Safety of Osteopathic Cranial Manipulative Medicine as an Adjunct to Conventional Postconcussion Symptom Management: A Pilot Study

Komal G. Patel, DO, and Rosanna C. Sabini, DO
Notes and Affiliations
Notes and Affiliations

Received: December 23, 2017

Accepted: January 4, 2018

Published: April 16, 2018

J Osteopath Med; 118(6): 403-409

Context: Osteopathic cranial manipulative medicine is not a well-established adjunct to conventional treatment for patients with postconcussion symptoms.

Objectives: To determine whether adjunctive osteopathic cranial manipulative medicine is safe for patients with concussion when accompanied by conventional treatments.

Design: Prospective observational pilot study.

Setting: Outpatient concussion clinic.

Participants: Patients who sustained a concussion were prospectively recruited from an outpatient concussion clinic by a neuropsychologist specialized in concussion. All participants were identified to have a cranial dysfunction.

Intervention: Each eligible participant received 1 session of the osteopathic cranial manipulative medicine vault hold technique.

Main Outcome Measures: Self-reported adverse events during or after 1 session of the osteopathic cranial manipulative medicine procedure and improvement in concussion symptoms at return to follow-up.

Results: None of the 9 participants reported adverse events during or immediately after receiving osteopathic cranial manipulative medicine. Five of the 7 participants who returned for follow-up demonstrated improvement in their overall concussion symptoms based on the Post-Concussion Symptom Scale scores.

Conclusions: Osteopathic cranial manipulative medicine was considered a safe adjunctive treatment option to improve concussion-related symptoms and recovery.

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