Pediatric Osteopathic Manipulative Medicine: A Scoping Review.

CONTEXT: A common reproach precluding the use of osteopathic manipulative medicine (OMM) in pediatrics is a lack of evidence regarding its safety, feasibility, and effectiveness. OBJECTIVE: We conducted a systematic, scoping review of pediatric osteopathic medicine to identify gaps in the literature...

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Publicado en:Journal of Clinical Chiropractic Pediatrics Vol. 20; no. 1; pp. 1 - 17
Autores principales: DeMarsh, Samantha, Huntzinger, Anneliese, Gehred, Alison, Stanek, Joseph R., Kemper, Kathi J., Belsky, Jennifer A.
Formato: research systematic review tables/charts Journal Article
Publicado: International Chiropractors Association, Council on Chiropractic Pediatrics 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 20
      iid: 1
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      pub: International Chiropractors Association, Council on Chiropractic Pediatrics
      place: Falls Church, Virginia
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        156854952
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        10.1542/peds.2020-016162
        156854952
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        atl: Pediatric Osteopathic Manipulative Medicine: A Scoping Review.
      aug:
        au:
          DeMarsh, Samantha
          Huntzinger, Anneliese
          Gehred, Alison
          Stanek, Joseph R.
          Kemper, Kathi J.
          Belsky, Jennifer A.
        affil: Pediatric Residency, Nationwide Children's Hospital, Columbus, Ohio
      sug:
        subj:
          Manual Therapy
          Manipulation, Osteopathic Utilization
          Human
          Scoping Review
          United States
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          CINAHL Database
          Cochrane Library
          Medline
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: CONTEXT: A common reproach precluding the use of osteopathic manipulative medicine (OMM) in pediatrics is a lack of evidence regarding its safety, feasibility, and effectiveness. OBJECTIVE: We conducted a systematic, scoping review of pediatric osteopathic medicine to identify gaps in the literature and make recommendations for future research. DATA SOURCES: We searched 10 databases using 6 key words and medical subject heading terms for any primary articles reporting OMM use in children published from database inception until initiation of the study. STUDY SELECTION: Articles were selected if they reported primary data on OMM conducted in the United States on patient(s) 0 to 18 years old. DATA EXTRACTION: Baseline study characteristics were collected from each article and the Grading of Recommendations, Assessment, Development, and Evaluations system was used to critically appraise each study. RESULTS: Database search yielded 315 unique articles with 30 studies fulfilling inclusion and exclusion criteria. Of these, 13 reported the data required to demonstrate statistically significant results, and no significant adverse events were reported. The majority of studies were graded as providing weak clinical evidence because of significant methodologic flaws and biases. LIMITATIONS: The review was limited to US-based studies and reports. Minimal discrepancies between reviewers were resolved via an objective third reviewer. CONCLUSIONS: There is little strong, scientific, evidence-based literature demonstrating the therapeutic benefit of OMM for pediatric care. No strong clinical recommendations can be made, but it can be medically tolerated given its low risk profile. High-quality, scientifically rigorous OMM research is required to evaluate safety, feasibility, and efficacy in pediatrics.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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