The AAO Forum for Osteopathic Thought JOURNAL® Official Publication of the American Academy of Osteopathy Tradition Shapes the Future Volume 25 • Number 3 • December 2015 Headache disorders affect 47% of adults. In the case study that begins on page 22, Jennifer S. Ribar, DO, and Todd A. Capistrant, DO, MHA, describe how they used osteopathic cranial manipulative medicine and the fascial distortion model complementarily to resolve a patient’s daily migraine. The American Academy of Osteopathy is your voice... in teaching, promoting, and researching the science, art, and philosophy of osteopathic medicine, with the goal of integrating osteopathic principles and osteopathic manipulative treatment in patient care. If you are not already member of the American Academy of • networking opportunities with peers. Osteopathy (AAO), the AAO Membership Committee invites • discounts on books in the AAO’s online store. you to join the Academy as a 2015-16 member. The AAO is your • complimentary subscription to The AAO Journal, published professional organization. It fosters the core principles that led you electronically 4 times annually. to become a doctor of osteopathic medicine. • complimentary subscription to the online AAO Member News, published 8 times annually. For $5.27 a week (less than the price of a large specialty coffee at • weekly OsteoBlast e-newsletters, featuring research on manual your favorite coffee shop) or just 75 cents a day (less than the cost medicine from peer-reviewed journals around the world. of a bottle of water), you can become a member of the professional • practice promotion materials, such as the AAO-supported specialty organization dedicated to you and osteopathic “American Health Front!” segment on OMM. manipulative medicine (OMM). • discounts on advertising in AAO publications, on the AAO Your membership dues provide you with: website, and on materials for the AAO’s Convocation. • the fellow designation of FAAO, which recognizes DOs for • a national advocate for OMM, both within the profession and promoting OMM through teaching, writing, and professional with health care policy-makers and third-party payers. service and which is the only earned fellowship in the • a champion that is monitoring closely and responding rapidly osteopathic medical profession. to the standards being developed for the single accreditation • promotion and grant support of research on the efficacy of system for graduate medical education. OMM. • referrals of patients through the “Find a Physician” tool both • support for the future of the profession through the on the AAO website and at the FindOMM.org URL, as well Student American Academy of Osteopathy, the National as from calls to the AAO office. Undergraduate Fellows Association, and the Postgraduate • discounts on continuing medical education at the AAO’s American Academy of Osteopathy. annual Convocation and its weekend courses. • automatic acceptance of AAO-sponsored courses by the If you have any questions regarding membership or membership American Osteopathic Board of Neuromusculoskeletal renewal, contact AAO Membership Liaison Susan Lightle at Medicine, the only certifying board for manual medicine in [email protected] or at (317) 879-1881, the world today. ext. 217. AAO 2016 Convocation March 16-20, 2016 Rosen Shingle Creek, Orlando, Florida Somatic Dysfunction and Emotional Well-being: An Osteopathic Approach to Mental Health Millicent King Channell, DO, FAAO, program chair Register now Page 2 The AAO Journal • Vol. 25, No. 3 • December 2015 The AAO Forum for Osteopathic Thought OURNAL Official Publication of the American Academy of Osteopathy® TRADITIONJ SHAPES THE FUTURE • VOLUME 25 • NUMBER 3 • DECEMBER 2015 The mission of the American Academy of Osteopathy is to teach, 3500 DePauw Blvd, Suite 1100 advocate, and research the science, art, and philosophy of osteopathic Indianapolis, IN 46268-1136 medicine, emphasizing the integration of osteopathic principles, (317) 879-1881 • fax: (317) 879-0563 practices, and manipulative treatment in patient care. [email protected] www.academyofosteopathy.org EDITORIAL The AAO Journal View From the Pyramids: Tolerance in Mind and Medicine .........5 Brian E. Kaufman, DO, FACOI, FACP ........Scientific editor Brian E. Kaufman, DO, FACOI, FACP Katherine A. Worden, DO, MS ..............Associate editor Raymond J. Hruby, DO, FAAODist ...Scientific editor emeritus SPECIAL COMMUNICATION Michael E. Fitzgerald .................... Supervising editor Rising to New Challenges: Problems and Proposed Solutions Lauren Good ........................... Managing editor for Osteopathic Program Directors ...............................................7 Stephen I. Goldman, DO, FAAO, FAOASM AAO Publications Committee Hollis H. King, DO, PhD, Raymond J. Hruby, DO, MS, ORIGINAL CONTRIBUTION FAAO, chair FAAODist Effect of Select Osteopathic Manipulative Treatment Techniques William J. Garrity, DO, Brian E. Kaufman, DO, on Patients With Acute Rhinosinusitis ........................................12 vice chair FACOI, FACP Yumie Nishida, DO; Mason M. Sopchak, DO; Matthew R. Claire M. Galin, DO Hallie J. Robbins, DO Edward Keim Goering, DO Katherine A. Worden, DO, MS Jackson, DO; Theresa R. Andersonning, DO; Eric P. Leikert, DO; Stephen I. Goldman, DO, Richard G. Schuster, DO, Stephen I. Goldman, DO, FAAO, FAOASM; and Robert W. FAAO, FAOASM Board of Trustees’ liaison Jarski, PhD American Academy of Osteopathy CAse REPORT Doris B. Newman, DO, FAAO ................... President Cranial and Fascial Distortion Techniques Laura E. Griffin, DO, FAAO .................President-elect Used as Complementary Treatments Michael E. Fitzgerald .................... Executive director to Alleviate Migraine Headache ..................................................23 Sherri L. Quarles.................Associate executive director Jennifer S. Ribar, DO, and Todd A. Capistrant, DO, MHA The AAO Journal is the official publication of the American REGULAR FEATURes Academy of Osteopathy. Issues are published 4 times a year. AAO Calendar of Events ..............................................................4 The AAO Journal is not responsible for statements made by any CME Certification of Home Study ............................................. 21 contributor. Opinions expressed in The AAO Journal are those of the authors and do not necessarily reflect viewpoints of the editors The AAO Journal’s 2015 Index .....................................................28 or official policy of the American Academy of Osteopathy or the Component Society Calendar of Events ......................................32 institutions with which the authors are affiliated, unless specified. The advertising rates listed below are for The AAO Journal, the official peer- Although all advertising is expected to conform to ethical medical reviewed publication of the American Academy of Osteopathy (AAO). standards, acceptance does not imply endorsement by this journal AAO members and AAO component societies are entitled to a 20% or by the American Academy of Osteopathy. discount on advertising in this journal. Call the AAO at (317) 879-1881, ext. 211, for more information. Subscription rate for AAO nonmembers: $60 per year. To subscribe, contact AAO Publications Liaison Lauren Good 2015 Advertising Rates per Placement at [email protected]. Placed 1 time Placed 2 times Placed 4 times Send all address changes to [email protected]. Full page (7.5” x 9.5”) $600 $570 $540 ISSN 2375-5717 (online) ISSN 2375-5776 (print) One-half page (7.5” x 4.5”) $400 $380 $360 One-third page (2.25” x 9.5”) $300 $285 $270 On the cover: iStock ©stockfotocz/71779267 Quarter page (3.5” x 4.5”) $200 $190 $180 Classified $1 per 7 characters, spaces not included The AAO Journal • Vol. 25, No. 3 • December 2015 Page 3 AAO Calendar of Events Mark your calendar for these upcoming Academy meetings and educational courses. 2016 January 1 New Year’s Day—AAO office closed March 16 AAO Board of Governors’ meeting, 1 to 5 p.m. Eastern time—Rosen Shingle Creek, Orlando, January 1 Applications due for fellowship in the AAO Florida January 13 AAO Public Relations Task Force’s March 16 AAO Investment Committee’s meeting, imme- teleconference, 9 p.m. Eastern time diately following Board of Governors’ meeting— January 14 Committee on Fellowship in the AAO’s Rosen Shingle Creek, Orlando, Florida teleconference, 8:30 p.m. Eastern March 17 AAO’s annual business meeting and luncheon, February 5-6 AAO Education Committee’s meeting—AAO 11:45 a.m. to 2:15 p.m. Eastern time—Rosen office—Indianapolis Shingle Creek, Orlando, Florida February 12-14 Clinically Coordinated Counterstrain—William March 18 AAO Postdoctoral Standards and Accredita- H. Devine, DO, course director—Midwestern tion Committee’s meeting, 12:30 to 2:30 p.m. University/Arizona College of Osteopathic Eastern time—Rosen Shingle Creek, Orlando, Medicine in Glendale (This course is being Florida supported in part by the AAO’s Samuel V. March 18 AAO Publications Committee’s meeting, 12:30 Robuck Fund.) to 2:30 p.m. Eastern time—Rosen Shingle March 12-15 Pre-Convocation course—Evidence-Based Creek, Orlando, Florida Visceral Function and Dysfunction With 3D March 18 AAO Postdoctoral Training Committee’s meet- Anatomy—Kenneth J. Lossing, DO, and Stefan ing, 2:30 to 3:30 p.m. Eastern time—Rosen Hagopian, DO, FAAO, course directors—Rosen Shingle Creek, Orlando, Florida Shingle Creek, Orlando, Florida March 19 AAO Board of Trustees’ meeting,