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An Osteopathic Approach for the Concussed Athlete
AN OSTEOPATHIC APPROACH FOR THE CONCUSSED ATHLETE ALBERT J KOZAR, DO, FAOASM, R-MSK BOARD CERTIFIED NMMOMM, FP, CAQSM, RMSK PROGRAM DIRECTOR / ASSOCIATE PROFESSOR ONMM RESIDENCY & INTEGRATED SPORTS MED / ONMM RESIDENCY EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE DISCLOSURES My only disclosures are: • I am a Fighting Irish Fanatic !!! • I love Jazz !!! • really can’t stand country music OBJECTIVES ① Be able to discuss the Berlin Concussion Statement in relation to an Osteopathic Manipulative Approach ② Be able to discuss the anatomical connectivity and mobility of the cranial & spinal dura ③ Be able to discuss the newly discovered Glymphatic drainage system of the CNS and recent high quality OMT research of the lymphatic system by Lisa Hodges, PhD ④ Be able to formulate a manipulative approach to the mechanical and whiplash affects of concussion ?? ⑤ Be able to discuss the evidence in the literature ① Specific to OMT and concussions ② Specific to OMT and symptoms that occur in concussion ⑥ Be able to discuss the current active RTCs of OMT and concussion ⑦ Understand and be able to apply OMT techniques in the approach to treating concussion (Hands-On Lab) ⑧ Be able to discuss when to apply OMT in the treatment of concussions and the absolute / relative contra-indications (Hands-On Lab) OSTEOPATHY “Do you practice decorticate or decerebrate Osteopathy ?” Anthony Chila, DO, FAAO, FCA OSTEOPATHY “Even heads have bodies attached to them …” Viola Frymann, DO, FAAO, FCA CRANIAL CONCEPT William Garner Sutherland proposed the cranial concept in 1929 “Cranial” osteopathy is a misnomer since it was originally described in the head but in reality is a whole- body concept Cranial is not a separate treatment modality but an extension of osteopathy as originally described by A. -
William Carey University College of Osteopathic Medicine
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE Student Handbook and Catalog 2016-2017 Approved by the William Carey University Board of Trustees May 5, 2016 1 PREFACE Information contained herein shall not constitute a legally binding contract upon William Carey University College of Osteopathic Medicine (WCUCOM). An electronic copy of this publication can be viewed at WCUCOM website. Policies, requirements, and information in this WCUCOM Student Handbook and Catalog may be updated from time to time by the WCUCOM at its sole discretion. Changes will be distributed to students, and will become effective immediately unless otherwise specified. Changes will be posted online quarterly as addenda on the WCUCOM website with appropriate notifications to the respective stakeholders. All changes cited as addenda throughout a given academic year will be incorporated into the parent document for the upcoming academic year. All inquiries regarding the WCUCOM Student Handbook and Catalog should be directed to the Office of the WCUCOM Associate Dean, Student Affairs at 601.318.6290. Any recommendations for additions, deletions, or changes must be submitted in writing to the WCUCOM Dean. Final approval is made by the William Carey University (WCU) Board of Trustees (BOT) based upon recommendations from the WCU President. In the event of a discrepancy between the WCUCOM Student Handbook and Catalog and a WCU Policy or a WCU BOT Policy the latter policies will govern. 2 Table of Contents Preface 2 NONDISCRIMINATION POLICY AND DIVERSITY STATEMENT -
The Class of 2003
The Class of 2003 L to R back row: Kenneth Steier, D.O., Duane Koehler, D.O., Norman Howell, D.O., Philip Slocum, D.O., John Bulger, D.O., Duane Koehler, D.O., and Thomas Scandalis, D.O. L to R front row: Charlene Smith, Ph.D.; Robin McFee, D.O.; Kelli Ward, D.O.; and Pascuala Carmen Reyes, D.O. John B. Bulger, D.O. Danville, Pennsylvania Dr. Bulger is a general internist at the Geisinger Health System in Danville, Pennsylvania. He received a bachelor's degree in biology from Juniata College in Huntingdon, PA in 1991. Dr. Bulger received his D.O. degree in 1995 from the Philadelphia College of Osteopathic Medicine (PCOM). He went on to complete an internal medicine