{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:34:11Z","timestamp":1786988051589,"version":"build-2736575974"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jom-2025-0252_abs_001\">\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Osteopathic manipulative treatment (OMT) utilizes manual techniques to address somatic dysfunctions (SDs) and promote physiologic function. Although SDs commonly develop following traumatic injury, the role of OMT in postinjury remains incompletely characterized. Patients recovering from trauma frequently experience persistent pain and functional limitations requiring ongoing healthcare utilization. To address this need, we established a novel OMT for trauma program (OTP) to complement interventions for patients with subacute and chronic postinjury pain and mobility impairments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0252_abs_002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to evaluate the growth and effectiveness of the novel OTP over its first 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0252_abs_003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed data for all patients treated at the OTP between January 1, 2021 and December 31, 2023. The outcomes included patient volume, relative value units (RVUs), and referral patterns as well as changes in pain, mobility, and other subjective improvement patients attributed to OMT. We performed subgroup analyses of patients who reported a mechanism of injury (MOI, \u201cInjured\u201d) and those who did not (\u201cNo MOI\u201d). Data are presented as percentages or medians (interquartile range [IQR]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0252_abs_004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During its first 3\u00a0years, the OTP provided 279 OMT sessions for 95 patients (41 [43.16\u202f%] male and 54 [56.84\u202f%] female; median 52 [41.50\u201364.50] years-old), applying a trauma-informed biomechanical OMT model. Quarterly patient encounters, RVUs generated, and new patient referrals increased per calendar-year quarter (CYQ; r=0.74, 0.62 and 0.56 with p=0.0028, 0.028, and 0.016, respectively). Referral patterns shifted from trauma\/acute care surgery (T\/ACS) and Physical Medicine and Rehabilitation (PM&amp;R; 51.85 to 25.0\u202f% and 33.33 to 2.78\u202f%) toward OTP patient referrals and Primary Care referrals (0\u201319.44\u202f% and 11.11\u201347.22\u202f%). Median pain scores decreased immediately following the first OMT session (3 [2\u20135] on a 10-point pain scale). OTP patients whose first follow-up was within the study period (61, 64.21\u202f%) reported a similar decrease between OMT sessions #1 and #2 (4 [3\u20136]). All patients reported improved mobility immediately after OMT. Additional benefits that patients attributed to the OTP included improvements in daily activity level (75.41\u202f%), mood (60.66\u202f%), sleep quality (36.07\u202f%), and pain-free periods (36.07\u202f%). The rate of immediate post-OMT complications (universally described as musculoskeletal discomfort or pain) was 2.87\u202f%. We detected no significant differences during subgroup analyses. Median pain scores improved similarly between Injured and No MOI subgroups immediately after OMT session #1 (3 [2\u20135] vs. 3.5 [1.5\u20134.25], p=0.337) and between OMT sessions #1 and 2 (4 [3\u20136] vs. 4 [1.5\u20136], p=0.363).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2025-0252_abs_005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our data demonstrate that not only is it possible to integrate a novel OTP into a level 1 trauma center but also that such a program is likely to grow significantly over time and consistently provide potentially beneficial OMT services for patients who do and do not identify a MOI. Programs like the OTP may provide a distinct modality to help improve postinjury pain and mobility limitations, among other potential benefits, although further analysis is necessary to assess causality. The present data informed updates to OTP operations, including