{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:47:10Z","timestamp":1787064430978,"version":"build-2736575974"},"reference-count":38,"publisher":"Walter de Gruyter GmbH","issue":"6","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jom-2025-0115_abs_001\">\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Traumatic musculoskeletal injuries may result in chronic pain and mobility limitations, decreasing quality of life, and increasing predisposition to comorbid disorders. Osteopathic manipulative treatment (OMT) utilizes palpatory assessment and application of manual forces as an adjunct intervention for musculoskeletal disease. Multiple studies have demonstrated OMT\u2019s potential benefits for a range of disease states, but data on osteopathic OMT are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0115_abs_002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of our study was to understand the potential benefits of a novel OMT for trauma outpatient program for the care of injured patients suffering chronic pain and mobility limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0115_abs_003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In 2021, the New York University (NYU) Langone Hospital\u00a0\u2013\u00a0Long Island Level 1 Trauma Center established a novel outpatient OMT for Trauma Program (OTP). We performed a retrospective analysis of OTP patients seen from January 1, 2021 to December 31, 2022 with the chief complaint of refractory chronic (persistent\u00a0\u22653\u202fmonths since inciting injury) postinjury pain and mobility limitations (inclusion criterion). We excluded patients missing follow-up, then extracted and analyzed patient demographic, injury-specific, and OMT data. Data are presented as frequencies (percentages) or medians (interquartile range [IQR]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0115_abs_004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty-three patients (75.4\u202f% of patients treated at the outpatient OTP) reported a mechanism of injury (MOI). Of these, 30 (69.8\u202f%) met the inclusion criteria, and seven met the exclusion criterion, yielding 23 total patients for the analysis (40.3\u202f% of the total OTP population). 73.9\u202f% were female aged 46 (39\u201359)\u202fyears old. Patients presented 3.00 (0.58\u201320)\u202fyears since etiologic injury. MOIs included 56.5\u202f% motor vehicle collisions (MVC), 21.7\u202f% falls, 8.7\u202f% penetrating, and 13.0\u202f% sports-related or lifting injuries. Patients reported 3 (2\u20134) treatment modalities tried and 2 (1\u20133) medications attempted prior to the OTP. After the first OMT session, 95.7\u202f% of patients reported subjective improvement in pain with a decrease in pain score 3 (3\u20137) out of 10. After OMT, patients also self-reported ease of activities of daily living (ADLs, 82.6\u202f%), improved sleep hygiene (26.1\u202f%), improved anxiety\/mood (65.2\u202f%), and decreased use of analgesic medication (13.0\u202f%). Four (17.4\u202f%) reported post-OMT complication of 2\u20133\u202fdays of self-limited, mild musculoskeletal pain. Univariate logistic regression models demonstrate that OMT benefited patients regardless of time since inciting injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0115_abs_005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OMT may benefit refractory chronic traumatic pain and mobility limitations regardless of the time since inciting the injury. This is the first major publication from the OTP and bolsters proof-of-concept for an organized OMT program at a level 1 trauma center. Further study, including comparative analysis with more formalized pain assessments utilizing validated tools as well as standardized OMT session surveys, is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jom-2025-0115","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:00:44Z","timestamp":1761663644000},"page":"281-288","source":"Crossref","is-referenced-by-count":1,"title":["Osteopathic manipulative treatment for refractory chronic traumatic pain and mobility restrictions at a level 1 trauma center"],"prefix":"10.1515","volume":"126","author":[{"given":"Gerard A.","family":"Baltazar","sequence":"first","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of Surgery , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Cao","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of OB\/GYN , Lenox Hill Hospital , New York , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Van Vleet","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Oklahoma State University College of Osteopathic Medicine , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sky","family":"Hart","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Lincoln Memorial University DeBusk College of Osteopathic Medicine , Knoxville , TN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Jakubowski","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Lake Erie College of Osteopathic Medicine , Erie , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Suree","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Idaho College of Osteopathic Medicine , Meridian , ID , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizio","family":"Petrone","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of Surgery , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahidul","family":"Islam","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Office of Academic Affairs , Northwell Health , New Hyde Park , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Machado","sequence":"additional","affiliation":[{"name":"Department of Surgery , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Rubano","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of Surgery , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"2026052012500626495_j_jom-2025-0115_ref_001","unstructured":"WHO TWHO. 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