{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T08:09:04Z","timestamp":1772784544843,"version":"3.50.1"},"reference-count":34,"publisher":"Walter de Gruyter GmbH","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jaoa.2020.100_s_001_w2aab3b7b8b1b6b1aab1c16b1Aa\">\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Impaired sleep quality is among many symptoms observed in patients with a concussion and may predispose a patient to a prolonged recovery course and a later return to their daily activities. Studies have suggested that osteopathic manipulative treatment (OMT) may play a role in improving sleep quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2020.100_s_002_w2aab3b7b8b1b6b1aab1c16b2Aa\">\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To investigate how OMT may play a role in the management and overall healing process in patients with a concussion by improving sleep quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2020.100_s_003_w2aab3b7b8b1b6b1aab1c16b3Aa\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data were collected from a randomized, controlled study on OMT and concussion (of which this study represents 1 arm) to investigate the effects of OMT vs concussion education counseling on sleep quality in student athletes with a concussion. Student athletes with no medical history of neurodegenerative disease who presented to the New York Institute of Technology College of Osteopathic Medicine Academic Healthcare Center with a concussion following a sport-related injury were enrolled in the study. Participants received OMT intervention or standard counseling on how to care for a concussion during their first and second visits. Participants rated their symptoms, including sleep quality, on the validated scale Sport Concussion Assessment Tool 5th Edition at 3 consecutive visits during 1 week. The mean sleep quality score within and between the OMT and education groups before each of 2 interventions and at the third visit were compared and analyzed using the Mann-Whitney <jats:italic>U<\/jats:italic> test.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2020.100_s_004_w2aab3b7b8b1b6b1aab1c16b4Aa\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty participants were enrolled in the study. Total symptom data showed a stronger, significant correlation with sleep scores than with other symptoms. Participants receiving OMT (n=16) reported overall 80% and 76% improvement in sleep quality from pre-OMT values to their second and third visits, respectively. Participants who had an educational intervention (n=14) reported a 36% and 46% improvement from pre-OMT values to their second and third visits, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jaoa.2020.100_s_005_w2aab3b7b8b1b6b1aab1c16b5Aa\">\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The beneficial relationship trend between OMT and sleep quality in patients with a concussion was not statistically significant. Owing to the limitations of this study, further research with a larger population and sham control participants is warranted. (Clinicaltrials.gov No. NCT02750566)<\/jats:p>\n               <\/jats:sec>","DOI":"10.7556\/jaoa.2020.100","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:12:26Z","timestamp":1597191146000},"page":"615-622","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Osteopathic Manipulative Treatment on Sleep Quality in Student Athletes After Concussion: A Pilot Study"],"prefix":"10.1515","volume":"120","author":[{"given":"Samantha","family":"Mazzeo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Silverberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany","family":"Oommen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Moya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Angelo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hallie","family":"Zwibel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayme","family":"Mancini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adena","family":"Leder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheldon C.","family":"Yao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"issue":"11","key":"2021032622304279530_j_jaoa.2020.100_ref_001_w2aab3b7b8b1b6b1ab2ab1Aa","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","year":"2017","journal-title":"Br J Sports Med"},{"key":"2021032622304279530_j_jaoa.2020.100_ref_002_w2aab3b7b8b1b6b1ab2ab2Aa","year":"2006"},{"key":"2021032622304279530_j_jaoa.2020.100_ref_003_w2aab3b7b8b1b6b1ab2ab3Aa","doi-asserted-by":"publisher","first-page":"682","DOI":"10.15585\/mmwr.mm6724a3","article-title":"Breiding MJ","volume":"67","year":"2017","journal-title":"Self-reported concussions from playing a sport or being physically active among high school students \u2014 United States"},{"key":"2021032622304279530_j_jaoa.2020.100_ref_004_w2aab3b7b8b1b6b1ab2ab4Aa","unstructured":"EvansRW, WhitlowCT. 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