internship and residency at PCOM's consortium of hospitals from 1995 through 1998. He is board certified by the American Osteopathic Board of Internal Medicine. After completion of his residency, Dr. Bulger joined the department of general internal medicine at Geisinger Health Systems, one of the largest rural health care systems in the United States. Dr. Bulger currently serves as the director of inpatient services for the system. Dr. Bulger is actively involved in all levels of medical education. As director of osteopathic medical education, he oversees an AOA- approved internship program, osteopathic continuing medical education programs, and residencies in internal medicine and pediatrics. He is involved in both clinical and educational research. He recently completed a project entitled Creation of a Web-Based Osteopathic Curriculum to Promote Distinctiveness in Osteopathic Graduate Medical Education that was supported by a grant from the Foundation of Osteopathic Health Systems. -
JOHNATHAN HEATH THOMPSON, DO EDUCATION Lincoln Memorial
JOHNATHAN HEATH THOMPSON, DO EDUCATION Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, TN Doctor of Osteopathic Medicine Aug. 3, 2007-May 14, 2011 University of Mississippi, Oxford, MS Bachelor of Science in Biology Aug. 7, 1995-May 5, 2001 Itawamba Community College, Fulton, MS Certificate in Paramedic Medicine Jan. 5, 1998-Dec. 5, 1998 Northeast Mississippi Community College, Boonville, MS Associate of Arts in Pre-Med and Basic Sciences Aug. 16, 1993-May 6, 1995 Certificate in Emergency Medicine Technology Aug. 16, 1993-Nov. 20, 1993 HONORS Medical School Honors: GPA 3.7 Class Rank: 22 of 147 Radiology 2011 Emergency Medicine (Morristown, TN) 2011 Emergency Medicine (Tupelo, MS) 2011 Ophthalmology 2011 Emergency Medicine Clerkship 2010 Family Medicine Clerkship 2010 Orthopaedic Surgery Clerkship (Holston Valley) 2010 Pulmonology Clerkship 2010 Orthopaedic Surgery Clerkship (Largo, FL) 2010 Orthopaedic Surgery (Pontiac, MI) 2010 Rural Primary Care Clerkship 2010 General Surgery 2010 Community Hospital 2010 Behavioral Medicine Clerkship 2009 Pediatrics Clerkship 2009 Internal Medicine 2 Clerkship 2009 Obstetrics and Gynecology Clerkship 2009 General Surgery Clerkship 2009 AWARDS AND RECOGNITIONS Dean’s Honor Roll 1993 – 1995 Phi Mu Epsilon 1993 – 1995 Sigma Sigma Phi 2010 LICENSURE Pennsylvania Medical License (Training) Washington State Medical License (Training) Federal DEA License CERTIFICATIONS National Registered Emergency Medical Technician – Basic 1994 – 1996 National Registered Emergency Medical Technician -
A Mixed Treatment Comparison of Selected Osteopathic Techniques Used to Treat Acute Nonspecific Low Back Pain: a Proof of Concept and Plan for Further Research
J Osteopath Med 2021; 121(6): 571–582 Neuromusculoskeletal Medicine (OMT) Review Article James W. Price*, DO, MPH A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research https://doi.org/10.1515/jom-2020-0268 assessed by the single author using an adapted National Received October 14, 2020; accepted December 15, 2020; Institute for Health and Care Excellence methodology published online February 24, 2021 checklist for randomized, controlled trials and an extrac- tion form based on that checklist. The outcome measure Abstract chosen for this NMA was the Visual Analogue Scale of pain. The NMA were performed using the GeMTC user interface Context: Back injuries have a high prevalence in the for automated NMA utilizing a Bayesian hierarchical model United States and can be costly for both patients and the of random effects. healthcare system at large. While previous guidelines from Results: The literature search initially found 483 undu- the American College of Physicians for the management of plicated records. After screening and full text assessment, acute nonspecific low back pain (ANLBP) have encouraged five RCTs were eligible for the MTC, yielding a total of 430 nonpharmacologic management, those treatment recom- participants. Results of the MTC model suggested that there mendations involved only superficial heat, massage, was no statistically significant decrease in reported pain acupuncture, and spinal manipulation. Investigation when exercise, high-velocity low-amplitude (HVLA), about the efficacy of spinal manipulation in the manage- counterstrain, muscle energy technique, or a mix of tech- ment of ANLBP is warranted. -