the implementation of prospective, higher-fidelity data collection to enable more detailed and accurate analyses. Further research, including comparative studies, is warranted to explore the potential benefits of OMT for the trauma population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jom-2025-0252","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:55:36Z","timestamp":1786985736000},"source":"Crossref","is-referenced-by-count":0,"title":["Growth of a novel osteopathic manipulative treatment for trauma program integrated into a level 1 trauma center"],"prefix":"10.1515","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":"Lincy","family":"Thadathil","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of Physical Medicine and Rehabilitation , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MD Sibat","family":"Noor","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":"Lyn","family":"Weiss","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine , Mineola , NY , USA"},{"name":"Department of Physical Medicine and Rehabilitation , NYU Langone Hospital\u00a0\u2013\u00a0Long Island , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Joutovsky","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":"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":"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":"D\u2019Andrea K.","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Surgery , NYCHHC Elmhurst Hospital Center , Elmhurst , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"2026081716553004967_j_jom-2025-0252_ref_001","unstructured":"World Health Organization. Injuries and violence. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/injuries-and-violence [Accessed 26 Nov 2025]."},{"key":"2026081716553004967_j_jom-2025-0252_ref_002","doi-asserted-by":"crossref","unstructured":"Rosenbloom, BN, Khan, S, McCartney, C, Katz, J. Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury. J\u00a0Pain Res 2013;6:39\u201351. https:\/\/doi.org\/10.2147\/JPR.S38878.","DOI":"10.2147\/JPR.S38878"},{"key":"2026081716553004967_j_jom-2025-0252_ref_003","doi-asserted-by":"crossref","unstructured":"Mills, SEE, Nicolson, KP, Smith, BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth 2019;123:e273\u201383. https:\/\/doi.org\/10.1016\/j.bja.2019.03.023.","DOI":"10.1016\/j.bja.2019.03.023"},{"key":"2026081716553004967_j_jom-2025-0252_ref_004","unstructured":"GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020;396:1204\u201322. https:\/\/doi.org\/10.1016\/S0140-6736(20)30925-9. Erratum in: Lancet. 2020;396(10262):1562. 10.1016\/S0140-6736(20)32226-1."},{"key":"2026081716553004967_j_jom-2025-0252_ref_005","unstructured":"American Association of Colleges of Osteopathic Medicine. Glossary of osteopathic terminology, 3rd ed. Bethesda, MD: AACOM; 2017."},{"key":"2026081716553004967_j_jom-2025-0252_ref_006","doi-asserted-by":"crossref","unstructured":"Licciardone, JC, Stoll, ST, Fulda, KG, Russo, DP, Siu, J, Winn, W, et al.. Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial. Spine 2003;28:1355\u201362. https:\/\/doi.org\/10.1097\/01.BRS.0000067110.61471.7D.","DOI":"10.1097\/01.BRS.0000067110.61471.7D"},{"key":"2026081716553004967_j_jom-2025-0252_ref_007","doi-asserted-by":"crossref","unstructured":"Nguyen, C, Boutron, I, Zegarra-Parodi, R, Baron, G, Alami, S, Sanchez, K, et al.. Effect of osteopathic manipulative treatment vs sham treatment on activity limitations in patients with nonspecific subacute and chronic low back pain: a randomized clinical trial. JAMA Intern Med 2021;181:620\u201330. https:\/\/doi.org\/10.1001\/jamainternmed.2021.0005.","DOI":"10.1001\/jamainternmed.2021.0005"},{"key":"2026081716553004967_j_jom-2025-0252_ref_008","doi-asserted-by":"crossref","unstructured":"Franke, H, Franke, JD, Fryer, G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Muscoskelet Disord 2014;15:286. https:\/\/doi.org\/10.1186\/1471-2474-15-286.","DOI":"10.1186\/1471-2474-15-286"},{"key":"2026081716553004967_j_jom-2025-0252_ref_009","doi-asserted-by":"crossref","unstructured":"Tafler, L, Santanello, A, Lysakova, Y. The