McGonegal Courtney, Bhatti Shezore, Carrasquillo Jomar, Potesta Mark A, Kavulich James, Toldi James
Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA.
Sports Medicine, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Orange Park, USA.
Cureus. 2024 Aug 27;16(8):e67968. doi: 10.7759/cureus.67968. eCollection 2024 Aug.
In the realm of cardiovascular care, the quest for innovative and holistic approaches to enhance patient outcomes persists. This study analyzes osteopathic manipulative treatment (OMT) and its potential impact on pain intensity, length of hospitalization, respiratory function, and hemodynamic response in patients undergoing coronary artery bypass grafting (CABG). OMT, with its emphasis on physical manipulation of the body's muscles and tissues, presents a potential treatment beyond the realms of conventional post-operative care. Google Scholar was used to identify four relevant articles for further review. RevMan 5.4 was utilized for meta-analytic evaluation in order to produce forest plots with associated standardized mean difference (SMD), confidence interval (CI), and heterogeneity (I²). Output from collection and analysis revealed statistically significant decreases in negatively viewed outcomes, including length of stay (SMD 0.39; 95% CI -0.02,-0.76; I² ≤ 0%) and pain control (SMD 1.67; 95% CI -1.34,-0.67; I² ≤ 94%). Parameters for respiratory function and hemodynamic response, including vital capacity (SMD 0.91; 95% CI 0.57,1.24; I² ≤ 96%) and maximal aerobic capacity (SMD 0.50; 95% CI 0.19, 0.82; I² ≤ 0%), showed a statistically significant increase. These findings suggest the incorporation of OMT as a viable adjunct for postoperative management in CABG patients, yielding favorable reductions in adverse outcomes such as length of hospitalization and pain. Moreover, it has demonstrated enhancement in maximal aerobic and vital capacity. This study suggests that the addition of osteopathic management to post-bypass standards can ultimately prevent certain morbidities associated with this specific patient population.
在心血管护理领域，寻求创新和全面的方法以改善患者治疗效果的探索仍在继续。本研究分析了整骨手法治疗（OMT）及其对接受冠状动脉旁路移植术（CABG）患者的疼痛强度、住院时间、呼吸功能和血流动力学反应的潜在影响。OMT强调对身体肌肉和组织进行物理操作，是一种超出传统术后护理范畴的潜在治疗方法。利用谷歌学术搜索确定了四篇相关文章以供进一步审查。使用RevMan 5.4进行荟萃分析评估，以生成带有相关标准化均值差（SMD）、置信区间（CI）和异质性（I²）的森林图。收集和分析的结果显示，在一些负面观察结果方面有统计学意义的下降，包括住院时间（SMD 0.39；95%CI -0.02，-0.76；I²≤0%）和疼痛控制（SMD 1.67；95%CI -1.34，-0.67；I²≤94%）。呼吸功能和血流动力学反应参数，包括肺活量（SMD 0.91；95%CI 0.57，1.24；I²≤96%）和最大有氧能力（SMD 0.50；95%CI 0.19，0.82；I²≤0%），显示有统计学意义的增加。这些发现表明，将OMT纳入CABG患者术后管理是一种可行的辅助手段，可有效减少住院时间和疼痛等不良后果。此外，它还显示出最大有氧能力和肺活量的增强。这项研究表明，在旁路术后标准中增加整骨疗法管理最终可以预防与该特定患者群体相关的某些疾病。
