{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:42:55Z","timestamp":1775184175118,"version":"3.50.1"},"reference-count":14,"publisher":"Walter de Gruyter GmbH","issue":"5","license":[{"start":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T00:00:00Z","timestamp":1430438400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>\n                  <jats:bold>Context:<\/jats:bold> The American Osteopathic Association requires the integration of osteo-pathic principles and practice in all specialty residency training programs that it accredits, but the 4 residencies with the most integration of osteopathic manipulative medicine (OMM) have differences in training and emphasis on OMM as a primary treatment modality.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Objective:<\/jats:bold> To study differences in OMM use for spinal pain between the neuro-musculoskeletal medicine\/OMM (NMM\/OMM), the family practice\/osteopath-ic manipulative treatment (FP\/OMT), the integrated FP\/OMT and NMM\/OMM (FP\/NMM), and the internal medicine and NMM\/OMM (IM\/NMM) specialty residency training programs.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methods:<\/jats:bold> Medical records were reviewed for patient encounters from September 2011 through October 2013 at NMM\/OMM, FP\/OMT, FP\/NMM, and IM\/NMM residencies in a family medicine and OMM specialty clinic. Records were screened for a diagnosis of cervicalgia, thoracalgia, lumbago, or backache. The identifed encounters were compared to determine between-specialty differences in the number of chief complaints, non\u2013somatic dysfunction assessments, body regions with diagnosed somatic dysfunction, body regions managed with OMT, and number and type of OMT techniques used.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> Eighteen residents had 2925 patient encounters that included 1 or more spinal pain diagnoses. Overall, 2767 patients (95%) received OMT. The probability (95% CI) of residents using OMT was 0.99 (0.98-0.99) for the NMM\/OMM residents, 0.66 (0.55-0.77) for the FP\/OMT residents, 0.94 (0.88-0.97) for the FP\/NMM residents, and 0.997 (0.98-1.0) for the IM\/NMM residents. The FP\/OMT residents were less likely to manage spinal pain using OMT (<jats:italic>P<\/jats:italic>&lt;.001) and documented fewer somatic dysfunction assessments and fewer musculoskeletal assessments (<jats:italic>P<\/jats:italic>&lt;.001), but they documented significantly more non\u2013somatic dysfunction assessments (<jats:italic>P<\/jats:italic>&lt;.001). When using OMT, the FP\/OMT residents diagnosed somatic dysfunction in fewer mean (95% CI) body regions (2.9 [2.4-3.5]) than the NMM\/OMM (5.5 [4.9-6.2]), the FP\/NMM (5.5 [4.8-6.3]), or the IM\/NMM (4.6 [3.4-6.0]) residents (<jats:italic>P<\/jats:italic>&lt;.001). The FP\/OMT residents also managed fewer mean (95% CI) body regions with OMT (3.5 [3.0-4.1]) than the NMM\/OMM (5.7 [5.2-6.3]), the FP\/NMM (5.6 [5.0-6.3]), or the IM\/NMM (4.7 [3.7-6.0]) residents (<jats:italic>P<\/jats:italic>&lt;.001).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion:<\/jats:bold> Although the FP\/OMT residents used OMT less frequently than the other residents during spinal pain encounters, they provided care for a larger number and a wider variety of non\u2013somatic dysfunction assessments.<\/jats:p>","DOI":"10.7556\/jaoa.2015.060","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T19:52:25Z","timestamp":1430769145000},"page":"294-303","source":"Crossref","is-referenced-by-count":2,"title":["Variations in the Diagnosis and Treatment of Somatic Dysfunction Between 4 Osteopathic Residency Programs"],"prefix":"10.1515","volume":"115","author":[{"given":"Gregory A.","family":"Hon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen T.","family":"Snider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane C.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2015,5,1]]},"reference":[{"key":"2022022617403862152_j_jaoa.2015.060_ref_001","volume-title":"The Basic Documents for Postdoctoral Training.","year":"2014"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_002","volume-title":"Basic Standards for Residency Training in Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine.","year":"2012"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_003","volume-title":"Basic Standards for Residency Training in Osteopathic Family Medicine and Manipulative Treatment.","year":"2014"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_004","volume-title":"Basic Standards for Residency Training in Integrated Osteopathic Family Practice and Manipulative Treatment\/Neuromusculoskeletal Medicine.","year":"2011"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_005","volume-title":"Basic Standards for Residency Training in Internal Medicine and Neuromusculoskeletal Medicine.","year":"2011"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_006","volume-title":"Inspection Crosswalk for Residency Training in Osteopathic Family Medicine and Manipulative Treatment.","year":"2011"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_007","volume-title":"ICD-9-CM.","author":"Buck","year":"2013"},{"key":"2022022617403862152_j_jaoa.2015.060_ref_008","article-title":"Educational Council on Osteopathic Principles. Glossary of osteopathic terminology"},{"issue":"9859","key":"2022022617403862152_j_jaoa.2015.060_ref_009","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1016\/S0140-6736(12)61729-2","article-title":"Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Vos","year":"2012","journal-title":"Lancet."},{"issue":"1","key":"2022022617403862152_j_jaoa.2015.060_ref_010","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3122\/jabfm.2011.01.100057","article-title":"Family medicine outpatient encounters are more complex than those of cardiology and psychiatry","volume":"24","author":"Katerndahl","year":"2011","journal-title":"J Am Board Fam Med."},{"issue":"2","key":"2022022617403862152_j_jaoa.2015.060_ref_011","first-page":"80","article-title":"Variables infuencing the use of osteopathic manipulative treatment in family practice","volume":"97","author":"Johnson","year":"1997","journal-title":"J Am Osteopath Assoc."},{"issue":"10","key":"2022022617403862152_j_jaoa.2015.060_ref_012","first-page":"527","article-title":"Conditions and diagnoses for which osteopathic primary care physicians and specialists use osteopathic manipulative treatment","volume":"102","author":"Johnson","year":"2002","journal-title":"J Am Osteopath Assoc."},{"issue":"10","key":"2022022617403862152_j_jaoa.2015.060_ref_013","first-page":"754","article-title":"Retrospective medical record review of an osteopathic manipulative medicine hospital consultation service","volume":"113","author":"Snider","year":"2013","journal-title":"J Am Osteopath Assoc."},{"issue":"5","key":"2022022617403862152_j_jaoa.2015.060_ref_014","first-page":"219","article-title":"Osteopathic manipulative treatment techniques preferred by contemporary osteopathic physicians","volume":"103","author":"Johnson","year":"2003","journal-title":"J Am Osteopath Assoc."}],"container-title":["Journal of Osteopathic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2015.060\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2015.060\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T17:42:01Z","timestamp":1645897321000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2015.060\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,1]]},"references-count":14,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2015,5,1]]},"published-print":{"date-parts":[[2015,5,1]]}},"alternative-id":["10.7556\/jaoa.2015.060"],"URL":"https:\/\/doi.org\/10.7556\/jaoa.2015.060","relation":{},"ISSN":["2702-3648"],"issn-type":[{"value":"2702-3648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,1]]}}}