Key findings by per-protocol analysis of the younger subgroup found that OMT decreased hospital stay by 1.1 days compared to those who received conventional care only. By intention-to-treat analysis of the older subgroup, in-hospital mortality rates were 11 percent lower to the conventional-care only group. OMT also reduced the in-hospital mortality rates of those with the highest severity of illness.
"Osteopathic manipulative therapy was developed in the pre-antibiotic era specifically for the management of pneumonia. While antibiotic therapy is the current standard of care, the emergence of resistant bacteria is a global threat and provides an incentive to explore adjunct treatments that can improve their efficacy," said James Bailey, DO, assistant professor in physical medicine and rehabilitation at Rowan University School of Osteopathic Medicine. "This study should encourage physicians to use their osteopathic techniques when treating older patients with pneumonia."
Pneumonia is a leading cause of death for elderly patients, with over 90 percent of pneumonia-related deaths among those 65 and older. Previous studies have also shown that OMT can improve the efficacy of antibiotics in pneumonia patients.
Osteopathic manipulative techniques can help treat structural and tissue abnormalities, relieve joint restriction and misalignment, restore muscle and tissue balance and promote the overall movement blood flow throughout the body. When appropriate, it can complement, and in some cases replace, medications or surgery.
Open access to the full study is available until November 1, 2016: http://jaoa.org/article.aspx?articleid=2546793.
Disclosures: The basis for this analysis, The Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) clinical trial, was funded by a consortium of foundations including the Foundation for Osteopathic Health Services. Please see the study for full details.
About The Journal of the American Osteopathic Association
The Journal of the American Osteopathic Association (JAOA) is the official scientific publication of the American Osteopathic Association. Edited by Robert Orenstein, DO, it is the premier scholarly peer-reviewed publication of the osteopathic medical profession. The JAOA's mission is to advance medicine through the publication of peer-reviewed osteopathic research.
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SOURCE American Osteopathic Association