Effectiveness of Osteopathic Manipulative Treatment on Hemodynamic and Pulmonary Response in Coronary Artery Bypass Graft Patients: A Meta-Analysis.

Autor:	McGonegal C; Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA., Bhatti S; Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA., Carrasquillo J; Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA., Potesta MA; Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA., Kavulich J; Osteopathic Medicine, Lake Erie College of Osteopathic Medicine - Bradenton, Bradenton, USA., Toldi J; Sports Medicine, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Orange Park, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 27; Vol. 16 (8), pp. e67968. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI:	10.7759/cureus.67968
Abstrakt:	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. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, McGonegal et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu