Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis
Osteopathic manipulative treatment (OMT) continues to be used for a range of diseases in children. Objectives: The aim of this paper is to update our previous systematic review (SR) initially published in 2013 by critically evaluating the evidence for or against this treatment. Methods: Eleven datab...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/15/4455 |
| _version_ | 1797432877890142208 |
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| author | Pawel Posadzki Bhone Myint Kyaw Arkadiusz Dziedzic Edzard Ernst |
| author_facet | Pawel Posadzki Bhone Myint Kyaw Arkadiusz Dziedzic Edzard Ernst |
| author_sort | Pawel Posadzki |
| collection | DOAJ |
| description | Osteopathic manipulative treatment (OMT) continues to be used for a range of diseases in children. Objectives: The aim of this paper is to update our previous systematic review (SR) initially published in 2013 by critically evaluating the evidence for or against this treatment. Methods: Eleven databases were searched (January 2012 to November 2021). Study selection and data extraction: Only randomized clinical trials (RCTs) of OMT in pediatric patients compared with any type of controls were considered. The Cochrane risk-of-bias tool was used. In addition, the quality of the evidence was rated using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria, as recommended by the Cochrane Collaboration. Results: Thirteen trials met the eligibility criteria, of which four could be subjected to a meta-analysis. The findings show that, in preterm infants, OMT has little or no effect on reducing the length of hospital stay (standardized mean difference (SMD) −0.03; 95% confidence interval (CI) −0.44 to 0.39; very low certainty of evidence) when compared with usual care alone. Only one study (8.3%) was judged to have a low risk of bias and showed no effects of OMT on improving exclusive breastfeeding at 1 month. The methodological quality of RCTs published since 2013 has improved. However, adverse effects remain poorly reported. Conclusions: The quality of the primary trials of OMT has improved during recent years. However, the quality of the totality of the evidence remains low or very low. Therefore, the effectiveness of OMT for selected pediatric populations remains unproven. |
| first_indexed | 2024-03-09T10:08:00Z |
| format | Article |
| id | doaj.art-f8efb91f60c84caa9b2c36cfe90882ff |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T10:08:00Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f8efb91f60c84caa9b2c36cfe90882ff2023-12-01T22:59:42ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011115445510.3390/jcm11154455Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-AnalysisPawel Posadzki0Bhone Myint Kyaw1Arkadiusz Dziedzic2Edzard Ernst3Kleijnen Systematic Reviews, 6 Escrick Business Park, York YO19 6FD, UKLee Kong Chian School of Medicine, Nanyang Technological University, 50 Nanyang Ave, Singapore 639798, SingaporeDepartment of Restorative Dentistry with Endodontics, Medical University of Silesia, 40-0055 Katowice, PolandComplementary Medicine, University of Exeter, 25 Victoria Park Road, Exeter EX2 4NT, UKOsteopathic manipulative treatment (OMT) continues to be used for a range of diseases in children. Objectives: The aim of this paper is to update our previous systematic review (SR) initially published in 2013 by critically evaluating the evidence for or against this treatment. Methods: Eleven databases were searched (January 2012 to November 2021). Study selection and data extraction: Only randomized clinical trials (RCTs) of OMT in pediatric patients compared with any type of controls were considered. The Cochrane risk-of-bias tool was used. In addition, the quality of the evidence was rated using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria, as recommended by the Cochrane Collaboration. Results: Thirteen trials met the eligibility criteria, of which four could be subjected to a meta-analysis. The findings show that, in preterm infants, OMT has little or no effect on reducing the length of hospital stay (standardized mean difference (SMD) −0.03; 95% confidence interval (CI) −0.44 to 0.39; very low certainty of evidence) when compared with usual care alone. Only one study (8.3%) was judged to have a low risk of bias and showed no effects of OMT on improving exclusive breastfeeding at 1 month. The methodological quality of RCTs published since 2013 has improved. However, adverse effects remain poorly reported. Conclusions: The quality of the primary trials of OMT has improved during recent years. However, the quality of the totality of the evidence remains low or very low. Therefore, the effectiveness of OMT for selected pediatric populations remains unproven.https://www.mdpi.com/2077-0383/11/15/4455osteopathypediatric conditionssystematic reviewmeta-analysis |
| spellingShingle | Pawel Posadzki Bhone Myint Kyaw Arkadiusz Dziedzic Edzard Ernst Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis Journal of Clinical Medicine osteopathy pediatric conditions systematic review meta-analysis |
| title | Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis |
| title_full | Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis |
| title_fullStr | Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis |
| title_full_unstemmed | Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis |
| title_short | Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis |
| title_sort | osteopathic manipulative treatment for pediatric conditions an update of systematic review and meta analysis |
| topic | osteopathy pediatric conditions systematic review meta-analysis |
| url | https://www.mdpi.com/2077-0383/11/15/4455 |
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