Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: Protocol for systematic review and meta-analysis

Document Type

Article

Publication Title

International Journal of Osteopathic Medicine

Abstract

Background: Osteopathic manipulative treatment (OMT) has been increasingly adopted by osteopathic practitioners to treat dizziness from neuro-otologic disorders. However, no systematic review has investigated effectiveness of OMT on benefit outcomes and harm outcomes associated with OMT for these conditions. The current protocol will provide pooled effect estimates for effectiveness of OMT for neuro-otologic disorders. Methods: The following databases will be searched: CINAHL, Embase, Ovid MEDLINE, AMED, Ovid Emcare, PEDro, PubMed, PsycINFO, OSTMED.DR, and CENTRAL. Eligible randomized controlled trials and observational studies published in English will be reviewed. Target outcomes are change in dizziness, frequency of falls, quality of life (QOL), disability, and return to work; harm outcomes are dropouts due to ineffectiveness, adverse effects, and all-cause dropout rates. Studies investigating individual types of OMT techniques will be pooled. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) assessment tool will be used for data synthesis and to assess evidence quality. We will report effect estimates with weighted mean differences or standardized mean difference (SMD) for continuous outcome and odds ratios with 95% confidence intervals for binary outcomes. Discussion: Our findings will be of importance to patients and osteopathic practitioners and will identify key areas for future research.

First Page

76

Last Page

82

DOI

10.1016/j.ijosm.2021.11.002

Publication Date

12-1-2021

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