MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

This study allegedly evaluated the efficacy of osteopathic manipulative therapy (OMT) compared to that of the Kaltenborn-Evjenth Orthopedic Manipulative Therapy (KEOMT) for patients with chronic LBP.

It included 68 participants of both genders, aged 30 to 60, with chronic LBP. Participants were randomly assigned to one of two parallel groups, each with 34 members. The OMT group received, as a direct technique, a high-velocity/low-amplitude (HVLA) impulse, and as indirect techniques, strain counterstrain (SCS), myofascial release (MFR), and visceral mobilization therapy (VMT). The KEOMT group received lumbar segmental traction and lumbar segmental mobilization-flexion and gliding therapy grade 3. The participants in both groups received 10 treatments, two per week for five weeks. The primary outcome was pain severity, using a numeric pain rating scale (NPRS). The secondary outcome was the measurement of functional disability, using the Oswestry Disability Index (ODI).

The OMT and KEOMT both decreased pain and disability; however, the changes on the NPRS and ODI postintervention were statistically greater for the OMT group compared to the KEOMT group (P < .05).

The authors concluded that the OMT was better at reducing pain and improving quality of life. It reduced functional disability more than KEOMT in patients with chronic LBP.

The Kaltenborn-Evjenth Orthopedic Manipulative Therapy (KEOMT) concept is a treatment and training system based upon a comprehensive biomechanical evaluation of the arthro-neuro-muscular system and an individual’s functional abilities. This system of diagnosis and patient management applies to both patients with acute, subacute and chronic conditions of the spine and extremities and to athletes seeking to improve performance. It offers a reliable and practical approach that focuses on optimal physical health and function.

Has the KEOMT concept been tested and shown to be effective for LBP?

No!

So, what we have here is an equivalence trial of two manual techniques. As such it is FAR too small to yield a meaningful result. If the findings were meaningful, would they show that OMT is effective?

No!

As we have no proof that KEOMT does not impede recovery from LBP, the result could merely be due to the fact that OMT does not influence the natural history of LBP, while KEOMT has a detrimental effect.

Last question: which journal publishes such rubbish?

Ahh, it’s the remarkable Alternative therapies in health and medicine. That explains a lot!

 

One Response to Osteopathic Manual Treatment Compared to Kaltenborn-Evjenth Orthopedic Manual Therapy for Chronic Low Back Pain

  • From the trial proposal: Osteopathic Manual Treatment vs Kaltenborn-Evjenth Orthopedic Manual Therapy for Chronic Low Back Pain: A Proposal for a Protocol for Randomized Trials
    J Biomed Res Environ Sci. 2020 Dec 11; 1(8): 383-388.
    DOI: https://dx.doi.org/10.37871/jbres1169

    Introduction

    Osteopathic Manual Therapy (OMT) and Kaltenborn-Evjenth Orthopedic Manual Therapy (KEOMT) are another option, but its effectiveness remains controversial. Although practice guidelines recommend considering OMT for chronic LBP, a systematic review found in the Cochrane Database concluded that it offered no benefits. Nevertheless, a few Randomized Controlled Trials (RCTs) demonstrated clinically relevant LBP improvement in patients treated with OMT.

    In our study OMT and KEOMT will be applied because the Physiotherapy Center of the Motion System in Krzeszowice, Poland, specializes in this type of therapy and the physiotherapist employed there has a postgraduate degree in manual therapy and 15 year’s experience. He is the person, who performs the interventions. This fact increases the possibility of obtaining the maximum health benefits by the patients. …

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