Does osteopathic manipulative treatment have an effect on type 2 Diabetes Mellitus patients?

Object

Titel

Does osteopathic manipulative treatment have an effect on type 2 Diabetes Mellitus patients?

Author(s)

O. Ben Zvi
N. Reus

Abstract

The prevalence of type 2 diabetes mellitus is reaching epidemic
proportions. Furthermore, the costs of healthcare due to complications of type 2 diabetes mellitus are rising very fast. Patients with type 2 diabetes mellitus are sometimes treated by osteopaths. They come for other reasons like pain or disability. But are there actually studies that prove that this way of treatment has beneficial effects on patients with diabetes?

Objective
The article’s objective is to review the existing evidence on the effect of osteopathic manipulative treatment on type 2 diabetic mellitus patients.

Study design
Literature review

Method
To be able to find the necessary studies a literature search was conducted between May till June 2022 on the following websites:
Google Scholar, PubMed, Cochrane Library, International Journal of Osteopathic Medicine, The Journal of the American Osteopathic Association, Akademie Für Osteopathie, Osteopathic research web and Osteopathic Medical Digital Repository and Science Direct.
Out of the final 24 articles, three were found relevant to this study. Those were assessed with PEDro scale.

Results
Small-scale studies found improvement in patient’s parameters after OMT was applied. The findings were as follow: decreased blood glucose level, increased Plasma insulin level, decreased HbA1c value, significantly lowered the severity of low back pain and there is a possible mechanism which reduces circulating levels of TNF-α.
All three articles that were included are low to fair quality RCTs.

Conclusion
Larger and more extensive research needs to be done to be able to evaluate the effectiveness and benefits of OMT on type 2 diabetes mellitus patients, in order to demonstrate clinical significance.

Date Created

Augustus 2022

Type

Literature review / Afstudeeropdracht voor grootschalig onderzoek aan College Sutherland Amsterdam

number of pages

75

Keywords

Diabetes mellitus type 2, osteopathic manipulative treatment, pancreas, insulin, pathogenesis, diagnostics