathic Medicine, 800 W Jefferson St, Kirksville, MO 63501-1443, USA.
J Am Osteopath Assoc. 2012 Aug;112(8):489-501.
Elderly nursing home residents are generally in poor health. Many residents report pain on a daily basis, few are independent in their activities of daily living, and most take a large number of medications.
To investigate the benefits elderly nursing home residents may receive from preventative osteopathic manipulative treatment (OMT) designed to optimize structure and function and enhance their bodies' homeostatic mechanisms.
Volunteer nursing home residents were randomly assigned to 1 of 3 groups: (1) OMT, (2) light touch (LT), or (3) treatment as usual (TAU). The OMT group received an OMT protocol twice per month for 5 months, for a total of 10 visits. The LT group received a light-touch protocol meant to simulate OMT at the same frequency as the OMT group. The TAU group received no intervention. Participant health information from Minimum Data Set assessments was monitored during the study, along with hospitalizations, emergency room visits, and outpatient procedures. The nursing home personnel and the participants' attending physicians were blinded to treatment group assignment.
Twenty-one participants completed the study: 8 in the OMT group, 6 in the LT group, and 7 in the TAU group. The OMT and LT groups had fewer hospitalizations (P=.04) and decreased medication usage (P=.001) compared with the TAU group.
Twice monthly OMT and LT protocols reduced the number of hospitalizations and decreased medication usage in elderly nursing home residents.
老年养老院居民的健康状况普遍较差。许多居民每天都报告疼痛，很少有人能独立进行日常生活活动，而且大多数人服用大量药物。
研究老年养老院居民接受旨在优化结构和功能并增强身体稳态机制的预防性整骨手法治疗（OMT）可能获得的益处。
将志愿养老院居民随机分为3组中的1组：（1）OMT组，（2）轻触组（LT），或（3）常规治疗组（TAU）。OMT组每月接受2次OMT方案治疗，共5个月，总计10次就诊。LT组接受旨在以与OMT组相同频率模拟OMT的轻触方案。TAU组不接受干预。在研究期间监测来自最低数据集评估的参与者健康信息，以及住院情况、急诊室就诊和门诊手术情况。养老院工作人员和参与者的主治医生对治疗组分配情况不知情。
21名参与者完成了研究：OMT组8人，LT组6人，TAU组7人。与TAU组相比，OMT组和LT组的住院次数较少（P = 0.04），药物使用量减少（P = 0.001）。
每月两次的OMT和LT方案减少了老年养老院居民的住院次数并降低了药物使用量。
