The Role of Osteopathic Manipulative Medicine in Recovery From Concussions

Michigan State University76 enrolled

Overview

This project aims to study whether adding osteopathic manipulative treatment (OMT) to usual care of concussed patients will enhance their recovery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Concussion, Brain

Interventions

Osteopathic manipulative treatmentPROCEDURE

Osteopathic manipulative treatment (OMT) is hands-on care provided by an osteopathic physician (D.O.). During osteopathic manipulative treatment, an osteopathic physician may move participants' muscles and joints using osteopathic techniques including stretching, gentle pressure and resistance, as well as thrust techniques that apply a quick, therapeutic force of brief duration that travels a short distance.

Usual carePROCEDURE

Routine concussion management with healthcare professionals.

Eligibility

Sex: ALLMin age: 13 YearsMax age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 13-55 years * Concussion sustained within the last 12 days Exclusion Criteria: * Contraindications to OMT, such as skull fracture, cervical fracture, signs of intracranial bleeding, or stroke * Neck surgery within the last 6 months * Any conditions recognized by a physician as contraindicating or impeding protocol implementation * Will not be under the care of a healthcare professional * Any active (or pending) worker's compensation, disability, or personal injury claims related to their concussion injury

Locations (1)

MSU Center for Orthopedic Research

East Lansing, Michigan, United States

RECRUITING

Outcomes

Primary Outcomes

SCAT5 symptom evaluation score

Symptom evaluation score is a self-reported measure of the participants' post-concussion symptoms. Participants are scored on Total Number of Symptoms (ranges 0 to 22) and Symptom Severity Score (ranges 0 to 132). Higher scores represent worse outcome.

Time frame: through study completion, up to 4 weeks

Secondary Outcomes

Head position tracking accuracy

Participants will be seated in an upright position with their upper body secured to a backrest and will wear a head harness with an attached position sensor. The angular position of the head will be displayed on a monitor 1 meter in front of the participants and they will be asked to follow a moving target by moving their head. Accuracy will be determined by taking the difference between the target position signal and the actual head position.

Time frame: 2 weeks from injury

Head force tracking accuracy

Participants will be seated in an upright position with their upper body secured to a backrest and will be asked to generate force with their head against a fixed pad. The pad will be attached to a load cell that monitors how much force is being generated by their head. The force level will be displayed on a monitor 1 meter in front of the participants and they will be asked to follow a moving target by generating force with their head. Accuracy will be determined by taking the difference between target force signal and the actual head force.

Time frame: 2 weeks from injury

Return to play duration

Number of days between injury date and receiving clearance to return to play or referred out to other specialists

Time frame: through study completion, up to 4 weeks

Central Contacts

Jacek Cholewicki, PhD

CONTACT

517-353-4800 cholewic@msu.edu

Data from ClinicalTrials.gov

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