function of osteopathic medicine in the treatment of adhesive capsulitis. Cureus 2022;14:e27640. https:\/\/doi.org\/10.7759\/cureus.27640.","DOI":"10.7759\/cureus.27640"},{"key":"2026081716553004967_j_jom-2025-0252_ref_010","doi-asserted-by":"crossref","unstructured":"Arienti, C, Dacc\u00f2, S, Piccolo, I, Redaelli, T. Osteopathic manipulative treatment is effective on pain control associated to spinal cord injury. Spinal Cord 2011;49:515\u20139. https:\/\/doi.org\/10.1038\/sc.2010.170.","DOI":"10.1038\/sc.2010.170"},{"key":"2026081716553004967_j_jom-2025-0252_ref_011","doi-asserted-by":"crossref","unstructured":"Baltazar, GA, Kolwitz, C, Petrone, P, Stright, A, Joseph, D. Osteopathic manipulative treatment relieves post-concussion symptoms in a case of polytrauma. Cureus 2020;12:e7317. https:\/\/doi.org\/10.7759\/cureus.7317.","DOI":"10.7759\/cureus.7317"},{"key":"2026081716553004967_j_jom-2025-0252_ref_012","doi-asserted-by":"crossref","unstructured":"Thomas, KD, Lombard, ZK, Shadiack, AL. Osteopathic manipulative treatment for concussions and postconcussive syndrome in athletes: a literature review. J\u00a0Osteopath Med 2023;123:395\u2013403. https:\/\/doi.org\/10.1515\/jom-2022-0217.","DOI":"10.1515\/jom-2022-0217"},{"key":"2026081716553004967_j_jom-2025-0252_ref_013","doi-asserted-by":"crossref","unstructured":"Esterov, D, Thomas, A, Weiss, K. Osteopathic manipulative medicine in the management of headaches associated with postconcussion syndrome. J\u00a0Osteopath Med 2021;121:651\u20136. https:\/\/doi.org\/10.1515\/jom-2020-0035.","DOI":"10.1515\/jom-2020-0035"},{"key":"2026081716553004967_j_jom-2025-0252_ref_014","doi-asserted-by":"crossref","unstructured":"McCallister, A, Brown, C, Smith, M, Ettlinger, H, Baltazar, GA. Osteopathic manipulative treatment for somatic dysfunction after acute severe traumatic brain injury. J\u00a0Am Osteopath Assoc 2016;116:810\u20135. https:\/\/doi.org\/10.7556\/jaoa.2016.157.","DOI":"10.7556\/jaoa.2016.157"},{"key":"2026081716553004967_j_jom-2025-0252_ref_015","unstructured":"Eisenhart, AW, Gaeta, TJ, Yens, DP. Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J\u00a0Am Osteopath Assoc 2003;103:417\u201321."},{"key":"2026081716553004967_j_jom-2025-0252_ref_016","unstructured":"McReynolds, TM, Sheridan, BJ. Intramuscular ketorolac versus osteopathic manipulative treatment in the management of acute neck pain in the emergency department: a randomized clinical trial. J\u00a0Am Osteopath Assoc 2005;105:57\u201368."},{"key":"2026081716553004967_j_jom-2025-0252_ref_017","doi-asserted-by":"crossref","unstructured":"Baltazar, GA, Kolwitz, CE, Florek, MG. Rib somatic dysfunction among general surgical patients. J\u00a0Am Osteopath Assoc 2020;120:590\u20136. https:\/\/doi.org\/10.7556\/jaoa.2020.097.","DOI":"10.7556\/jaoa.2020.097"},{"key":"2026081716553004967_j_jom-2025-0252_ref_018","doi-asserted-by":"crossref","unstructured":"Baltazar, GA, Cao, M, Van Vleet, J, Hart, S, Jakubowski, A, Suree, N, et al.. Osteopathic manipulative treatment for refractory chronic traumatic pain and mobility restrictions at a level 1 trauma center. J\u00a0Osteopath Med 2025;126:281\u20138. https:\/\/doi.org\/10.1515\/jom-2025-0115.","DOI":"10.1515\/jom-2025-0115"},{"key":"2026081716553004967_j_jom-2025-0252_ref_019","unstructured":"Barral, JP, Croibier, A. Trauma: an osteopathic approach. Seattle, WA: Eastland Press; 2007."},{"key":"2026081716553004967_j_jom-2025-0252_ref_020","doi-asserted-by":"crossref","unstructured":"Degenhardt, BF, Johnson, JC, Brooks, WJ, Norman, L. Characterizing adverse events reported immediately after osteopathic manipulative treatment. J\u00a0Am Osteopath Assoc 2018;118:141\u20139. https:\/\/doi.org\/10.7556\/jaoa.2018.033.","DOI":"10.7556\/jaoa.2018.033"},{"key":"2026081716553004967_j_jom-2025-0252_ref_021","doi-asserted-by":"crossref","unstructured":"Bagagiolo, D, Rosa, D, Borrelli, F. Efficacy, and safety of osteopathic manipulative treatment: an overview of systematic reviews. 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