The Scope of Cranial Work Zachary Comeaux
Ch03.qxd 24/03/05 12:54 PM Page 67 67 Chapter 3 Integration with medicine – the scope of cranial work Zachary Comeaux INTRODUCTION CHAPTER CONTENTS Historical perspective Introduction 67 Defining osteopathy in the cranial field 69 As indicated in Chapter 1, the modern beginnings of cranial manipulation derive from the osteo- Formats for medical integration 71 pathic tradition as interpreted by William Garner Integrated osteopathic treatment – including Sutherland. And so, in part, the scope of cranial cranial 77 work is embedded in that of osteopathic medicine. Yet many in the osteopathic profession in general Case examples 78 have been slow to accept and implement this Conclusion 90 point of view. Despite osteopathy’s ambivalence, a variety of manual practitioners have been References 90 attracted to and have developed aspects of cranial manipulation. Historically, then, many practitioners have practiced cranial technique outside their culture’s definition of ‘medicine’. In a parallel development, those practitioners working in manual medicine, physical medicine and rehabilitation, sports medicine and American osteopathic medicine have to varying degrees integrated manual philosophy and techniques into orthopedic and disease model medical problem solving. This chapter deals with the some- times controversial topic of osteopathic medical integration and its relevance in cranial work both in America and Europe. It also addresses the issue of how this integration affects the definition of treatment goals and the choice of techniques. Historically, the scope of osteopathic work and thought has developed nearly independently on different continents and varied in its expression Ch03.qxd 24/03/05 12:54 PM Page 68 68 INTEGRATION WITH MEDICINE – THE SCOPE OF CRANIAL WORK even within countries. -
Positional Release Therapy: an Evidence Based Review
Positional Release Therapy: An Evidence Based Review COPYRIGHT ©, POSITIONAL RELEASE THERAPY INSTITUTE., ALL RIGHTS RESERVED UNAUTHORIZED USE OR REPRODUCTION PROHIBITED, FOR USE BY PRT-i LICENSED USERS ONLY DISCLOSURE The Positional Release Therapy Institute is a company that provides continuing education and certification in Positional Release Therapy. Online courses and instructional videos are also associated with the instruction provided by the Institute. LEARNING OBJECTIVES • Recall supporting evidence for the application of PRT • Recall 5 clinical implications and contraindications of PRT • Identify how PRT is integrated into an overall treatment plan WHAT IS PRT? • An Indirect Approach • Non-painful • Moving away from resistance barrier • Body/Tissue Positioning • Use of Tender points (TPs) • vs. Trigger points (TrPs) • Unkinking the Chain • = Functional restoration • Direct Approach • Pushing through resistance barrier Strain Counterstrain Positional Release Therapy (SCS) (PRT) • Segmental • Whole Body • Assess TPs/MTrPs during • Utilizes FRM positioning (Fasciculatory • Position held for 90 Response Method) for seconds assessment & treatment • May or may not • Position held until monitor tissue lesion fasciculation subsides • May or may not apply • Joint & fascial joint manipulation manipulation attempted • May or may not apply fascial manipulation (Speicher, 2016) PRT HISTORICAL TIMELINE 1964 1997 2001 2002 2006 2016 Jones DAmbrogio Deig Chaitow Myers Speicher & Roth PR Tech./SCS PRT PRT SCS PRT PRT SCS THEORY (JONES, 1973) Strain = Counterstrain = spindle dysfunction Maybe http://www.ptd.neu.edu/neuroanatomy/cyberclass/spinalcontrol/gammaactivation.htm SOMATIC DYSFUNCTION THEORIES • Somatic Dysfunction (Korr, 1947) • Proprioceptive Theory (Korr, 1975) • ATP Energy Crisis (McPartland, 2004) • Integrated Trigger Point Hypothesis (Gerwin et al., 2004) • Mechanical Coupling Theory (Speicher, 2006 & 2016) SOMATIC DYSFUNCTION Osteopathic Lesions (Korr, 1947, 191): • Trigger Points (TrPs) and Tender Points (TPs) 1. -
The Cranial Letter© the Osteopathic Cranial Academy, Inc
