Response to “Standardization of osteopathic manipulative treatment in telehealth settings to maximize patient outcomes and minimize adverse effects”
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Joanna L. Kramer
and
Kathleen De Asis
To the Editor,
We appreciate the authors’ interest [1] and enthusiasm for osteopathic interventions via telehealth and agree with their call for standardized guidelines to help improve the delivery of virtual osteopathic care. When these visits began [2], we were pivoting quickly from in-person to telehealth visits and trying to determine if osteopathic interventions via telehealth would be feasible. Given our early results, we absolutely recognize the need for more study of standardization and quality tools to assist patients and families with such visits. This need is highlighted by a systematic review conducted by Mani et al. [3] which revealed discrepancies in validity for certain musculoskeletal assessments conducted over telehealth. Cottrell and Russell [4] suggest several considerations for standardizing musculoskeletal therapy via telehealth including the use of frameworks and theories, clinical factors like physical location, clinician skill and experience, and systematic evaluations of the treatments. The study and development of such standardized protocols could allow for a better understanding of the efficacy of osteopathic interventions for specific musculoskeletal complaints. Additionally, consistent methods would lead to broader and safer application of osteopathic principles through a telehealth platform. We would be eager to collaborate in the future with any osteopathic leaders who might be interested in developing these tools.
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Research funding: None reported.
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Author contributions: Both authors provided substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; both authors drafted the article or revised it critically for important intellectual content; both authors gave final approval of the version of the article to be published; and both authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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Competing interests: None reported.
References
1. Gawrys, SP, Bradshaw, JT, Parker, LM. Standardization of osteopathic manipulative treatment in telehealth settings to maximize patient outcomes and minimize adverse effects. J Osteopath Med 2022;122:377–8. https://doi.org/10.1515/jom-2021-0266.Search in Google Scholar PubMed
2. Kramer, JL, De Asis, K. Osteopathic interventions via telehealth in a pediatric population: a retrospective case series. J Osteopath Med 2021;121:857–61. https://doi.org/10.1515/jom-2021-0124.Search in Google Scholar PubMed
3. Mani, S, Sharma, S, Omar, B, Paungmali, A, Joseph, L. Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review. J Telemed Telecare 2017;23:379–91. https://doi.org/10.1177/1357633x16642369.Search in Google Scholar
4. Cottrell, MA, Russell, TG. Telehealth for musculoskeletal physiotherapy. Musculoskelet Sci Pract 2020;48:102193. https://doi.org/10.1016/j.msksp.2020.102193.Search in Google Scholar PubMed PubMed Central
© 2022 Joanna L. Kramer and Kathleen De Asis, published by De Gruyter, Berlin/Boston
This work is licensed under the Creative Commons Attribution 4.0 International License.
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Articles in the same Issue
- Frontmatter
- Behavioral Health
- Commentary
- Overcoming reward deficiency syndrome by the induction of “dopamine homeostasis” instead of opioids for addiction: illusion or reality?
- General
- Original Article
- The association between operating margin and surgical diversity at Critical Access Hospitals
- Medical Education
- Brief Report
- Reported completion of the USMLE Step 1 and match outcomes among senior osteopathic students in 2020
- Commentary
- Addressing disparities in medicine through medical curriculum change: a student perspective
- Obstetrics and Gynecology
- Original Article
- Cervical cancer screening among women with comorbidities: a cross-sectional examination of disparities from the Behavioral Risk Factor Surveillance System
- Public Health and Primary Care
- Review Article
- Review of medication-assisted treatment for opioid use disorder
- Clinical Image
- Idiopathic linear IgA bullous dermatosis with mucosal involvement
- Letters to the Editor
- Standardization of osteopathic manipulative treatment in telehealth settings to maximize patient outcomes and minimize adverse effects
- Response to “Standardization of osteopathic manipulative treatment in telehealth settings to maximize patient outcomes and minimize adverse effects”
