The Ability of Osteopathic Structural Evaluation to Assess Gait

NCT04860999 | Completed

• 1 other identifier: 2016-051
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

Movement and loading asymmetry have been associated with injury risk for a variety of both acute and chronic musculoskeletal injuries. In addition, asymmetric movements have been identified as compensatory strategies to allow for ambulation in a variety of post-operative populations. Osteopathic physicians have been assessing both structure and function through the use of structural evaluation techniques along with postural assessment that can identify somatic dysfunction. However, no studies have identified the ability of an osteopathic structural evaluation and postural assessment to identify potential movement disorders and loading asymmetry. Therefore, the primary objective of this study is to determine the acute impact of an osteopathic manipulation on restoration of side-to-side symmetry during walking gait in participants who are categorized as having lower extremity dysfunction. We enrolled 51 participants who are pain-free and without a history of major orthopaedic injuries that required surgical intervention. Each subject completed an osteopathic structural evaluation and postural assessment along with an osteopathic manipulation. All participants completed instrumented gait analyses before and after the osteopathic manipulation using a motion capture system and an instrumented treadmill to determine the participant's movement and loading asymmetry during walking.

Conditions

Osteopathic Manipulation; Postural; Defect; Somatic; Functional Disturbance

Keywords

gait; assessment; manipulation; asymmetry; osteopathic

Outcome Measures

Primary Outcomes (2)

• Peak vertical ground reaction force asymmetry between limbs during the weight acceptance and propulsive phases of walking

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

• Peak vertical ground reaction force asymmetry between limbs during the weight acceptance and propulsive phases of walking

  After an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5 minutes after)

Secondary Outcomes (10)

• Peak vertical ground reaction force impulse asymmetry between limbs

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

• Peak knee flexion angle asymmetry between limbs

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

• Step length asymmetry between limbs

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

• Stride length asymmetry between limbs

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

• Stance time asymmetry between limbs

  Before an osteopathic manipulative treatment addressing identified somatic dysfunctions (approximately 5-10 minutes before)

Study Arms (1)

Somatic Dysfunction

EXPERIMENTAL

This is the single study arm. All participants completed an osteopathic postural examination and an osteopathic manipulative treatment. Participants also completed a biomechanical assessment prior to and following the osteopathic manipulative treatment to evaluate effects of the treatment on the gait asymmetry.

Procedure: Osteopathic Manipulative Treatment

Interventions

Osteopathic Manipulative Treatment PROCEDURE

The osteopathic manipulations focused on treating the asymmetric postural dysfunction that was identified by the initial functional structural evaluation. The manipulation consisted of typical time-honored osteopathic treatments directed at the identified somatic dysfunction(s). These techniques were clinically directed and include: soft tissue, muscle energy, high velocity low amplitude, low velocity high amplitude as well as facilitated positional release as indicated.

Somatic Dysfunction

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Between ages of 18 and 35

You may not qualify if:

• History of major lower extremity surgery
• Currently being under the care of a medical professional for any musculoskeletal injury or chronic condition

Sponsors & Collaborators

• Edward Via Virginia College of Osteopathic Medicine: lead

Study Sites (1)

Virginia Polytechnic Institute and State University

Blacksburg, Virginia, 24061, United States

Location

MeSH Terms

Interventions

Manipulation, Osteopathic

Intervention Hierarchy (Ancestors)

Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Robin Queen

  Virginia Polytechnic Institute and State University

  PRINCIPAL INVESTIGATOR

• Gunnar Brolinson

  Edward Via College of Osteopathic Medicine

  PRINCIPAL INVESTIGATOR

• Mark Rogers

  Edward Via College of Osteopathic Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants underwent an osteopathic structural examination and osteopathic manipulation. Participants completed a biomechanical assessment prior to and following the osteopathic manipulation to evaluate the effect of osteopathic manipulation on gait asymmetry.

Study Record Dates

• First Submitted: March 24, 2021
• First Posted: April 27, 2021
• Study Start: August 15, 2017
• Primary Completion: December 20, 2017
• Study Completion: December 20, 2017
• Last Updated: April 27, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)