The Cranial Letter© The Osteopathic Cranial Academy, Inc. A Component Society of the American Academy of Osteopathy Volume 71, Number 2 May 2018 2018 Annual Conference “Discovering The Heart of Osteopathy” June 14-17, 2018 Hilton Norfolk The Main, Norfolk, Virginia Musings from the Executive Director At the recent American Academy of Osteopathy Convocation, I was privileged to receive the AAO Academy Award for Service to Osteopathy by a non-physician. President Michael Rowane DO offered me the opportunity to say a few The Cranial Letter words and later, I was encouraged to share my thoughts with Official Newsletter of the membership of the Osteopathic Cranial Academy. The Osteopathic Cranial Academy Having watched the Motion Picture Academy Awards for 3535 E. 96th Street, Suite 101 many years (though not recently), I thought I would never say Indianapolis, IN 46240 the words, “I’d like to thank the Academy for this Award.” (317) 581-0411 Yet, I stand before you, appreciative for the honor, so, “I’d like FAX: (317) 580-9299 to thank the Academy for this Award.” Email: [email protected] Awards are a curious thing, an honor for doing your job, perhaps even doing it www.cranialacademy.org well. However, as an Executive Director, there is more to it than that, because one cannot do a job well without an appreciation for the work of the volunteers who Officers and Directors entrust in you the management of their organization. James W. Binkerd DO A little over 12 years ago, the Osteopathic Cranial Academy retained my services President to manage their organization. -
March Journal 2004
FORUM FOR OSTEOPATHIC THOUGHT TRADITION SHAPES THE FUTURE VOLUME 14, NUMBER 1, MARCH 2004 2003 Northup Memorial Lecture “Academy Contributions: What have you done for us lately?” page 16… March 2004 The AAO Journal/1 Instructions to Authors The American Academy of Osteopathy® Editorial Review 1/2" disks, MS-DOS formats using either 3- (AAO) Journal is a peer-reviewed publica- Papers submitted to The AAO Journal may 1/2" or 5-1/4" discs are equally acceptable. tion for disseminating information on the be submitted for review by the Editorial science and art of osteopathic manipulative Board. Notification of acceptance or rejection Abstract medicine. It is directed toward osteopathic usually is given within three months after re- Provide a 150-word abstract that summarizes physicians, students, interns and residents ceipt of the paper; publication follows as soon the main points of the paper and it’s and particularly toward those physicians with as possible thereafter, depending upon the conclusions. a special interest in osteopathic manipulative backlog of papers. Some papers may be re- treatment. jected because of duplication of subject mat- Illustrations ter or the need to establish priorities on the 1. Be sure that illustrations submitted are The AAO Journal welcomes contributions in use of limited space. clearly labeled. the following categories: Requirements 2. Photos should be submitted as 5" x 7" Original Contributions for manuscript submission: glossy black and white prints with high con- Clinical or applied research, or basic science trast. On the back of each, clearly indicate research related to clinical practice. Manuscript the top of the photo. -
OMM in the Extremity (And in a Tight Office Setting) Darren Grunwaldt, D.O
7/31/2014 OMM in the Extremity (and in a tight office setting) Darren Grunwaldt, D.O. MAOFP Summer Family Medicine Update August 1, 2014 Common Complaints and diagnoses that will serve as scaffolding for today’s lecture • Carpal Tunnel Syndrome • Tennis or Golfers Elbow / Enthesopathy / Tendonosis • Knee Pain • Plantar Fasciitis OMT for CTS • Lymphatic Model • MFR/INR to CT and shoulder, Direct Inhibition to posterior axilla • Elbow and Forearm – pronation and supination screen • MET +/- MFR/INR • Wrist • Carpal Tunnel Soft Tissue Technique 1 7/31/2014 Lymphatic Model • Think of this in most instances with swelling and inflammation • Blockages downstream will impede movement and prolong congestion at the site of injury • Think of where the final drain is, and work backwards from there. • For CTS: • Consider Upper Thoracic Aperture