{"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":1775184175185,"version":"3.50.1"},"reference-count":40,"publisher":"Walter de Gruyter GmbH","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"Abstract<\/jats:title>\n \n Context<\/jats:title>\n Concussion, a type of mild traumatic brain injury, is a disruption in normal brain function due to head injury. New-onset symptoms from concussion vary, likely depending on the areas of the head and neck affected; they can be severe and debilitating. Current treatment options are limited and difficult to individualize. Osteopathic manipulative medicine (OMM) can aid musculoskeletal restrictions that can potentially improve concussion symptoms.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To assess concussion symptom number and severity in participants with concussion who received either OMM or an educational intervention.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A randomized controlled trial was conducted at the New York Institute of Technology Academic Health Care Center. Patients presenting to the center with concussion-like symptoms due to recent head injury within the previous 7 days provided consent and were randomized into 2 intervention groups, receiving either 1 OMM treatment (n=16) or 1 concussion education intervention (n=15). Participants were assessed before and after the intervention with the validated Symptom Concussion Assessment Tool fifth edition (SCAT-5) for quantification of number of symptoms and their severity. Collected data were analyzed using the Mann-Whitney U<\/jats:italic> test and the repeated-measures analysis of variance.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Thirty-one participants were enrolled in the study; after 1 control participant was excluded due to incomplete data, 30 patient records were analyzed. The OMM intervention group had a significant decrease in symptom number (P=<\/jats:italic>.002) and symptom severity (P<\/jats:italic>=.001) compared with the concussion education group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n When used in the acute setting, OMM significantly decreased concussion symptom number and severity compared with concussion education. This study demonstrates that integration of OMM using a physical examination\u2013guided, individualized approach is safe and effective in the management of new-onset symptoms of uncomplicated concussions. 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