and Axilla as high yield areas • Superficial fascia along length of arm Myofascial Release • Look for fascial bind comparing directions that are tight versus loose; this is deeper than just sliding skin • Think 3D where able; avoid thinking simple 2D planes where able • (usually) wind tissue into direct barrier • Hands are both treating and monitoring • Wait for fascial creep, the release, then disengage • To add a little kick to this dish (for Integrated Neuromuscular release), just add an enhancer! • Patient’s repetitive movement that ratchets area on/off but does not overwhelm your palpation – often initiated from a nearby joint or region • E.g., slightly bigger breaths, wrist bobble, tongue wag, feet clap -
Osteopathic Considerations in Systemic Dysfunction
AAO Member NewsApril 2012 Members elect new leaders Executive Director’s Message Academy members elected their Diana L. Finley, CMP leadership for 2012-2013 at the Annual Business Meeting in The 2012 AAO 75th Anniversary The program Louisville, KY, March 22. Convocation was an echoing also covered the President-Elect, Jane E. Carreiro, success of the 2011 Convocation. newest updates DO, automatically assumed the Congratulations to Program Chair in biomechanics, office of President, andMichael A. Kenneth J. Lossing, DO, for counterstrain, Seffinger, DO, began a one-year organizing a most interesting and cranial (the brain), term as Immediate Past President. informative program around the Still technique, Other newly elected leaders include: theme, The Unified Osteopathic Field myofascial chains, Theory. Participants were exposed exercise, light therapy, scoliosis and President-Elect to, and gained experience in, the HVLA. David Coffey, DO, FAAO most recent advances and updates The event brought physicians Secretary-Treasurer in the science, art and practice of from around the world together to Kenneth H. Johnson, DO, FAAO Osteopathy! share their experience and expertise. Trustee Dr. Lossing wrote, “More than Edward G. Stiles, DO, FAAO, began David C. Mason, DO 130 years ago, Dr. Still discovered the program by lecturing on A.T. Laura E. Griffin, DO, FAAO there was a relationship between Still–The Complex Thinker (Revisited). Governor mechanical tension and health. It In addition to the annual coding and Boyd R. Buser, DO took modern science another 100 Mark S. Cantieri, DO, FAAO years to find out why this is true. We now know that mechanotransduction Wm. -
RVU Class of 2020 Commencement Program (PDF)
Mission Statement Rocky Vista University provides quality healthcare education while inspiring students to serve with compassion, integrity, and excellence. Class of 2020 Commencement Friday, First of May, Two-Thousand Twenty Letter from the President To Rocky Vista University’s Class of 2020, This year’s Commencement is dedicated to our students and faculty as they played, and continue to play, a significant role in the COVID-19 Pandemic. Not since 1918 has our Country’s medical professionals been challenged by such a far-reaching pandemic. It challenges us, as a graduate healthcare University, to insist on the most advanced educational technologies and curricular emphasis, while never forgetting our commitment to the healing power and the importance of body, mind, and spirit. We are proud of the stellar performance and eagerness of the Class of 2020 to launch into the next phase of medical education. You came to RVU with a sense of purpose, a desire to make a difference, and today, I remind you that your journey is never complete. The faculty and staff have provided you with the tools for success and wish you every joy and happiness a life of service can bring. Today is a day of gratitude: gratitude to your family, friends, and faculty—all of whom share in your pride and accomplishment. To our medical school graduates, the people that are not here are your future patients, the individuals and families you will be privileged to touch. The “DO Touch” encompasses compassion, caring, and expertise in your chosen specialty. Every day, we hear tragic sto- ries of families devastated by not being with their loved ones at their hour of need; this sorrow will reside in their hearts and minds forever.